Respiratory questiopns

A nurse is caring for a client experiencing an acute asthma attack. The client stops wheezing and breath sounds aren't audible. This change occurred because: a) the airways are so swollen that no air can get through. b) crackles have replaced wheezes. c) the attack is over. d) the swelling has decreased.

the airways are so swollen that no air can get through.

A client with lung cancer develops pleural effusion. During chest auscultation, which breath sound should the nurse expect to hear? a) Wheezes b) Crackles c) Rhonchi d) Decreased breath sounds

Decreased breath sounds

When instructing clients on how to decrease the risk of chronic obstructive pulmonary disease (COPD), the nurse should emphasize which of the following? a) Participate regularly in aerobic exercises. b) Abstain from cigarette smoking. c) Maintain a high-protein diet. d) Avoid exposure to people with known respiratory infections.

Abstain from cigarette smoking.

A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale is being prepared for discharge. The nurse should provide which instruction? a) "Limit yourself to smoking only 2 cigarettes per day." b) "Eat a high-sodium diet." c) "Maintain bed rest." d) "Weigh yourself daily and report a gain of 2 lb (0.91 kg) in 1 day."

"Weigh yourself daily and report a gain of 2 lb (0.91 kg) in 1 day."

Fill in the blank (with a number) question - Enter the answer in the space provided. Your answer should contain only numbers and, if necesary, a decimal point. The nurse is caring for a client with pneumonia. The physician orders 600 mg of ceftriaxone oral suspension to be given once per day. The medication label indicates that the strength is 125 mg/5 mL. How many milliliters of medication should the nurse pour to administer the correct dose? Record your answer using a whole number. __ mL

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A nurse is administering a purified protein derivative (PPD) test to a client. Which statement concerning PPD testing is true? a) A positive reaction indicates that the client has active tuberculosis (TB). b) A positive reaction indicates that the client has been exposed to the disease. c) A negative reaction always excludes the diagnosis of TB. d) The PPD can be read within 12 hours after the injection.

A positive reaction indicates that the client has been exposed to the disease.

A nurse is caring for a client with status asthmaticus. Which medication should the nurse prepare to administer? a) An I.V. beta2-adrenergic agonist b) An inhaled corticosteroid c) An oral corticosteroid d) An inhaled beta2-adrenergic agonist

An inhaled beta2-adrenergic agonist

The nurse assesses the respiratory status of a client who is experiencing an exacerbation of chronic obstructive pulmonary disease (COPD) secondary to an upper respiratory tract infection. Which of the following findings would be expected? a) Normal chest movement. b) Normal breath sounds. c) Coarse crackles and rhonchi. d) Prolonged inspiration.

Coarse crackles and rhonchi.

Which of the following assessments is a priority immediately after nasal surgery? a) Inspecting for periorbital ecchymosis. b) Measuring intake and output. c) Assessing respiratory status. d) Assessing the client's pain.

Assessing respiratory status.

A nurse provides care for a client receiving oxygen from a nonrebreather mask. Which nursing intervention has the highest priority? a) Changing the mask and tubing daily b) Assessing the client's respiratory status, orientation, and skin color c) Applying an oil-based lubricant to the client's mouth and nose d) Posting a "No smoking" sign over the client's bed

Assessing the client's respiratory status, orientation, and skin color

When a client's ventilation is impaired, the body retains which substance? a) Carbon dioxide (CO2) b) Oxygen c) Nitrous oxide d) Sodium bicarbonate

Carbon dioxide (CO2)

A nurse is caring for a client with deep vein thrombosis. Which change in assessment findings does the nurse find most concerning? a) Nonproductive cough and abdominal pain b) Hypertension and lack of fever c) Chest pain and dyspnea d) Bradypnea and bradycardia

Chest pain and dyspnea

When instructing clients with allergic rhinitis about the use of nasal decongestants, it is important for the nurse to emphasize that: a) The condition is self-limited and should not return. b) The condition requires treatment only during the spring. c) Continuous use for more than 3 days can result in worsening of symptoms. d) The condition will not benefit from environmental changes.

