Oxygenation PrepU

A patient with emphysema is experiencing shortness of breath. To relieve this patient's symptoms, the nurse should assist her into what position? A. Sitting upright, leaning forward slightly B. Low Fowler's, with the neck slightly hyperextended C. Prone D. Trendelenburg

A

A physician orders a beta2 adrenergic-agonist agent (bronchodilator) that is short-acting and administered only by inhaler. The nurse knows this would probably be A. Atrovent B. Albuterol C. Foradil D. Isuprel

B

A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD). What should the nurse identify as a complication of COPD? A. Lung cancer B. Cystic fibrosis C. Respiratory failure D. Hemothorax

C

Which of the following would be LEAST likely to contribute to a case of hospital-acquired pneumonia? A. Host defenses are impaired. B. Inoculum of organisms reaches the lower respiratory tract and overwhelms the host's defenses. C. A highly virulent organism is present. D. A nurse washes her hands before beginning patient care.

D

The nurse is assessing a patient who has a 35 pack-year history of cigarette smoking. In light of this known risk factor for lung cancer, what statement should prompt the nurse to refer the patient for further assessment? A. "Lately, I have this cough that just never seems to go away." B. "I find that I don't have nearly the stamina that I used to." C. "I seem to get nearly every cold and flu that goes around my workplace." D. "I never used to have any allergies, but now I think I'm developing allergies to dust and pet hair."

A

When developing a preventative plan of care for a patient at risk for developing chronic obstructive pulmonary disease (COPD), which of the following should be incorporated? A. Smoking cessation B. Weight reduction C. Cholesterol management d. Cancer prevention

A

Which of the following is the strongest predisposing factor for asthma? A. Congenital malformations B. Allergy C. Male gender D. Air pollution

B

The experienced licensed practical/vocational nurse (LPN/VN) under the supervision of the registered nurse (RN) team leader is providing nursing care for an infant with respiratory syncytial virus (RSV). Which tasks are appropriate for the RN to delegate to the LPN/VN? Select all that apply. A. Auscultate breath sounds. B. Administer prescribed aerosolized medications. C. Initiate nursing care plan. D. Check oxygen saturation using pulse oximetry. E. Complete in-depth admission assessment. F. Evaluate the parent's ability to administer aerosolized medications.

A B D

A 4-year-old with bronchiolitis has been admitted to the hospital with respiratory compromise. The father asks the nurse why the physician won't prescribe an antibiotic, "My child just keeps getting worse." What is the best response by the nurse? A. "Bronchiolitis is almost always caused by the respiratory syncytial virus (RSV). Unfortunately, antibiotics don't work on viruses." B. "You have a very good physician who I trust completely. I'm sure everything possible is being done for your child." C. "Oftentimes it is more beneficial to treat the symptoms of bronchiloitis rather than try to kill the bacteria with an antibiotic." D. "Your physician probably doesn't want to take a chance of your child building up an immunity to the antibiotic in case their condition worsens and more antibiotics are needed."

A

The nurse is teaching the parents about medications for their 9-year-old boy who has a respiratory disorder. The nurse would be alert for an increased need for medications if the child was exposed to second-hand smoke and has which condition? A. Asthma B. Common cold C. Pneumonia D. Allergic rhinitis

A

The nurse is caring for a child admitted with asthma. Which clinical manifestations would likely have been noted in the child with this diagnosis? A. Elevated temperature B. Wheezing C. Circumoral cyanosis D. Clubbed fingers

B

What statement is the most accurate regarding the structure and function of the newborn's respiratory system? A. The diameter of the child's trachea is the same as that of adults. B. Most infants are nasal breathers rather than mouth breathers. C. The respiratory tract in the child is fully developed by age 2. D. Infants and young children have smaller tongues in proportion to their mouths.

B

Which of the following measures may increase complications for a patient with COPD? A. Administration of antibiotics B. Increased oxygen supply C. Administration of antitussive agents D. Decreased oxygen supply

B

A male patient newly diagnosed with COPD tells the nurse, "I can't believe I have COPD, I only had a cough; are there other symptoms I should know about"? Which of the following is the nurse's best response? A. "There are no other symptoms; however, your cough may get worse as the disease progresses." B. "As your COPD worsens, you will develop frequent respiratory infections." C. "Other symptoms you may develop are shortness of breath on exertion, and sputum production." D. "You can also expect to experience a progressive weight gain."

