A nurse obtains the health health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60-pack-year smoking history which action is most important for the nurse take when interviewing this client
maintain a non-judgemental attitude to avoid causing the client to feel guilty
A nurse assesses a client after an open lung biopsy which assessment finding is matched with the correct intervention
Client has reduced breath sounds -nurse calls primary health care provider immediately
A nurse assesses a clients respiratory status which information is most important for the nurse to obtain
occupation and hobbies
A nurse observes that a cleints anteroposterior(AP) chest diameter is the same as the lateral chest diameter which question would the nurse ask the client in response to this finding
Do you have any chronic breathing problems
A nurse is assessing a client who is recovering from a lung biopsy the clients breath sounds are absent while another nurse calls the Rapid Response Team what action by the nurse takes is most important
Obtain pulse oximetry reading
A nurse is caring for a client who is scheduled to undergo a thoracentesis which intervention would the nurse complete prior to the procedure
Validate that informed consent has been given by the client
A nurse assesses a client after a thoracentesis which assessment finding warrants immediate action
The trachea is shifted toward the opposite side of the neck
A nures cares for a client who had a bronchoscopy 2 hours ago the client asks for a drink of water what action would the nurse take next
Assess the clients gag reflex before giving any food or water
A nurse plans for a client who is experiencing dyspnea and must stop
Assistance with activities of daily living
A nurse teaches a client who is prescribed nicotine replacement therapy which statement would the nurse include in this clients teaching
smoking while taking this medication will increase your risk of a stroke
A nurse is caring for a client who received benzocaine spray prior to a recent bronchoscopy the client presents with continuous cyanosis even with oxygen therapy what action would the nurse take next
Notify the Rapid Response Team
A nurse auscultates a harsh hollow sound over a clients trachea and larynx what action would the nurse take first
Document the findings
A nurse assesses a client who is prescribed varenicline for smoking cessation which signs or symptoms would the nurse identify as adverse effects of this medication (SATA)
Visual hallucinations
manic behavior
While obtaining a clients health history the client states I am allergic to avocados, molds and grass which responses by the nurse are best (SATA)
What happens when you are exposed to those things
How do you treat these allergies
I will document this in your record so all so everyone knows
Have you ever been in the hospital after an allergic response
A nurse collaborates with a respiratory therapist to complete pulmonary function tests(PFTs) for a client which statements would the nurse include in communications with the respiratory therapist prior to the tests (SATA)
I held the clients morning bronchodilator medication
I advised the client not to smoke for 6 hours prior to the test
The client is alert and can follow your commands
A nurse teaches a client who is interested in smoking cessation which statements would the nurse include in this clients teaching(SATA)
Find an activity that you enjoy and will keep your hands busy
Drink at least eight glasses of water a day
Make a list of reasons you want to stop smoking
Set a quit date and stick to it
A nurse is assessing a clients history of particular matter exposure what questions are consistent with the I PREPARE tool (SATA)
Investigate all history of known exposures
Determine if breathing problems are worse at work
Ask the client what type of heating is in the home
Gather details about the geographic location of the clients home
Have client list all previous jobs and work places
Assess what hobbies the client and family enjoy
A nurse assesses a client who is recovering from a thoracentesis which assessment findings would alert the nurse to a potential pneumothorax (SATA)
New onset cough
Tachypnea
Pain with respirations
A nurse prepares a client who is scheduled for a bronchoscopy with transbronchial biopsy procedure at 9:00 AM(0900) what actions would the nurse take (SATA)
Verify that the informed consent was obtained
Document the clients allergies
Review Laboratory results
Monitor the client for at least 24 hours afterwards