Adaptive Quiz #5 respiratory

A client has bluish buccal mucous membranes and lips. Which term will the nurse use to document this finding? 1 Central cyanosis 2 Central jaundice 3 Peripheral jaundice 4 Peripheral cyanosis

1 Central Cyanosis

A client is admitted with tachypnea, absent breath sounds on the affected side, hyperresonance on the affected side, tracheal deviation, and sudden chest pain. Which primary piece of equipment should the nurse obtain to assist the primary healthcare provider in management of this condition? 1 Chest tube 2 Thermometer 3 Electrocardiograph 4 Blood pressure cuff

1 Chest tube

What type of specialized respiratory epithelial cells line a client's conducting airways? 1 Ciliated epithelial cells 2 Keratinized epithelial cells 3 Squamous epithelial cells for gas diffusion 4 Cells that secrete enzymes to digest foreign particulates

1 Ciliated epithelial cells

Which signs and symptoms of pulmonary disease are the most common that the nurse will observe upon assessment? 1 Dyspnea and cough 2 Cyanosis and clubbing 3 Hemoptysis and chest pain 4 Abnormal sputum and hypoventilation

1 Dyspnea and cough

Which assessment finding is common in a client with laryngeal cancer? 1 Hoarseness 2 Hypercalcemia 3 Pleural effusion 4 Cushing syndrome

1 Hoarseness The presenting symptoms of laryngeal cancer include hoarseness, dyspnea, and cough. Hypercalcemia occurs in squamous cell carcinoma. Pleural effusion occurs in adenocarcinoma. Cushing syndrome in cancer is called paraneoplastic syndrome and usually occurs in lung cancer, not laryngeal cancer

A nurse is teaching a health and wellness class on reducing the risk for lung cancer. Which technique will the nurse suggest? 1 Stopping smoking 2 Using safe sex practices 3 Washing hands routinely 4 Cooking food thoroughly

1 stop smoking

Which term should the nurse use to describe the serous membrane covering the client's lungs? 1 Parietal pleura 2 Visceral pleura 3 Parietal peritoneum 4 Visceral peritoneum

2 visceral pleura

Which client is at highest risk for aspiration? 1 A 24-year-old client who has a history of seizures 2 An 84-year-old client who is lethargic after a stroke 3 A 56-year-old client who has stomatitis from chemotherapy 4 A 16-year-old client who has trouble swallowing from a sore throat

2 An 84-year-old client who is lethargic after a stroke Predisposing factors for aspiration include advanced age, altered level of consciousness, seizures, cerebrovascular accident, and neuromuscular disorders that cause dysphagia. The 84-year-old client has three factors: advanced age, lethargy, and stroke. The 24-year-old client has one predisposing factor: seizures. Stomatitis and sore throat are not associated with an increased risk for aspiration.

A client asks the nurse what causes "sneezing attacks." The nurse should answer this question based upon the knowledge that which structure triggers the sneeze reflex? 1 Nasal hairs and turbinates 2 Irritant receptors in the nares 3 Upper respiratory tract mucosa 4 Irritant receptors in the trachea and large airways

2 Irritant receptors in the nares The sneeze reflex is triggered by mechanical or chemical irritants in the nares or nostrils. The upper respiratory tract mucosa humidifies and warms gas entering the lungs and removes some bacteria, harmful gases, and foreign particles from the inspired air. The nasal hairs and turbinates also contribute to the removal of harmful substances. The irritant receptors in the trachea and large airways are stimulated by mechanical and chemical irritants to produce a cough, which removes irritants from the lower airways.

Which term will the nurse use to document the client's report that "I have to sleep sitting up"? 1 Clubbing 2 Orthopnea 3 Hyperpnea 4 Paroxysmal nocturnal dyspnea

2 Orthopnea

A client has hypercapnia. What probably caused the hypercapnia? 1 Clubbing 2 Intact spinal cord 3 Decreased drive to breathe 4 Stimulation of the respiratory center

3 Decreased drive to breathe

A nurse is teaching a client about the major muscles of inspiration. Which information should the nurse include as an example of a major muscle of inspiration? 1 Scalene 2 Trapezius 3 Diaphragm 4 Sternocleidomastoid

3 Diaphragm

A client reports breathlessness when exercising. Which term should the nurse use to describe this finding? 1 Orthopnea 2 Retractions 3 Dyspnea on exertion 4 Paroxysmal nocturnal dyspnea

