MS Quiz #18: Acute Respiratory Disorders and Medications

A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (SATA-3)

- The medication will prevent wheezing - The medication will open the airways - The medication will decrease coughing episodes

Doctor diagnoses Mr. White who has allergic rhinitis. What is the best treatment? (Select all that apply).

- antihistamine - decongestion

Nurse asks what are s/s of sinusitis. Best response?

- headache - fever - heaviness of the effected area.

A nurse on a medical-surgical unit is caring for 4 clients. Which of the following clients should the nurse monitor for crepitus?

A client who has a chest tube following a pneumothorax

The nurse cares for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?

A. Oxygen saturation would be expected to improve after a thoracentesis. A saturation of 88% indicates that a complication such as pneumothorax may be occurring. The other assessment data also indicate a need for ongoing assessment or intervention, but the low oxygen saturation is the priority.

A nurse is caring for a client following a right pleural thoracentesis. The nurse measures a total of 35 mL of purulent drainage. Which of the following findings should the nurse recognize as an indication of a tension pneumothorax?

A. Tracheal deviation to the left C. Absent breath sounds on the right side D. Neck vein distention

As a nurse what should you look for in a patient that can manifest pneumothorax? (REWORDED)

Absent breath sounds

What is the priority in intervention to a patient who develops embolism? (REWORDED)

Administer oxygen therapy

Which medication is beneficial to a patient reporting coughing, dyspnea, and radiating pain to the back, neck and jaw?

Aluminum hydroxide

A patient that has a subglottic laryngectomy develops tachycardia, dyspnea, cough, and frothy sputum at their mouth. What complication do you suspect?

Aspiration pneumonia

A nurse is evaluating an older adult client who is receiving end of life care and has Cheyne Stokes respirations. Which of the following observations should the nurse identify as confirmation of this respiratory pattern?

Breathing ranging from very deep to very shallow with periods of apnea

A client comes to the emergency department in severe respiratory distress following left-sided blunt chest trauma. The nurse notes absent breath sounds on the client's left side and a tracheal shift to the right. For which of the following procedures should the nurse prepare the client?

Chest tube insertion

A client is admitted to the emergency department following a motorcycle crash. The nurse notes a crackling sensation upon palpation of the right side of the client's chest. After notifying the provider, the nurse should document this finding as which of the following?

Crepitus

A home health nurse is caring for an 88 year old patient with severe hypertension in addition to a respiratory problem notices several drugs on the bedside table. Which medication should the nurse suggest the patient avoid?

Decongestant

a nurse is planning care for a client who has chronic obstructive pulmonary disease (COPD) and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan?

Eat high-calorie foods first

an antihistamine medicine that helps with the symptoms of allergies.It's used to treat: hay fever. conjunctivitis (red, itchy eye) eczema.

Fexofenadine (Allegra)

What should the initial action of a nurse be when providing first aid to a person with spontaneous epistaxis?

Have the person sit down and lean forward

A nurse is assisting with teaching a client who has a history of smoking about recognizing early manifestations of laryngeal cancer. The nurse should instruct the client to monitor and report which of the following manifestations of laryngeal cancer?

Hoarseness

During severe epistaxis (nosebleed) what can happen?

Hypovolemia

A nurse is providing discharge teaching to a client who had a pulmonary embolism. Which of the following statements indicates that the client understands the information?

I'll call the doctor if I see any blood in my urine or stool

A nurse is caring for a client who is postoperative and has developed atelectasis. Which of the following findings should the nurse expect?

Increasing dyspnea

When assessing a patient who has just arrived after an automobile accident, the emergency department nurse notes tachycardia and absent breath sounds over the right lung. For which intervention will the nurse prepare the patient?

Insertion of a chest tube with a chest drainage system The patients history and absent breath sounds suggest a right-sided pneumothorax or hemothorax, which will require treatment with a chest tube and drainage. The other therapies would be appropriate for an acute asthma attack, flail chest, or cardiac tamponade, but the patients clinical manifestations are not consistent with theseproblems.