Continuous use for more than 3 days can result in worsening of symptoms.

After suctioning a client's tracheostomy tube, the nurse waits a few minutes before suctioning again. The nurse should use intermittent suction primarily to help prevent: a) Depriving the client of sufficient oxygen supply. b) Obstructing the suctioning catheter with secretions. c) Stimulating the client's cough reflex. d) Dislodging the tracheostomy tube.

Depriving the client of sufficient oxygen supply.

A client is admitted to the emergency department with crushing chest injuries sustained in a car accident. Which of the following signs indicates a possible pneumothorax? a) Cheyne-Stokes respirations. b) Increased fremitus. c) Decreased sensation on the affected side. d) Diminished or absent breath sounds on the affected side.

Diminished or absent breath sounds on the affected side.

A client with chronic obstructive pulmonary disease (COPD) is experiencing dyspnea and has a low PaO2 level. The nurse plans to administer oxygen as ordered. Which of the following statements is true concerning oxygen administration to a client with COPD? a) High oxygen concentrations may inhibit the hypoxic stimulus to breathe. b) Administration of oxygen is contraindicated in clients who are using bronchodilators. c) High oxygen concentrations will cause coughing and dyspnea. d) Increased oxygen use will cause the client to become dependent on the oxygen

High oxygen concentrations may inhibit the hypoxic stimulus to breathe.

Which of the following health promotion activities should the nurse include in the discharge teaching plan for a client with asthma? a) Incorporate physical exercise as tolerated into the daily routine. b) Use sedatives to ensure uninterrupted sleep at night. c) Monitor peak flow numbers after meals and at bedtime. d) Eliminate stressors in the work and home environment.

Incorporate physical exercise as tolerated into the daily routine.

Which of the following physical assessment findings are normal for a client with advanced chronic obstructive pulmonary disease (COPD)? a) Increased chest excursions with respiration. b) Underdeveloped neck muscles. c) Increased anteroposterior chest diameter. d) Collapsed neck veins.

Increased anteroposterior chest diameter.

The nurse is caring for a client with asthma. The nurse should conduct a focused assessment to detect which of the following? a) Normal breath sounds. b) Morning headaches. c) Inspiratory and expiratory wheezing. d) Increased forced expiratory volume.

Inspiratory and expiratory wheezing.

A nurse is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide? a) It prolongs the inspiratory phase of respiration. b) It decreases use of accessory breathing muscles. c) It helps prevent early airway collapse. d) It increases inspiratory muscle strength

It helps prevent early airway collapse.

A nurse is caring for a client who presents to the emergency department following a motor vehicle accident that caused chest trauma, as a result of hitting the steering wheel. Which assessment should most concern the nurse? a) Lung movement inward during expiration and outward during inspiration b) Lung movement outward during expiration and inward during inspiration c) An increased anterior posterior diameter with hemoptysis d) Barrel chest with pleurtic chest pain

Lung movement outward during expiration and inward during inspiration

Which of the following is a priority nursing goal for the client immediately after a total laryngectomy? a) Maintain a patent airway. b) Prevent hemorrhage. c) Provide nutrition. d) Prevent strain on suture lines.

Maintain a patent airway.

For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the care plan? a) Maintaining continuous bubbling in the water-seal chamber b) Keeping the collection chamber at chest level c) Stripping the chest tube every hour d) Measuring and documenting the drainage in the collection chamber

Measuring and documenting the drainage in the collection chamber

Which of the following would be most important to teach a client older than 65 years to prevent a recurrence of bacterial pneumonia? a) Change current diet habits. b) Obtain influenza and pneumococcal vaccines. c) Receive prophylactic antibiotic therapy. d) Seek prompt antibiotic therapy for viral infections.

Obtain influenza and pneumococcal vaccines.

The nurse has asked the nursing assistant to help with admitting an elderly client who has been diagnosed with bacterial pneumonia. Which of the following activities is appropriate for the nurse to ask the nursing assistant to perform? a) Obtain the client's height and weight. b) Assess the client's breath sounds. c) Evaluate the client's respiratory status. d) Collect nursing history and assessment data.

