Nursing Diagnosis. 1 Nursing diagnosis: Risk for Decreased Cardiac Output; 2 Nursing diagnosis: Activity Intolerance; 3 Nursing diagnosis: Acute Pain, Headache. CHAPTER 5 / Nursing Care of Clients with Altered Fluid,Electrolyte,or Acid-Base Balance 93 Home Care Teaching for home care focuses on managing the underlying. Your source of nanda diagnoses nursing interventions of ncp care plans.

Nursing Care of Patients With Lower Respiratory Tract Disorders My Nursing Test Banks. Chapter 3. 1. Nursing Care of Patients With Lower Respiratory Tract Disorders.

Multiple Choice. Identify the choice that best completes the statement or answers the question. A patient is admitted to a respiratory unit with a diagnosis of left lower lobe pneumonia. The nursing assessment reveals the patient to be febrile and experiencing a weak, congested- sounding cough. The patient has moist crackles throughout the lung fields. Based on the data provided, which nursing diagnosis is most appropriate? Impaired Gas Exchangec. Ineffective Breathing Patternd.

Ineffective Airway Clearance. The nurse is caring for a patient with pneumonia. Which laboratory test would best help the nurse to monitor the condition of this patient? Electrolytes, serum creatinineb. Complete blood count (CBC), urinalysisc.

Partial thromboplastin time (PTT), serum potassiumd. White blood cell (WBC) count, arterial blood gases (ABGs). A patient is unable to maintain a clear airway effectively with coughing and has a respiratory rate of 2. Which intervention should the nurse provide first? Encourage fluids.

• NCP Nursing Care Plans For Lung Cancers. Lung cancer is the uncontrolled growth of abnormal cells, which may occur in the lining of the trachea, bronchi, bronchioles.
• The nurse is preparing a client who speaks little English for discharge after emergency gallbladder surgery. Which nursing action would be most effective in helping.

Encourage bedrest. Perform tracheal suctioning. Assess the patients coughing technique. The nurse is reviewing data collected on a patient with a respiratory disorder. Which factor should the nurse identify that places the patient at risk for lung cancer?

Smoking and exposure to radon gasb. Living in a cold climate and having petsc.

Eating foods high in beta carotene and fiberd. Living in crowded conditions and lack of sunlight. A patient with lung cancer who is scheduled to begin a course of radiation therapy asks the nurse, How will they know if Im cured? The nurses best response is based on which understanding of the disease process?

Lung cancer is never a curable disease; prolonged life is the goal. Eighty percent of lung cancers are curable with radiation therapy.

Radiation in lung cancer is most often used to increase comfort, not cure disease. Radiation therapy reduces inflammation; chemotherapy is used to shrink the tumor. A patient with lung cancer develops pleural effusion. Which explanation by the nurse would help the patient understand this problem? Pus has developed in your alveoli that must be removed to improve your breathing.

You have large amounts of fluid collecting in your airways because of the lung cancer. Fluid has collected in the space between your lungs and the sac surrounding your lungs. Fluid in your pericardial sac places pressure on your lungs, making it difficult to breathe. A patient diagnosed with a pleural effusion is very dyspneic. With which procedure should the nurse anticipate assisting?

Tracheostomyb. Thoracentesisc. Bronchoscopyd. Pericardiocentesis. The nurse is providing discharge teaching for a patient with newly diagnosed asthma. What should be included in the discharge teaching?

Fluid fills the tiny sacs in the lungs and makes breathing difficult. Symptoms are caused by inflammation in the lining of your airways. You may notice large amounts of pus- like sputum that has a foul odor. The chest wall becomes stiff and air movement is restricted in individuals with asthma. The nurse is providing routine follow- up care for a young adult with asthma who has been on a 3- month course of maintenance therapy. Which activity would best help the nurse to determine if the patients treatment plan was effective? Obtain an ABG analysis.

Determine the patients pulse oximeter reading. Evaluate the patients use of an incentive spirometer. Examine daily tracking records of the peak expiratory flow rate. A summer camp worker reports to the camp nurse with complaints of shortness of breath and audible wheezing. Which inhaled medication should the nurse provide? Albuterol (Proventil)b. Cromolyn sodium (Intal)c.