3 Dyspnea on exertion

A nurse is discussing the tendency of the lungs to return to the resting state after inspiration. Which term should the nurse use to describe this process? 1 Collectins 2 Compliance 3 Elastic recoil 4 Surface tension

3 Elastic recoil

Which is the most important cause of pulmonary artery constriction in a client? 1 Acidemia 2 Alkalosis 3 Low alveolar Po2 4 High alveolar Po2

3 Low alveolar Po2

A client lies flat and experiences dyspnea. Which term should the nurse use when charting? 1 Cough 2 Cyanosis 3 Orthopnea 4 Kussmaul respirations

3 Orthopnea

Which term should the nurse use to describe the region between the lungs that contains the client's heart, great vessels, and esophagus? 1 Hilum 2 Alveolus 3 Mediastinum 4 Pleural cavity

3 Mediastinum

Which client will be most at risk for reactivation of tuberculosis (TB) infection? 1 A man 2 A woman who overused antibiotics 3 A woman who drank contaminated water 4 A man with human immunodeficiency virus (HIV)

4 A man with human immunodeficiency virus (HIV)

The nurse plans to teach a client about oxygen and carbon dioxide. Which information would be appropriate for the nurse to include in the teaching plan? 1 Carbon dioxide is less soluble than oxygen. 2 Oxygen diffuses more quickly than carbon dioxide. 3 The capillary beds do not allow for the exchange of carbon dioxide. 4 Carbon dioxide is eliminated to maintain normal acid-base balance.

4 Carbon dioxide is eliminated to maintain normal acid-base balance

The client reports a history of waking at night and gasping for air. The nurse will use what term to document this assessment finding? 1 Orthopnea 2 Hypocapnia 3 Cheyne-Stokes respirations 4 Paroxysmal nocturnal dyspnea

4 Paroxysmal Nocturnal Dyspnea

A client has pus in the pleural space from a previous pneumonia. The nurse will provide information to the client about which condition? 1 Flail chest 2 Hypercapnia 3 Pneumothorax 4 Pleural empyema

4 Plaural empyema

A nurse is asked where gas exchange occurs in the respiratory system. How should the nurse respond? in the cilia in the alveoli in the bronchi in the trachea

Alveoli

A nurse is asked how tuberculosis is spread from person to person. What is the nurse's best response? 1 From airborne droplets 2 From undercooked food 3 From contaminated water 4 From lack of handwashing

From airborne droplets

A client with heart failure reports orthopnea. Which action should the nurse take? Encourage the client to drink fluids Administer a pain medication to the client Place the client in forward-leaning posture Advise the client to stand slowly from a sitting position

Place the client in forward-leaning posture

A nurse is teaching about the circulation that feeds the lung tissues and participates in gas exchange. Which term should the nurse use to describe this type of circulation? Pulmonary Circulation Bronchial Circulation Coronary Circulation Systemic Circulation

Pulmonary Circulation The pulmonary circulation facilitates gas exchange and delivers nutrients to the lung tissues. The bronchial circulation is part of the systemic circulation, and it does not participate in gas exchange. The coronary circulation feeds the heart. The systemic circulation feeds the body.

A client experiences an increased pressure in the chest cavity with resulting collapse of the right lung and is diagnosed with a secondary pneumothorax. This diagnosis is based on what criterion? The exact cause of the pathosis is not known It occurred unexpectedly in a healthy individual some type of chest trauma resulted in the symptoms The client was coughing up blood-tinged frothy sputum

Some type of chest tauma resulted in the symptoms

Which person is most at risk for developing a pulmonary embolism? A 25-year-old man with asthma a 42-year-old woman with a broken arm A 28-year-old woman who is immobilized for 1 week a 67-year-old man with a deep vein thrombosis in the femoral vein

a 67-year-old man with a deep vein thrombosis in the femoral vein

Which information indicates the nurse has a correct understanding of the pathophysiology that caused a client's chronic productive cough from chronic bronchitis? Large air spaces (bullae) with air trapping Destruction of alveolar walls without obvious fibrosis permanent enlargement of gas-exchange airways (acini) increased size and number of mucous glands and goblet cells

increased size and number of mucous glands and goblet cells Continual bronchial inflammation causes bronchial edema and increases the size and number of mucous glands and goblet cells in the airway epithelium. Bullae, alveolar wall destruction, and enlargement of gas-exchange acini are all associated with emphysema, not chronic bronchitis.