The nurse is caring for a client who has a pneumothorax and a water seal chest tube drainage system to suction. Which of the following actions should the nurse take?

Maintain the drainage container below the level of the client's chest

What is the most significant topic for a nurse to include in a teaching plan for a patient with frequent episodes of laryngitis?

Observing voice rest

A patient asks the nurse how air goes from the nose to the lung. The nurse draws the toure according to which sequence?

Pharynx, trachea, bronchi, alveoli

Which intervention would be inappropriate for decreasing the risk of further emboli in a patient with a pulmonary embolism?

Placing pillows under the knees to elevate the legs

A nurse is reviewing laboratory data from a client who has pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?

Platelets 74,000/mm3

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions?

Prevent histamine from binding to receptors

A nurse is providing instructions about pursed-lip breathing for a client who has chronic obstructive pulmonary disease (COPD) with emphysema. This breathing technique accomplishes which of the following?

Promotes carbon dioxide elimination

What are the most common causes of laryngitis?

Respiratory infections and voice strain

What symptoms should a nurse expect to see in a patient with hypoxemia?

Restlessness, tachycardia, tachypnea

A patient complains of morning headaches, a feeling of fullness in her head and a pain like that of a toothache under her eye. What should the nurse recognize that these symptoms indicate?

Sinusitis

How should a nurse position a patient during a thoracentesis?

Sitting on the side of the bed bent over bedside table

Which drug contraindicates a pt with hypertension?

Sudafed-decongestant

A nurse is caring for a client who is postoperative following a colon resection. For which of the following findings should the nurse monitor to identify a pulmonary embolus?

Sudden shortness of breath

The patient has had an anterior nasal packing placed for severe epistaxis. The nurse notes that he is swallowing frequently. What should a nurse suspect?

The patient is bleeding

How is fluid accumulation removed from a patient with pleurisy?

Thoracentesis

What should a nurse prepare when assessing a paradoxical movement in a patient with a flail chest who has significant dyspnea?

Thoracotomy

Which topically active steroid highly effective for reducing sneezing, nasal itching, stuffiness and rhinorrhea?

Topical azelastine and olopatadine

A nurse is providing discharge teaching to a client who has emphysema. Which of the following instructions should the nurse include?

Try to drink at least 2-3 liters of fluid per day

When a patient with sleep apnea says, "I'm not wearing that silly mask. I look like something out of Star Wars." What should the nurse remind the patient about the function of the mask?

Uses positive pressure to keep the airway open

A nurse is teaching breathing techniques to a client who has emphysema. Which of the following statements indicates that the client understands the mechanics of pursed-lip breathing?

When I breathe out through pursed lips, my airways don't collapse between breaths

A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? (select all that apply)

a. Restlessness c. Insomnia e. Anxiety

What should the postoperative care of a patient who has had nasal surgery include? (Select all that apply.)

b. Placing the patient in a semi-Fowler position without a pillow c. Giving frequent oral hygiene d. Providing humidification for dry mucous membranes e. Assessing the back of the throat for bleeding

What instructions should a nurse give to a patient when teaching deep breathing and coughing techniques? _____ (Place the options in the appropriate sequence. Do not separate answers with a space or punctuation. Example: ABCD.)

c. Assume a semi-Fowler position a. Place the hand on the abdomen to check the rise and fall. b. Inhale through the nose, pause 1 to 3 seconds, and then exhale through the mouth. d. Take 4 to 6 deep breaths. e. Cough deeply.

Serious neurologic complications should be suspected in patients with sinusitis if the patient develops what?

high fever and seizures

Ms. J shows signs and symptoms of acute respiratory sinusitis symptoms. She complains of headache, runny nose, sore throat, chills, and fever. Which chemical is responsible?

histamine

A condition that indicates a medical emergency:

pneumothorax

What assessment findings would indicate respiratory dysfunction when examining a patient with respiratory difficulty? SATA.

■ Cyanotic nail beds ■ Abdominal distention ■ Clubbed fingers