![]() ![]() Resultant dyspnea, what interview question should the nurse ask?Ī) ìDoes your cough often cause you to be short of breath?îī) ìDo you experience chest pain when you cough?îĬ) ìHow long have you been experiencing your cough?îĭ) ìAre you now or have you ever been a smoker?îĭuring a health screening event, the nurse is assessing a client's risk factors for lungĬancer. ![]() Pathologic lung changes and an infection as the etiology of the client's cough and The nurse is conducting the health interview of an adult client who has sought careīecause of a ìwicked coughî leading to dyspnea. Nurse should be cognizant of what anatomical characteristic of the lungs?Ī) The right lung has three lobes, while the left lung has two lobes.ī) The lungs are structurally symmetrical but functionally differently.Ĭ) The right lung is approximately one-third larger than the left lung.ĭ) The lower lobes of both lungs are primarily located toward the anterior chest wall. The nurse is preparing to perform a focused respiratory assessment on a client. Which group would the instructor identify as typically having a larger To gather accurate data, theĪ nursing instructor is discussing cultural variations in the size of the thorax and impact The nurse is assessing the various lobes of the client's lungs. The nurse is assessing the apices of the client's lungs. Theyĭemonstrate understanding when they identify which line as a reference line for the ![]() When percussing the scapula of a client, which of the following would the nurse expectĪ group of students is reviewing the vertical reference lines of the thorax. Which of the following actions should the nurse do first?Ī) Refer the client for further medical evaluation.ĭ) Have the client cough, then listen again. While auscultating a client's lungs, the nurse notes the presence of adventitious sounds. Percusses the client's chest, expecting to find which of the following? During the respiratory assessment, the nurse Nurse should document this as which of the following?Ī client has a history of emphysema. The nurse assesses chest expansion in a 30-year-old man and finds it to be 8 cm. Tripod position and suspect the presence of which of the following medical problems? Upon entering the examination room, the nurse observes that the client is leaningįorward with his arms supporting his body weight. The nurse would be most concerned about which of theįollowing assessment findings related to the client's sputum? Should assess this client further for which of the following health problems?Ī client is diagnosed with pulmonary edema, and the nurse is performing a rapidĪssessment prior to treatment. Night when he is lying down and that this significantly disrupts his sleep. Which of the following would the nurse need to consider when assessing this client'sĪ) The client will have a loss of involuntary respiratory control.ī) The client will respond negatively to increased stimuli.Ĭ) The client will have greatly increased respiratory effort.ĭ) The client will exhibit Cheyne-Stokes respirations.ĭuring the health interview, a client tells the nurse that he ìcan't breathe all that wellî at ![]() What might the nurse expect to hear when auscultating the lungs of a clientĪ client has sustained a brain stem injury and is being treated in the intensive care unit. The nurse is assessing a client who has been admitted for the treatment of severeĭehydration. Landmark when determining where to begin the assessment of the ribs and intercostal When preparing to assess a client's thoracic cage, the nurse should locate which When assessing whispered pectoriloquy, the nurse should instruct a client to do whichĪ) Softly repeat the words ìone-two-three.îĬ) Cough each time the stethoscope is moved.ĭ) Say the letter ìeî until instructed to stop. ![]()
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