MedSurg | Respiratory

An ambulance arrives at the emergency department with a client who has audible sucking noises on both inspiration and expiration and diminished breath sounds on one side. Which of the following procedures should the nurse anticipate?

A client who had a bronchospasm was given ipratropium for treatment. The client asks the nurse how the medication works. Which of the following responses is accurate?

A nurse is caring for a client who is 68-years-old and has been diagnosed with chronic lung disease. The client already has a diagnosis of heart failure and has been in the hospital for breathing difficulties. The nurse wants to gather an interdisciplinary team to talk about this client’s care. In this situation, the most likely reason for meeting with an interdisciplinary team is which of the following?

A 47-year-old client has been brought to the emergency department after falling from a roof. He has absent breath sounds on his right side, crepitus, and sharp chest pain with tracheal deviation to the left. Which of the following nursing interventions is appropriate?

A nurse is caring for a client with pneumonia who has just had their endotracheal tube removed. Which of the following breath sounds would be the MOST concerning at this time?

A nurse works on an interdisciplinary team to provide care for a client with lung cancer. The client is unable to effectively clear their airway. The nurse should ensure that which interdisciplinary team member is present to provide professional input?

A nurse should be most concerned about which of the following assessment findings?

The nurse assesses a client and notices that the lungs have coarse crackles and the client is struggling to breath, and the client’s legs are edematous. Which of the following actions should the nurse take first?

A nurse needs to assess posterior lung sounds in a client. In which position would it be most appropriate to place this client?

A client is admitted to the emergency room and the nurse is performing an assessment and notes there to be decreased breath sounds to one side of the chest. The nurse knows this is indicative of which of the following?

Prior to taking a client to the operating room for total knee replacement surgery, the nurse teaches the client about incentive spirometry to prepare for the post-operative period. Which information would the nurse most likely include during this teaching?

The nurse is caring for a client with asthma who must receive regular breathing treatments. Which of the following are adverse drug reactions for bronchodilators? Select all that apply.

During shift report, the oncoming nurse is told that an assigned client has atelectasis. The nurse knows this could be caused by which of the following? Select all that apply.

A nursing student observes a nurse performing cupping on a client. The student correctly understands which of the following as the reason for this?

A 23-year-old client requires chest physiotherapy while in the hospital for treatment for cystic fibrosis. The nurse assists the respiratory therapist by helping the client with postural drainage. Which of the following actions best describes this process?

A client is recovering from surgery for an abdominal resection and has developed atelectasis after spending a significant period of time in bed. Atelectasis is best described as which of the following?

A female client presents to the ER reporting difficulty breathing. Upon assessment, the client reports “it feels like it’s squeezing all around my ribs when I try to take a deep breath and it’s making me nauseous.” What is the priority nursing intervention for this patient?

A client with chest trauma has ABGs drawn. The nurse anticipates which scenario upon ABG analysis?

A 63-year-old client was admitted for a pacemaker insertion and is being discharged to home. Which of the following information should the nurse provide to the client about home care of a cardiac pacemaker?

A preceptor asks a student nurse where carbon dioxide and oxygen exchange occurs in the lungs. Which response is correct?

A nurse is caring for a client with pulmonary edema. Which of the following factors can predispose a client to developing this condition? Select all that apply.

A nurse is caring for a 35-year-old client who suffered a pulmonary embolism (PE) an hour after she delivered a baby. The nurse knows that a pulmonary embolism is the result of a clot that lodges in the pulmonary artery after breaking off from a thrombus in another location. Which of the following are the most common sites of formation of the initial thrombus?

A nurse in the Emergency Department is admitting a client with an asthma exacerbation, headache, and fever of 101.4 F. Which of the following medication orders should the nurse question?

The nurse is caring for a client with asthma who requests a respiratory treatment at bedtime. The client takes albuterol at home. Which of the following respiratory treatments would the nurse anticipate is ordered for the client?

A client being treated for asthma needs to take the next dose of bronchodilator medication. After administering the drug, the nurse notes that the nursing assistant is passing out breakfast trays. Which of the following items on the breakfast tray should the nurse discuss with the client before the client consumes breakfast?

