Oxygenation Adaptive Quizzing

Which treatment would the nurse anticipate for an infant admitted with bronchiolitis caused by RSV? a) humidified cool air and adequate hydration b) postural drainage and oxygen by hood c) bronchodilators and cough suppressants d) corticosteroids and broad-spectrum antibiotics

a) humidified cool air and adequate hydration

The nurse administers albuterol to a 4-year-old child. Which intervention would assist the nurse in evaluating the effectiveness of this medication? a) auscultate breath sounds b) collect sputum sample c) conduct a neurological exam d) palpate chest excursion

a) auscultate breath sounds

Which parental statement would prompt the nurse to provide education for a 3-year-old child with cystic fibrosis? a) "We will need to carefully track our child's caloric intake" b) "We'll have to move to a very warm climate" c) "Our child will be taking pancreatic enzymes with meals" d) "Our child will need skin care after each bowel movement"

b) "We'll have to move to a very warm climate" Rationale: hot climates are contraindicated for children with cystic fibrosis bc sweating precipitates excessive loss of sodium chloride

Which medications would the nurse anticipate teaching the parent about for a preschooler newly diagnosed with cystic fibrosis? SELECT ALL THAT APPLY a) steroids b) antibiotics c) antihistamines d) pancreatic enzymes e) fat-soluble vitamins

b) antibiotics d) pancreatic enzymes e) fat-soluble vitamins

Which statement would the nurse include when educating parents of the prevention of SIDS? a) "Do not prop your infant's bottle" b) "Place your infant monitor where your baby sleeps" c) "Place your infant in an appropriately sized, rear-facing car seat" d) "Encourage your infant to use a pacifier for the first 6 months of life"

d) "Encourage your infant to use a pacifier for the first 6 months of life"

A man and woman both have cystic fibrosis. The male asks the nurse about the chances of them having a child affected by cystic fibrosis. Which response would the nurse provide? a) "Women with cystic fibrosis aren't fertile" b) "Use condoms for protection from pregnancy" c) "Your children will be carriers of cystic fibrosis" d) "Your children will have cystic fibrosis"

d) "Your children will have cystic fibrosis"

The nurse is caring for a school-aged child with cystic fibrosis. Which pathophysiological factor has the greatest effect on the child's health status? a) extremely thick mucus causing obstructed airways b) acute inflammation of the lung parenchyma c) endocrine glands secreting increased levels of hormones d) increased irritability of the airways resulting in obstruction

a) extremely thick mucus causing obstructed airways

After the nurse has taught a client with asthma about use of a peak flow meter, which client statements indicate that the teaching has been effective? SELECT ALL THAT APPLY a) "Readings in the green zone mean that my asthma is under control" b) "If I get a reading in the yellow zone, I need to stop what I'm doing and rest for a while" c) "If I get a reading in the red zone, then I need to use the quick-relief inhaler and have my family take me to the hospital" d) "I should check the peak flow readings at least twice a day until my baseline is established" e) "I don't need to check my peak flow readings if I use the quick relief medication"

a) "readings in the green zone mean that my asthma is under control" c) "if I get a reading in the red zone, then I need to use the quick relief inhaler and have my family take me to the hospital" d) "I should check the peak flow readings at least twice a day until my baseline is established"

Which intervention would the nurse provide a 3-month-old infant hospitalized with RSV? a) administering an antiviral agent b) clustering care to conserve energy c) administering a bronchodilator every 4 hours d) providing an antitussive agent whenever necessary

b) clustering care to conserve energy

The parent of a child with cystic fibrosis tells the nurse they have switched to natural pancreatic enzymes because of financial issues. Which response by the nurse is MOST appropriate? a) "You don't need to give the enzymes now that your child is in school" b) "Natural enzymes don't have any side effects and can be taken without regard to meals" c) "If you are using generic enzymes, you will need to give twice as many to achieve the required effect" d) "Natural enzymes are not as effective as the brand-name product. This is something you need to discuss with your health care provider"

d) "Natural enzymes are not as effective as the brand-name product. This is something you need to discuss with your health care provider"

