Module 2 Test - Oxygenation

The nurse is using the nursing diagnosis of ineffective airway clearance. The nurse is implementing the intervention of ambulating or turning the patient every 2 hours. What is the rationale for this intervention?

Movement helps mobilize secretions.

The nurse obtains an oxygen saturation reading of 93% on a client with pneumonia. Which oxygen delivery device should the nurse expect to use?

Nasal cannula

Which of the following is a medication commonly used in nebulizer treatments to help reduce the viscosity of respiratory secretions, but is also used to reverse acetaminophen overdosage?

Acetylcysteine

Which of the following is an example of a short-acting bronchodilator?

Albuterol

A nursing instructor is preparing a class on cephalosporins commonly used to treat respiratory infections. When referring to the progression from first generation to fifth generation, what information would the instructor include? Select all that apply.

An increase in the sensitivity to gram-negative microorganisms A decrease in the sensitivity to gram-positive microorganisms

A nurse is caring for a patient who has the following arterial blood gas results. pH 7.31 PaCO2 49 mm Hg HCO3 24 mEq/L PaO2 92 mm Hg Which of the following medical conditions would be the contributing factor?

Chronic obstructive pulmonary disease (COPD)

Aging affects the respiratory system in multiple ways. Which of the following are effects of aging on the respiratory system? Select all that apply.

Decrease in peak airflow and gas exchange Decline of effectiveness of lung defense mechanisms Weakening of respiratory muscles

Antitussives are medications that _______________.

Depress the cough center in the brain

Guaifenesin is what class of upper respiratory system medication?

Expectorant

A patient diagnosed with viral rhinitis is receiving home care instructions after seeing his primary care provider. Which treatments does the nurse expect to discuss with this patient? Select all that apply

Fluids Rest Decongestants

The nurse places a patient who is experiencing dyspnea in the Fowler's position. What is the rationale for the nurse to use this position?

Fowler's position allows maximum lung expansion.

A patient is scheduled for surgery. Which of the following will the nurse teach the patient to help prevent atelectasis and pneumonia?

Incentive spirometry

Which of the following classes of respiratory medications are used for long-term maintenance of asthma and other COPD related diseases?

Inhaled corticosteroids

The nurse is teaching a client with asthma about medications that should be used during times of acute symptoms or crisis. Teaching has been successful when the client chooses which of the following medications should be used for rescue purposes? Select all that apply.

Ipratropium Albuterol Levalbuterol

The nurse is caring for a patient receiving oxygen therapy. Which of the following is correct regarding a venturi mask?

It can deliver a precise percentage of oxygen (FiO2).

The nurse is caring for the patient who has recently recovered from a spontaneous pneumothorax. The nurse palpates the patient's left shoulder area and feels a "Rice Krispies" presence under the skin (crepitus). What best describes this symptom?

It occurs when air leaks into the subcutaneous tissues.

After teaching a group of nursing students about fluoroquinolones, which are often used to treat pneumonia, the instructor determines that the teaching was successful when they choose which drug as an example?

Levofloxacin

The nurse is caring for a client with pneumonia who reports dyspnea while performing activities of daily living. Which intervention should the nurse implement to allow the client to perform activities independently?

Plan activities with periods of rest.

Pursed-lip breathing is frequently taught to patients with chronic obstructive pulmonary disease (COPD). Which of the following is the benefit of this breathing technique?

Promote elimination of carbon dioxide

The nurse has obtained a noninvasive measurement of the patient's oxygen saturation. What is this test called?

Pulse oximetry

Your patient has the following arterial blood gas results (ABGs) pH 7.32 PaCO2 47 mm Hg HCO3 28 mEq/L You correctly identify she has the following condition.

Respiratory Acidosis Partially Compensated

Inflammation of the nasal passages is referred to as ___________________.

Rhinitis rhinitis

The nurse is caring for a client with lung disease of the left lung. The nurse should instruct the client to lie in which position?

Right side-lying position

You work on a floor where many patients are diagnosed with lung cancer. Which type of lung cancer does the nurse recognize as having the worst prognosis?

Small cell lung carcinoma

The nurse instructs a patient with a nosebleed to sit up and lean slightly forward. For which reason does the nurse teach the patient to maintain this posture?

To avoid unseen blood from being swallowed or aspirated

The nurse is assessing a client and notes respiratory distress. Which clinical manifestation supports this finding?

Use of accessory muscles for breathing

The nurse is caring for a patient with pneumonia. Which set of laboratory tests will be most helpful to the nurse to monitor the condition of this patient?

White blood cell (WBC) count & arterial blood gases (ABGs)

_____________ shock is a severe form of hypersensitivity reaction that occurs more frequently after parenteral administration of penicillin.

anaphylactic Anaphylactic anaphylaxis

A patient reports having a cold to the nurse in a health care provider's office. Which symptoms does the patient report that causes the nurse to suspect influenza instead? Select all that apply.

severe muscle aches sore throat persistent cough sudden onset of symptoms

A client about to undergo a tracheostomy tells the nurse, "I never see anyone else with one of these ugly holes in their neck." Which response by the nurse is best?

there is a tracheostomy support group I can give you the number for.