COTAC quiz 1
the nurse provides discharge instructions to a patient who was hospitalized for pneumonia. which statement indicates a good understanding of the teaching?
"I will continue to do deep breathing and coughing exercises at home"
Opstructive sleep apnea teaching has been understood when the patient states:
"if I loose 50 pounds, I might stop having so many apneic episodes"
what is cor pulmonate?
an enlargement of the right ventricle, heard caused by a respiratory problem
what is pertussis caused by?
bacteria
Chest physiotherapy is used to:
help patients clear excessive bronchial secretions
chest physiotherapy is used to:
help patients clear excessive bronchial secretions
Nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report what manifestation?
hoarseness
what is empyema?
a collection of purulent fluid in the pleural space
rhinoplasty used for:
a rhinoplasty does not remove polyps a rhinoplasty is a surgical repair of the nose, it will not reduce allergic rhinitis it is a surgical repair of the most, it will not stop a nosebleed
alpha-antitrypsin (AAT) deficiency is a risk factor for what disorder?
COPD
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alternations?
Cheyne-Stokes respirations
Findings for emphysema:
Dyspnea, barrel chest, clubbing of the fingers
Why might someone need a rhinoplasty?
To repair a deviated septum
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?
Tuberculosis
this disorder is caused by mycobacterium and can affect any organ, but most often affects the lungs
Tuberculosis
What is the main symptom of flail chest?
Uneven and paradoxic chest wall movement
a patient with bacterial pneumonia has coarse crackles and thick sputum. which action should the nurse plan to promote airway clearance?
assist the patient to splint the chest when coughing
why would someone use esophageal speech?
because they had a total laryngectomy (esophageal speech allows someone without vocal cords to speak through trapping air in the esophagus)
oxygen toxicity:
can result in ARDS (acute respiratory distress syndrome) ARDS is a very late sign
which action should the nurse plan to prevent aspiration in a high-risk patient?
place a patient with altered consciousness in a side-lying position
what is the main symptom of flail chest?
uneven and paradoxic chest wall movement
after assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis?
weak cough effort
