Questions 49

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ATI RN Targeted Medical Surgical Respiratory Questions

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Question 1 of 5

A nurse is reinforcing teaching with a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?

Correct Answer: A

Rationale: Pursed-lip breathing involves nasal inhalation and oral exhalation through pursed lips to maintain airway pressure and reduce air trapping, improving COPD symptoms.

Question 2 of 5

A nurse is assessing a client who has asthma and signs of central cyanosis. Which of the following is a reliable indicator of cyanosis?

Correct Answer: A

Rationale: The oral mucosa is a reliable site for assessing cyanosis, showing bluish discoloration due to low oxygen saturation. Other sites are less consistent or not typically assessed.

Question 3 of 5

A nurse is assisting with the care of a client who is 2 days postoperative following the creation of a tracheostomy. Which of the following actions should the nurse plan to take?

Correct Answer: B

Rationale: Humidified air prevents drying of secretions and maintains airway moisture post-tracheostomy. Sims' position, povidone-iodine, or clean technique are inappropriate for tracheostomy care.

Question 4 of 5

Which nursing assessment indicates a positive reading of a tuberculin (TB) skin test?

Correct Answer: A

Rationale: A positive TB skin test is based on induration size, not just redness, measured 48-72 hours post-injection. A 10-mm induration may indicate positivity, depending on risk factors, but the question lacks induration specificity.

Question 5 of 5

A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?

Correct Answer: C

Rationale: Pursed-lip breathing helps maintain positive airway pressure during exhalation, preventing airway collapse and improving gas exchange in emphysema. Supine positioning may worsen dyspnea, a low-protein diet is not beneficial, and limiting fluids can thicken secretions, impeding clearance.

Similar Questions

What nursing intervention enhances the nutritional status of a patient with COPD?
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?
The nurse is providing instruction about ipratropium (Atrovent) to a patient with COPD. Which is a common adverse effect that tends to resolve with therapy?
A nurse is reinforcing teaching with a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?
A nurse is collecting data for a client who has COPD. The nurse should expect the client's chest to be which of the following shapes?

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