FA DAVIS (CHAP 23, 24, 25, 26)

The nurse is caring for a patient with COPD who is on ventilator therapy. Which test is most beneficial to evaluate the patient's response to ventilator therapy? 1. Spirometry 2. Pulse oximetry 3. Arterial blood gases (ABG) 4. Forced expiratory volume (FEV1)

3

A client, newly diagnosed with asthma, has recovered from an acute attack. The nurse analyzes possible triggers in the environment. Which triggers could have caused the exacerbation? Select all that apply. Client walking in hallway two times today Gift basket in room containing boxed food items Fellow staff nurse in hallway wearing perfume Flower arrangement on client's bedside table Visitor who smells of cigarette smoke

3 4 5

The nurse caring for a client diagnosed with asthma enters the hospital room as the client begins experiencing chest tightness, audible wheezing, and pulse oximetry reading of 90% on room air. Which medication should the nurse anticipate administering first? 1. Oral anti-inflammatory 2. Inhaled anticholinergic 3. Oral antihistamine 4. Inhaled bronchodilator

4

The nurse is offering a community teaching session on obstructive sleep apnea (OSA). Which life-threatening occurrences can result from untreated OSA? Select all that apply. 1. Motor vehicle accidents 2. Heart failure 3. Diabetes mellitus 4. Myocardial infarction 5. Stroke

1 2 4 5

The nurse is providing a workshop at an adult community center about obstructive sleep apnea (OSA). What information should be included as correct? Select all that apply. 1. It occurs because of a deviated nasal septum or trauma to the nose or when tumors interfere with nasal drainage. I2. it results in narrowing of one or more sites of the upper airway, resulting in intermittent breathing patterns. 3. It occurs in response to exposure to allergens found in the environment, medications, foods, or occupational irritants. 4. It can increase intrathoracic pressure and lead to decreased tidal volume for several breaths or periods of apnea. 5. It can be treated by using continuous positive airway pressure (CPAP).

2 4 5

Arrange the steps of AeroChamber use in order. 1. Place mouthpiece over mouth and nose. 2. Breathe in without pressing the canister. 3. Shake inhaler, and insert in the back of an AeroChamber. 4. Press the canister once to release a dose of the medication, and take a deep, slow breath in. 5. Remove mouthpiece, and breathe out. 6. Hold the breath for about 10 seconds, and breathe out through the mouthpiece.

3 1 4 6 2 5

Which of these assessment findings would the nurse most likely expect when a client is diagnosed with latent tuberculosis infection? 1. Cough 2. Fever 3. Fatigue 4. Asymptomatic

4

Which safety measures followed by the nurse when caring for a patient with suspected tuberculosis (TB) infection can cause the spread of pathogens to other individuals? 1. Keeping the patient isolated in a private room with negative airflow 2. Donning an N95 mask respirator when entering the patient's private room 3. Instructing the visitors to wear a snug-fitting surgical mask when entering the patient's private room 4. Ensuring that the patient leaves the negative pressure room connected to a SPO2 probe

4

A client asks about the risks of developing obstructive sleep apnea. Which conditions in the client's health history places him at risk? Select all that apply. 1. Atrial fibrillation 2. Renal insufficiency 3. Type 1 diabetes mellitus 4. Heart failure 5. Pulmonary hypertension

1 4 5

The nurse is evaluating the effectiveness of a small volume nebulizer bronchodilator treatment for a patient with emphysema. Which assessment change indicates an effective outcome of the therapy? Select all that apply. Pulse oximetry reading goes from 92% to 94%. Audible wheezes are diminished. Heart rate increases from 98 to 110 beats per minute. The client states "my breathing is the same." Facial complexion is a ruddier color.

