401 Prep U week 3 respiratory complications

What is the most common first-line therapy for relief of an acute asthma attack? Inhaled steroid Leukotriene modifier Beta2-adrenergic agonist Xanthine

Beta2-adrenergic agonist

A client recently diagnosed with bronchiectasis asks what may have caused the condition. Which response by the nurse is accurate? "It may have developed after you had a severe inflammation caused by aspiration pneumonia." "Obesity causes bronchiectasis by placing a strain on your heart and lungs." "Bronchiectasis occurred due to poor control of your asthma." "Your habit of cigarette smoking is the primary causative factor."

"It may have developed after you had a severe inflammation caused by aspiration pneumonia."

The emergency department nurse is caring for a client with cystic fibrosis who is dyspneic and has a productive cough. Place in order the nursing interventions performed upon arrival to improve breathing. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1 Assess respiratory status. 2 Place in bed in a semi-Fowler's position. 3 Obtain oxygen saturation reading. 4 Place on oxygen at 2 liters. 5 Notify respiratory therapy. 6 Instruct on energy conservation measures.

Assess respiratory status. Place in bed in a semi-Fowler's position. Obtain oxygen saturation reading. Place on oxygen at 2 liters. Notify respiratory therapy. Instruct on energy conservation measures.

Which manifestations are most common in clients with COPD that is predominantly chronic bronchitis? Select all that apply. Increased A-P diameter Hyperresonance Increased mucus secretion Peripheral edema Cyanosis

Increased mucus secretion Peripheral edema Cyanosis

Which measure may increase complications for a client with COPD? Administration of antibiotics Increased oxygen supply Administration of antitussive agents Decreased oxygen supply

Increased oxygen supply

A client had a tracheostomy two hours ago. The nurse assesses the client and finds the client's breathing is shallow, with a respiratory rate of 30. The nurse notes increased mucus production around the tracheostomy and on the dressing. What are the priority nursing concerns? Select all that apply. Ineffective airway clearance Risk for infection Knowledge deficit Impaired gas exchange Disturbed body image

Ineffective airway clearance Impaired gas exchange

As a result of hypoxemia and polycythemia, persons with chronic obstructive bronchitis are prone to which complication? Left-sided heart failure Pulmonary hypertension Expiratory airway collapse Breakdown of elastin

Pulmonary hypertension

The health care provider suspects a newly admitted newborn, with a history of premature birth requiring respiratory ventilation, has developed bronchopulmonary dysplasia. Which manifestation(s) correlates with this admitting diagnosis? Select all that apply. Spasms noted in arms Respiratory rate of 80 breaths/minute and shallow Use of accessory muscles to breath with sternal retractions Enlarged kidneys palpable bilaterally Bilateral periorbital edema Heart rate of 200 beats/minute

Respiratory rate of 80 breaths/minute and shallow Use of accessory muscles to breath with sternal retractions Bilateral periorbital edema Heart rate of 200 beats/minute

Cystic fibrosis (CF), the major cause of severe chronic respiratory disease in children, is characterized by which diagnostic finding? Constipation Salt depletion Watery mucus High cholesterol

Salt depletion

An infant born 10 weeks premature was placed on mechanical ventilation. Eight weeks later a nursing assessment reveals a barrel chest, tachycardia, rapid and shallow breathing, hypoxemia, hypercapnia, and poor weight gain. Based on this assessment, which diagnosis is most likely? Respiratory distress syndrome (RDS) Bronchopulmonary dysplasia Bronchiolitis Pneumonia

Bronchopulmonary dysplasia

A nurse is preparing to care for a client with bronchiectasis. The nurse should recognize that this client is likely to experience respiratory difficulties related to what pathophysiologic process? Intermittent episodes of acute bronchospasm Alveolar distention and impaired diffusion Dilation of bronchi and bronchioles Excessive gas exchange in the bronchioles

Dilation of bronchi and bronchioles

A 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? It prolongs the inspiratory phase of respiration. It increases inspiratory muscle strength. It helps prevent early airway collapse. It decreases use of accessory breathing muscles.

It helps prevent early airway collapse.

The nurse is carefully assessing the infant diagnosed with bacterial pneumonia whose respiratory status is declining. Which nursing findings are reported immediately to the charge nurse and health care provider? Select all that apply. The nurse is carefully assessing the infant diagnosed with bacterial pneumonia whose respiratory status is declining. Which nursing findings are reported immediately to the charge nurse and health care provider? Select all that apply. Temperature 104°F (40°C) Flaring of the nostrils Circumoral cyanosis Intercostal retractions Respiratory rate of 44 breaths/min

Temperature 104°F (40°C) Circumoral cyanosis Intercostal retractions Respiratory rate of 44 breaths/min

Why would a client with COPD report feeling fatigued? Select all that apply. The client is using all expendable energy just to breathe. Muscle function gradually decreases over time in clients with COPD. Lung function gradually decreases over time in clients with COPD. The client is using all expendable energy for activities of daily living (ADLs).

The client is using all expendable energy just to breathe. Lung function gradually decreases over time in clients with COPD.

When assessing a child for the probable cause of acute bronchiolitis, the nurse focuses on which factor? Bacterial infections Environmental allergies Prenatal complications Viral infections

Viral infections

Which complication is common in neonates who receive prolonged mechanical ventilation at birth? hydrocephalus bronchopulmonary dysplasia esophageal atresia renal failure

bronchopulmonary dysplasia

The health care provider has prescribed beclomethasone for long term control of asthma. The nurse is most correct to advise the client that beclomethasone is a: mast cell stabilizer. xanthine derivative. corticosteroid. leukotriene inhibitor.

corticosteroid.