TEST 3 practice prepu

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A patient has been diagnosed with heart failure that has not yet responded to treatment. What breath sound should the nurse expect to assess on auscultation? Crackles Inspiratory wheezes Rhonchi Expiratory wheezes

Crackles

Which is a late sign of hypoxia? Hypotension Somnolence Cyanosis Restlessness

Cyanosis

A 71-year-old woman is dependent on oxygen therapy and bronchodilators due to her diagnosis of emphysema. Which pathological processes occur as a result of her emphysema? Select all that apply. Decreased residual lung volume due to impaired alveolar ventilation. Increased alveolar dead space due to incorrect intrapleural pressure. Decreased elastic recoil due to alveolar damage. Increased anatomical dead space due to reduced tidal volume.

Decreased elastic recoil due to alveolar damage. Increased anatomical dead space due to reduced tidal volume. Increased alveolar dead space due to incorrect intrapleural pressure.

A 22-year-old college student recently returned from a backpacking trip to Southeast Asia and has been experiencing increasing malaise over the past 2 weeks. Today, he is seeking care because he reports that he coughed up blood during a particularly heavy coughing fit this morning. The nurse would document the presence of: Hemoptysis Dyspnea Cyanosis Apnea

Hemoptysis

The perioperative nurse has admitted a patient who has just underwent a tonsillectomy. The nurse's postoperative assessment should prioritize which of the following potential complications of this surgery? Bradycardia Difficulty ambulating Hemorrhage Infrequent swallowing

Hemorrhage

A nurse is caring for an 80-year-old client with pneumonia. What would be the most appropriate nursing diagnosis for this client? Decreased cardiac output Ineffective health maintenance Risk for aspiration Impaired gas exchange

Impaired gas exchange

The clinic nurse is caring for a patient who has been diagnosed with emphysema and who has just had a pulmonary function test (PFT) ordered. The patient asks, "What exactly is this test for?" What would be the nurse's best response? "A PFT measures whether oxygen and carbon dioxide move between your lungs and your blood." "A PFT measures how elastic your lungs are." "A PFT measures how much energy you get from the oxygen you breathe." "A PFT measures how much air moves in and out of your lungs when you breathe."

"A PFT measures how much air moves in and out of your lungs when you breathe."

A nurse is providing discharge teaching for a client who had a laryngectomy. Which instruction should the nurse include in her teaching? "Wear a tight cloth at the stoma to prevent anything from entering it." "Keep the humidity in your house low." "Swimming is good exercise after this surgery." "Cover the stoma whenever you shower or bathe."

"Cover the stoma whenever you shower or bathe."

A nurse has just completed teaching with a client who has been prescribed a meter-dosed inhaler for the first time. Which statement if made by the client would indicate to the nurse that further teaching and follow-up care is necessary? "After I breathe in, I will hold my breath for 10 seconds." "If I use the spacer, I know I am only supposed to push on the inhaler once." "I will make sure to take a slow, deep breath as I push on my inhaler." "I do not need to rinse my mouth with this type of inhaler."

"I do not need to rinse my mouth with this type of inhaler."

A client with a history of chronic obstructive pulmonary disease (COPD) is undergoing pulmonary function testing. Which instructions should the technician provide to determine the client's forced vital capacity (FVC)? "I want you to breathe as normally as possible and I'm going to measure how much air goes in and out with each breath." "I'd like you to take a deep breath, and then blow out as much air as you can during 1 second." "Breathe normally, and then exhale as much as you possibly can when I tell you." "I'll ask you to breathe in as deeply as you can, and then blow out as much of that air as possible."

"I'll ask you to breathe in as deeply as you can, and then blow out as much of that air as possible."

A student nurse is caring for a client who is severely anemic. The instructor asks the student how anemia affects the transport of oxygen to the cells. What would be the student's best answer? "The cells are denied adequate oxygen because most of the oxygen in the body is transported by the hemoglobin in red blood cells." "The cells have to work harder with the decreased oxygen levels." "The cells are denied adequate oxygen because most of the oxygen in the body is transported by the white blood cells." "The cells get oxygen from the plasma."

"The cells are denied adequate oxygen because most of the oxygen in the body is transported by the hemoglobin in red blood cells."

