Respiratory EAQ Hesi review

A nurse is caring for a group of clients on a medical-surgical unit. Which client has the highest risk for developing a pulmonary embolism?

An obese client with leg trauma

A client with asthma is being taught how to use a peak flow meter to monitor how well the asthma is being controlled. What should the nurse instruct the client to do?

Inhale completely and then blow out as hard and as fast as possible through the mouthpiece.

During chest examination in a healthy client, the nurse percusses and hears a low-pitched sound over the lungs. Which sound should the nurse document in the medical record?

Resonance

A client with chronic obstructive pulmonary disease (COPD) has a blood pH of 7.25 and PCO2 of 60. These blood gases require nursing attention because they indicate which condition?

Respiratory acidosis

Which surgical procedure is appropriate for the removal of a vocal cord due to laryngeal cancer?

Cordectomy

The nurse provides teaching about self-care management to a client who recently was diagnosed with emphysema. The nurse concludes that further teaching is needed when the client makes which statement?

"I will maintain complete bed rest."

A nurse provides smoking-cessation education to a client with chronic obstructive pulmonary disease (COPD). The nurse concludes that the client is ready to quit smoking when the client makes which statement?

"I'll cut back to a half pack a day."

During admission a client appears anxious and says to the nurse, "The doctor told me I have lung cancer. My father died from cancer. I wish I had never smoked." What is the nurse's best response?

"You are concerned about your diagnosis."

Which diagnostic test is performed under general anesthesia to detect non-Hodgkin lymphoma and requires the client to sign an informed consent form?

A mediastinoscopy

Which client would have relatively smaller tidal volumes due to limited chest wall movement?

A client with phrenic nerve paralysis

A client who is receiving peritoneal dialysis reports severe respiratory difficulty. What immediate action should the nurse implement?

Auscultate the lungs.

The healthcare provider prescribes theophylline to be given intravenously for the client experiencing an acute asthma attack. What does the nurse teach the client is the function of this medication?

Bronchodilator

Which part of the respiratory system is referred to as Angle of Louis?

Carina

The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. When inspecting the client's dressing, the nurse notes puffiness of the tissue around the surgical site. When the nurse palpates the site, the tissue feels spongy, and crackles can be felt. How does the nurse describe this assessment finding?

Crepitus

A client with a history of closed-angle glaucoma is scheduled for abdominal surgery. Because the client is extremely anxious, surgery is to be performed under general anesthesia. What should the nurse teach the client to do to prevent respiratory complications postoperatively?

Deep breathing techniques

Which condition may lead to collapse of the walls of the bronchioles and alveolar air sacs?

Emphysema

A client who was recently diagnosed with emphysema develops a malignancy in the right lower lobe of the lung, and a lobectomy is performed. After surgery, the client is receiving oxygen by nasal cannula at 2 L per minute. Blood gas results demonstrate respiratory acidosis. What should be the initial nursing intervention?

Encourage deep breathing.

Which respiratory measurement is useful in differentiating between obstructive and restrictive pulmonary dysfunction?

Forced expiratory volume/forced vital capacity ratio

A community health nurse is educating a client who is interested in discontinuing cigarette smoking. What should the teaching plan include?

Helping the client set a date to stop smoking

A nurse is caring for a client who was admitted to the hospital with a diagnosis of chronic obstructive pulmonary disease and is receiving oxygen at 2 L/min via nasal cannula. What is the primary focus of therapy when caring for this client?

Improving ventilation

Which diagnostic test may be used to distinguish vascular from nonvascular structures?

Magnetic resonance imaging

A client with pneumonia now requires use of a nonrebreathing mask to maintain adequate oxygen saturation levels. How does the nurse interpret this information?

Mechanical ventilation may be required next.

Which statement is true regarding the Hering-Breuer reflex?

Prevents overdistension of the lungs

A postoperative client is being weaned from mechanical ventilation. What is the most important factor for the nurse to consider when organizing activities?

Remain with the client to assess responses.

A client is transferred from the postanesthesia care unit to the intensive care unit after a radical neck dissection. In what position should the nurse place the client to facilitate respirations and promote comfort?

Semi-fowler

The nurse provides discharge instructions to a client who had a rhinoplasty. Which instructions should the nurse share with the client?

Sleep on the back using one pillow under the head

While preparing the client for a diagnostic procedure, the nurse positions the client upright with elbows on an overbed table and the feet supported. The nurse also instructs the client not to talk or cough during the procedure. Which diagnostic test is the client undergoing?

Thoracentesis

A nurse receives a call from the emergency department about a client with tuberculosis (TB) who will be admitted to the medical unit. Which precaution should the nurse take?

Wear a particulate respirator when caring for the client

After assessing a client's breath sounds, the nurse suspects bronchospasm. Which adventitious breath sound has prompted the nurse's suspicion?

Wheezing