A nurse is caring for a client diagnosed with asthma. The nurse administers the client’s most recent dose of theophylline. Which of the following must the nurse consider when administering this medication?

An asthmatic client requires a short-acting bronchodilator medication during an attack to quickly resolve wheezing and to facilitate easier breathing. Which of the following medications is considered to be a short-acting bronchodilator?

A 20-year-old client with asthma is being seen for acute exacerbation of symptoms. The nurse talks with the client about their lifestyle and what medications they take at home. Which medication would warrant the nurse providing further teaching about the client’s condition?

The nurse administers the first dose of terbutaline to a client with asthma. The nurse educates the client on common side effects of the medication. Which of the following is an adverse effect for which this client must seek immediate medical attention?

A client comes into the emergency room with an asthma attack. The nurse reads over the orders and notes a breathing treatment and a steroid are ordered. Which of the following medications is the steroid for this client?

The nurse is caring for a client in status asthmaticus. Which of the following is a priority nursing action?

A client who is newly diagnosed with asthma is learning about how to use a metered dose inhaler. Which information from the nurse is correct to use the inhaler correctly and to avoid medication errors?

A 60-year-old client is going through pulmonary rehabilitation for COPD. The nurse understands that an expected outcome of pulmonary rehabilitation is which of the following?

The nurse is caring for a client with COPD who is admitted with pneumonia. Which of the following nursing considerations is most appropriate for this client?

The nurse is assessing a client with COPD at the healthcare clinic. Which of the following would most likely increase this client’s risk of suicide?

A client with COPD is receiving care at the primary provider’s clinic with worsening of symptoms of emphysema. The provider orders an outpatient chest x-ray to determine if there have been any changes in lung structure. Which best describes what would show on a chest x-ray in the later stages of emphysema?

Which situation best describes terminal weaning of a ventilator-assisted client?

Chronic dyspnea occurs when a client has difficulty breathing over a period of weeks or months. Which of the following is an example of a cause of chronic dyspnea?

A 38-year-old client has been diagnosed with amyotrophic lateral sclerosis (ALS) and has subsequently developed breathing difficulties including shortness of breath and an inability to cough. Which best describes a nutritional challenge associated with this diagnosis?

A nurse is caring for a client with ARDS. Which of the following clinical indicators would signify that this client is in respiratory failure? Select all that apply.

A nurse in the ICU is caring for a client that has been ventilated for 2 weeks due to Acute Respiratory Distress Syndrome (ARDS). The client’s FiO2 has been at 60% for the last 48 hours. What is the nurse’s immediate priority concern at this time?

A student nurse is discussing ARDS with the preceptor and correctly describes the progression of ARDS as which of the following?

A 25-year-old client in the ICU is being treated for acute respiratory distress syndrome (ARDS). The client is on a ventilator and requires 80 percent FiO2. Which information would the nurse most likely need to report about the client to the respiratory therapist assigned to this case?

The nurse is caring for a client with pneumonia. Upon assessment, the nurse notes crackles in the lungs. The client appears breathless and asks if his oxygen is turned on. The nurse checks the nasal cannula and flowmeter, confirming a rate of 5LPM per nasal cannula (FiO2 40%). Vital signs reflect the following: O2 81% on 5 LPM NC, BP 145/84, Pulse 110, RR 28. ABG values are as follows: pH 7.47, PaCO2 29, PaO2 49. What is this client’s P/F ratio?

The nurse receives report on a client who presented to the emergency department the day before following a near-drowning incident. Upon presentation to the ED, the emergency responders stated that the client’s oxygen needs increased from 6 LPM to 8 LPM on a simple face mask while en-route. The client is now at 12 LPM. Based on this information, which of the following findings will most likely lead the nurse to suspect ARDS?

A client is ventilated with acute respiratory distress syndrome following infection of COVID-19. Which of the following are priority actions by the nurse? Select all that apply.

A nurse is working with a client who requires a mechanical ventilator for breathing support. The client uses SIMV ventilation at a rate of 16, PEEP 6, PSV 10. In this example, the PEEP is described as which of the following?