A patient is having her tonsils removed. The patient asks the nurse what function the tonsils normally serve. Which of the following would be the most accurate response? "The tonsils make enzymes that you swallow and which aid with digestion." "The tonsils help to guard the body from invasion of organisms." "The tonsils help with regulating the airflow down into your lungs." "The tonsils separate your windpipe from your throat when you swallow."

"The tonsils help to guard the body from invasion of organisms."

A patient presents to the ED stating she was in a boating accident about 3 hours ago. Now the patient has complaints of headache, fatigue, and the feeling that he "just can't breathe enough." The nurse notes that the patient is restless and tachycardic with an elevated blood pressure. This patient may be in the early stages of what respiratory problem? Pleural effusion Acute respiratory failure Pneumoconiosis Pneumonia

Acute respiratory failure

A patient is being treated for a pulmonary embolism and the medical nurse is aware that the patient suffered an acute disturbance in pulmonary perfusion. This involved an alteration in what aspect of normal physiology? pH balance in the pulmonary veins and arteries Adequate flow of blood through the pulmonary circulation. Maintenance of constant osmotic pressure in the alveoli Maintenance of muscle tone in the diaphragm

Adequate flow of blood through the pulmonary circulation.

A school nurse is caring for a 10-year-old girl who is having an asthma attack. What is the preferred intervention to alleviate this client's airflow obstruction? Administer inhaled anticholinergics Administer an inhaled beta-adrenergic agonist Utilize a peak flow monitoring device Administer corticosteroids by metered dose inhaler

Administer an inhaled beta-adrenergic agonist

The public health nurse is administering Mantoux tests to children who are being registered for kindergarten in the community. How should the nurse administer this test? Administer intramuscular injections into each child's vastus lateralis. Administer a subcutaneous injection into each child's umbilical area. Administer intradermal injections into the children's inner forearms. Administer a subcutaneous injection at a 45-degree angle into each child's deltoid.

Administer intradermal injections into the children's inner forearms.

Constant bubbling in the water seal of a chest drainage system indicates which problem? Tidaling Increased drainage Air leak Tension pneumothorax

Air leak

A male client presents with symptoms of bronchospasm that occurred during a birthday party for his grandson. What medication would the nurse expect the health care provider to give the client? Omalizumab Azmacort Theophylline Albuterol

Albuterol

After reviewing information about drugs used to treat lower respiratory system conditions, a group of nursing students demonstrate understanding of the information when they identify which as an example of a short-acting beta-2 agonist (SABA)? Arformoterol Salmeterol Albuterol Formoterol

Albuterol

The parents of a 7-year-old client who has been diagnosed with allergic asthma are being taught about their son's medication regimen. The nurse is teaching about the appropriate use of a "rescue drug" for acute exacerbations. What drug should the nurse suggests the parents to use in these situations? Albuterol Beclomethasone Acetylcysteine Theophylline

Albuterol

Efficient respiration depends on which factors? The ability of the lungs to expand and contract The ability of respiratory gases to cross the alveolar-capillary membrane The patency of the airway All the above

All the above

The nurse is providing education to a client diagnosed with a respiratory disorder. During teaching, which structure would the nurse identify as being directly involved in gas exchange during respiration? Alveoli Venule Arteriole Lymphatic vessel

Alveoli

The nurse is caring for a client admitted with an acute exacerbation of chronic obstructive pulmonary disease. During assessment, the nurse finds that the patient is experiencing increased dyspnea. What assessment is the best indicator of the client's oxygenation status? Arterial blood gasses (ABGs) Capillary blood sample Pulse oximetry Complete blood count (CBC)

Arterial blood gasses (ABGs)

A client on long-term mechanical ventilation becomes very frustrated when he tries to communicate. Which intervention should the nurse perform to assist the client?

Ask the client to write, use a picture board, or spell words with an alphabet board.

