Respiratory Part 2
Prevnar is given to children at what age?
2,4,6 and 12-15 months of age
The treatment of TB with the first line of therapy includes
4 meds
A nurse is assisting with the care of a client who has lung cancer and is scheduled for a lobectomy. The nurse should instruct the client to expect the use of which of the following equipment postoperatively?
A chest tube
A patient is on postoperative day 2 after undergoing an open cholecystectomy. Immediately after the surgery, she vomited and May have aspirated some emesis. The nurse is concerned that the patient will develop pneumonia. In planning for her care, the nurse suspects the patient may have
Aspiration pneumonia
A client who has been diagnosed with tuberculosis has been placed in drug therapy. The medication regimen includes rifampin. Which instruction should the nurse give the client about potential adverse effect of rifampin. (Select all that apply)
Avoid
Pleurisy with effusion is the
Collection of fluid between the pleural layers
An abnormal cardiac condition characterized by hypertrophy of the right ventricle of the heart as a result of hypertension of the pulmonary circulation.
Cor pulmonale
An acute inflammation of the mucous membrane of the nose and accessory sinuses usually accompanied by edema of the mucosa and nasal discharge
Coryza
The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling) in the water seal chamber. What is the most appropriate nursing action based on this assessment?
Document the tidaling
An increase in the seriousness of a disease or disorder; marked by greater intensity in the signs or symptoms of the patient being treated.
Exacerbation
How would the nurse examining a patient with pleurisy document a low-pitched grating lung sound?
Friction rub
Greater than normal amounts of carbon dioxide in the blood is called
Hypercapnia
Which nursing action would most likely be successful in reducing pleurisy chest plain in a client with pneumonia
Incentive spirometer
Select all that applies to legionnaires disease
Is a form of pneumonia Is caused by legionella pneumophila Develops 2-10 days after exposure
A nurse is collecting data from a client who is admitted to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. What response should the nurse make
It's okay to feel afraid. Let's talk about what you are afraid of.
What are age related changes in the older adult that make them at risk for respiratory diseases? (Select all that apply)
Kyphosis Decrease in pulmonary blood flow Stasis pooling of secretions Reduced number of cilia
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction. Which of the following actions should the nurse take?
Maintain the drainage container below the level of the clients chest.
The patient is diagnosed with pleurisy. The nurse should expect to see which signs and symptoms?
Pain occurs most often during inspiration Sharp knife like pain Pleural friction rub
A nurse is caring for a client who has active pulmonary tuberculosis and a prescription for a chest x-ray. Which of the following actions should the nurse plan to take?
Place a surgical mask on the client prior to exiting the room.
The term used to describe thoracic surgery in which an entire lung is removed is a
Pneumonectomy
Which nursing action would most likely be successful in refusing pleurisy chest pain in a client with emphysema?
Shallow breathing.
What is the number one cause of lung cancer?
Smoking cigarettes
When assessing the SpO2, with a pulse oximeter, the nurse will place the oximeter on a finger:
That is normal temperature.
Vitamins A and E have been found to reduce the risk of lung cancer. (T or F)
True
The patient is admitted to the emergency department with chest trauma. Which signs/symptoms indicate to the nurse the diagnosis of pneumothorax?
Unequal lung expansion and dyspnea
A nurse is preparing to review discharge instructions with a client who has pulmonary tuberculosis. Which of the following information should the nurse include?
Wear a mask while out or around crowds of people.
A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations or a pneumothorax?
Absence of breath sounds
How should the newly diagnosed patient who has been prescribed isoniazid for the treatment of active tuberculosis be advised?
Accept that the therapy is long term
How should the newly diagnosed patient who has been prescribed isoniazid (INH) for the treatment of active tuberculosis (TB) be advised?
Accept that the therapy is long term.
The collapse of lung tissue, preventing the respiratory exchange of carbon dioxide and oxygen
Atelectasis
An 83 year old patient is admitted with a temperature of 102 degrees, chest pain and fatigue. What is the infected fluid that the physician removed called?
Empyema
An 83 year old patient is admitted with a temperature of 102 degrees, chest pain, and fatigue. What is the infected fluid that the physician removes called?
Empyema
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?
Encourage the client to drink more fluids.
A client is receiving streptomycin in the treatment regimen of tuberculosis. The nurse should assess for
Hearing loss
During a home visit, the nurse encourages frequent repositioning and sitting to a frail older adult. The nurse understands that immobilization and laying in bed for extended periods of time places the patient at risk for
Hypostatic pneumonia
A nurse is caring for a client who is postoperative and has developed atelectasis. Which of the following findings should the nurse expect?
Increasing dyspnea
A nurse is caring for a client who has tuberculosis and is about to start taking pyrazinamide. The nurse should identify that the client needs which of the following tests while taking this medication therapy?
Liver function tests
A nurse is caring for a client who was placed on isolation precautions for active pulmonary tuberculosis. Which of the following actions should the nurse prepare to take? (Select all that apply)
Remind the client to cover her mouth with a tissue when coughing. Use an alcohol based hand sanitizer unless hands are visibly soiled. Determine whether the client lives alone or with others.
The employee health nurse is administering tuberculin skin testing to employees who have possibly been exposed to a client with active tuberculosis. Which statement indicates the need for radiological evaluation instead of a skin test?
The client's previous skin test was read as positive.
The client nurse is interviewing clients. Which information provided by the client would warrant further investigation?
The nurse has been coughing up blood in the mornings.
What is the surgical perforation of the chest wall and pleural space with a needle for the aspiration of fluid for diagnostic or therapeutic purposes.
Thoracentesis
Anthrax can enter the body through the skin, GI system and the respiratory system. (t or f)
True
The nurse prepares a patient for the procedure of a Thoracentesis. This procedure will remove the fluid from around the lungs to improve respiration and obtain a specimen. (t or f)
True
With a pneumothorax resulting from penetrating injury, a sucking sound is heard on inspiration. (T or F)
True
A nurse is reinforcing discharge teaching with a client who has pulmonary tuberculosis. Which of the following information should the nurse include?
Urine and other secretions will turn orange
Which measure can reduce or prevent the incidence of atelectasis in a postoperative patient?
Use of an incentive spirometer
A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?
You should wear glasses instead of contacts while taking this medication.
What is the appropriate nursing intervention for a patient, age 40, who is diagnosed with active tuberculosis?
place the patient in acid-fast bacillus (AFB) isolation precautions.
What is the purpose of cilia?
sweep debris toward nasal cavity
