Adult Health - Chapter 20: PrepU

Which term will the nurse use to document the inability of a client to breathe easily unless positioned upright? Orthopnea Hypoxemia Hemoptysis Dyspnea

A

In which position should the client be placed for a thoracentesis? A. Sitting on the edge of the bed B. Prone C. Lateral recumbent D. Supine

A.

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. sibilant wheezes. crackles. sonorous wheezes.

A.

The nurse is caring for a client who is to undergo a thoracentesis. In preparation for the procedure, the nurse places the client in which position? A. Sitting on the edge of the bed B. Supine C. Prone D. Lateral recumbent

A.

Which hollow tube transports air from the laryngeal pharynx to the bronchi? pharynx larynx bronchioles trachea

D.

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? Adult respiratory distress syndrome Asthma Acute respiratory obstruction Pneumothorax

B.

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 are heard in clients with decreased secretions. They can be heard during inspiration and expiration. They result from air passing through widened air passages. They occur when the pleural surfaces are inflamed.

A.

The nurse is studying for a physiology test over the respiratory system. What should the nurse know about central chemoreceptors in the medulla? A. They respond to changes in CO2 levels and hydrogen ion concentrations (pH) in the cerebrospinal fluid. B. They respond to changes in the O2 levels in the brain. C. They respond to changes in CO2 levels in the brain. D. They respond to changes in O2 levels and bicarbonate levels in the cerebrospinal fluid.

A.

While conducting the physical examination during assessment of the respiratory system, which conditions does the nurse assess by inspecting and palpating the trachea? A. Deviation from the midline B. Evidence of exudate C. Evidence of muscle weakness D. Color of the mucous membranes

A.

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? Central sulcus The pons Wernicke's area The frontal lobe

B.

A patient comes to the emergency department complaining of a knifelike pain when taking a deep breath. What does this type of pain likely indicate to the nurse? A. Bronchogenic carcinoma B. Pleurisy C. Lung infarction D. Bacterial pneumonia

B.

A patient describes his chest pain as knife-like on inspiration. Which of the following is the most likely diagnosis? A. Bacterial pneumonia B. Pleurisy C. Bronchogenic carcinoma D. A lung infection

B.

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)? Tumor densities can be seen with radiolucent images. MRI can view soft tissues and can help stage cancers. Lung blood flow can be viewed after a radiopaque agent is injected. Narrow-beam x-ray can scan successive lung layers.

B.

The term for the volume of air inhaled and exhaled with each breath is A. residual volume. B. tidal volume. C. vital capacity. D. expiratory reserve volume.

B.

What is the difference between respiration and ventilation? A. Ventilation is the process of gas exchange. B. Ventilation is the movement of air in and out of the respiratory tract. C. Ventilation is the process of getting oxygen to the cells. D. Ventilation is the exchange of gases in the lung.

B.

A nurse assesses a client's respiratory status. Which observation indicates that the client is having difficulty breathing? Pursed-lip breathing Controlled breathing Use of accessory muscles Diaphragmatic breathing

C.

The nurse is performing an assessment for a patient with congestive heart failure. The nurse asks if the patient has difficulty breathing in any position other than upright. What is the nurse referring to? Bradypnea Dyspnea Orthopnea Tachypnea

C.

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? "Anytime there is a chronic disease process it is hard for the person to breathe." "Having a chronic respiratory disease scars the lung and affects the effort it takes to breathe." "In this particular case your family member is just overly tired and having problems breathing." "Conditions such as chronic bronchitis cause thickening of the bronchial mucosa so it makes it harder to breathe."

D

A client has recently been diagnosed with malignant lung cancer. The nurse is calculating the client's smoking history in pack-years. The client reports smoking two packs of cigarettes a day for the past 11 years. The nurse correctly documents the client's pack-years as 5. 11. 10. 22.

D.

A client will be undergoing a bronchoscopy. Which statement shows that the client understands the procedure? "If I cough up bloody mucus the next day, I need to call 911." "If the tube goes through my nose, why will my throat hurt?" "At least I can eat normally again as soon as this is over." "It sounds like the different drugs will make this much easier to stand."

D.

An client is described as having pectus carinatum. What would be the physical manifestation of this condition? A. The thoracic and lumbar spine have a lateral S-shaped curvature. B. The chest is rounded, ribs are horizontal, and sternum is pulled forward. C. The sternum is depressed from the second intercostal space. D. The sternum protrudes and the ribs are sloped backward.

D.