Respiratory Review Questions Part 2

Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted notes continues gentle bubbling in the suction control chamber. What action is appropriate?

Do nothing, because this is an expected finding

A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important to this patient?

Impaired gas exchange related to airflow obstruction

The nurse in charge is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide?

It helps prevent early airway collapse.

On auscultation, which finding suggests a right pneumothorax?

Absence of breath sounds in the right thorax

Which of the following measures is the most important action in preventing the transmission of pulmonary tuberculosis?

Adequate ventilation of rooms

A male client admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannula. The client's history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these history findings, the nurse closely monitors the oxygen flow and the client's respiratory status. Which complication may arise if the client receives a high oxygen concentration?

Apnea

A male patient has a ducking stab wound to the chest. Which action should the nurse take first?

Applying a dressing over the wound and taping it on three sides

Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses sees many abbreviations. What does a lowercase "a" in ABG value present?

Arterial Blood

A male client with chronic obstructive pulmonary disease (COPD) is recovering from a myocardial infarction. Because the client is extremely weak and can't produce an effective cough, the nurse should monitor for?

Atelectasis

Nurse Joy 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 physician?

Bronchospasm

Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate?

Continue to monitor the patient

Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the?

Contralateral side in hemothorax

Which of the following is a normal finding when assessing the respiratory system of an elderly client?

Decreased mobility of the thorax and increased chest wall stiffness

An emergency room nurse is assessing a male client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client?

Diminished breath sounds

After undergoing a left pneumonectomy, a female patient has a chest tube in place for drainage. When caring for this patient, the nurse must?

Encourage coughing and deep breathing

While changing the tapes on a tracheostomy tube, the male client coughs and the tube is dislodged. The initial nursing action is to:

Grasp the retention sutures to spread the opening

All of the following nursing diagnoses are important for a client with chronic pulmonary emphysema (COPD). Which would receive priority when planning nursing interventions?

Impaired gas exchange

A male client with pneumococcal pneumonia is admitted to an acute care facility. The client in the next room is being treated for mycoplasmal pneumonia. Despite the different causes of the various type of pneumonia, all of them share which feature?

Inflamed lung tissue

Which of the following diagnostic studies is most helpful in determining the presence of asthma

Pulmonary function tests (PFTs)

A male client is asking the nurse a question regarding the Mantoux test for tuberculosis. The nurse should base her response on the fact that the?

Skin test doesn't differentiate between active and dormant tuberculosis infection

A nurse performs an admission assessment on a female client with a diagnosis of tuberculosis. The nurse reviews the result of which diagnosis test that will confirm this diagnosis?

Sputum culture

Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. The nurse reports which of the following signs immediately if experienced by the client?

Stridor

Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?

The system has an air leak

A nurse is suctioning fluids from a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of?

10 seconds

A nurse is caring for a male client with emphysema who is receiving oxygen. The nurse assesses the oxygen flow rate to ensure that it does not exceed?

2 L/min

A female adult client has a tracheostomy but doesn't require continuous mechanical ventilation. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for?

5 to 20 minutes

Blessy, a community health nurse is conducting an educational session with community members regarding tuberculosis. The nurse tells the group that one of the first symptoms associated with tuberculosis is?

A cough with the expectoration of mucoid sputum

Nurse Reese is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which of the following would the nurse expect to note on assessment of this client?

A hyperinflated chest noted on the chest x-ray

The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include?

Being overweight

At 11 p.m. a male client is admitted to the emergency department. He has a respiratory rate of 44 breaths/min. He's anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86% and he's still wheezing. The nurse should plan to administer?

Albuterol (Proventil)

For a male client with an endotracheal (ET) tube, which nursing action is most essential?

Auscultating the lungs for bilateral breath sounds

Patients with suspicious masses in the lung as seen on chest x-ray could have which of the following diagnostic studies to provide information on soft tissue masses?

Cat scan and magnetic resonance imaging (MRI)

A female client is undergoing a complete physical examination as a requirement for college. When checking the client's respiratory status, the nurse observes respiratory excursion to help assess?

Chest movements

Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In a acute rhinitis, nasal drainage normally is?

Clear

Clients identified with pulmonary tuberculosis due to M. Tuberculosis usually are placed on Isoniazid (INH) to prevent active disease. Client teaching prior to discharge from a clinic setting would place priority on which of the following post-discharge instructions?

Liver function tests should be monitored routinely

Which of the following interventions would be a priority in the plan of care for the person with pulmonary emphysema?

Low-flow oxygen via face mask

Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug, the nurse should explain that it may cause?

Nervousness

A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations?

Non-rebreather mask

A nurse is assisting a physician with the removal of a chest tube. The nurse should instruct the client to?

Perform the Valsalva maneuver

Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to

Place the tube in a bottle of sterile water

A nurse instructs a female client to use the pursed-lip method of breathing and the client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed-lip breathing is to?

Promote carbon dioxide elimination

A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which of the following is the appropriate nursing intervention?

Stop the procedure and reoxygenate the client

An older client is receiving postural drainage treatments but is unable to expel the secretions. The client is confused, and having difficulty following instructions. The best response by the nurse would be to?

Suction out the secretions

For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway?

Teaching the patient how to perform controlled coughing

The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching?

Use diaphragmatic breathing

The nurse assesses a male client's respiratory status. Which observation indicates that the client is experiencing difficulty breathing?

Use of accessory muscles

For a patient with advance chronic obstructive pulmonary disease (COPD), which nursing action promotes adequate gas exchange?

Using a high-flow Venturi mask to deliver oxygen as prescribed

An oxygen delivery system is prescribed for a male client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed?

Venturi mask

A male adult client is suspected of having a pulmonary embolus. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism?

dyspnea

A black client with asthma seeks emergency care for acute respiratory distress. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the?

mucous membranes

A slightly obese female client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client's chest wall, the nurse expects to elicit?

resonant sounds.

Which phrase is used to describe the volume of air inspired and expired with a normal breath?

tidal volume