A nurse must position the client prone after a diagnosis of acute respiratory distress syndrome (ARDS). Which of the following is a benefit of using this position? Select all that apply.

A nurse is caring for a client who is in respiratory distress because of ARDS. Which of the following conditions would most likely be present in this client?

An 88-year-old client presents to the emergency department who is diaphoretic, tachypneic, and dyspneic. The nurse immediately obtains vital signs and administers oxygen via facemask at 6 liters per minute based on an O2 sat of 78%. The provider suspects pulmonary edema and orders a chest X-ray, ABGs, and a BNP. What is the purpose of the BNP?

The nurse is caring for a client with acute pulmonary edema. Which of the following orders does the nurse anticipate?

The student nurse is assessing a client with acute pulmonary edema. Which of the following are expected findings? Select all that apply.

A client is in distress with a diagnosis of acute pulmonary edema. Which of the following actions by the nurse is contraindicated?

The nurse caring for a client with pulmonary edema notes a fluid restriction. Which of the following is a potential reason for this?

A healthcare office provides immunizations for children and adults in the community. The nurse is preparing vaccine information sheets (VIS) to give to clients about the vaccines. Another nurse says, “Those forms are optional. You do not have to give those out if you do not want to.” Which response from the nurse is accurate?

A 6-year-old is being discharged from the hospital following an appendectomy. The parents have asked to have the flu vaccine administered via nasal spray prior to discharge. The nurse knows that which of the following are contraindications for administering this immunization? Select all that apply.

After developing influenza, a 75-year-old client is suffering from severe diarrhea and dehydration. The nurse is providing help and guidance over the phone to the client’s family. Which information should the nurse give to the family that would best help this client?

The nurse is administering a pneumococcal conjugate vaccine to a client. Which of the following is true regarding this type of vaccine? Select all that apply.

The parent of a 12-year-old who has been diagnosed with Influenza type A demonstrates understanding of the benefits of the child taking oseltamivir (Tamiflu) with which of the following statements?

The parents of a 4-year-old child with cerebral palsy have brought him in for a routine physical exam. The parents ask the nurse about vaccinations for their child and if the child should get the annual flu shot. Which response from the nurse is correct?

The nurse is providing education to the parents of a 10-year-old who has been diagnosed with the flu and is experiencing high temperatures. The nurse knows to include which of the following in teaching regarding how to treat the fever? Select all that apply.

You are the nurse of a child who has been diagnosed with Influenza type C and the parents ask what this means. As the nurse, you accurately explain influenza C with which of the following statements?

A nurse is preparing to enter the room of a 13-year-old client with influenza. The nurse is gathering all supplies and medications for the client before entering the room. Which medication would be appropriate for the nurse to retrieve?

A nurse who works in an infectious disease unit is assigned to manage the care of several clients who are all staying in the facility. Categorize each of the following clients according to the type of infection control they would require for their condition: Client A: Tuberculosis infection. Client B: Clostridium difficile infection. Client C: influenza infection.

Which of the following is a true statement regarding tuberculosis?

A nurse who works in a long-term care facility has learned that one of the residents has developed active tuberculosis. What should the nurse do to protect the other residents?

A nurse is providing discharge education to a client who was diagnosed with tuberculosis 2 months ago. Which of the following client statements indicates more teaching is necessary?

A nurse is working with a new staff member who has just been hired as a nurse on the surgical unit. A client has been brought in for care who has an infection with tuberculosis. The nurse instructs the new staff nurse that the client needs airborne precautions. Which is the correct action for this type of precaution that the nurse would observe in the new staff member?

A client is being admitted to the hospital from home with complications of tuberculosis. When making a room assignment, the nurse would most likely consider which of the following factors?

A nurse is caring for a client who has tuberculosis. The client is just completing a 9-month regimen of medication as part of treatment for the condition in which she responded well. Which of the following choices describes how follow-up is handled for the client who was treated successfully?

The nurse is caring for a client with tuberculosis and is giving report to the oncoming nurse. Which of the following statements is most appropriate?

A school is offering tuberculosis testing for all of its employees. The health nurse administers the injections to each of the employees using a tuberculin syringe. At which angle does the nurse administer the injections into the skin?

