ATI Respiratory, Questions and Answers with Explanations, All Correct, Download to Score A

ATI RESPIRATORY

A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the

following actions should the nurse take?

A. Position the client in an upright position, leaning over the bedside table

B. Explain the procedure to the client

C. Obtain ABGs from the client

D. Administer benzocaine pray to the client

A

A nurse is assessing a client following a bronchoscopy. Which of the following findings should the nurse

report to the provider?

A. Blood-tinged sputum

B. Dry, nonproductive cough

C. Sore throat

D. Bronchospasms

D. Bronchospasms can indicate the client is having difficulty maintaining a patent airway. The nurse

should notify the provider immediately

A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following supplies should

the nurse ensure is in the client's room? (Select all that apply)

A. oxygen equipment

B. Incentive spirometer

C. Pulse oximeter

D. Sterile dressing

E. Suture removal kit

A, C, D

Oxygen equipment is necessary to have in the client's room if the client becomes short of breath

following the procedure

Pulse oximetry is necessary to monitor the client's oxygen saturation level during the procedure

A sterile dressing is necessary to apply to the puncture site following the procedure

A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the

nurse recognize as risks for complications? (Select all that apply)

A. Dysnea

B. Localized bloody drainage on the dressing

C. Fever

D. Hypotension

E. Report of pain at the punture site

A, C, D

Dyspnea can indicate a pneumothorax or a reaccumulation of fluid. The nurse should notify the provider

immediately

Fever can indicate an infection. The nurse should notify the provider immediately

Hypotension can indicate intrathoracic bleeding. The nurse should notify the provider immediately

tidaling expected in

water seal chamber

cessation of tidaling in water seal chamber signals

lung re expansion or an obstructoin within system

continuous bubbling in the water seal chamber indicated

an air leak

pneumothorax

air in pleural space

hemothorax

blood in pleural space

pulmonary empyema

accumulation of pus

chest tube report drainage over

70ml/hr

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if tubing seperates instruct client

to exhale and cough

if chest tube drainage system is compromised

immerese end of chest tube in sterile water

if ac chest tube is accidentally removed

dress the area with dry sterile gauze

ss tension pneumothorax

tracheal deviation

absent breath sounds

distended neck veins

resp distress

asymmetry of chest

cyanosis

A nurse preparing to care for a client following chest tube placement. Which of the following items

should be available in the client's room? (Select all that apply)

A. Oxygen

B. Sterile water

C. Enclosed hemostat clamps

D. Indwelling urinary catheter

E. Occlusive dressing

A, B, C, E

Oxygen should be readily available in case the client develops respiratory distress following chest tube

placement.