Respiratory NCLEX questions with complete solutions

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A client is being prepared for a thoracentesis. The nurse assigned to care for the client assists the client to which of the following positions for the procedure? Correct Answer: Lying in bed on the... unaffected side with the head of the bed elevated 45 degrees A nurse is providing endotracheal suctioning to a client who is mechanically ventilated when the client becomes restless and tachycardic. What should the nurse do? Correct Answer: Discontinue suctioning until the client is stabilized and monitor vital signs. A nurse is assigned to assist with caring for a client who has a chest tube. The nurse notes fluctuations of the fluid level in the water-seal chamber. Based on this observation, which action would be appropriate? Correct Answer: Continue to monitor, because this is an expected finding. A nurse is assigned to assist the health care provider with the removal of a chest tube. The nurse instructs the client to do which of the following during this process? Correct Answer: Perform Valsalva's maneuver. (i.e., take a deep breath, exhale, and bear down), the tube is quickly withdrawn, and an airtight dressing is taped in place. An alternative instruction is to ask the client to take a deep breath and hold the breath while the tube is removed. A nurse is assisting in caring for a client with a chest tube. The nurse understands that which of the following is an incorrect action for the care of the client? Correct Answer: Pin the tubing to the bed linens A nurse is assigned to care for a client who has a chest tube. The nurse is told to monitor the client for crepitus (subcutaneous emphysema). The nurse monitors the client for this complication by: Correct Answer: Palpating for the leakage of air into the subcutaneous tissues fenestrated tracheostomy tube Correct Answer: Enables the client to speak A nurse is assisting with monitoring the functioning of a chest-tube drainage system in a client who just returned from the recovery room after a thoracotomy with wedge resection. Which findings would the nurse expect to note? Select all that apply. Correct Answer: 50 mL of drainage in the drainage-collection chamber The drainage system is maintained below the client's chest. An occlusive dressing is in place over the chest-tube insertion site. Fluctuation of water in the tube of the water-seal chamber during inhalation and exhalation A nurse is providing instructions to a hospitalized client with a diagnosis of emphysema about positions that will enhance the effectiveness of breathing during dyspneic periods. Which position will the nurse instruct the client to assume? Correct Answer: Sitting on the side of the bed, leaning on an overbed tab [Show More]

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