LS1 Week 5 Chapter 23 Mangement of Pt With Chest and Lower Respiratory Tract Disorders

Which would be least likely to contribute to a case of hospital-acquired pneumonia? a. A nurse washes her hands before beginning client care b. Inoculum of organisms reaches the lower respiratory tract and overwhelms the host's defenses. c. Host defenses are imparied d. A highly virulent organism is present

a. A nurse washes her hands before beginning client care.

Which community-acquird pneumonia demonstrates the highes occurrence during summer and fall? a. Legionnaires disease b. Mycoplasmata pneumonia c. Streptococcal (pneumococcal) pneumonia d. Viral pneumonia

a. Legionnaires disease

Which type of pneumonia has the highest incidence in clients with AIDS and clients receiving immunosuppressive therapy for cancers? a. Pneumocystis b. Tuberculosis c. Fungal d. Streptococcal

a. Pneumoystits

During a community health fair, a nurse is teaching a group of seniors about promotin health and preventin infection. Which intervention would be best promote infectin prevention for senior citizens who are at risk of pneumococcal and influenza infections? a. Receive vaccinations b. Drink six glasses of water daily c. Take all presecribed medications d. Exercise daily

a. Receive vaccinations

A client involved in a motor vehicle crash suffered a blunt injury to the chest wall and was brought to the emergency department. The nurse assesses the client for which clinical manifestation that would indicate the presence of a pneumothorax? a. Sucking sound at the site of injury b. Diminshed breath sounds c. Decreased respiratory d. Bloody, productive cough

a. Sucking sound at the site of injury

A client diagnoses with acute respiratory syndrome (ARDS) is restless and has a low oxygen saturation level. If the client's condition does not improve and the oxygen saturation level continues to decrease, what procedure will the nurse expect to assist with in order to help the client breathe more easily? a. Intubate the client and control breathing with mechanical ventilation b. Increase oygen administration c. Administer a large does of furosemide (Lasix) IVP stat d. Schedule the client for pulmonary surgery

a. intubate the client and control breathing with mechanical ventilation

Which is a key characteristic of pleurisy? a. Pain b. Dyspnea c. Anxiety d. Blood-tinged secretions

a. pain

Resisitance to a first line antibiotic agent in a client who had not received previous tx is reffered to as a. primary drug resistance b. tertiary drug resistance c. multidrug resistance d. secondary drug resistance

a. primary drug resistnce

Class 1 with regard to TB indicates a. no exposure and no infection b. exposure and no evidence of infection c. latent infection with no disease d. disease that is not clinically active

b. exposure and no evidene of infection

Arterial blood gas analysis would reveal which value related to acute respiratory failure? a. PaO2 80 mm Hg b. pH 7.28 c. pH 7.35 d. PaCO2 32 mm Hg

b. pH7.23

Which type of lung is the most prevalent among both men and women? a. Small cell carcinoma b. Large cell carcinoma c. Adenocarcinoma d. Squamous cell carcinoma

c. Adenocarcinoma

Which intervention does a nurse implement for clients with empyema? a. Place suspected clients together b. Institute droplet precautions c. Encourage breathing exercises d .Do no allow visitors with respiratory infection

c. Encourage breathing exercises

Which type of lung cancer is characterized as fast growing and tends to arise peripherally? a. Squamous cell carcinoma b. Adenocarcinoma c. Large cell carcinoma d. Bronchoalveolar carcinoma

c. Large cell carcinoma

which should a nurse encourage in clients who are at the risk of pneumococcal and influenza infections? a. Using incentive spirometry b. Mobilizing early c. Receiving vaccinations d. Using prescribed opioids

c. Receiving vaccinations

A mechanically ventilated client is receiving a combination of atracurium and the opioid analgesic morphine. The nurse monitors the client for which potential complication? a. Cor pulmonale b. Pulmonary hypertension c. Venous thromboemboli d. Pneumothorax

c. Venous thromboemboli

The nurse is assessing a client who, after an extensive surgical procedure, is at risk for developing acute respiratory distress syndrome (ARDS). The nurse assessess for which most common early sign of ARDS? a. Cyanosis b. Inspiratory crackles c. Bilateral wheezing d. Rapid onset of severe dyspnea

d Rapid onset of severe dyspnes

A physcian stated to the nure that the client has fluid in the pleural space and will need a thoracentesis. The nurse expects the physician to document this fluid as a. hemothorax b pneumothorax c. consolidation d. pleural effusion

d pleural effusion

A nurse is preparing dietary recommedndations for a client with a lung abscess. Which statement would be included in the plan of care? a. "You must consume a diet high carbohydrates, such as bread, potatoes, and pasta" b. "You must consume a diet low in fat by limitin dairy products and concentrated c. "You muc consume a diet low in calories, such as skim milk, freash fruits, and vegetables: d. "You must consume a diet rich in protein, such as chicken, fish, and beans"

d. "You must consume a diet rich in protein, such as chicken, fish, and beans"