1 2

A client comes to the clinic with a 5-year history of COPD. The nurse provides a focused assessment. What should be included? Select all that apply. 1. Cough 2. Sputum 3. Confusion 4. Use of accessory muscles 5. Bowel sounds

1 2 3 4

The nurse is caring for a client admitted with COPD who is having difficulty breathing. Which actions can the nurse take to provide support? Select all that apply. 1. Place client in semi-Fowler's position 2.Provide bronchodilators, if ordered 3. Offer small, frequent meals 4. Encourage smoking cessation 5. Wean from oxygen

1 2 3 4

Which topics should the nurse include in the discharge teaching plan of a client newly diagnosed with asthma? Select all that apply. Pursed-lip breathing Possible triggers Signs and symptoms Using the incentive spirometer Using a peak flow meter

1 2 3 5

Which findings confirm that a patient has pneumonia? Select all that apply. 1. Elevated white blood cell (WBC) count with elevated bands on differential 2. Elevated C-reactive protein (CRP) value 3. Decreased white blood cell count 4. Decreased C-reactive protein (CRP) value 5. Computed tomography (CT) scans of the chest show consolidation

1 2 5

The nurse is evaluating the effectiveness of therapy in a patient with asthma. Which statement made by the patient indicates an effective outcome of the therapy? Select all that apply. 1. "I stopped smoking 3 months ago." 2. "I keep my pets in a separate room." 3. "I can speak in complete sentences without shortness of breath." 4. "I can breathe easier through pursed-lip breathing." 5. "I monitor my peak flow reading every other day."

1 3 4

The nurse is talking with a friend who is experiencing allergic rhinitis. What could the nurse share as possible causes? Select all that apply. 1. Cow's milk 2. Glucose water 3. Angiotensin-converting enzyme (ACE) inhibitors 4. Animal dander 5. Antihistamines

1 3 4

The nurse is caring for a client with a diagnosis of active tuberculosis. Which symptoms does the nurse expect this client to exhibit? Select all that apply. 1. Fever 2. Abdominal rigidity 3. Abnormal breathing sounds 4. Hypothermia 5. Decreased oxygen saturation

1 3 5

The nurse should identify which high-risk clients in the absence of a positive influenza laboratory test? Select all that apply. 1. 86-year-old female with diabetes 2. 39-year-old male construction worker 3. 41-year-old male university professor 4. 26-year-old daycare employee 5. 50-year-old client who is positive for human immunodeficiency virus

1 3 5

The nurse suspects a client may be suffering from primary progressive tuberculosis infection when the client exhibits which symptoms? Select all that apply. 1. Fatigue 2. Sore throat 3. Weight loss 4. Nonproductive cough 5. Night sweats

1 3 5

Which medications are prescribed for patients with chronic obstructive pulmonary disorder (COPD) because of relaxation of the smooth muscles of the respiratory tract? Select all that apply. Anticholinergics Glucocorticoids Short acting beta2-agonists Antibiotics Long acting beta2-agonists

1 3 5

Which organisms are responsible for causing community-acquired pneumonia (CAP) in a patient? Select all that apply. 1. Streptococcus pneumoniae 2. Klebsiella pneumoniae 3. Mycoplasma pneumonia 4. Escherichia coli 5. Chlamydia pneumoniae

1 3 5

The nurse admits a client with an acute asthma attack. What assessment findings are anticipated? Select all that apply. 1. Wheezing 2. Decreased pulse rate 3. No use of accessory muscles of respiration 4. Increased anxiety 5. Inability to speak in full sentences

1 4 5

A patient with chronic obstructive pulmonary disorder (COPD) is reporting shortness of breath. On assessment, the nurse finds a pulse rate of 115 beats/min, a blood pressure of 152/94 mm Hg, a temperature of 101°F, and a respiratory rate of 28. Which respiratory test is priority? 1. Perform incentive spirometry 2. Pulse oximetry 3. Obtain a forced expiratory volume 4. Peak expiratory flow readings

2

The client is at risk of developing obstructive sleep apnea (OSA). What factor can the client change to prevent the onset of this condition? 1. Stop taking sleep medications 2. Stop cigarette smoking 3. Stop sleeping on the back 4. Stop sleeping less than 6 hours each night

2

The client with emphysema comes to the emergency department with difficulty breathing. What assessment finding should the nurse anticipate? 1. Excess mucous production 2. Barrel shaped chest 3. Hypoventilation 4. Blueish skin tones

2

A patient with a severe cough and decreased appetite arrives at the hospital. On assessment, the nurse finds the anterior-posterior diameter as 2:2. After reviewing the assessment findings, what action should the nurse take first? Apply 100% nonrebreather mask. Request a bronchodilator small volume nebulizer (SVN) treatment. Encourage pursed-lip breathing. Draw arterial blood gasses.

