LS 1 Week 4 Chapter 20 Assessment of Respiratory Function

Pink, frothy sputum may be an indication of a. an infection b. bronchiectasis c. pulmonary edema d a lung abscess

c. pulmonary edema

Which term will the nurse use to document the inability of a client to breathe easily unless positioned upright? a. Orthopnea b. Dyspnea c. Hemoptysis d. Hypoxemia

a. Orthopnea

For which reason does gas exchange decrease in older adults? a. The alveolar walls contain fewer capillaries b. The easticity of the lungs increases with age c. The number of alveoli decreases with age d. The alveolar walls become thicker

a. The alveolar walls contain fewer capillaries

A thorascentesis is performed to obtain a sample of pleural fluid or a biopsy specimen from the pleural wall for diagnostic purposes. What does bloody fluid indicate? a. Trauma b. Infection c. Emphysema d. Malignancy

a. Trauma

The nurse is caring for a client diagnosed with pneumonia. The nurse assesses the client for tactile fremitus by completing which action? a. Placing the thumbs along the costal margin of the chest wall and instructing the client to inhale deeply b. Asking the client to repeat "ninety-nine" as the nurse's hands move down the client thorax c. Asking the client to say "one, two, ,three" while the nurse auscultates the lungs d. Instructing the client to take a deep breathe and hold the diaphragm is percussed

b. Asking the client to repeat "ninety-nine" as the nurse's hands move down the client thorax

Which is a true statement regarding air pressure variances? a. The diaphragm contracts during inspiration b. The thoracic cavity becomes smaller during inspiration c. Air flows from a region of lower pressure to a region of higher pressure during inspiration d. Air is drawn through the trachea and bronchi into the alveoli during inspiration

d. Air is drawn through the trachea and bronchi into the alveoli during inspiration

A thoracentesis is performed to obtain a sample of pleural fluid or a biopsy specimen from the pleural wall for diagnostic purposes. What does serous fluid indicate? a. Trauma b. Emphysema c. Infection d. Cancer

d. Cancer

The term for the volume of air inhaled and exhaled with each breath is a. tidal volume b. vital capacity c. expiratory reserve volume d. residual volume

a. tidal volume

Which ventilation-perfusion ratio is exhibited in a client diagnosed with a pulmonary embolus? a. Normal perfusion-to-ventilation ratio b. Dead space c. Low ventilation-perfusion ratio d. Silent unit

b. Dead space

The clinical finding of pink, frothy sputum may be an indication of which condition? a. Infection b. Pulmonary edema c. Lung abscess d. Bronchiectasis

b. Pulmonary edema

The nurse auscultates lung sounds that are harsh cracking, sounding like two pieces of leather being rubbed together. The nurse would be correct in documenting this finding as a. a pleural friction rib b. crackles c. sonorous wheezes d. sibilant wheezes

a. a pleural friction rib

It is important for the nurse to provide required information and appropriate explanations of diagnostic procedures to clients with respiratory disorders in order to a. manage decreased energy levels b aid the clients caregivers c. manage respiratory distress d. ensure adequate rest periods

a. manage decreased energy levels

The nurse is caring for a client who is scheduled for a bronchoscopy. The nurse understands that it is important to provide the required information and appropriate explanations for any diagnostic procedure to a client with a respiratory disorder in a way that a. manages decreased energy levels b. aid the client's caregivers c. manages respiratory distress d. ensures adequate rest periods

a. manages decreased energy levels

Which is a deformity of chest that occurs as a result of overinflation of the lungs? a. Pegeon chest b. Barrel chest c. Kyphoscoliosis d. Funnel chest

b. Barrel chet

The nurse is caring for a client with extensive respiratory disease. Which is a late sign of hypoxia the client may experience? a. Somnolence b. Cyanosis c. Restlessness d. Hypotension

b. Cyanosis

Which is a late sign of hypoxia? a. Hypotension b. Cyanosis c. Restlessness d. Somnolence

b. Cyanosis

While conducting the phsycial examination during assessment of the respiratory system, which conditions does the nurse asses by inspecting and palpating the trachea? a. Evidence of muscle weakness b. Deviation from the midline c. Color of the mucous membrane d. Evidence of exudate