C

A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? A. Determine whether the patient can now perform forced expiratory technique (FET). B. Percuss the patient's lungs and thorax. C. Measure the patient's oxygen saturation. D. Have the patient perform incentive spirometry.

C

A student nurse is developing a teaching plan for an adult patient with asthma. Which teaching point should have the highest priority in the plan of care that the student is developing? A. Gradually increase levels of physical exertion. B. Change filters on heaters and air conditioners frequently. C. Take prescribed medications as scheduled. D. Avoid goose-down pillows.

C

The nurse enters the room of Molly, who has pneumonia. Molly has a low oxygen level and is working hard to breathe. The nurse raises the head of the bed and has Molly tilt her head back. What is the next appropriate action by the nurse? A. Tell her mother she is fine and to go get some lunch. B. Take Molly's temperature. C. Provide oxygen therapy to Molly. D. Give Molly a drink of water.

C

The nurse is assessing a patient whose respiratory disease in characterized by chronic hyperinflation of the lungs. What would the nurse most likely assess in this patient? A. Signs of oxygen toxicity B. Chronic chest pain C. A barrel chest D. Long, thin fingers

C

The nurse is teaching the client in respiratory distress ways to prolong exhalation to improve respiratory status. The nurse tells the client to A. Sit in an upright position only. B. Initially inhale through the mouth. C. Purse the lips when exhaling air from the lungs. D. Hold the breath for 5 seconds and then exhale.

C

The nurse is working with a group of caregivers of children diagnosed with asthma. Which statement made by the caregivers is most accurate regarding the triggers that may cause an asthmatic attack? A. "My neighbor told me that asthma attacks are caused by hot weather." B. "I always thought that a lack of exercise caused my child's asthma." C. "My sister and her family love animals, and when we go to their house my daughter always has an asthma attack." D. "One person told me that asthma is caused by using antibiotics for infection."

C

What is the No. 1 treatment for hypoxemia? A. Antibiotics B. Fluids C. Oxygen D. Breathing treatment

C

A client is being sent home with oxygen therapy. The nurse instructs that A. Oxygen is addictive and its use must be decreased. B. The client will not be able to travel with oxygen. C. The client should raise the flow of oxygen if shortness of breath increases. D. Smoking or a flame is dangerous near oxygen.

D

In caring for the child with asthma, the nurse recognizes that which nursing diagnosis would be the highest priority in this child's plan of care? A. Delayed growth and development related to physical restrictions B. Risk for fluid volume excess related to medications C. Risk for infection related to anatomic structures of involved body system D. Ineffective airway clearance related to the diagnosis

D

The caregivers of an 8-year-old bring their child to the pediatrician and report that the child has not had breathing problems before, but since taking up lacrosse the child has been coughing and wheezing at the end of every practice and game. Their friend's child has often been hospitalized for asthma; they are concerned that their child has a similar illness. The nurse knows that because the problems seem to be directly related to exercise, it is likely that the child will be able to be treated with: A. decreased activity and increased fluids. B. corticosteroids and leukotriene inhibitors. C. removal of allergens in the home and school. D. a bronchodilator and mast cell stabilizers.

D

The nurse is caring for a child who has been admitted with a diagnosis of asthma. What laboratory/diagnostic tool would likely have been used for this child? A. Purified protein derivative test B. Sweat sodium choloride test C. Blood culture and sensitivity D. Pulmonary functions test

D

During a community health fair, a nurse is teaching a group of seniors about health promotion and infection prevention. Which intervention would best promote infection prevention for senior citizens who are at risk of pneumococcal and influenza infections? A. Receive vaccinations B. Exercise daily C. Drink six glasses of water daily D. Take all prescribed medications

A

Which diagnostic test is the most useful when a child has respiratory distress? A. Arterial blood gas B. Complete blood count C. EEG D. Venous blood gas

A

The nurse is caring for a patient at risk for atelectasis. The nurse implements a first-line measure to prevent atelectasis development in the patient. What is an example of a first-line measure to minimize atelectasis? A. Incentive spirometry B. Intermittent positive-pressure breathing (IPPB) C. Positive end-expiratory pressure (PEEP) D. Bronchoscopy

A

Which of the following is the most common chronic disease of childhood? A. Asthma B. Autism C. Obesity D. Cerebral palsy

A

The nursing student recalls that the underlying pathophysiology of chronic obstructive pulmonary disease (COPD) includes the following components: (Select all that apply.) A. Inflamed airways obstruct airflow. B. Mucus secretions block airways. C. Overinflated alveoli impair gas exchange. D. Dry airways obstruct airflow.

A B C