Which of the following is the most common chronic disease of childhood? Obesity Cerebral palsy Asthma Autism

Asthma

A perioperative nurse is caring for a postoperative patient. The patient has a shallow respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should address the patient's increased risk for what complication? Pulmonary embolism Acute respiratory distress syndrome (ARDS) Aspiration Atelectasis

Atelectasis

The nurse is teaching a group of adults about health promotion. What should the nurse recommend in order to minimize participants' risk of COPD? Get screened for the genetic markers for COPD. Get the annual influenza vaccination. Minimize exposure to dust and mold. Avoid smoking

Avoid smoking

Which type of chest configuration is typical of a client with COPD? Flail chest Pigeon chest Barrel chest Funnel chest

Barrel chest

The nurse is caring for an adolescent client injured in a snowboarding accident. The client has a head injury, a fractured right rib, and various abrasions and contusions. The client has a blood pressure of 142/88 mm Hg, pulse of 102 beats/minute, and respirations of 26 breaths/minute. Which laboratory test best provides data on a potential impairment in ventilation? Serum alkaline phosphate Blood chemistry Blood gases Complete blood count

Blood gases

The nurse is providing education to a client with asthma on the therapeutic action of inhaled corticosteroid agents. How will the nurse describe the action? Inhaled corticosteroid agents reduce airway inflammation. Inhaled corticosteroid agents reduce bronchodilation. Inhaled corticosteroid agents reduce respiratory rate. Inhaled corticosteroid agents will depress the central nervous system.

Inhaled corticosteroid agents reduce airway inflammation.

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? Percuss the patient's lungs and thorax. Determine whether the patient can now perform forced expiratory technique (FET). Have the patient perform incentive spirometry. Measure the patient's oxygen saturation.

Measure the patient's oxygen saturation.

The nurse is providing education to the parents of a child who has been newly diagnosed with asthma. During teaching, the nurse should explain that asthma attacks occur when mast cells release substances that cause what reaction? inflammation. Decreased fluid leakage. smooth muscle dilation. decreased capillary permeability.

inflammation.

A young man incurred a spontaneous pneumothorax. The physician has just inserted a chest tube and has prescribed suction set at 20 cm of water. The nurse instills the fluid to this level in the appropriate chamber. Mark the level of fluid on the appropriate chamber of the closed drainage system.

left side

A hospitalized client with terminal heart failure is nearing the end of life. The nurse observes which of the following breathing patterns?

mountain swiggle

A nurse is caring for a client with a chest tube connected to a three-chamber drainage system without suction. On the illustration below, identify which chamber the nurse will mark to record the current drainage level.

not on water side but the other side. Right side?

Stiffness of the neck or inability to bend the neck is referred to as xerostomia. nuchal rigidity. aphonia. dysphagia.

nuchal rigidity.

The client with asthma has been ordered an inhaler and the nurse is teaching how to prevent Candida infections. Which would the nurse include in the instructions? Do not use a spacer because it promotes infections. Rinse mouth with water after each use. Brush teeth thoroughly after each puff. Clean spacer with alcohol twice a day.

Rinse mouth with water after each use.

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

redness and induration.

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? Keeping the collection chamber at chest level Stripping the chest tube every hour Measuring and documenting the drainage in the collection chamber Maintaining continuous bubbling in the water-seal chamber

Measuring and documenting the drainage in the collection chamber

A patient is receiving thrombolytic therapy for the treatment of pulmonary emboli. What is the best way for the nurse to assess the patient's oxygenation status at the bedside? Test pulmonary function. Obtain serial ABG samples. Monitor incentive spirometry volumes. Monitor pulse oximetry readings.

Monitor pulse oximetry readings.

The nurse is assessing a newly admitted medical patient and notes there is a depression in the lower portion of the patient's sternum. This patient's health record should note the presence of what chest deformity? A barrel chest A funnel chest A pigeon chest Kyphoscoliosis

A funnel chest

The nurse at a long-term care facility is assessing each of the residents. Which resident most likely faces the greatest risk for aspiration? A 92-year-old resident who needs extensive help with ADLs A resident with mid-stage Alzheimer's disease A resident with severe and deforming rheumatoid arthritis A resident who suffered a severe stroke several weeks ago

A resident who suffered a severe stroke several weeks ago

Which of the following medications are classified as leukotriene modifiers (inhibitors)? Select all that apply. Ipratropium HFA Zileuton Tiotropium Zafirlukast Montelukast

Montelukast Zafirlukast Zileuton

A nurse is caring for a client who complains about sleep apnea. Which of the following delivery devices should the nurse use to administer oxygen to this client?