The nurse is discharging a client with tuberculosis. The client asks if it is possible to stop taking the tuberculosis medication once she feels better. Which of the following is the most appropriate response?

While caring for a client who is recovering from surgery, the nurse finds out that the client is infected with active tuberculosis. Prior to this discovery, the nurse had only been using standard precautions. Which action of the nurse is most appropriate for providing proper precautions in this situation?

The nurse is reviewing instructions with a client who is being discharged home with oxygen for the first time. Which statement by the client demonstrates understanding of the instructions?

The nurse knows that which of the following are risk factors for hospital-acquired pneumonia? Select all that apply.

A nurse is caring for a client who has developed ventilator-associated pneumonia while in the hospital. Which of the following strategies could the nursing unit apply that would best prevent hospital-acquired infections? Select all that apply.

A 69-year-old client has been diagnosed with aspiration pneumonia after suffering from a chronic illness. The nurse is teaching the client about how to best perform exercises for pulmonary hygiene. Which of the following should the nurse include as part of teaching?

A nurse checks a client’s oxygen saturation by using a bedside sensory probe. The client has pneumonia that is currently being treated with antibiotics. When the nurse places the pulse oximeter probe on the client, the first reading she notes is 89 percent. Which of the following actions should the nurse perform first?

A nurse has orders to insert a nasogastric feeding tube for a client to receive enteral feedings. Which intervention from the nurse would most likely prevent aspiration in this client?

A nurse is admitting a client with pneumonia. Which of the following orders should be implemented first?

The nurse is caring for a 70-year-old female with osteoporosis admitted for pneumonia. The nurse knows to implement which of the following precautions?

A nurse works in a rehabilitation facility that cares for clients of various ages and medical backgrounds. Which of the following situations would the nurse encounter as the biggest risk for aspiration?

A nurse is caring for a client who requires a ventilator for breathing assistance. Which of the following practices would most likely reduce the risk of the client developing ventilator-associated pneumonia?

The nurse knows that in which of the following clinical scenarios would a lumbar puncture be contraindicated? Select all that apply.

An adolescent has presented to the emergency room with meningeal symptoms and is assigned a nurse. The nurse knows to expect which of the following symptoms for this client? Select all that apply.

The nurse is caring for an infant that has been diagnosed with meningitis. The infant is irritable with a high pitched cry, and the nurse notes bulging fontanels and distended scalp veins. Which of the following interventions are appropriate for this infant? Select all that apply.

A nurse is discharging a 7-year-old after being treated for bacterial meningitis. Which of the following client needs should the nurse include in the discharge teaching?

The nurse is caring for a neonate that is diagnosed with early onset Group B-Streptococcus meningitis. Which of the following antibiotics will the nurse plan on administering?

The nurse is planning a discharge for a patient who has generalized weakness following hospitalization for COVID-19. Which consult would be most appropriate for this patient?

The nurse is assessing a patient with COVID-19. Which assessment finding should the nurse prioritize?

The nurse is teaching a patient about ways to reduce the spread of COVID-19. Which of the following statements, made by the patient, would indicate a need for clarification?

A client is ventilated with acute respiratory distress syndrome following infection of COVID-19. Which of the following are priority actions by the nurse? Select all that apply.

A healthcare provider enters the room of a patient with COVID-19 without proper personal protective equipment (PPE). How should the nurse respond?

A client needs 5 liters of oxygen. Which of the following devices is appropriate for use with an oxygen flow rate of 5 liters? Select all that apply.

A nurse is working in the ICU, caring for a client who requires a mechanical ventilator for breathing. The nurse has a nursing assistant to help with certain client care tasks. Which of the following activities can the nurse delegate to the nursing assistant?

A 70-year-old client with newly diagnosed emphysema is being discharged from the hospital after undergoing pulmonary function testing. The client will need supplemental oxygen at home. The nurse case manager meets with the client to discuss home care needs and to provide teaching about accessing supplies. Which statement by the client indicates that teaching has been effective?

The nurse is caring for a client on bed rest in the supine position. The nurse obtains vital signs and notes that the client has an oxygen saturation of 89% on room air. Which of the following actions should the nurse take next?

