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 is assessing a client with atelectasis. The client asks the student about the purpose of turning, coughing, and deep breathing. Which response is correct?
A client with chest trauma has ABGs drawn. The nurse anticipates which scenario upon ABG analysis?
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.
While checking vital signs on an adult client admitted to the hospital from home, the nurse notes that the client’s oxygen saturation level is 95% on room air. Which action of the nurse is most appropriate?
A nurse is working with a client with a lung abscess who has an order for chest physiotherapy (CPT). The client requires positioning and chest percussion as part of CPT. Which of the following would be considered an absolute contraindication for performing percussion as part of CPT?
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?
The nurse is caring for a client who is post-op day 1 following abdominal surgery. The nurse notes that the client is taking shallow breaths and is guarding the incision site. The client has a temperature of 38.5 C, pulse 80, O2 88%, respirations 20, BP 110/86, and a WBC count of 10. The nurse assesses the client’s incision site and notes no redness or warmth. Which of the following interventions is most appropriate?
A nurse is teaching a client how to take a deep breath and cough during postoperative care after abdominal surgery. The nurse has helped the client to a sitting position. What step should the nurse have the client perform next?
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?