CPAP mask

A nurse caring for a client with deep vein thrombosis must be especially alert for complications such as pulmonary embolism. Which findings suggest pulmonary embolism? Bradypnea and bradycardia Nonproductive cough and abdominal pain Hypertension and lack of fever Chest pain and dyspnea

Chest pain and dyspnea

A nurse is documenting the results of assessment of a patient with bronchiectasis. What would the nurse most likely include in documentation? Increased anterior-posterior (A-P) diameter Clubbing of the fingers Sudden onset of pleuritic chest pain Wheezes on auscultation

Clubbing of the fingers

What client would be most in need of an endotracheal tube? Ambulatory clients Comatose clients Older adult clients A client status post tonsillectomy

Comatose clients

While assessing a new client on the unit, the nurse notes the following: productive cough, respiratory rate of 22, oxygen saturation of 90%, afebrile, and increased secretions. The client has a 20-year history of smoking 1.5 packs of cigarettes daily. What diagnosis is most likely? Pneumonia Cystic fibrosis Pleural effusion Chronic obstructive pulmonary disease (COPD)

Chronic obstructive pulmonary disease (COPD)

Which is the most important risk factor for development of chronic obstructive pulmonary disease (COPD)?

Cigarette smoking

Microscopic, hair-like projections of the nasal cell membranes transport foreign substances toward the throat. What structures perform this role? Goblet cells Sinuses Alveolar sacs Cilia

Cilia

A client with lung cancer is scheduled for the removal of the right lung. The nurse should anticipate that after surgery the client will experience a significant decrease in which physiologic measurement? Diffusion capacity Average diameter of bronchioles Pulmonary arterial blood pressure Cardiac remodeling

Diffusion capacity

The medical nurse who works on a pulmonology unit is aware that several respiratory conditions can affect lung tissue compliance. The presence of what condition would lead to an increase in lung compliance? Pulmonary fibrosis Acute respiratory distress syndrome (ARDS) Pleural effusion Emphysema

Emphysema

The pulmonary rehabilitation specialist is educating medical students on a respiratory disease process that causes a severe compromise in exhalation due to air trapping. Air trapping is caused by the loss of elastic recoil, especially in the alveoli, which occurs after overstretching in which disease? Emphysema Chronic bronchitis Asthma Chronic obstructive pulmonary disease (COPD)

Emphysema

The nurse is planning the care for a client at risk of developing pulmonary embolism. What nursing interventions should be included in the care plan? Select all that apply. Encouraging a liberal fluid intake Using elastic stockings, especially when decreased mobility would promote venous stasis Instructing the client to dangle the legs over the side of the bed for 30 minutes, four times a day Applying a sequential compression device Instructing the client to move the legs in a "pumping" exercise

Encouraging a liberal fluid intake Instructing the client to move the legs in a "pumping" exercise Using elastic stockings, especially when decreased mobility would promote venous stasis Applying a sequential compression device

A client is admitted to the emergency department with inspiratory stridor and air hunger. When anticipating treatment, the nurse will prepare which medication for administration? Ipratropium bromide Epinephrine Pseudoephedrine Cromolyn

Epinephrine

A young adult client has had a tonsillectomy and is in the immediate postoperative period. To make the client comfortable, the nurse intervenes by Sitting the client in the semi-Fowler's position Removing the oral airway before the gag reflex has returned for client comfort Placing the client prone with the head turned to the side Maintaining a warm compress around the client's neck area

Placing the client prone with the head turned to the side

The nurse is assessing an adult patient following a motor vehicle accident. The nurse observes that the patient has an increased use of accessory muscles and is complaining of chest pain and shortness of breath. The nurse should recognize the possibility of what condition?

Pneumothorax

The nurse is caring for a patient who has returned to the unit following a bronchoscopy. The patient is asking for something to drink. What criteria will determine when the nurse will allow the patient to drink fluids? Ability to speak Absence of nausea Ability to demonstrate deep inspiration Presence of a cough and gag reflex

Presence of a cough and gag reflex

As a clinic nurse, you are caring for a patient who has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. When you do a follow-up call with this patient, you are informed that the patient is feeling better and is stopping the medication after taking it for 4 days. What information should you provide to this patient? Discontinue the medications if the fever is gone. Keep the remaining tablets for an infection at a later time. Finish all the antibiotics to eliminate the organism completely. Dispose of the remaining medication in a biohazard receptacle.

