Respiratory Practice Questions

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A client with a history of COPD is admitted with pneumonia and is receiving supplemental oxygen at 2L/min via nasal cannula. The nurse closely monitors the oxygen flow and the client's respiratory status. What complication may arise if the client receives a high oxygen concentration?

Apnea

The client is diagnosed with asthma is admitted with difficulty breathing and a bluesish tint around the mouth. What should the nurse do first?

Apply oxygen via Nasal Cannula

The nurse is admitting a client diagnosed with an acute exacerbation of end-stage COPD. The client has a dusky color, is dyspneic, and has a respiration rate of 36. Which intervention should the nurse implement first?

Assist the client into the high Fowler position.

A nurse is caring for a client post bronchoscopy biopsy. What should be reported immediately.

Bronchospasm

A client with COPD is complaining of increased dyspnea to their home care registered nurse. The client is on home oxygen at 2 liters per minute and the client's respiratory rate is 26 breaths per minute. What is the most appropriate nursing action?

Conduct further assessment of the client's respiratory status

A endstage COPD patient has a pulse oximeter reading of 91% What is appropriate action?

Document finding in patients chart.

The nurse is caring for a client experiencing an asthma attack. Which nursing intervention should be implemented first?

Elevate the head of the bed

The client presents to the ED in status asthmaticus. Which intervention should the nurse implement first?

Give the client a short acting beta-adrenergic agonist

A nurse is preparing to obtain a sputum specimen. What is the appropriate action?

Have the client take three deep breaths.

Patient complains of a dry nose while on 4L/min NC oxygen. What would help?

Humidify the oxygen

A client with asthma has been taking theophylline as prescribed. Now, the client's blood theophylline level is 4.8 mcg/mL. Which dosage change will the health care provider probably prescribe?

Increase the dose

Which intervention would be most appropriate for a client with an ABG of PH7.5 , PaCO2 26, O2 96% HCO3 24, PaO2 94

Instruct the patient to breath into a paper bag.

The nurse is caring for a client with left lower lobe pneumonia. Which position is appropriate?

Right side of with foot of bed elevated.

For a client with COPD which nursing intervention would help maintain a patent airway?

Teaching client to preform controlled coughing.

The nurse is caring for a client with acute asthma attack. The client stops wheezing and breath sounds are not audible. What has occurred?

The airways are swollen and no air can pass through.

What is true when a bronchodilator inhaler and a glucocorticoid inhaler are ordered together?

The bronchodilator is given 5 min before a glucocorticoid

A nurse detects bilateral crackles when auscultating a client's lungs. Which statement about crackles is true?

They're usually heard on inspiration and may clear with a cough.


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