Obtain the client's height and weight.

When suctioning a client's tracheostomy tube, the nurse should do which of the following? a) Insert the suction catheter about 2 inches (5.1 cm) into the cannula. b) Use a bolus of sterile water to stimulate cough. c) Oxygenate the client before suctioning. d) Use clean gloves during the procedure.

Oxygenate the client before suctioning.

A nurse is caring for a client with a chest tube. If the chest drainage system is accidentally disconnected, what should the nurse plan to do? a) Clamp the chest tube immediately. b) Place the end of the chest tube in a container of sterile saline. c) Apply an occlusive dressing and notify the physician. d) Secure the chest tube with tape.

Place the end of the chest tube in a container of sterile saline.

Which of the following nursing interventions does not aid in meeting the goal of clear breath sounds? a) Monitoring breath sounds. b) Providing a minimum of 1,500 ml of fluid per day. c) Assisting with early ambulation. d) Offering pain relief before having the client cough.

Providing a minimum of 1,500 ml of fluid per day.

The nurse is planning to teach the client how to properly use a metered-dose inhaler to treat asthma. Which of the following instructions should the nurse include in the teaching plan? a) Cough and deep-breathe before inhaling the medication. b) Inhale the medication and then exhale through the nose. c) Rinse the mouth after each use of a steroid inhaler. d) Inhale quickly when administering the medication.

Rinse the mouth after each use of a steroid inhaler.

A nurse is developing a teaching plan for a client with asthma. Which teaching point has the highest priority? a) Change filters on heating and air conditioning units frequently. b) Avoid goose down pillows. c) Avoid contact with fur-bearing animals. d) Take ordered medications as scheduled.

Take ordered medications as scheduled.

For a client with chronic obstructive pulmonary disease, which nursing intervention helps maintain a patent airway? a) Administering ordered sedatives regularly b) Limiting oral fluid intake c) Teaching the client how to perform controlled coughing d) Assisting with feeding

Teaching the client how to perform controlled coughing

The physician has inserted a chest tube in a client with a pneumothorax. The nurse should evaluate the effectiveness of the chest tube: a) To insert antibiotics into the pleural space. b) To remove air and fluid. c) For administration of oxygen. d) To promote formation of lung scar tissue.

To remove air and fluid.

Which of the following is most helpful in determining the need for oxygen therapy in a client with chronic obstructive pulmonary disease? a) Ask the client to tell the nurse when oxygen is needed. b) Assess the client's fatigue level. c) Use a pulse oximeter to determine oxygen saturation. d) Evaluate the client's hemoglobin level daily.

Use a pulse oximeter to determine oxygen saturation.

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

Use of accessory muscles

For a client with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange? a) Administering a sedative as ordered b) Using a Venturi mask to deliver oxygen as ordered c) Encouraging the client to drink 3 glasses of fluid daily d) Keeping the client in low-Fowler's position

Using a Venturi mask to deliver oxygen as ordered

The nurse is evaluating a client's breath sounds. Which breath sound indicates adequate ventilation when auscultated over the lung fields? a) Bronchial. b) Adventitious. c) Vesicular. d) Bronchovesicular.

Vesicular.

The nurse is developing a care plan for a client with tuberculosis. Which of the following measures would be implemented for staff prior to entering the room? a) Wear a gown and gloves when in contact with the client. b) Wear a mask at all times when entering the room. c) Prevent visitors from visiting to reduce the possibility of transmission. d) Wear a mask, gown, and gloves when providing care.

Wear a mask at all times when entering the room

At 11 p.m., a client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He's anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86%, and he's still wheezing. The nurse should plan to administer: a) morphine. b) propranolol. c) albuterol. d) alprazolam.

albuterol.

A nurse is preparing a client with a pleural effusion for a thoracentesis. The nurse should: a) place the client supine in the bed, which is flat. b) raise the arm on the side of the client's body on which the physician will perform the thoracentesis. c) assist the client to a sitting position on the edge of the bed, leaning over the bedside table. d) raise the head of the bed to a high Fowler's position.

assist the client to a sitting position on the edge of the bed, leaning over the bedside table.