3

The nurse is asking family health history information of a young adult. The patient's father has obstructive sleep apnea (OSA). Which statement by the client requires additional education? 1. "If I maintain a healthy weight, there is less chance I will get sleep apnea." 2. "I'll never be a cigarette smoker like my dad; that's disgusting." 3. "I enjoy drinking with my friends; we usually have a few beers each evening." 4. "I'm at a higher risk of OSA because I'm a man."

3

The nurse is assessing a patient who has developed orthopnea and rales. On further investigation, the nurse finds that the patient often coughs up rust-colored sputum. The patient also has night sweats and weight loss. Which kind of tuberculosis (TB) does the nurse expect the patient to be diagnosed with in this situation? 1. Latent TB infection (LTBI) 2. Multidrug-resistant TB (MDR TB) 3. Primary progressive TB infection (PPTBI) 4. Primary TB infection (PTBI)

3

The nurse should include which priority preventive measure when teaching a group of adults about preventing the spread of tuberculosis? 1. Handwashing 2. Annual vaccination 3. Isolation 4. Covering mouth when coughing

3

Which course of action should a nurse take when caring for a patient with influenza to prevent secondary bacterial pneumonia? 1.Administer humidified supplemental oxygen to the patient. 2. Administer antipyretics to the patient per order. 3. Place the patient's head of the bed in a semi- to high-Fowler's position. 4. Ensure that adequate fluid is provided to the patient.

3

The nurse is teaching about the epidemiology of tuberculosis (TB). Which statements indicated the need for further teaching? Select all that apply. 1. "Tuberculosis (TB) is present in foreign-born individuals." 2. "Low socioeconomic groups are the most affected." 3. "The most affected age groups vary from 40 to 60 years old." 4. "About half of the HIV-infected population in the United States is affected by Mycobacterium tuberculosis." 5. "Individuals with AIDS are the most prone to TB."

3 4

Which expected outcomes should the nurse include in the plan of care for a client treated for tuberculosis? Select all that apply. 1. Oxygen saturation 90% on room air. 2. Night sweats once per week. 3. Ability to maintain stable body weight. 4. Exhibits even and unlabored respirations. 5. Absence of cough and sputum production.

3 4 5

Which signs and symptoms should the nurse associate with resolving viral influenza infection? Select all that apply. 1. Oxygen saturation 90% on room air. 2. Oral temperature 99.8°F. 3. Heart rate has returned to baseline. 4. Even and unlabored respirations. 5. Lungs clear on chest x-ray.

3 4 5

Which discharge teaching should the nurse include in the teaching plan for a client who was treated for tuberculosis? Select all that apply. 1. "Family members should have chest x-rays done." 2. "Stop medication when coughing subsides." 3. "Persons living with you should have skin testing." 4. "Use your best judgment in terms of your daily medications." 5. "Maintain adequate nutrition."

3 5

A nurse is caring for a client diagnosed with asthma who has not responded to repeated, frequent doses of bronchodilators. The client also reports chest tightness, wheezing, dry cough, shortness of breath, and severe respiratory distress. What condition could this client be experiencing? 1. Cystic fibrosis 2. Heart failure 3. Chronic obstructive pulmonary disease 4. Status asthmaticus

4

A patient with asthma is reporting shortness of breath. On assessment, the nurse finds a pulse rate of 110 beats/min, a blood pressure of 130/90 mm Hg, and a temperature of 101°F (37.8°C). Which diagnostic test is most beneficial in determining the treatment plan? 1. Spirometry 2. Pulse oximetry 3. Forced expiratory volume 4. Peak expiratory flow readings

4

The nurse is caring for a patient who experienced a laryngeal trauma from a self-aborted suicide attempt by hanging. What is a priority action? 1. Monitor for increased bruising of the neck. 2. Auscultation of the lungs for aspiration. 3. Place a person in the room for continual monitoring. 4. Confirm that emergency tracheostomy or intubation equipment is kept nearby.

4

Which patient with asthma requires immediate treatment? 1. A patient with a pulse rate of 65 beats/min 2. A patient with oxygen saturation of 90% 3. A patient with blood pressure 120/90 mm Hg 4. A patient with respiratory rate 12 breaths/min

4

A nurse caring for a client diagnosed with tuberculosis requires further teaching when the charge nurse makes which observation? 1. Nurse wears N95 mask during client care. 2. Client transported to radiology while wearing a mask. 3. Visitors wear snug-fitting surgical masks. 4. Client wears mask when visiting family in waiting area.

