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Ans: Discard the specimen and assist the patient in obtaining another specimen.
The nurse is assessing a newly admitted medical patient and notes there is a depression in the lowerportion of the patient's sternum. This patient's health record should note the presence of what chestdeformity?Ans: A funnel chestThe medical nurse who works on a pulmonology unit is aware that several respiratory conditions canaffect lung tissue compliance. The presence of what condition would lead to an increase in lungcompliance?Ans: EmphysemaA medical nurse has admitted a patient to the unit with a diagnosis of failure to thrive. The patienthas developed a fever and cough, so a sputum specimen has been obtained. The nurse notes that thesputum is greenish and that there is a large quantity of it. The nurse notifies the patient's physicianbecause these symptoms are suggestive of what?Ans: InfectionA patient has been diagnosed with heart failure that has not yet responded to treatment. What breathsound should the nurse expect to assess on auscultation?Ans: CracklesA patient has a diagnosis of multiple sclerosis. The nurse is aware that neuromuscular disorders suchas multiple sclerosis may lead to a decreased vital capacity. What does vital capacity measure?Ans: The maximal volume of air exhaled from the point of maximal inspirationWhile assessing an acutely ill patient's respiratory rate, the nurse assesses four normal breathsfollowed by an episode of apnea lasting 20 seconds. How should the nurse document this finding?Ans: Biot's respirationThe nurse is caring for an elderly patient in the PACU. The patient has had a bronchoscopy, and thenurse is monitoring for complications related to the administration of lidocaine. For whatcomplication related to the administration of large doses of lidocaine in the elderly should the nurseassess?Ans: Confusion and lethargyWhile assessing a patient who has pneumonia, the nurse has the patient repeat the letter E while thenurses auscultates. The nurse notes that the patient's voice sounds are distorted and that the letter Ais audible instead of the letter E. How should this finding be documented?Ans: EgophonyThe clinic nurse is caring for a patient who has been diagnosed with emphysema and who has justhad a pulmonary function test (PFT) ordered. The patient asks, "What exactly is this test for?" Whatwould be the nurse's best response?Ans: "A PFT measures how much air moves in and out of your lungs when you breathe."A patient is being treated for a pulmonary embolism and the medical nurse is aware that the patientsuffered an acute disturbance in pulmonary perfusion. This involved an alteration in what aspect ofnormal physiology?Ans: Adequate flow of blood through the pulmonary circulation.The nurse is performing a respiratory assessment of an adult patient and is attempting to distinguishbetween vesicular, bronchovesicular, and bronchial (tubular) breath sounds. The nurse shoulddistinguish between these normal breath sounds on what basis?