B All the values are abnormal, but the low PaO2 indicates that the patient is at the point on the oxyhemoglobin dissociation curve where a small change in the PaO2 will cause a large drop in the O2 saturation and a decrease in tissue oxygenation.
The chest appears barrel shaped. C Crackles in the lower half of the lungs indicate that the patient may have an acute problem such as heart failure. The other data do not indicate any need for additional teaching. Which action should the nurse take next?
The nurse should intervene immediately to improve the patients oxygenation. The nurse is admitting a patient who has a diagnosis of an acute asthma attack. PET scans are most useful in determining the presence of malignancy. Which information obtained by the nurse indicates that the patient may need teaching regarding medication use?
The patient is allergic to shellfish. The apical pulse is Which information obtained by the nurse is most important to communicate to the health care provider before the CT? The patient should be taught to contact a health care provider if this occurs.
When assessing the respiratory system of a year-old patient, which finding indicates that the nurse should take immediate action?
Bronchoscopy is used to inspect for changes in the bronchial tree, not to assess for vascular changes. The increased pulse, oxygen saturation, and tachypnea all need further assessment or intervention but do not indicate a need to modify the CT procedure.
The patient has a weak cough effort. A patient with acute dyspnea is scheduled for a spiral computed tomography CT scan. The patient has been taking acetaminophen Tylenol mg every 6 hours for chest-wall pain. The patient has been using the albuterol Proventil inhaler more frequently over the last 4 days.
A chest x-ray may be ordered but will not be diagnostic for a pulmonary embolus. Crackles are heard from the lung bases to the midline.
The partial pressure of oxygen in arterial blood PaO2 is 59 mm Hg. Further evaluation may be needed, but immediate action is not indicated.
The patient says there have been no acute asthma attacks during the last year. D Spiral CT scans are the most commonly used test to diagnose pulmonary emboli.
A barrel-shaped chest, hyperresonance to percussion, and a weak cough effort are associated with aging. Hyperresonance is present across both sides of the chest. C The increased need for a rapid acting bronchodilator should alert the patient that an acute attack may be imminent and that a change in therapy may be needed.
The nurse should immediately accomplish further assessments, such as oxygen saturation, and notify the health care provider. D Because the contrast solution used during a spiral CT is iodine-based, the patient may need to have the CT scan without contrast or be premedicated before contrast injection.
When the nurse is analyzing the results of a patients arterial blood gases ABGswhich finding indicates the need for most immediate action?Get Free full access to all questions/books. Click the link below to open your account Click Here.
Study Flashcards On CHAPTER Nursing Assessment: Respiratory System at ultimedescente.com Quickly memorize the terms, phrases and much more. ultimedescente.com makes it easy to get the grade you want! Chapter Nursing Assessment: Respiratory System Test Bank MULTIPLE CHOICE 1.
A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? a.
Ask the patient to lie down to complete a full physical assessment. b%(45). Learn respiratory chapter 26 nursing assessment with free interactive flashcards. Choose from different sets of respiratory chapter 26 nursing assessment flashcards on Quizlet.
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 8. While caring for a patient with respiratory disease, the nurse observes that the patient's SpO2 drops from 93% to 88% while the patient is ambulating in the hallway.
Chapter Nursing Assessment: Respiratory System Test Bank MULTIPLE CHOICE 1. A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? a. Ask the patient to lie down to complete a full physical assessment.