A home health nurse is working with a client who uses oxygen in his home. The client has decreased activity tolerance and is unable to walk very far without becoming short of breath. Which of the following interventions would the nurse use to help the client plan for a disaster?

A 67-year-old client with COPD is being assessed by a home care nurse. The client uses supplemental oxygen and has a portable tank in the home. The nurse provides teaching to the client about safely using home oxygen. Which action by the client indicates that more teaching is needed?

A client is undergoing surgery to the neck and the anesthesiologist uses an endotracheal tube to deliver oxygen rather than providing 100 percent oxygen by facemask. Which best describes how this measure would protect the client?

A nurse is cleaning out the storage closet in the hospital unit and notes several oxygen tanks that are stored in the closet. Which actions would the nurse employ that would best protect against injury around these compressed oxygen cylinders? Select all that apply.

A nurse is using a non-rebreather mask to administer oxygen to an adult client who is in respiratory distress. Which nursing intervention should the nurse employ when using this type of oxygen delivery device?

A cardiac client is recovering from anesthesia following open heart surgery. The client uses a CPAP machine at home while sleeping. Following surgery, the client has several periods of apnea. The nurse contacts respiratory therapy, but there are no hospital CPAP machines available to use. Which action should the nurse perform next?

A nurse is caring for a client in the ICU who requires a ventilator. The nurse is aware that a ventilator may increase the risk of a pneumothorax in the client who uses it. Which best describes how this machine can cause a pneumothorax?

A client is admitted to the floor after having a tracheostomy placed 72 hours ago. Which of the following pieces of equipment is the priority to keep at the bedside at all times?

A nurse is working in the recovery room and caring for a client who was just brought in following surgery. The nurse removes the client’s endotracheal tube and the client begins to have a laryngospasm. Which responses of the nurse are most appropriate? Select all that apply.

A nurse is caring for a client who experienced a head injury and is being cared for in the ICU on a ventilator. At one point during the shift, the client becomes very agitated, opens his eyes, and tries to talk. Which intervention should the nurse perform first?

A client is in need of an emergency tracheostomy. Which of the following scenarios does this involve?

A tornado warning has been issued in the hospital where a nurse is employed. The nurse works in the neonatal intensive care unit and is caring for a baby who is on a ventilator and uses nitrous oxide. Which response of the nurse would best protect this infant?

Which of the following nursing interventions would be the priority to prevent tracheal necrosis in a client with an endotracheal tube in place?

The provider has just ordered for a client to be removed from mechanical ventilation. What is a priority nursing intervention before extubation?

After his endotracheal tube has been removed, a client develops breathing difficulties. He has wheezes upon auscultation and exhibits intercostal retractions with each breath. The nurse suspects post-extubation swelling in the airway. Which medication would most likely be administered to correct this situation?

A nurse is caring for a client with an endotracheal tube. Which of the following nursing interventions is the priority to ensure a patent airway?

Which of the following steps should the nurse include as part of tracheostomy suctioning?

A nurse has used evidence-based practice to identify a new method of endotracheal suctioning that can be implemented into practice standards on a hospital unit. Which of the following actions best demonstrates that the nurse is utilizing performance improvement principles when implementing this new standard?

A nurse is caring for a client who is unconscious after a head injury. The client is breathing on his own but has increased oral secretions that require frequent suctioning. The nurse prepares to suction secretions from his mouth and nose. Before starting the suction process, the nurse turns on the suction machine and sets the pressure at which of the following?

A nurse is caring for a client with right-sided paralysis who has excess oral secretions. The nurse must frequently use a suction catheter to clear the client’s secretions. Which action best demonstrates that the nurse is using suction safely?

A client is recovering from surgery in the ICU and requires a ventilator for breathing assistance. The nurse performs suctioning of the endotracheal tube to clear secretions. Which of the following practice essentials does the nurse employ regarding suctioning of the client’s airway?

A client who is in the recovery room after surgery is intubated and is preparing for transfer to the ICU. The client will need a mechanical ventilator on the unit. In order to transfer the client, the nurse has called a respiratory therapist for help. Which method best describes the most appropriate way to move the client to the ICU room from the recovery room?