Triamcinolone (Azmacort)d. Nedocromil sodium (Tilade). While reinforcing discharge teaching for a patient with emphysema, which patient statement indicates that teaching was effective?

There are bacteria in my lungs so my body is trying to wall off the infection. My disease is caused by spasm of the smooth muscles in my breathing pipes. Emphysema causes swelling in the airways and an increase in mucus production. Air gets trapped when damage to the air sacs makes it hard for air to move in and out. A patient with chronic obstructive pulmonary disease is prescribed methylprednisolone (Solu- Medrol).

For what reason should the nurse realize that corticosteroids are used in the treatment of this health problem? Dry secretionsb. Treat infectionc. Improve the oxygen- carrying capacity of hemoglobind. Reduce airway inflammation. A nurse is providing home care for a patient with chronic obstructive pulmonary disease (COPD). Which order should the nurse question? Low- sodium dietb.

Increase activity as toleratedc. Oxygen 4 L/min per nasal cannulad. Tiotropium (Spiriva) inhalation once daily. A patient prescribed theophylline for asthma has a theophylline level of 3 mcg/d.

L. What should the nurse do? Notify the physician. Double the next dose of theophylline. No action is necessary; this is a therapeutic level. Hold the next dose of theophylline until further orders are given. The nurse enters the room of a patient who is acutely short of breath.

Which action should the nurse take first? Assist the patient into Sims position. Encourage use of pursed- lip breathing.

Ask the patient what caused the dyspnea. Teach the patient use of accessory muscles. The nurse is providing care for a patient prescribed tiotropium (Spiriva). Descargar Emulador De Nintendo Ds Para Windows Xp. Which statement should be included in the patient education?

Do not swallow the capsules. This medication can cause blurred vision and anorexia. It is important to alert the doctor to any abdominal pain or bloating. You may experience a headache and sensitivity to light while taking this medication. The nurse is caring for a patient with end- stage chronic obstructive pulmonary disease.

Which medication can help reduce acute dyspnea associated with this disease? PO cortisoneb. IV morphinec. IV propranolol (Inderal)d.

IM meperidine (Demerol). A patients arterial blood gas analysis shows a Pa. CO2 of 6. 2 mm Hg. What action should the nurse take? Notify the RN; this is abnormally high.

Have the patient breathe into a paper bag. Increase the flow rate of the patients nasal oxygen.

No action is necessary; this is a normal Pa. CO2 level. A patient with chronic obstructive pulmonary disease works with the nurse to set a goal of ambulating to the bathroom with oxygen. Which statement best documents progress toward this goal? Dyspnea is controlled with oxygen and rest.

Arterial blood gases are within normal limits. Patient assisted to bathroom three times today. Ambulated to bathroom with oxygen, dyspnea level 3 on a 0- to- 1. A patient with cystic fibrosis has ineffective airway clearance. What intervention would worsen this problem? Mucolyticsd. Percussion and postural drainage. The nurse is assisting in the preparation of content that focuses on respiratory health for a community health fair.

What should the nurse include as a major risk factor for many respiratory problems? Eating spicy foodsc. Eating a high- fat dietd. Excessive sun exposure.

A patient has difficulty raising pulmonary secretions, and the nurse writes a nursing diagnosis of Ineffective Airway Clearance related to weak cough and fatigue. What would best help the patient maintain a clear airway? Teach relaxation exercises.

Allow rest periods between activities. Encourage fluids; suction prn as ordered. Instruct in abdominal and pursed- lip breathing. A patient with a lung infection has blood- tinged sputum.

What term should the nurse use to document this finding? Hemoptysisc. Hypercarbiad. Hematemesis. A nurse performs purified protein derivative and Candida skin tests on a patient suspected of TB. After 4. 8 hours, what finding at the injection sites should the nurse document as a positive result? Indurationd. Purulent discharge. A patient with suspected TB is prescribed a Candida skin test.