Finish all the antibiotics to eliminate the organism completely.

A sputum study has been ordered for a client who has developed coarse chest crackles and a fever. At what time would it be best for the nurse to collect the sample? At bedtime Immediately after a meal After a period of exercise First thing in the morning

First thing in the morning

A patient visiting the clinic is diagnosed with acute sinusitis. To promote sinus drainage, the nurse should instruct the patient to perform which of the following? Apply a mustard poultice to the forehead. Increase fluid intake. Perform postural drainage. Apply a cold pack to the affected area.

Increase fluid intake.

A critical-care nurse is caring for a patient diagnosed with pneumonia as a surgical complication. The nurse's assessment reveals that the patient has an increased work of breathing due to copious tracheobronchial secretions. What should the nurse encourage the patient to do? Increase oral fluids unless contraindicated. Increase activity. Call the nurse for oral suctioning, as needed. Lie in a low Fowler's or supine position.

Increase oral fluids unless contraindicated.

A client with chronic obstructive pulmonary disease has recently begun a new bronchodilator. Which therapeutic effect(s) should the nurse expect from this medication? Select all that apply. Increased expiratory flow rate Relief of dyspnea Increased respiratory rate Increased viscosity of lung secretions Negative sputum culture

Increased expiratory flow rate Relief of dyspnea

A client had a tracheostomy two hours ago. The nurse assesses the client and finds the client's breathing is shallow, with a respiratory rate of 30. The nurse notes increased mucus production around the tracheostomy and on the dressing. What are the priority nursing concerns? Select all that apply. Risk for infection Disturbed body image Ineffective airway clearance Knowledge deficit Impaired gas exchange

Ineffective airway clearance Impaired gas exchange

Which vaccine should a nurse encourage a client with chronic obstructive pulmonary disease (COPD) to receive? Hepatitis B Influenza Human papilloma virus (HPV) Varicella

Influenza

Which community-acquired pneumonia demonstrates the highest occurrence during summer and fall? Mycoplasma pneumonia Legionnaires disease Streptococcal (pneumococcal) pneumonia Viral pneumonia

Legionnaires disease

Which type of sleep apnea is characterized by lack of airflow due to pharyngeal occlusion? Central Mixed Obstructive Simple

Obstructive

Which term is used to describe the inability to breathe easily except in an upright position? Hemoptysis Orthopnea Hypoxemia Dyspnea

Orthopnea

The nurse is explaining the safe and effective administration of nasal spray to a patient with seasonal allergies. What information is most important to include in this teaching? Nasal spray should be administered in a prone position. Finish the bottle of nasal spray to clear the infection effectively. Nasal spray can only be shared between immediate family members. Overuse of nasal spray may cause rebound congestion.

Overuse of nasal spray may cause rebound congestion.

Which medication is the treatment of choice for bacterial pharyngitis? Tylenol with codeine Tylenol Robitussin DM Penicillin

Penicillin

A client with a diagnosis of community-acquired pneumonia is producing copious secretions that are physically obstructing the airway. Which pathophysiologic process will result from this condition? Perfusion without ventilation Ventilation without perfusion Dead air space Compensatory vasoconstriction

Perfusion without ventilation

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? Respiratory failure Cystic fibrosis Hemothorax Lung cancer

Respiratory failure

The nurse is caring for a client with acute respiratory distress syndrome (ARDS). In what position does the nurse place the client in order to promote adequate oxygenation?

Prone

The nurse is teaching the client who recently experienced abdominal surgery to deep breathe and cough effectively. What observable action serves to best minimize pain that may result from the intervention?

Providing support to abdominal and accessory respiratory muscles

Which of the following is a noninvasive method of continuously monitoring the oxygen saturation of hemoglobin (SaO2)? Pulse oximetry Sputum studies Arterial blood gas analysis Pulmonary function testing

Pulse oximetry

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

Purse the lips when exhaling air from the lungs.

