Evolve Respiratory Quiz 1

A client with tuberculosis asks the nurse how long treatment will be continued. The nurse's most accurate reply is:

6 to 12 months

A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse provides education about common side effects of general anesthesia. The nurse concludes that the teaching has been effective when the client states, "Immediately after surgery I may experience:

A sore throat."

A client returns from a bronchoscopy, and the nurse provides the client with instructions to not consume any food or drink any fluids for several hours. The nurse explains that these measures are taken to prevent:

Aspiration

A client enters the emergency department reporting shortness of breath and epigastric distress. What should be the triage nurse's first intervention?

Assess vital signs

A nurse is caring for a client who is admitted to the hospital with severe dyspnea and a diagnosis of cancer of the lung. The nurse concludes that the severe dyspnea probably is caused by:

Bronchial obstruction or pleural effusion

A client is experiencing severe respiratory distress. What response should the nurse expect the client to exhibit?

Correct4 Tachycardia

The nurse is developing a plan of care for a client that had a chest tube removed. To promote respiratory exchange, the plan should include:

Coughing and deep breathing every hour

A client diagnosed with asthma has received a prescription for an inhaler. The nurse teaches the client how to determine when the inhaler is empty, instructing the client to:

Count the number of doses taken

A client is admitted to the hospital for medical treatment of bronchopneumonia. What test result should the nurse examine to help determine the effectiveness of the client's therapy?

Culture and sensitivity tests of sputum

Thick mucous gland secretions, elevated sweat electrolytes, meconium ileus, and difficulty maintaining and gaining weight are associated with this autosomal recessive disorder:

Cystic fibrosis

What is the priority goal for a client with asthma who is being discharged from the hospital?

Demonstrates use of a metered-dose inhaler

A client with emphysema experiences shortness of breath and uses pursed-lip breathing and accessory muscles of respiration. The nurse determines that the cause of the dyspnea is:

Difficulty in expelling the air trapped in the alveoli

A postoperative client is diagnosed as having atelectasis. Which nursing assessment supports this diagnosis?

Diminished breath sounds on auscultation

A client is diagnosed with thrombophlebitis. The client states, "I am worried about getting a clot in my lungs that will kill me." The nurse's initial response should be to:

Discuss the client's concerns

A client just had a thoracentesis. For which response is it most important for the nurse to observe the client?

Expectoration of blood

A community health nurse is educating a client who is interested in discontinuing cigarette smoking. What should the teaching plan include?

Helping the client set a date to stop smoking

A client with a history of hemoptysis and cough for the last six months is suspected of having lung cancer. A bronchoscopy is performed. Two hours after the procedure the nurse identifies an increase in the amount of bloody sputum. The nurse's priority is to:

Immediately contact the primary health care provider

A client with chronic obstructive pulmonary disease has increased hemoglobin and hematocrit levels. The nurse concludes that the altered blood levels are caused by:

Increased erythrocyte production as a result of chronic hypoxia

The nurse is caring for a client who has metabolic acidosis as a result of severe dehydration. The type of respirations that the nurse expects the client to exhibit is:

Kussmaul's breathing

A health care provider prescribes daily sputum specimens to be collected from a client. When is the most appropriate time for the nurse to collect these specimens?

On awakening

A client develops subcutaneous emphysema after a chest injury with suspected pneumothorax. What assessment by the nurse is the best method for detecting this complication?

Palpating the neck or face

The nurse who is teaching the client with chronic obstructive pulmonary disease (COPD) to use pursed-lip breathing (PLB) is aware that this is beneficial for the client through which mechanism?

Prolonged exhalation to decrease air trapping

What should the nurse expect when assessing a client with pleural effusion?

Reduced or absent breath sounds at the base of the lung

A client has a closed chest drainage system in place. To determine the amount of chest tube drainage, the nurse should:

Refer to the date and time markings on the outside of the collection chamber

A nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who develops a pneumothorax and has a chest tube inserted. What is the primary purpose of the chest tube?

Restores negative pressure in the pleural space

A nurse is monitoring a client who is receiving an intravenous (IV) infusion of normal saline. What is a serious complication of IV therapy?

Shortness of breath with crackles

A nurse is caring for a female client who is receiving rifampin (Rifadin) for tuberculosis. Which statements indicate that the client understands the teaching about rifampin? (Select all that apply.)

This drug may be hard on my liver so I must avoid alcoholic drinks while taking it." "This drug may reduce the effectiveness of the oral contraceptive I am taking." "My health care provider must be called immediately if my eyes and skin become yellow."

A client with chronic obstructive pulmonary disease (COPD) reports chest congestion, especially upon wakening in the morning. The nurse should suggest that the client:

Use a humidifier in the bedroom

A nurse receives a call from the emergency department about a client with tuberculosis (TB) who will be admitted to the medical unit. What precautions should the nurse take?

Wear a particulate respirator when caring for the client

Before signing a consent form for a total laryngectomy, a client asks, "Because part of my throat will be taken out and I will breathe through a hole in my neck, will I be able to talk like I did before I had the surgery?" Which is the nurse's best response?

You seem very concerned. Tell me what you know about your surgery.