The nurse just received report on an assigned client who is on the ventilator. The nurse should check the client if which of the following alarms sounds?

A nurse is caring for a client who is on a ventilator. The nurse checks the vent settings at the beginning of her shift and notes that the FiO2 is set at 40. Based on the nurse’s knowledge of ventilation parameters, which of the following statements is correct?

The nurse observes a ventilated client biting on their endotracheal tube. Which of the following ventilator alarm sounds does the nurse anticipate?

After receiving report at the beginning of her shift, a nurse enters her client’s room to begin her duties. The client is intubated and requires a mechanical ventilator with supplemental oxygen as treatment for pneumonia. Upon entering the client’s room and starting the assessment, which action should the nurse perform first?

While caring for a client who requires a mechanical ventilator, the nurse notes that the client appears restless and has developed adventitious breath sounds upon auscultation. The nurse observes frothy secretions coming from the client’s mouth. Which of the following actions should the nurse perform?

A home health nurse is working with a family whose father uses a ventilator at home. The nurse is instructing the family about how to safely use the ventilator equipment. Which information should be included regarding safety while using this equipment? Select all that apply.

A nurse walks by a ventilated client’s room and hears the low pressure alarm coming from the ventilator. Which of the following is the most appropriate action by the nurse?

A nurse is caring for a client in the ICU who requires a mechanical ventilator. The client has been sedated while the endotracheal tube is in place. During the nurse’s shift, the client’s ventilator repeatedly alarms to indicate high pressure. Which of the following situations would most likely indicate a high pressure alarm?

A nurse is caring for a client in the ICU who requires a mechanical ventilator for breathing support. During assessment, the nurse notes that the client is restless and agitated. Which action should the nurse perform in response? Select all that apply.

A client arrives in the emergency room with rib fractures. The nurse and healthcare provider are reviewing the x-ray and would be most concerned about rib fractures in which of the following locations?

The nurse is caring for a client that is suspected to have a flail chest injury. The nurse knows that it is best to position the client in which of the following positions?

Which of the following is seen in a client with a flail chest?

The client has suffered from a chest injury. What are some nursing interventions appropriate to this situation? Select all that apply.

A 46-year-old client was involved in a motorcycle accident and comes in to the emergency department with rib fractures and a flail chest. The provider orders to set up for treatment utilizing pneumatic stabilization. Which actions would be included as part of this treatment? Select all that apply.

A nurse walks into a client’s room and discovers that the client is in respiratory distress. The client has tracheal deviation to the right side. The nurse knows to prepare for which of the following emergent procedures?

When assessing a client for a gun shot wound the nurse needs to know the size of the projectile. The nurse knows this is related to which of the following science topic?

A nurse is applying an occlusive dressing over a chest wound and knows that in order for it to be properly applied, the goal for the dressing is to do which of the following?

The nurse suspects that a client has a diaphragmatic rupture and is in respiratory distress that is worsening. The nurse knows that which of the following additional information would confirm this suspicion?

The nurse is caring for a client who has developed a tension pneumothorax. The provider asks the nurse to gather the necessary supplies. Which of the following will the nurse obtain?

A nurse is caring for a client admitted to the emergency department. The client has just been diagnosed with a hemothorax. What is the priority nursing intervention at this time?

Which of the following is a common finding in an open pneumothorax?

A client is admitted to the emergency room with suspected hemothorax. The nurse knows that which of the following is a possible sign of a massive hemothorax?

A nurse is caring for a client who is receiving a TPN infusion. The nurse suspects that the client has developed a pneumothorax because of the placement of the central line. Which action would the nurse perform in response?

A client has fluid in the pleural space and the nurse is preparing for a chest tube insertion. The nurse knows that the insertion site will be located at which of the following locations?

A nurse is orienting a new graduate nurse on a cardiopulmonary nursing unit, caring for a client with a chest tube. Which of the follow actions by the new graduate nurse requires immediate intervention?

The nurse is caring for a client with a chest tube. During report handoff, the incoming nurse notes that the fluid in the tube is moving up the tube with inspiration, and down the tube with expiration. Which of the following actions is most appropriate for the nurses in this situation?

