The nurse is caring for a client who is scheduled for a bronchoscopy.  Which of the following is a priority nursing intervention for client preparation with the correct rationale?

A 6-month-old infant who was seen in the Emergency Department with wheezing and coughing is admitted to the pediatric unit with a diagnosis of bronchiolitis due to respiratory syncytial virus (RSV).  During the admission assessment, which of these will alert the health care provider that the infant’s condition is worsening?

A client is ready for discharge after treatment for a spontaneous pneumothorax.  The nurse started the discharge teaching yesterday.  Which of the comments by the client indicates that the education requires more teaching?

The nurse provides education to a client with a history of pulmonary embolism (PE) who is about to take a vacation overseas.  Which client statement indicates to the nurse a need for additional teaching?

The nurse is caring for a client after a bronchoscopy and biopsy.  Which of the following signs, if noticed in the client, should be reported immediately to the health care provider?

Several family members of a client diagnosed with a pleural effusion are concerned that the client has not been “coughing up any of the fluid.”  The RN understands that a nonproductive cough is expected because the:

A child with croup is on oxygen at 2 liters per nasal cannula and has the following arterial blood gas (ABG) results: pH 7.31 pCO2 48 HCO3 24 pO2 91 (Normal value ranges: pH 7.35-7.45, pCO2 35-45 mm Hg, HCO3 21-28 mEq/L, PaO2 80-100 mm Hg) Which does the nurse report to the health care provider based on this data?

Which potential side effects does the nurse include in the teaching plan for a client undergoing radiation therapy for lung cancer?

A client diagnosed with pneumothorax is placed on 6 liters of oxygen by nasal cannula with an oxygen saturation of 85%.  A chest tube has been placed.  The nurse reassesses the oxygen saturation which has remained at 100% for the last hour.  Which of the following is the most appropriate nursing action?

The nurse checks a client’s pulse oximetry reading and obtains 85%.  The last reading four hours ago was 95%. What is the first action the nurse should take?