4

A patient with end-stage chronic obstructive pulmonary disorder (COPD) develops sudden dyspnea and chest pain. A spontaneous pneumothorax is suspected. What is the nurse's priority action? Maintain oxygenation. Place chest tube. Intubate. Provide pain medicine.

1

Which type of medication is used to maintain daily control of asthma? Anti-inflammatories Anticholinergics Bronchodilators Vasodilators

1

The nurse encourages a client with COPD to eliminate risk factors for exacerbation. What is considered a risk factor? Select all that apply. 1. Chemicals 2. Dust 3. Air pollutants 4. Secondhand smoke 5. Cigarette smoking

1 2 3 4 5

A client with obstructive sleep apnea (OSA) has been newly diagnosed with atherosclerosis. He questions whether this could be a result of his apnea. How should the nurse respond? 1. "Atherosclerosis is always a result of OSA." 2. "No correlation exists between OSA and atherosclerosis." 3. "The physiological changes from OSA can lead to atherosclerosis." 4. OSA results in other heart conditions, but not atherosclerosis.

3

the nurse identifies the mask as what type of delivery? (face mask on patient with OSA) 1. Continuous positive airway pressure (CPAP) mask 2. Venturi mask 3. Nonrebreather mask 4. Intubation mask

1

Which physiological changes occur as a result of sleep apnea? Select all that apply. 1. Vasoconstrictive activity 2. Acidosis 3. Alkalosis 4. Hypercapnia 5. Hypoxemia

1 4 5?

The nurse is teaching a patient how to use a bronchodilator inhaler for a new diagnosis of emphysema. The patient is having difficulty coordinating the inhalation and exhalation necessary for proper usage. Which option would be best for this patient? 1. inhaler 2. aerochamber 3. spirometer 4. endotracheal tube

2

The nurse reviews the records for a patient in the emergency room. What assumption can the nurse make? 1. The swallowing difficulty is due to an upper respiratory infection. 2. There are multiple risk factors for laryngeal cancer. 3. His shortness of breath is due to his inactivity. 4. The medications he is prescribed are contributing to his symptoms.

2

Which respiratory disorder can be diagnosed with the help of polysomnography? 1. Rhinosinusitis 2. Obstructive sleep apnea (OSA) 3. Rhinitis 4. Laryngitis

2

Which nursing actions are appropriate when caring for a client diagnosed with tuberculosis? Select all that apply. 1. Place on droplet precautions. 2. Humidify oxygen when administered. 3. Request dietary consult. 4. Offer family members N95 masks. 5. Medication teaching.

2 3 5

The nurse is caring for a patient being discharged from the urgent care with the diagnosis of bacterial rhinosinusitis. What should the nurse include in the instructions? 1. You may experience insomnia from the prescribed antibiotics. 2. You should use nasal spay as a decongestant several times a day until your congestion clears. 3. Notify the provider if you experience neck stiffness, severe headache, or light sensitivity. 4. Over-the-counter pain medicines should be avoided.

3

Which is true regarding aspiration pneumonia? 1. It develops over a period of approximately 4 to 6 hours when the infected cells reproduce and spread the virus to other respiratory cells. 2. It occurs due to aerosolization of small droplets by direct contact with fomites that are inhaled and are deposited on the upper respiratory tract epithelial cells. 3. It occurs as a result of inhalation of colonized oropharyngeal secretions or regurgitated stomach contents. 4. It is caused by rod-shaped bacteria that can be visualized under a microscope, and treated with a special "acid-fast" staining procedure.

3

Which is true regarding emphysema? 1. It is caused by inflammation of bronchioles. 2. It is associated with blood-tinged sputum. 3. It is associated with chronic respiratory acidosis. 4. It is associated with chronic dilation of bronchioles.

3

The nurse is teaching about the pathophysiology of tuberculosis (TB). Which statement made is correct? 1. "Destruction of the lung tissue occurs in the patient during granuloma formation." 2. "Pleuritic chest pain is the result of the sputum present." 3. "The unexplained weight loss is due to the destruction of lung tissue." 4. "Micro bleeds are the result of the collection of white blood cells in an attempt to wall off the infection."