Which action by nurse is most appropriate when a client demonstrates subcutaneous emphysema along the stuture line or chest dressing 2 hours after chest surgery? a. Record the observation b. Measure the client's pulse oximetry c. Report the finding to the physican immediately d. Apply a compression dressing to the area

d. Apply a compression dressing to the area

An emergency room nurse is assessing a client who is complaining of dyspnea. Which sign would indicate the presence of a pleural effusion? a. Mottled skin is seen during inspection b. Wheezing upon auscultation c. REsonance upon percussion d. Decreased chest wall excursion upon palpitation

d. Decreased chest wall excursion upon palpation

For a client with pleural effusion, what does chest percussion over the involved area reveal? a. Absent breath sounds b. Fluid presence c. Friction rub d. Dullness over the involved area

d. Dullness over the involved area

A client admitted to the hospital following a motor vehicle crash has suffered a flail chest. The nurse assessess the client for what most commong clinical manifestation of flail chest? a. Cyanosis b. Hypertension c. Wheezing d. Paradoxical chest movement

d. Paradoxical chest movement

The nurse is providing discharge instructions to a client with pulmodary sarcoidosis. The nurse concludes that the client understands the information if the client correctly mentions which early sign of exacerbation? a. Weight loss b. Headache c. Fever d. SOB

d. SOB

A nurse assesses arterial blood gas results for a pt in acute respiratory failure (ARF). Which results are consistent with this disorder? a. pH 7.46, PaO2 80 mm Hg. b. pH 7.36, PaCO2 32 mmHg c. pH 7. 35, PaCO2 48 mmHg d. pH 7.28, PaO2 50 mm Hg

d. pH 7.28, PaO2 50 mm Hg

A nurse is caring for a client after a thoracentesis. Which sign, if noted in the client, should be reported the physician immediately? a. "Client has oxygen saturation of 93%" b. "Client is becoming agitated and complains of pleuritic pain" c. "Client is drowsy and complains of headache" d. "Client has subcutaneous emphysema around needle insertion site"

b. "Client is becoming agitated and complains of pleuritic pain"

Which term refers to lung tissue that has become more solid in nature as a result of a collapse of alveoli or an infectious process? a. Bronchiectasis b. Consolidation c. Empyema d. Atelectasis

b. Consolidation

Which is a trued statement regarding severe acute respiratory syndrome (SARS)? a. Hypothermia will occur b. It is most contagious during the second week of illness c. It is spread by fecal contaminations d. Constipation usually develops

b. It is most contagious during the second week of illness

The nursing instructor is teahing student about types of lung cancers. Which type of lung cancer is characterized as fast growing and can arise peripherally> a. Adenocarcinoma b Large cell carcinoma c. Bronchoalveolar carcinoma d. Squamous cellcarcinoma

b. Large cell carcinoma

A nurse reading a chart noted that the client had a Mantoux skin test result with no induration and a 1 mm area of ecchymosis. How does the nurse interpret this result? a. Uncertain b. Negative c. Borderline d. Postive

b. Negavtive

When interpreting the result of a Mantoux test, the nurse explains to the client that a reaction occurs when the intradermal injection site shows a. drainage b. bruising c. redness and induration d. tissue sloughing

c. redness and induration

What dietary recommendation should a nurse provide a client with a lung abscess? a. A diet rich in protein b. A diet with limited fat c. A carbohydrate-dense diet d. A diet low in calories

a. diet rich in protein

Which actionby nurse is most appropriate when the client deomonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery? a. Report the finding to the physician immediately b. Record the observation c. Measurs the pt's pulse oximetry d. Apply a compression dressing to the area

b. Record the observation

Which comfort technique does a nurse tach to a client with pleurisy to assist with splinting the chest wall? a. Elevate the head of the bed b. Turn onto the affected side c. Use a heat application d. Use a prescribed analgesic

b. Turn onto the affected side

Which vitamin is usually administered with isoniazide (INH) to prevent INH-associated peripheral neuropathy? a. Vitamin D b. Vitamin B6 c. Vitamin E d. Vitamin C

b. Vitamin B6

Which techniques does the nurse suggest to a client with pleurisy while teaching about splinting the chest wall? a. Use a prescribed analgesic b. Use a heat or cold application c. Avoid using a pillow while splinting d. Turn onto the affected side

d. Turn onto the affected side