b. Deviation from the midline

The nurse is caring for a critically ill client in the ICU. The nurse documents the client's respiratory rate as bradypnea. The nurse recognizes that bradypnea is associated with which condition? a. Pulmonary edema b. Increased intracranial pressure c. Pneumonia d. Metabolic acidosis

b. Increased Intracranial pressure

In relation to the structure of the larynx, which describes the cricoid cartilage? a. The largest of the cartilage structures b. The only complete cartilaginous ring in the larynx c. Used with the thyroid cartilage in vocal cord movement d. The valve flap of cartilage that covers the opening to the larynx during swallowing

b. The only complete cartilaginous ring in the larynx

The volume of air inhaled and exhaled with each breath is termed a. residual volume b. tidal volume c. expiratory reserve volume d. vital capacity

b. Tidal volume

The nurse auscultates the lung sounds of a client during a routine assessment. The sounds produced are harsh and cracking, sounding like two pieces of leather being rubbed together. The nurse would be correct in documenting this finding as a. sonorous wheezes b. pleural friction rub c. crackles d. sibilant wheezes

b. pleural friction rub

In relation to the structure of the larynx, te cricoid cartilage is a. used with the thyroid cartilage in vocal cord movement b. the only complete cartilaginous ring in the larynx c. the valve flap of cartilage that covers the opening to the larynx during swallowing. d. the largest of the cartilage structures

b. the only complete cartilaginous ring in the larynx

High or increased compliance occurs in which disease process? a. Pleural effusion b. Pneumothorax c. Emphysema d. ARDS

c. Emphysema

Bradypnea is associated with which condition? a. Metabolic acidosis b. Pulmonary edema c. Increased intracranial d. Pneumonia

c. Increased intracranial

Which term is used to describe the inablity to breathe easily except in an upright position? a. Hypoxemia b. Hemoptysis c. Orthopnea d. Dyspnea

c. Orthopnea

In which position should be placed for a thoracentesis? a. Lateral recumbent b. Suspine c. Sitting on the edge of the bed d. Prone

c. Sitting on the edge of the bed

The nurse is caring for a client who is to undergo a thoracentesis. In preparation for the procedure, the nurse places the client in which position? a. Supine b. Lateral recumbent c. Sitting on the edge of the bed d. Prone

c. Sitting on the edge of the bed

The nurse is completing a physical assessment of a client's trachea. The nurse inspects and palpates the trachea for a. The evidence of muscle weakness b. evidence of exudate c. deviation from the midline d. color of the mucous membranes

c. deviation from the midline

The nurse is caring for a client with recurrent hemoptysis who has undergone a bronchoscopy. Immediately following the procedure, the nurse should complete which action? a. Offer the client ice chips b. Instruct the client that bed rest must be maintained for 2 hours. c. Ensure the client remains moderately sedated to decrease anxiety d. Assess the client for cough reflex

d. Assess the client for cough reflex

A client with newly diagnosed emphysema is admitted to the medical-surgical unit for evaluation. Which does the nurse recognize as a deformity of the chest wall that occurs as a result of over inflation of the lungs in this client population? a. Kyphoscoliosis b. Funnel chest c. Pigeon Chest d. Barrel chest

d. Barrel Chest

Which ventilation-perfusion ration is exhibited by a pulmonary emobus? a. Silent unit b. Normal ration of perfusion to ventialiation c. Low ventilation-perfusion ratio d. Dead space

d. Dead space

Which is an age-related change associated with the respiratory system? a. Thinning of alveolar membrane b. Increased elasticity of alveolar sacs c. Increased chest muscle mass d. Decreased size of the airway

d. Decreased size of the airway

High or increased compliance occurs in which condition? a. ARDS b. Pneumothorax c. Pleural effusion d. Emphysema

d. Emphysema

Which respiratory volume is the maximum volume of air that can be inhaled after maximal expiration? a. Expiratory reserve volume b. Residua Volume c. Tidal Volume d. Inspiratory reserve volume

d. Inspiratory reserve volume

Which diagnostic imaging modality is more accurate than computed tomography in detecting melignancies? a. MRI b. Gallium scan c. Pulmonary angiography d. PET

d. PET