1

Which is the main cause of blood tinged, rust-colored sputum in a patient suffering from tuberculosis (TB)? 1. The destruction of lung parenchyma tissue 2. The inflammatory process of the lungs 3. Decreased pH and increased carbon dioxide (CO2) 4. Tachypnea and tachycardia

1

Which is true regarding primary progressive TB infection (PPTBI)? 1. It may develop in individuals who are exposed to bacterium. 2. It may mean that the first-line medications used for the treatment of TB will be ineffective. 3. It is often asymptomatic and is only confirmed by positive sputum cultures and a positive skin test. 3. It is only when the immune system becomes compromised that the disease can become reactivated.

1

Which of these treatments would the nurse most likely expect to be prescribed for a client who is diagnosed with influenza? Select all that apply. 1. Antibiotics within the first 48 hours 2. Antivirals within 24 to 48 hours of symptom onset 3. Adequate fluid intake to avoid dehydration 4. Antipyretics and analgesics for fever and body aches 5. Throat swabs before medications

2 3 4

A client has diminished breath sounds after receiving an albuterol nebulizer treatment for asthma. What are the nurse's priority actions? Select all that apply. 1. Obtain a 12-lead ECG. 2. Request a beta blocker. 3. Document the finding. 4. Notify the healthcare provider. 5. Provide mechanical ventilation, if ordered.

4 5

The nurse at urgent care is caring for a client with obstructive sleep apnea. Which conditions does this often coexist with? Select all that apply. 1. Pneumonia 2. Rhinitis 3. Asthma 4. Bronchitis 5. Emphysema

4 5

A client's spouse says to the nurse, "I often wonder if my husband has obstructive sleep apnea since he snores so loudly when he sleeps." What additional questions should the nurse ask? Select all that apply . 1. "Does he ever gasp during his sleep." 2. "Have you ever noticed if he stops breathing?" 3. "Does he ever sleep walk?" 4. "Is he excessively tired during the day?" 5. "Has he ever fallen asleep while driving?"

4?

the nurse applies this mask (N95) before entering a patient's room. What is the name of this mask? 1. N95 2. Isolation mask 3. Simple mask 4. Body fluid mask

1

For which clinical manifestation should the nurse observe in a patient with pneumonia? 1. Heart rate greater than 125 beats per minute 2. Pleuritic chest pain 3. Arterial blood pH less than 7.35 4. Hematocrit less than 30%

2

Which patients are at a greatest risk of developing an influenza infection? Select all that apply. 1. A lactating mother who has given birth recently 2. A middle-aged patient 3. A healthcare worker 4. An osteoarthritic patient 5. A newborn baby

1 2 5

Which is true regarding influenza? 1. Decreased activity tolerance is related to impaired alveolar-capillary interface. 2. Altered nutrition status is related to insensible losses from fever and tachypnea. 3. Alteration in decreased gas exchange is related to impaired alveolar-capillary interface. 4. An ineffective breathing pattern is related to hypoxia resulting in decreased tissue perfusion.

3

the client states he is "tired all the time." What assessment is the priority for the nurse? 1. Vital signs 2. Breath sounds 3. Sleep pattern assessment 4. Polysomnography

3

The nurse is evaluating the outcome of therapy in a patient with asthma. Which statement made by the patient indicates the effective outcome of the therapy? Select all that apply. 1. "I stopped smoking 3 months ago." 2. "I keep my pets in a separate room." 3. "I can speak in complete sentences without shortness of breath." 4. "I can breathe easier through pursed-lip breathing." 5. "I monitor my peak flow reading every other day."

