Respiratory Quiz #3

A client, who is at rick for pneumonia, has been ordered influenza vaccine. Which statement from the nurse best explains the rationale for this vaccine? A."Influenza vaccine will prevent typical pneumonias" B. "Viruses, like influenza, are the most common cause of pneumonia" C. "Getting the flu can complicate pneumonia" D. "Influenza is the major cause of death in the United States"

"Viruses, like influenza, are the most common cause of pneumonia"

The clinic nurse is caring for a client with acute bronchitis. The client ask what may have caused the infection. What may induce acute bronchitis? A. Chemical irritation B. Drug irritation C. Direct lung damage D. Aspiration

A. Chemical irritation

The nurse is caring for a client with a closed chest drainage system. While repositioning the client, the chest tube dislodges. What is the immediate nursing intervention? A. Cover the site B. Apply oxygen via face mask C. Reinsert the chest tube D. Notify the physician

A. Cover the site

The nurse caring for a 2-year-old near-drowning victim monitors for what possible complication? A. Atelectasis B. Metabolic akalosis C. Acute respiratory distress syndrome D. Respiratory acidosis

C. Acute respiratory distress syndrome

Which action should the nurse take first in caring for a client during an acute asthma attack? A. Send for STAT chest X-ray B. Initiate oxygen therapy and reassess pulse oximetry in 10 minutes C. Administer bronchodilator as ordered D. Obtain arterial blood gases

C. Administer bronchodilator as ordered

Upon assessing a client with emphysema, the nurse notes increase difficulty with inspiration. What is the likely cause of this finding? A. Inflammation of the bronchiales B. Prolonged tobacco use C. Saccular dilatation D. Rigid chest cage

D. Rigid chest cage

The occupational nurse is completing routine assessments on the employee. What might be revealed by a chest radiograph for a client with occupational lung diseases? A. Fibrotic changes in lungs B. Damage to surrounding tissues C. Hemorrhage D. Lung contusion

A. Fibrotic changes in lungs

The client, with lower respiratory airway infection, is presenting with symptoms such as fever, chills, dry hacking cough, and wheezing. Which nursing diagnosis best supports the assessment by the nurse? A. Ineffective airway clearance B. Risk for infection C. Impaired Gas exchange D. ineffective breathing pattern

A. Ineffective airway clearance

Is brought to the emergency department following a motor vehicle. Which of the following nursing assessment is significant in diagnosing this client with a flail chest? A. Paradoxical chest movement B. Chest pain on inspiration C. Clubbing of fingers and toes D. Respiratory acidosis

A. Paradoxical chest movement

The client has been medicating with antitussives. Which assessment findings would alert the nurse to an adverse effect of this medication? A. Increased coughing B. Crackles in the bases C. Nausea and vomiting D. Temp. 101 F

B. Crackles in the bases

The nurse monitors the water seal drainage system, which finding suggests the system is working properly? A. Fluid it appears white and frothy B. Fluid Rises and falls with respiration C. Fluid is bubbling vigorously D. Level of fluid is lowered in suction chamber

B. Fluid Rises and falls with respiration

The nurse is assessing a client's potential for pulmonary emboli. What finding indicates possible deep vein thrombosis? A.Decreased urinary output B. Localized calf tenderness C. Pain in the feet D. Coolness to lower extremities

B. Localized calf tenderness

The nurse is caring for a client who has just been diagnosed with lung cancer. What is a cardinal sign of lung cancer? A. Obvious trauma B. Mucopurulent sputum C. Shortness of breathe D. Pain on inspiration

B. Mucopurulent sputum

Which is a primary nursing intervention in caring for a client with the diagnosis of bronchiectasis? A. Administration of antitussives B. Preventative antibiotic use C. Postural drainage D. Droplet precautions

C. Postural drainage

Ask the nurse to explain the reason for a chest tube insertion in treating a pneumothorax. Which is the best response by the nurse? A. "The tube will drain secretions from the lung" B. "Chest tube will allow air to be restored to the line" C. "Chest tubes provide a route for medication instillation to the lung" D. "The tube will drain air from the space around the lung"

D. "The tube will drain air from the space around the lung"

What is the reason for chest tubes after thoracic surgery? A. Draining secretions and blood while allowing air to remain in the thoracic cavity is necessary B. Chest tubes indicate when the lungs have reexpanded by ceasing to bubble C. Chest tubes allow air into the pleural space D. Draining secretions, air, and blood from thoracic cavity is necessary

D. Draining secretions, air, and blood from thoracic cavity is necessary

Statement would indicate that the parents of a child with cystic fibrosis understand the disorder? A. "There are fibrous cysts in the lungs." B. "Early treatment can stop progression of disease. " C. "Allergic reactions cause inflammation in the lungs. " D."The mucus secreting glands are abnormal"

D."The mucus secreting glands are abnormal"

A client with pulmonary hypertension asks the nurse to explain the heart changes that can occur with this disorder. Which is the best response? A. " The left side of the heart is not pumping well and blood backs into the lungs" B. " Blood pressure is high as it leaves the heart " C. " I will ask your physician to discuss this with you" D."The right side of the heart enlarges as pressure backs up from the lungs"

D."The right side of the heart enlarges as pressure backs up from the lungs"

The ICU nurse is caring for a client who was admitted with a diagnosis of smoke inhalation. The nurse knows that this client is at increased rick for which of the following? A. Tracheobronchitis B. Bronchitis C. Acute respiratory distress syndrome D. Lung cancer

C. Acute respiratory distress syndrome

Which of the following provides the best example of documentation for a client who is presenting with acute bronchitis A. Less crackles today. No cough or mucus noted B. Physical activity seems to increase incidence of paroxysmal coughing C. Expectorating moderate amounts of mucopurulent sputum D. Dry, frequent cough with occasional production of sputum

C. Expectorating moderate amounts of mucopurulent sputum