A client has sustained head trauma that has affected the medulla. The nurse's respiratory assessment should be focused on monitoring which factors? Respiratory crackles Productive cough Rate and depth of respirations Signs of cyanosis

Rate and depth of respirations

The nurse assesses a patient for possible acute pharyngitis. Which of the following clinical manifestations are consistent with this diagnosis? Select all that apply. Red pharyngeal membranes White-purple exudates on the back of the throat A dry, nonproductive cough A temperature >100.4°F Swollen lymphoid follicles

Red pharyngeal membranes Swollen lymphoid follicles White-purple exudates on the back of the throat A temperature >100.4°F

A client who has an altered level of consciousness is receiving a tube feeding. Clients receiving tube feeding should be placed in which position? Trendelenburg Side-lying Supine Semi-Fowler's or higher

Semi-Fowler's or higher

The nurse is caring for a client who is being treated for pneumonia. The nurse suspects the client has developed pleuritis. Which assessment findings support the nurse's suspicion of pleuritis? Select all that apply.

Shoulder pain Pain when deep breathing and coughing Unequal chest expansion on inspiration

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

Sitting upright, leaning forward slightly

The nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the primary rationale behind this nursing action? Smoking damages the ciliary cleansing mechanism. Smoking causes atrophy of the alveoli. Smoking decreases the amount of mucus production. Smoke particles compete for binding sites on hemoglobin

Smoking damages the ciliary cleansing mechanism.

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

Smoking or a flame is dangerous near oxygen.

The nurse is providing education to a client who has been prescribed albuterol. What adverse reaction should the nurse discuss during teaching? Tachycardia Hypotension Diarrhea Polydipsia

Tachycardia

The nurse should include which instructions in the teaching plan for a client with chronic sinusitis? Select all that apply.

Take a hot shower in the morning and evening. Report a temperature of 102° F (38.9° C) or higher.

The nurse is caring for a 38-year-old client with asthma who has been started on albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects? The client's heart rate is 99 beats/min. The client's oral temperature is 37.8°C (100°F). The client had diarrhea this morning. The client reports excessive thirst.

The client's heart rate is 99 beats/min.

Which of the following are risk factors for the development of chronic obstructive pulmonary disease (COPD)? Select all that apply. Occupational dust Infection Air pollution Tobacco smoke Second-hand smoke

Tobacco smoke Occupational dust Air pollution Infection Second-hand smoke

Mucolytics are often used for patients with cystic fibrosis, COPD, or tuberculosis. False True

True

A nurse is providing discharge teaching for a client with COPD. When teaching the client about breathing exercises, what should the nurse include in the teaching?

Use diaphragmatic breathing

An inhaled sympathomimetic drug has been ordered for a teenage athlete who has exercise-induced asthma. What should the client be instructed to do? Use the inhaler as soon as the symptoms start. Use the inhaler 30 to 60 minutes before exercising. Use the inhaler every day at the same time each day. Use the inhaler 2 to 3 hours before exercising to ensure peak effectiveness.

Use the inhaler 30 to 60 minutes before exercising.

A nurse is conducting a class on healthy living with COPD and presents potential complications with the disease. Many clients with COPD have bronchospasms, airway inflammation, and excess mucus production, which contribute to obstruction to the alveoli. Which physiologic condition could result from the obstruction? Ventilation/perfusion mismatch Severe hypocapnia Damage to lung tissue Emergent lung surgery

Ventilation/perfusion mismatch

The nurse is performing patient teaching with a young mother who has brought her 3-month-old to the clinic for a well-baby check. Knowing that it is cold season, what information should the nurse provide to the mother to best prevent transmission of organisms? Take prescribed antibiotics Dress warmly Wash hands frequently Use warm salt-water gargles

Wash hands frequently

The nurse is assessing a client's respiratory pattern. Which graphic illustrates Kussmaul respirations?

^^^^^^^^^^^^^^^^

After assessing a 6-year-old child, the nurse suspects that the child is experiencing respiratory distress due to swelling of the epiglottis and surrounding structures. Which assessment finding would help support the nurse's suspicion? Select all that apply.

use of the tripod position excessive drooling muffled voice


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