1 3 4

The nurse should include which preventive measures when teaching a group of adults about prevention of influenza? Select all that apply. 1. Handwashing 2. Vigorous exercise while ill 3. Annual vaccination 4. Covering mouth when coughing 5. Avoiding playgrounds

1 3 4

Which assessment findings would the nurse anticipate in a client diagnosed with asthma? Select all that apply. 1. Wheezing 2. Alveolar collapse 3. Bronchospasm 4. Bronchial edema 5. Dilated airways

1 3 4

When providing patient teaching for asthma, what should the nurse identify as risk factors for future exacerbations? Select all that apply. 1. Secondhand smoke 2. Long, hot showers 3. Pollen 4. Stress 5. Pet dander

1 3 4 5

Which classification of tuberculosis (TB) infection can be caused by primary or secondary spread? 1. Multidrug-resistant TB 2. Latent TB infection 3. Primary TB infection 4. Primary progressive TB infection

1

Which patient is at highest risk of developing asthma? 1. 15-year-old African American male 2. 55-year-old Hispanic male 3. 35-year-old Caucasian male 4. 45-year-old native Alaskan male

1

Which nursing intervention should be considered a priority when caring for a patient with tuberculosis (TB) infection? 1. Conducting a Mantoux Tuberculin skin test as prescribed 2. Isolating the patient in a private room with negative airflow 3. Conducting a chest x-ray per order of the provider 4. Administering first-line antitubercular medications as prescribed

2

the provider is sending the patient for polysomnography testing. What symptoms support the need for this? Select all that apply. 1. Hoarseness of voice 2. Daytime sleepiness 3. Loud snoring 4. Rhinorrhea 5. Insomnia

2 3 5

Which nursing interventions are recommended when caring for a client who is diagnosed with influenza? Select all that apply. 1. Placing client in supine position 2. Administering humidified oxygen 3. Encouraging frequent ambulation 4. Increasing fluid intake 5. Obtaining cultures after antibiotics given

2 5

The nurse uses this (spirometer) for the patient with pneumonia for what reason? 1. Improve pulmonary hygiene 2. Administration of medication 3. Artificially ventilate the client 4. Suction phlegm

1

What is the nurse's first action when admitting a client experiencing night sweats and rust-colored sputum to the hospital? 1. Place the client in a private room. 2. Prepare client for chest x-ray. 3. Perform PPD (purified protein derivative) skin test. 4. Fit the client for an N95 mask respirator.

1

A client diagnosed with influenza requires further teaching when making which statement? 1. "I will take the antiviral medication until I feel better." 2. "I should try to rest and drink plenty of fluids." 3. "I need to see if someone can cover my shift at work." 4. "I plan on getting the flu vaccination from now on."

1

A nurse is teaching actions that are performed on a patient with pneumonia. Which statement indicates effective teaching? 1. "Administer additional oxygen to the patient with chronic lung pathology cautiously." 2. "Position the patient with the left lung down for bilateral infiltrates." 3. "Provide adequate fluid to the patient and monitor it on the intake and output sheet." 4. "Position the patient with the good lung up for infiltrates of one lung."

1

The nurse is caring for a client who was prescribed to use a C-Pap equipment for sleep apnea 3 years ago. He explains how he recently has lost weight and the doctor said that if he lost weight, he will no longer need to use the C-pap. What is the nurse's best response? 1. "It's alright that you don't wear your equipment as long as you feel rested during the day." 2. "Your weight may or may not impact your sleep apnea, so you'll need to continue to wear it." 3. "A change in weight may impact your sleep apnea, so you'll need to follow up with the provider before stopping it." 4. "That's great that you've lost weight!"

1??

A client is scheduled for a polysomnography and asks the nurse what he should expect. Which item should the nurse include? 1. You will come to the sleep center and take an afternoon nap. 2. You will be connected to several monitoring devices. 3. You will have the procedure in the doctor's office. 4. You will be placed on a machine that breathes for you. Submit

2

A patient comes to the clinic with a 7-day history of purulent nasal drainage, facial pressure, and pain. He has been using oral and nasal decongestants, and over-the-counter pain and sleep medicine. He says, "I am miserable!" What is the nurse's priority assessment? 1. Auscultation of the lung sounds. 2. Obtain a temperature. 3. Observation of the color of nasal drainage. 4. Obtain an allergy history.

