Respiratory Adaptive Quiz

A client with tuberculosis asks the nurse about the communicability of the disease. Which response would the nurse use? 1 tuberculosis is not communicable at this time 2 untreated active tuberculosis is communicable 3 tuberculosis is communicable during the primary stage 4 with the newer long-term therapies, tuberculosis is not communicable

untreated active tuberculosis is communicable

when a client is newly diagnosed with COPD, which action by the nurse has the highest priority? 1 teach the client how to use the prescribed inhalers 2 discuss the normal progression of the disease process 3 ask whether the client is interested in quitting smoking 4 explain the purpose of a pulmonary rehabilitation program

ask whether the client is interested in quitting smoking

Which finding would be of most concern when the nurse assesses a client with emphysema? 1 barrel chest 2 oral cyanosis 3 pursed-lip expiration 4 respirations 26 breaths per minute

oral cyanosis

When a client with chronic obstructive pulmonary disease reports a 5-Ib weight gain in 1 week, the nurse will assess for other signs and symptoms of which complication? 1 polycythemia 2 cor pulmonale 3 compensated acidosis 4 left ventricular failure

cor pulmonale

The nurse is teaching pursed-lip breathing to a client with COPD. The client asks about the benefit of the exercises. Which explanation would the nurse give? 1 prevents complications that are associated with COPD 2 relieves shortness of breath by increasing the breath rate 3 increases the amount of air that the client can inhale with each breath 4 keeps the airway open longer to decrease the work that goes into breathing

keeps the airway open longer the decrease the work that goes into breathing

When the nurse obtains a health history for a 50-year-old client with an 80 pack year history of cigarette smoking and daily alcohol use, which finding is most important to report to the health care provider? 1 vocal hoarseness for several months 2 ankle swelling after eating salty foods 3 shortness of breath when walking quickly uphill 4 early morning cough productive of yellow mucus

vocal hoarseness for several months

When a client with laryngeal cancer has a Laryngectomy scheduled, which action will the nurse include in the postoperative teaching plan? 1 importance of cleanliness around the site of the stoma 2 necessary of blocking the tube opening while swimming 3 establishment of a regular schedule for suctioning the tube 4 usage of sterile technique when caring for the tracheostomy tube

importance of cleanliness around the site of the stoma

A client with a chronic obstructive pulmonary disease exacerbation is receiving oxygen at 2 L/minute per nasal cannula and has an oxygen saturation of 88%. Which action would the nurse anticipate taking next? 1 increasing oxygen flow rate to 3 L/minute 2 preparing for intubation and assisted ventilation 3 administration of an inhaled rapid-acting bronchodilator 4 continuing to monitor the client with no therapy change

increasing oxygen flow rate to 3 L/minute

A parent of three young children has contracted tuberculosis. Which medication would the nurse anticipate being prescribed for members of the family who have been exposed? 1 isoniazid 2 multiple-puncture test 3 bacille Calmette-Guerin 4 tuberculin purified protein derivative

isoniazid

Which nursing interventions would the nurse use to communicate effectively with the client who has undergone surgical treatment for laryngeal cancer? SATA 1 asking the client open-ended questions 2 providing the client with praise and encouragement 3 collaborating with a speech and language pathologist 4 using a high-pitched tone of voice to speak with the client 5 asking the client to make noise when immediate attention is required

providing the client with praise and encouragement collaborating with a speech and language pathologist asking the client to make noise when immediate attention is required

A 50-year-old client is diagnosed with chronic obstructive pulmonary disease. The clinical data on admission are as follows: a heart rate of 100 beats/min, a blood pressure of 138/82 mm Hg, a respiratory rate of 32 breaths/min, a tympanic temperature 98.2, and an oxygen saturation of 80%. Which vital signs obtained by the nurse indicates a positive outcome? SATA 1 radial pulse: 70 beats/min 2 temperature: 98.6 3 respiratory rate: 14 breaths/min 4 blood pressure: 110/70 mm Hg 5 oxygen saturation: 92%

respiratory rate, blood pressure, oxygen saturation