347 ch 20 prep u assessment of resp function
A nurse is instructing the client on the normal sensations that can occur when contrast medium is infused during pulmonary angiography. Which client statement demonstrates an understanding of the teaching?
"I will feel warm and may have chest pain"
what is the purpose of the vascular and ciliated mucous lining of the nasal cavities
463 and humidify inspired air
a nurse would question the accuracy of a pulse ox evaluation in which of the following conditions
a client experiencing hypothermia
A physician has ordered that a client with suspected lung cancer undergo magnetic resonance imaging (MRI). The nurse explains the benefits of this study to the client. What is the reason the client with suspected lung cancer would undergo magnetic resonance imaging (MRI)?
MRI can view soft tissues and can help stage cancer
a nurse in the radiology clinic is assisting with a client after an unusual arterial procedure. what assessment should the nurse notify the health care provider about?
absent distal pulses
The nurse assessed a 28-year-old woman who was experiencing dyspnea severe enough to make her seek medical attention. The history revealed no prior cardiac problems and the presence of symptoms for 6 months' duration. On assessment, the nurse noted the presence of both inspiratory and expiratory wheezing. Based on this data, which of the following diagnoses is likely?
asthma
the nurse inspects the thorax of a patient with advanced emphysema. what does the nurse expect the chest configuration to be for this patient
barrel chest
A client presents to the emergency department with fluid overload. The nurse is concerned about fluid accumulation in the lungs. On which of the following areas would the nurse focus the lung assessment
bilateral lower lobes
you are caring for a client admitted with chronic bronchitis. the client is having difficulty breathing, and the family asks you what causes this difficulty. what would be your best response?
conditions such as chronic bronchitis cause thickening of the bronchial mucosa so it makes it harder to breathe
a client appears to be breathing faster than during the last assessment, which of the following actions should the nurse preform?
count the rate of respirations
the nurse is assessing the lungs of a patient diagnosed with pulmonary edema. which of the following would be expected upon auscultation
crackles at lung bases
which ventilation-perfusion ratio is exhibited in a client diagnosed with a pulmonary embolus?
dead space
the nurse is completing a physicla assessment of a client's trachea, the nurse inspects and palpates the trachea for
deviation from the midline
For air to enter the lungs (process of ventilation), the intrapulmonary pressure must be less than atmospheric pressure so air can be pulled inward. Select the movement of respiratory muscles that makes this happen during inspiration.
diaphragm contracts and elongates the chest cavity
what would the instructor tell the students purulent fluid indicated
infection
A client has been newly diagnosed with emphysema. The nurse should explain to the client that by definition, ventilation:
is breathing air in and out of the lungs
The nurse answers a client's call light. The client reports an irritating tickling sensation in the throat, a salty taste, and a burning sensation in the chest. Upon further assessment, the nurse notes a tissue with bright red, frothy blood at the bedside. The nurse can assume the source of the blood is likely from the
lungs
when assessing a client, which adaptation indicates the presence of respiratory distress
orthopnea
The nurse auscultates the lung sounds of a client during a routine assessment. The sounds produced are harsh and cracking, sounding like two pieces of leather being rubbed together. The nurse would be correct in documenting this finding as
pleural friction rub
a patient comes to the ED complaining of a knifelike pain when taking a deep breath. what does this type of pain likely indicate to the nurse
pleurisy
what is the primary function of the larynx
producing sound
A patient exhibited signs of an altered ventilation-perfusion ratio. The nurse is aware that adequate ventilation but impaired perfusion exists when the patient has which of the following conditions?
pulmonary embolism
client has just had an invasive procedure to assess the respiratory system. what does the nurse know should be assessed on this client
respiratory distress
term for the volume of air inhaled and exhaled with each breath is
tidal volume
the instructor of the pre-nursing physiology class is explaining respirations to the class. what does the instructor explain is the main function of respirations?
to exchange oxygen and CO2 between the atmospheric air and the blood and between the blood and the cells
which hollow tube transports air from the laryngeal pharynx to the brochi
trachea
a nurse is assessing a clients respiratory system. which alveolar cells secrete surfactant to reduce lung surface tension
type II
a nurse is discussing squamous epithelial cells lining each alveolus, which consists of different types of cells. which type of alveolar cells produce surfactant
type II
The nursing instructor is teaching students about the respiratory system. The instructor knows the teaching has been effective when a student makes which statement?
ventilation is the movement of air in and out of the respiratory tract
the nurse is performing chest auscultation for a patient with asthma. how does the nurse describe the high-pitched, sibilant, musical sounds that are heard
wheeze
a nurse is caring for a client after a lung biopsy. which assessment finding requires immediate intervention?
respiratory rate of 44 breaths/ minute
A client experiences a head injury in a motor vehicle accident. The client's level of consciousness is declining, and respirations have become slow and shallow. When monitoring a client's respiratory status, which area of the brain would the nurse realize is responsible for the rate and depth?
the pons
the nurse is caring for a client diagnosed with asthma. While performing the shift assessment, the nurse auscultates breath sounds including sibilant wheezes, which are continuous musical sounds. What characteristics describe sibilant wheezes?
they can be heard during inspiration and expiration.
a nurse is preparing a client with a pleural effusion for a thoracentesis, the nurse should
assist the client to a sitting position on the edge of the bed, leaning over the bedside table
which of the following disease processes causes increased compliance
emphysema
family NP is performing a physical exam of a client, the NP examines the client's anterior, posterior, and lateral chest wall. what is the NP assessing
evidence of muscle weakness
a client with sinus congestion complains of discomfort when the nurse is palpating the supraorbital ridges. what sinus is the client referring
frontal
a nurse is concerned that a client may develop postop atelectasis. which nursing diagnosis would be most appropriate if this complication occurs?
impaired gas exchange
which term will the nurse use to document the inability of a client to breathe easily unless positioned upright
orthopnea
The nurse is caring for a client whose respiratory status has declined since shift report. The client has tachypnea, is restless, and displays cyanosis. Which diagnostic test should be assessed first?
pulse ox
a client with chronic bronchitis is admitted to the health facility. ausculation of the lungs reveals low pitch, rumbling sounds. what breath sound is this
rhonchi
in which position should the client be placed for a thoracentesis
sitting on the edge of the bed
nurse is admitting a client who just had a bronchoscopy. which assessment should be the nurses priority
swallow reflex
The nurse receives an order to obtain a sputum sample from a client with hemoptysis. When advising the client of the physician's order, the client states not being able to produce sputum. Which suggestion, offered by the nurse, is helpful in producing the sputum sample?
take deep breaths and cough forcefully.