Which assessment finding in a newborn is suggestive of cystic fibrosis? a) rapid heart rate b) excessive crying c) sternal retractions d) abdominal distention

d) abdominal distention Rationale: caused by meconium ileus

A client has COPD. To decrease the risk of CO2 intoxication, which would the nurse do? a) initiate pulmonary hygiene to clear air passages of trapped mucus b) instruct to deep-breathe slowly with inhalation longer than exhalation c) encourage continuous rapid panting to promote respiratory exchange d) administer oxygen at a low concentration to maintain respiratory drive

d) administer oxygen at a low concentration to maintain respiratory drive

Which insect or arthropod is a common trigger for children with asthma? a) spider b) centipede c) carpenter ant d) household cockroach

d) household cockroach

The nurse is teaching pursed-lip breathing to a client with COPD. The client asks about the benefit of the exercises. Which explanation would the nurse give? a) prevents complications that are associated with COPD b) relieves shortness of breath by increasing the breath rate c) increases the amount of air that the client can inhale with each breath d) keeps the airway open longer to decrease the work that goes into breathing

d) keeps the airway open longer to decrease the work that goes into breathing

Which topic would the nurse plan to include in teaching a client with a new diagnosis of asthma? a) home oxygen therapy b) antibiotic treatment c) incentive spirometer use d) use of peak flow meter

d) use of peak flow meter

Which clinical finding would the nurse recognize as an early sign of cystic fibrosis in a neonate? a) meconium ileus b) imperforate anus c) hemoglobin level of 20 g/dL d) total bilirubin level of 8 mg/dL

a) meconium ileus Rationale: intestines of newborns with CF may be obstructed by thick, tenacious, pasty meconium

When preparing a child with asthma for discharge, which instructions would the nurse emphasize to the family? SELECT ALL THAT APPLY a) limit allergens in the home b) maintain a dry home environment c) avoid placing limits on the child's behavior expectations d) continue the medications even if the child is asymptomatic e) prevent exposure to infection by having the child tutored at home

a) limit allergens in the home d) continue the medications even if the child is asymptomatic

Which client in the pulmonary clinic will the nurse plan to teach about pulmonary function testing? a) client who has COPD b) client who is being evaluated for lung histoplamosis c) client who is recovering after pulmonary embolism d) client who has had positive tuberculosis skin testing

a) client who has COPD

Which pathophysiological process would the nurse expect to account for growth failure in a 4-year-old child with newly diagnosed cystic fibrosis? a) impaired digestion and absorption because of the lack of pancreatic enzymes b) dyspnea and shortness of breath, which cause anorexia and disinterest in food c) increased bowel motility and diarrhea, which lead to inadequate absorption of nutrients d) pulmonary obstruction, which causes an oxygen deficit and inadequate tissue nourishment

a) impaired digestion and absorption because of the lack of pancreatic enzymes

A male adolescent with cystic fibrosis, whose parents are both carriers of the disease, asks the nurse, "When I have children, could they have cystic fibrosis like me?" Which information would the nurse consider before responding? a) men with cystic fibrosis usually are sterile, although sexual function is not affected b) men with cystic fibrosis generally have a 50% chance of having children c) women will pass this disease to their children because it is carried on the sex chromosome" d) "Women have a 25% chance of passing the disease to their children if their parents are carriers"

a) men with cystic fibrosis usually are sterile, although sexual function is not affected

Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks? SELECT ALL THAT APPLY a) mold b) cold air c) pet dander d) air pollution e) cigarette smoking

a) mold b) cold air c) pet dander d) air pollution e) cigarette smoking

Which would the nurse teach parents about preventing SIDS? SELECT ALL THAT APPLY a) restrain from smoking around the infant b) avoid co-sleeping or bed-sharing c) position the infant on the side while sleeping d) use soft pillows to support the infant while sleeping e) refrain from placing stuffed toys on the infant's bed

a) restrain from smoking around the infant b) avoid co-sleeping or bed-sharing e) refrain from placing stuffed toys on the infant's bed

When a client with COPD reports a 5-lb (2.3kg) weight gain in 1 week, the nurse will assess for other signs and symptoms of which complication? a) polycythermia b) cor pulmonale c) compensated acidosis d) left ventricular failure

b) cor pulmonale

Which goal is the PRIORITY for a client with asthma who has a prescription for an inhaled bronchodilator? a) is able to obtain pulse oximeter readings b) demonstrates use of metered-dose inhaler c) knows the HCP's office hours d) can identify triggers that may cause wheezing

b) demonstrates use of metered-dose inhaler

Which assessment finding indicates to the nurse that a client with COPD who is receiving oxygen is retaining carbon dioxide? SELECT ALL THAT APPLY a) anxiety b) drowsiness c) irregular pulse d) mental confusion e) increased respirations

b) drowsiness c) irregular pulse d) mental confusion

An infant is admitted to the pediatric unit with bronchiolitis caused by RSV. Which intervention would the nurse provide for the infant? SELECT ALL THAT APPLY a) limiting fluid intake b) instilling saline nose drops c) maintaining contact d) nasal suctioning to remove mucus e) administering inhaled bronchodilators

b) instilling saline nose drops c) maintaining contact d) nasal suctioning to remove mucus

