Oxygenation (COPD, Asthma, and RSV)

The newly licensed nurse is talking with the charge nurse about how RSV is not a concern in the older adult population. The charge nurse corrects the new nurse by sharing what piece of information? A. "Older adults with chronic diseases are at risk of RSV. There is no vaccine." B. "The pneumonia vaccine that is highly encouraged covers RSV." C. "RSV is found often in our older adult population but it is very mild in its symptoms." D. "RSV is only a problem with older adults who already have asthma or COPD."

A. "Older adults with chronic diseases are at risk of RSV. There is no vaccine."

A client with pneumonia is receiving supplemental oxygen @ 2 L/minute via nasal cannula. The client's history includes COPD. Because of these history findings, the nurse closely monitors the oxygen flow and the client's respiratory status. Which complication may arise if the client receives a high oxygen concentration? A. Apnea B. Anginal pain C. Respiratory alkalosis D. Metabolic acidosis

A. Apnea

Which factor should the nurse identify as a risk factor for the development of​ bronchiolitis? (Select all that​ apply.) A. Cigarette smoke exposure B. Chronic lung disease C. Attends daycare D. Premature birth E. Age 4 or older

A. Cigarette smoke exposure B. Chronic lung disease C. Attends daycare D. Premature birth

The 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 promotes CO2 elimination B. It increases inspiratory strength. C. It decreases use of accessory breathing muscles. D. It prolongs the inspiratory phase of respiration.

A. It promotes CO2 elimination

Which finding should the nurse expect during assessment of a client diagnosed with emphysema? A. Marked weight loss B. Distended neck veins C. Bilateral lung rhonchi D. Copious, thick secretions

A. Marked weight loss

The nurse is concerned that a​ 9-month-old baby being treated for bronchiolitis caused by respiratory syncytial virus​ (RSV) is developing respiratory distress. Which assessment finding supports this​ concern? (Select all that​ apply) A. Onset of expiratory grunting B. Visible intercostal retractions with ventilations C. Respiratory rate increased from 45 to 70​ breaths/min D. Systolic blood pressure 10 mmHg less than previous measurement E. Femoral pulse weak and 120​ beats/min

A. Onset of expiratory grunting B. Visible intercostal retractions with ventilations C. Respiratory rate increased from 45 to 70​ breaths/min

The nurse is teaching the parents of a​ 9-month-old client with respiratory syncytial virus​ (RSV) about ways to help the child recover. Which information should the nurse​ include? (Select all that​ apply) A. Provide​ frequent, small meals throughout the day. B. Use a bulb syringe to clear the nose of secretions. C. Help the child to blow the nose to clear the airway. D. Restrict fluids to avoid aspiration. E. Permit the child to rest and nap throughout the day.

A. Provide​ frequent, small meals throughout the day. B. Use a bulb syringe to clear the nose of secretions. E. Permit the child to rest and nap throughout the day.

A nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which of the following would the nurse expect to note on assessment of this client? A. Hypocapnia B. A hyper-inflated chest noted on the chest x-ray C. Increased oxygen saturation with exercise D. A widened diaphragm noted on the chest x-ray

B. A hyper-inflated chest noted on the chest x-ray

The ED nurse is caring for a college-age client complaining of shortness of breath and chest tightness while jogging on campus. The client denies fever, sore throat, or productive cough. The nurse would accurately conclude that the client's clinical manifestations are consistent with which condition? A. ARDS B. Asthma C. Bronchitis D. Pneumonia

B. Asthma

Which nursing action would be appropriate for the nurse to implement for the child with bronchiolitis? A. Keep the child well stimulated. B. Maintain strict intake and output. C. Encourage visitors. D. Encourage oral fluids if tachypneic.

B. Maintain strict intake and output.

A client with asthma seeks emergency care for acute respiratory distress. Because of the client's dark skin, the nurse should assess for cyanosis by inspecting the: A. Lips. B. Mucous membranes. C. Nail beds. D. Earlobes.

B. Mucous membranes.

A provider prescribes albuterol sulfate (Proventil) for a patient with newly diagnosed asthma. When teaching the patient about this drug, the nurse should explain that it may cause: A. Nasal congestion B. Nervousness C. Lethargy D. Hyperkalemia

B. Nervousness

The nurse assesses a male client's respiratory status. Which observation indicates that the client is experiencing difficulty breathing? A. Diaphragmatic breathing B. Use of accessory muscles C. Pursed-lip breathing D. Controlled breathing

B. Use of accessory muscles

An oxygen delivery system is prescribed for a male client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? A. Face tent B. Venturi mask C. Aerosol mask D. Tracheostomy collar

B. Venturi mask

The nurse is talking with the nursing student about the size of a child's trachea. The nurse gives an illustration for the student to understand more clearly. Which statement is correct regarding the size of a child's trachea? A. "The size of the child's trachea is the same size as an adult." B. "The size of the child's trachea is the size of the child's thumb." C. "The size of the child's trachea is the size of the child's little finger." D. "The size of the child's trachea is the size of the child's index and middle finger combined."

C. "The size of the child's trachea is the size of the child's little finger."

For a patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway? A. Restricting fluid intake to 1,000 ml per day B. Enforcing absolute bed rest C. Teaching how to perform controlled coughing D. Administering prescribe sedatives regularly

C. Teaching how to perform controlled coughing

Which phrase is used to describe the volume of air inspired and expired with a normal breath? A. Total lung capacity B. Forced vital capacity C. Tidal volume D. Residual volume

C. Tidal volume

A client is admitted to the emergency department with a respiratory rate of 44 breaths/minute. The client is anxious, wheezing and has an arterial blood oxygen saturation of 86%. The nurse should plan to administer: A. Alprazolam (Xanax). B. Propranolol(Inderal) C. Morphine. D. Albuterol (Proventil).

D. Albuterol (Proventil).

Which intervention should the nurse identify as a preventive measure for​ high risk clients with bronchiolitis? A. Antibiotic therapy B. Immunization C. Sputum culture D. Palivizumab

D. Palivizumab