Ati: critical alterations in gas exchange assessment

A nurse is assisting in planning care for a client who has fail test. The nurse should identify which condition is associated with flail chest and may contribute to mortality?

-pneumothorax

-hemothorax

-pulmonary contusion

A nurse has reinforcing teaching with a client who has a pulmonary embolism about modifiable risk factors to prevent a future embolism which of the following acquired risk factors should the nurse include?

Cigarette smoking

A nurse is assisting in the care of a client has a clinical manifestation of pleural effusion. The nurse should identify that which of the following evaluation methods will likely be implemented first to diagnose pleural effusion?

A chest x-ray

A nurse is collecting data for a client has COPD, which of the following financial the nurse expect?

Decreased lung recoil

A nurse is collecting data when a client who has tension pneumothorax and received a tube thoracostomy placed to water seal. Which of the following findings should the nurse identify as an abnormality that should be reported?

Absence of bubbling

A nurse is assisting and caring for a client who has a pulmonary embolism which of the following pathological alteration. Should the nurse expect select all that apply.

-increased right ventricular afterload

-Right ventricular dilation

-systemic hypotension

A nurse is assisting and caring for a client who has a chronic condition the nurse should identify which of the following factors as placing the client at higher risk for developing pleural effusion?

-receiving peritoneal dialysis

-tuberculosis

-malignancy

A nurse is collecting data from a client who has an intermediate risk pulmonary embolism which of the following following findings. Should the nurse expect?

Right ventricular dysfunction

A nurse is assisting and caring for a client who has a pleural effusion. The nurse should identify, which of the following pathological alterations may be responsible for this condition.?

Lymphatic obstruction

A nurse is collecting data for a client who has tension pneumothorax. The nurse should identify that which of the following ABG findings is indicative of uncompensated, respiratory acidosis

Low pH, high PaCO2, normal bicarbonate

A nurse is collecting data when a client who has pulmonary embolism, which of the following most common clinical manifestation should the nurse expect?

-chest pain

-Cough

-Dyspnea

A nurse is reinforcing teaching to a client who has a respiratory failure about how to maintain optimal health which of the following recommendation should the nurse make?

-continue using oxygen at home

-Use purse lip breathing

-wash hands frequently

-join a smoking cessation program

A nurse has reinforcing teaching to a client admitted who has flail chest which of the following will the nurse include in the teaching to prevent respiratory complications?

-use of incentive spirometer

-requesting pain medication

-Cough and deep breathing exercises

-ambulation

A nurse is assisting and coordinating care for a client has acute respiratory distress syndrome which of the following healthcare team members may be included in the client care

-respiratory therapist

-Case manager

-Dietitian

-nephrologist

-Pharmacist

A nurse is collecting data for a client who has a transudative effusion. The following conditions should the nurse expect the client?

Cirrhosis

A nurse is assisting and planning care for an unstable. Client has a possible tension pneumothorax the nurse should expect that which of the following imaging studies will be used to confirm the diagnosis?

Ultrasound

A nurse has ran, forcing discharge teaching to a client who experience attention pneumothorax which of the following recommendations should the nurse make?

-join a smoking cessation program

- Do not scuba dive until pneumothorax completely resolves

-Avoid air travel into pneumothorax completely resolves

A nurse is assisting and caring for a client has low ventilation, perfusion ratio. The nurse should identify that this pathologic change, maybe the result of which of the following conditions

Interstitial lung disease

A nurse is collecting data for a client has a respiratory failure due to a pulmonary condition which of the following comorbidities should the nurse expect?

Cystic fibrosis

A nurse is assessing and caring for an older adult client the nurse should identify which of the following age related changes places the client increased risk for respiratory associated infection

Decreased chest wall compliance

A nurse has ran, forcing education with a client who was treated for acute respiratory distress syndrome, and his preparing for discharge which of the following of information should the nurse provide?

-tracheostomy care

-gastric tube care

-Techniques for managing exercise intolerance

-Techniques for managing exertional Dyspnea

A nurse has reinforcing teaching to older adult client about how to maintain optimal respiratory function. Which of the following recommend recommendations. Should the nurse make?

-Use an incentive spirometer daily

-exercise every day

-Perform oral hygiene routinely

A nurse is collecting data from a client who has tension pneumothorax. Which of the following findings as a sign of distress that may compress the heart?

Tracheal deviation away from affected lung

The nurse is assisting and caring for a client who has flow test. The nurse should identify the ineffective ventilation occurs because of which of the following pathologic changes.

Increased dead space

A nurse has ran, forcing education to a client has pleural effusion about ways to prevent a recurrence, which of the following statements indicates a need for further teaching

" I should avoid exercise for a few weeks"

Assessment findings, tension pneumonthorax, pulmonary embolism, pleural effusion

When analyzing cues, the nurse should recognize the manifestations of a tension. Pneumothorax includes tachypnea and sharp, periodic pain. Manifestations of pulmonary embolism include and chest pain. Manifestations of pleural effusion include the need for thoracentesis taped, costophrenic angle, on x-ray to percussion and pleural friction rub

Potential order, urgent, urgent contraindicated

When generating solutions for a client who is exhibiting the manifestations of an acute pulmonary embolism, the urgent actions include administering oxygen and preparing the client for a pulmonary angiogram to assess the presence of a PT non-urgent actions include educating the client on the importance of smoking cessation preparing to administer anti-thrombolic the PTA, but would be contraindicated due to the client recent surgery intravenous fluid resuscitation should be limited as farther distention of an already dilated right ventricle can worsen hemodynamics.

The nurse should suspect the client may have developed——— as evidenced by———

1)

2)