A nurse assessing a client for tracheal displacement should know that the trachea will deviate toward the: a) affected side in a tension pneumothorax. b) contralateral side in a hemothorax. c) affected side in a simple pneumothorax. d) affected side in a hemothorax.

contralateral side in a hemothorax.

The amount of air inspired and expired with each breath is called: a) tidal volume. b) vital capacity. c) residual volume. d) dead-space volume.

tidal volume

Choice Multiple question - Select all answer choices that apply. A client has just undergone a bronchoscopy. Which nursing interventions are appropriate after this procedure? Select all that apply. a) Alert the client to resume food and fluids when the client's voice returns. b) Provide sips of water to moisten the client's mouth. c) Keep the client flat for at least 2 hours. d) Withhold food and fluids until the client's gag reflex returns. e) Monitor the client's vital signs. f) Assess for hemoptysis and frank bleeding.

• Assess for hemoptysis and frank bleeding. • Withhold food and fluids until the client's gag reflex returns. • Monitor the client's vital signs.

Choice Multiple question - Select all answer choices that apply. A client who has been hospitalized for treatment of a pneumothorax is ready for discharge. Which outcomes indicate that the client has adequate respiratory function? Select all that apply. a) Breath sounds present and equal in all lobes b) The client exhibits orthopneic breathing. c) Use of accessory muscles with each breath d) Respiratory rate of 12 to 20 breaths per minute e) Oxygen saturation on room air is 95%.

• Breath sounds present and equal in all lobes • Respiratory rate of 12 to 20 breaths per minute • Oxygen saturation on room air is 95%.

A young adult is admitted for elective nasal surgery for a deviated septum. Which of the following would be an important indicator of bleeding even if the nasal drip pad remained dry and intact? a) Presence of nausea. b) Repeated swallowing. c) Rapid respiratory rate. d) Feelings of anxiety.

Repeated swallowing.

Which of the following findings would most likely indicate the presence of a respiratory infection in a client with asthma? a) Cough productive of yellow sputum. b) Chest tightness. c) Respiratory rate of 30 breaths/minute. d) Bilateral expiratory wheezing.

Cough productive of yellow sputum.

A client has undergone a left hemicolectomy for bowel cancer. Which activities prevent the occurrence of postoperative pneumonia in this client? a) Coughing, breathing deeply, maintaining bed rest, and using an incentive spirometer b) Coughing, breathing deeply, frequent repositioning, and using an incentive spirometer c) Administering pain medications, frequent repositioning, and limiting fluid intake d) Administering oxygen, coughing, breathing deeply, and maintaining bed rest

Coughing, breathing deeply, frequent repositioning, and using an incentive spirometer

Choice Multiple question - Select all answer choices that apply. The nurse is offering further education to a client about the management of COPD. Which of the following outcomes would indicate the teaching has been effective? Select all that apply. a) Smoking cessation will be maintained. b) Daily exercise for 2 hours will be conducted. c) Follow-up physician appointments will be made. d) The client can demonstrate pursed-lip breathing and coughing exercises. e) The client will continue to smoke four cigarettes a day.

• Follow-up physician appointments will be made. • The client can demonstrate pursed-lip breathing and coughing exercises. • Smoking cessation will be maintained.

A client newly diagnosed with tuberculosis (TB) is being admitted with a prescription for "isolation precautions for tuberculosis." The nurse should assign the client to which type of room? a) A room with windows to allow sunlight. b) A private room to implement airborne precautions. c) A room at the end of the hall for privacy. d) A room near the nurses' station to ensure confidentiality.

A private room to implement airborne precautions.

Which of the following techniques for administering the tuberculin skin test is correct? a) Aspirate before injecting the medication. b) Hold the needle and syringe almost parallel to the client's skin. c) Massage the site after injecting the medication. d) Pinch the skin when inserting the needle.

Hold the needle and syringe almost parallel to the client's skin.

Which of the following mental status changes may occur when a client with pneumonia is first experiencing hypoxia? a) Irritability. b) Coma. c) Depression. d) Apathy.

Irritability.