2

A patient reporting chest tightness arrives at the hospital. On assessment, the nurse notes wheezing, cough, elevated blood pressure, and pulse rate. The primary healthcare provider prescribes corticosteroids. Which is the most likely outcome of the prescribed therapy? 1. Increases the hydration of airway 2. Decreases the inflammation of the airway 3. Aids in bronchial smooth muscle relaxation 4. Aids in muscle relaxation around the alveoli Submit

2

A patient with COPD reporting chest tightness arrives at the hospital. On assessment, the nurse notes wheezing, cough, elevated blood pressure, and pulse rate. The primary health-care provider prescribes corticosteroids. Which is the most likely outcome of the prescribed therapy? Increases the hydration of airway Decreases the inflammation of airway Aids in bronchial smooth muscle relaxation Aids in muscle relaxation around the alveoli

2

A patient with exacerbation of chronic obstructive pulmonary disorder (COPD) has a respiratory rate of 28 breaths per minute. What action should the nurse take? Increase the oxygen. Provide comfortable positioning. Provide a sedative. Encourage slowing of the breathing.

2

The nurse is instructing a client newly diagnosed with chronic bronchitis about his disease. He says a friend has this disease and he calls himself a "blue bloater." The client asks the nurse why. How should the nurse reply? 1. "That's a term used for someone who smokes a lot." 2. "It has to do with the color of the phlegm." 3. "That's from the 'puffing' breathing pattern." 4. "The lack of oxygen in the blood gives the skins a blue appearance."

4

The patient is experiencing a decreased pulse oximetry reading with obvious respiratory distress. Auscultation reveals wheezing, especially on expiration. The peak flow reading is lower than normal. Which medication should the nurse administer? 1. Mucolytics 2. Antibiotics 3. Corticosteroids 4. Bronchodilators

4

What is the nurse's best action when admitting a client diagnosed with influenza to the hospital? 1. Place the client in a semi-private room. 2. Avoid placing a mask on the client when in the hallway. 3. Start intravenous line and restrict po fluid intake. 4. Place the client on droplet precautions.

4

Arrange the pathophysiological events that occur during an asthma attack in chronological order. 1. Mucus is produced. 2. Histamine is released. 3. Mast cells are stimulated. 4. Patient is exposed to pollen. 5. Chemicals are released by eosinophils. 6. Neutrophils and basophils are increased.

4 5 3 2 6 1

Question 5 of 5 Which instruction should the nurse provide to a client who has just received a PPD (purified protein derivative)? 1. Return to the clinic in 48-72 hours to have the test read. 2. Take antiviral medication as prescribed. 3. Massage the subcutaneous injection site. 4. There may be a very small amount of bleeding on the forearm.

1

he nurse is assessing a patient with tuberculosis (TB). Which best describes the gas exchange in the patient? 1. Alteration in gas exchange related to necrosis of lung tissue 2. Alteration in comfort: pain related to pleurisy 3. Risk for fluid volume deficit related to insensible losses from fever and tachypnea 4. Alteration in gas exchange: decreased related to impaired alveolar-capillary interface

1

A client asks the nurse if it is safe to return to work after suffering from influenza. Which questions should the nurse ask the client? Select all that apply. 1. "When was the last time you had any fever?" 2. "Are you having any difficulty breathing?" 3. "How much do you weigh now?" 4. "Have you used a bleach solution on all household and personal items?" 5. "Are any of your family members sick?"

1 2

A client is diagnosed with influenza in the clinic and is sent home to recover. Which client teaching should the nurse provide to the client? Select all that apply. 1. Take an antipyretic for fever. 2. An analgesic can be taken for body aches. 3. Take antivirals if symptoms are not improved in 1 week. 4. You may return to work if fever is below 101.5°F. 5. Avoid contact with others for up to 48 hours.

1 2

The nurse suspects a client may be suffering from influenza when the client presents with which symptoms? Select all that apply. 1. Restlessness 2. Mild rhinitis 3. Myalgia 4. Fever 5. Sore throat

3 4 5

During an acute asthma attack, the nurse should expect which finding? 1. Increased peak flow reading 2. Increased incentive spirometer reading 3. Client able to breathe comfortably 4. Wheezing on auscultation

4

For which clinical manifestation should the nurse observe in a patient with severe infectious pneumonia? 1. Chills 2. Serum sodium less than 130 mg/dL 3. Fatigue 4. Myalgias/arthralgias

2

The nurse is caring for a patient with asthma. Which assessment finding noted by the nurse indicates poor oxygenation? 1. Temperature of 101°F 2. Pulse rate of 110 beats/min 3. Blood pressure of 120/80 mm Hg 4. Respiratory rate of 35 breaths/min

2