COTAC quiz 1

A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first? A- Airway patency B- Tissue integrity C- Wound drainage D- Pain severity

A- Airway patency

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions? A- Maintaining a semi-Fowler's position as often as possible B- Encouraging the client to drink 2 to 3 L of water daily C- Administering oxygen via nasal cannula at 2 L/min D- Helping the client select a low-salt diet

B- Encouraging the client to drink 2 to 3 L of water daily

Which action should the nurse plan to prevent aspiration in a high-risk patient? A-Monitor respiratory symptoms in a patient who is immunosuppressed B- Place a patient with altered consciousness in a side-lying position. C-Insert a nasogastric tube for feeding a patient with high calorie needs. D- Turn and reposition an immobile patient at least every 2 hours.

B- Place a patient with altered consciousness in a side-lying position.

What is pertussis caused by? A-Fungus B- A virus C- Chest trauma D- Bacteria

Bacteria

A patient with bacterial pneumonia has coarse crackles and thick sputum. Which action should the nurse plan to promote airway clearance? A- Teach pursed-lip breathing technique. B-Restrict oral fluids during the day C-Assist the patient to splint the chest when coughing. D-Encourage the patient to wear the nasal O2 cannula.

C- Assist the patient to splint the chest when coughing.

Why would someone use esophageal speech? A-Because they want to clear secretions from their tracheostomy tube B- Because they have an endotracheal tube in place C- Because they had a total laryngectomy D- Because they want to sing more clearly

C- Because they had a total laryngectomy

Alpha-Antitrypsin (AAT) deficiency is a risk factor for what disorder? A-asthma B- acute bronchitits C-COPD D- TB

C- COPD

A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases? A- Pertussis B- Mycoplasma pneumonia C- TB D- Respiratory syncytial virus

C- TB

Oxygen toxicity... A- is very common B- Never happens to anyone C-Can result in acute respiratory distress syndrome D-Is caused by high levels of carbon dioxide

Can result in acute respiratory distress syndrome

This disorder is caused by a Mycobacterium and can affect any organ, but most often affects the lungs. A- Acute bronchitis B- Tuberculosis C- Cor Pulmonale D- Pertussis

Tuberculosis