The nurse enters a client’s room to find that the client has pulled out her chest tube. Which of the following actions by the nurse is most appropriate?

A nurse is caring for a client who has a chest tube because of a pneumothorax. The nurse can tell the certified nursing assistant to check which of the following?

A client is being treated for pneumothorax. The client’s chest tube comes out during a transfer from bed to chair. What is the nurse’s priority action?

A nurse has just received report on 4 clients who all have chest tubes in place. Which client is the priority to see first?

The nurse is caring for a client with a chest tube. While assessing the tubing, the nurse notes a clot in the tubing. What action is appropriate in order to remove the clot from the tubing?

A nurse is caring for a client who has a chest tube. While turning the client in bed, the tube is accidentally removed. Which of the following should be the nurse’s first response?

If a pneumothorax is present and the client has a chest tube, what type of bubbling would be expected in the water chamber?

The student nurse is reviewing the pathophysiology of a pulmonary embolism. The student correctly understands the pathway of a PE to be which of the following?

A 45 year-old female presents to the emergency department with complaints of chest pain. The nurse immediately obtains a set of vital signs, gets an EKG (ECG), starts a 20 gauge peripheral IV, and places the client on oxygen, 2L NC. The EKG shows normal sinus rhythm, but the client appears anxious, is sweating, and clutching her chest with each breath. Upon assessment, the nurse notes redness and swelling of the right leg. This leads the nurse to suspect which of the following as the client’s primary complaint?

The student nurse asks the nurse preceptor what can cause a pulmonary embolism. The nurse correctly responds by naming which of the following potential causes of a pulmonary embolism? Select all that apply.

The nurse is caring for a client with a history of heparin use for a DVT, and a current pulmonary embolism. The nurse notes the following new order on the chart: “heparin, 80 units/kg IV bolus now, then continuous infusion of 18 units/kg/hr”. The nurse knows to check which of the following lab values prior to initiating the first dose? Select all that apply.

A client is brought into the ED after suffering a pulmonary embolism. The nurse has been monitoring the client’s breathing and respiratory rate to assess for symptoms of pending respiratory failure. Which sign or symptom is most likely an indicator that the client is going into respiratory failure?

A 35-year-old client is undergoing a bronchoscopy procedure to evaluate a mass in the airway. Following the procedure, the nurse periodically assesses the client’s cough and gag reflexes. Which best describes the rationale for this action?

A client with a lung infection must undergo a bronchoalveolar lavage. The nurse assists the physician during the procedure in the endoscopy suite. Which of the following considerations regarding this type of bronchoscopy are true? Select all that apply.

A client is brought to the hospital after suffering severe burns and inhalation injury after an explosion. The nurse assesses the client and provides information to the provider, who orders a bronchoscopy. Which best describes why the client would need this test?

Which of the following are classified as reasons for performing a bronchoscopy? Select all that apply.

A nurse is preparing a client for a flexible fiberoptic bronchoscopy to diagnose a pulmonary disease. Which of the following nursing actions is appropriate to prepare the client for this procedure?

The nurse is caring for a client who has just had a bronchoscopy. In which of the following positions should the nurse position this client?

A nurse is caring for a client who is being discharged after having a bronchoscopy. The nurse is discussing which signs or symptoms require the client to contact the provider for after going home. For which of the following signs or symptoms should the client contact the provider following a bronchoscopy?

A nurse is providing instructions to a client who is undergoing a thoracentesis to assess for malignant tissue. Which of the following interventions are appropriate related to this procedure? Select all that apply.

A nurse is caring for a 55-year-old client who needs a thoracentesis after a cancer diagnosis. The nurse stays with the client during the procedure. Which of the following interventions will the nurse employ to assist with this procedure?

The nurse is preparing a client for a thoracentesis. Which of the following positions is appropriate for the client during this procedure? Select all that apply.

A nurse is assisting a provider with performing a thoracentesis on a client. Which information would the nurse most likely provide to the client prior to the procedure?

How should the nurse position the client in preparation for a bedside thoracentesis?