Which action would the nurse include in the plan of care for a 6-month-old infant with RSV who is in respiratory distress? a) begin clear fluid diet b) maintain droplet and contact precautions c) administer prescribed antibiotic immediately d) allow parents and siblings to room in with the infant

b) maintain droplet and contact precautions

Which finding would be of MOST concern when the nurse assesses a client with emphysema? a) barrel chest b) oral cyanosis c) pursed-lip breathing d) respirations 26 breaths/min

b) oral cyanosis Rationale: indicates hypoxemia

Which diagnostic test would be MOST useful in evaluating the effectiveness of treatment for asthma? a) chest x-ray b) pulmonary function tests c) serum eosinophil counts d) immunoglobulin E levels

b) pulmonary function tests

The nurse performs a respiratory assessment and auscultates high-pitched, creaking, and accentuated breath sounds on expiration. Which term describes the finding? a) rhonchi b) wheezes c) pleural friction rub d) bronchovesicular

b) wheezes

When a client is newly diagnosed with COPD, which action by the nurse has the HIGHEST PRIORITY? a) teach the client how to use the prescribed inhalers b) discuss the normal progression of the disease process c) ask whether the client is interested in quitting smoking d) explain the purpose of a pulmonary rehabilitation program

c) ask whether the client is interested in quitting smoking Rationale: smoking cessation slows the progression of COPD and is the most important action that the client can take to help maintain lung function

Which schedule will the nurse teach a client who presented to the emergency room for an acute asthma attack at the time of discharge who is prescribed theophylline 300 mg orally to be taken daily at 9:00AM? a) one hour before or 2 hours after eating b) at bedtime c) at the specific time prescribed d) daily until symptoms are gone

c) at the specific time prescribed

Which pathophysiological abnormality is present in cystic fibrosis? a) dysfunction of sweat glands b) inactivity of respiratory tract cilia c) dysfunction of mucus-secreting glands d) overproduction of endocrine gland activity

c) dysfunction of mucus-secreting glands

A 12-year-old child with cystic fibrosis is prescribed four pancrelipase capsules 5 times a day. The nurse explains to the child they would take the medication with meals and snacks to accomplish which goal? a) enhance oxygenation b) limit excretion of fats c) facilitate nutrient utilization d) prevent iron-deficiency anemia

c) facilitate nutrient utilization

The parents and two siblings of a 6-week-old infant are grieving the infant's death as a result of SIDS. Which short-term goal would the nurse have for this family? a) identifying the problems that they will be facing as a result of the loss of the infant b) accepting that there was nothing that they could have done to prevent the infant's death c) including the infant's siblings in the events and grieving in the wake of the infant's death d) seeking out other families who have lost infants to SIDS and obtaining support from them

c) including the infant's siblings in the events and grieving in the wake of the infant's death

A client with cystic fibrosis asks why the percussion procedure is being performed. Which rationale would the nurse give to the client? a) it relieves bronchial spasms b) it increases the depth of respirations c) it loosens pulmonary secretions d) it expels carbon dioxide from the lungs

c) it loosens pulmonary secretions

A client with COPD has a blood pH of 7.25 and a PCO2 of 60mmHg. Which complication would the nurse suspect the client is experiencing? a) metabolic acidosis b) metabolic alkalosis c) respiratory acidosis d) respiratory alkalosis

c) respiratory acidosis

Diagnosed with COPD, a 50-year-old client's clinical data after treatment is: HR of 100 bpm, BP of 138/82 mmHg, RR of 32 breaths/min, tympanic temperature 98.2 F, and an oxygen saturation of 80%. Which vital sign obtained by the nurse indicates a positive outcome? SELECT ALL THAT APPLY a) radial pulse: 70 beats/min b) temperature: 98.6 F c) respiratory rate: 14 breaths/min d) blood pressure: 110/70 mmHg e) oxygen saturation: 92%

c) respiratory rate: 14 breaths/min d) blood pressure: 110/70 mmHg e) oxygen saturation: 92%

A client is admitted to the hospital with a diagnosis of COPD. Which action would the nurse take to prevent client fatigue? a) provide small, frequent meals b) encourage pursed-lip breathing c) schedule nursing activities to allow for rest d) encourage bed rest until energy level improves

c) schedule nursing activities to allow for rest

Which assessment findings would indicate a possible asthma exacerbation? SELECT ALL THAT APPLY a) fever b) stridor c) wheezing d) tachycardia e) hypotension

c) wheezing d) tachycardia