Which client would be considered to be at the highest risk for respiratory failure?

The nurse is explaining the process of acute respiratory distress syndrome (ARDS) to a client. What is the best explanation for the nurse to tell the client?

A client has developed acute respiratory distress syndrome (ARDS). What is the priority nursing diagnosis for the client?

A client experienced smoke inhalation and developed pulmonary edema. The nurse auscultates the client’s breath sounds and anticipates hearing which of the following?

An unconscious client who overdosed on an opioid while consuming alcohol receives naloxone (Narcan). After he awakens, what is the most important action for the nurse to perform?

The nurse’s initial assessment of the client is indicative of probable opioid overdose complicated by alcohol ingestion. What is the most important intervention for the nurse to perform?

A client diagnosed with asthma is experiencing an anaphylactic reaction to a drug. After administering initial emergency care, the nurse would:

A client is experiencing an anaphylactic reaction to a drug. What is the most important intervention for the nurse to perform?

A client has started a new drug for hypertension. Thirty minutes after he takes the drug, he develops chest tightness, shortness of breath, tachypnea, and decreased level of consciousness. The nurse interprets this assessment data as indicating:

Which treatment goal is the nurse’s highest priority for a client with status asthmaticus?

A client is experiencing status asthmaticus. What is the nurse’s priority intervention for this client?

The nurse is preparing a plan of care for a postoperative client. What is the most appropriate nursing intervention to prevent the development of atelectasis?

The nurse is caring for a client in the immediate postoperative period. The priority of care would include interventions to prevent:

What is the most important information for a nurse to teach a client with chronic obstructive pulmonary disease?

A client with chronic obstructive bronchitis asks the nurse why he is receiving diuretic therapy. What is the best response by the nurse?

The nurse is conducting a weekly support group for clients diagnosed with asthma, chronic bronchitis, and emphysema. The topic of today’s class is exercise. The nurse determines teaching is effective when the clients states that exercise:

The nurse hears a physician refer to a client as a “blue bloater.” The nurse is aware that this term refers to:

The nurse views the term “pink puffer” on a client’s chart. This assessment finding leads the nurse to suspect that the client may be experiencing:

The community health nurse is administering Pneumovax and flu vaccinations to clients with asthma, chronic bronchitis, and emphysema. A client asks the nurse why these vaccines are recommended. What is the best response by the nurse?

A student nurse is asking the staff nurse why a client with emphysema should receive only 1 to 3 L/minute of oxygen, if needed. The nurse determines that teaching was effective when the student makes which statement?

The nurse assesses a client who has been given an opioid analgesic and determines that the client is at risk for developing respiratory arrest. An arterial blood gas (ABG) is obtained. The nurse reviews blood gas results and determines which PaCO2 value places the client at highest risk?

A client has a respiratory rate of 4 breaths/minute. The most important assessments for the nurse to obtain would be?

A client was given morphine for pain at 9:00 am. At 9:45 a.m., the nurse assesses the client and notes a respiratory rate of 4 breaths/minute. The nurse recognizes that the client is at highest risk for which of the following?

A 19-year-old client went to a party, took “some pills,” and drank beer. He is brought to the emergency department because he won’t wake up. When assessing the client, the nurse would anticipate which of the following?

A firefighter is being treated for smoke inhalation. He develops severe hypoxia 48 hours later, requiring intubation and mechanical ventilation. The nurse determines that the client is experiencing:

A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes per day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this assessment, the nurse suspects the client may be experiencing:

A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. He’s tachypneic, with a prolonged expiratory phase and has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. Based on the assessment findings, the nurse suspects that the client is experiencing which condition?

A 69-year-old client develops acute shortness of breath and progressive hypoxia requiring mechanical ventilation after repair of a fractured right femur. The nurse determines that the hypoxia was probably a result of which condition?

The nurse is assessing a 69-year-old client who appears thin and cachectic. The client is short of breath at rest, dyspneic with the slightest exertion, and has diminished breath sounds with deep inspiration. The nurse interprets these assessment findings as indicative of:

A client who developed a fat embolism is receiving 100% FIO2 on a mechanical ventilator and continues to be hypoxic. What is the most important intervention?