Respiratory
the nurse discusses management of upper respiratory infections (uri) with a patient who has acute sinusitis. which statement by the patient indicates that additional teaching is needed?
"I can use my nasal decongestant spray until the congestion is all gone."
signs and symptoms asthma attack
(1) Coughing or wheezing (such as after exercise) (2) Difficulty breathing (3) Shortness of breath (4) Rapid, shallow breathing (5) Sweating (6) Tightness in chest (7) Inability to talk without stopping frequently for breath (8) Bent posture with shoulders elevated and lips pursed to make breathing easier (9) Feelings of fear or confusion
the nurse is teaching a patient with a newly resolved episode of epistaxis. which information is important for the nurse to include select all that apply A.avoid rubbing the nose B.rest for several hours until all threat of epistaxis is gone C.blow the nose gently in small breaths D. gently remove clotted blood from the occluded nostril F.avoid sneezing
. Avoid sneezing. Rest for several hours until all threat of epistaxis is gone. Avoid rubbing the nose.
a patient should not be suctioned for longer than ___ seconds
10 seconds
the nurse reading a tuberculin skin test (tst) on a new employee who lives in the midwest is 20 years old and has no know history of contact with any people with tuberculosis (tb) the nurse should interpret the reading as positive if the area around the injection site has an induration of how many millimeters?
15 mm
eupnea is the term used to describe?
A NORMAL RESPIRATORY
patient just had a x ray doc say i can see fluid in agler spaces brown glass appearance
ARDS also known as acute respiratory distress system
an 80 year old patient with bacterial pneumonia becomes increasingly increasingly restless confused and agitated the patient temperature is 100''f and his pulse blood pressure and respirations are elevated what action should the nurse take first ?
Assess the patient's oxygen saturation
a nurse is assessing an elderly client and notices an increased posterior chest diameter which would be an appropriate description of this finding ?
BARREL CHEST
A nurse is collecting data from a client who has chronic bronchitis. Which of the following findings should the nurse expect?
Barrel chest
a nurse is collecting data from a client following a bronchoscopy and biopsy which of the following finding should the nurse report immediately to provider
Blood TINGED sputum
when the nurse places the diaphragm of her stethoscope over one the primary bronchi which normal breath sound should the nurse hear?
Bronchial Sounds
the patient with asthma is prescribed a leukotriene drug. montelukast singulair . which statement describes an advantage of this medication
Bronchodilation and anti-inflammatory effects
a nurse is assessing a postoperative patient. the patients lungs sounds are clear. when auscultating normal breath sounds over the right lower lobe how would the nurse document this finding ?
Bronchovesicular sounds
Which of the following treatments would the nurse expect for a client with a spontaneous pneumothorax?
Chest tube placement
Following a laryngectomy a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first
Cover stoma with sterile gauze and ventilate through stoma. or Attempt to reinsert the tracheostomy tube with the obturator in place.
The nurse is caring for a client status post adenoidectomy. The nurse finds the client in severe respiratory distress when entering the room. What does the nurse suspect?
Edema of the upper airway
A nurse is caring for a client who has copd. which of the following actions should the nurse take ?
Encourage the client to drink 8 glasses of water a day.
a nurse is caring for a client who is to have a chest X-ray which teaching should the nurse reinforce with the client prior to the procedure?
Front, back, and side views of the chest will be taken during the test.
a subacute patient present with abdominal tenderness and melena which ventilator complication is this patient likely experiencing?
Gastrointestinal bleeding
The nurse completes discharge instructions for a patient with a total laryngectomy. Which statement by the patient indicates that additional instruction is needed?
I must keep the stoma covered with an occlusive dressing at all times."
A nurse is reinforcing teaching with a client who has pleurisy. Which of the following statements by the client indicates an understanding of the teaching
I should lie on the affected side.
What is included in the nursing care of the patient with a cuffed tracheostomy tube?
Monitor cuff pressure every 8 hours
Which action should the nurse take first when a patient develops a nosebleed?
Pinch the lower portion of the nose for 10 minutes.
. A nurse who is caring for patient with a tracheostomy tube in place has just auscultated rhonchi bilaterally. If the patient is unsuccessful in coughing up secretions, what action should the nurse take?
Put on sterile gloves and use a sterile catheter to suction.
which of the following is required for the production of speech ?
Raid opening and closing of the glottis
which condition is present with with the following ABG results ph: 7.49;C02;45;HCO3:28?
Respiratory Acidosis,
a nurse is caring for a client who is scheduled t6o undergo thoracentesis in which position should the nurse place the client for the procedure?
Sitting, leaning forward over the bedside table; upright position ensures that the diaphragm is dependent and facilitates the removal of accumulated fluid
A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. Which of the following conditions would best explain this?
Spontaneous pneumothorax
A nurse is collecting data from a client following removal of the clients endotracheal tube. Which of the following findings should the nurse report to the provider ?
Stridor
which adventitious breath sound is caused by partial obstruction of the upper air passage
Stridor
What is the role of nursing assistive personnel (NAP) when a sputum specimen is collected by means of nasotracheal suctioning?
Transporting the specimen to the lab
which statements will help prepare the a pulmonary function test select all that apply
YOU MUST AVOID SMOKING AND INHALER USE PRIOR TO THE PROCEDURE
A patient with an acute pharyngitis is seen at the clinic with fever and severe throat pain that affects swallowing. On inspection, the throat is reddened and edematous with patchy yellow exudates. The nurse anticipates that collaborative management will include?
a throat culture or rapid strep antigen test
a patient on mechanical ventilation is suddenly high pressuring on his vent the health care provider diagnoses a pneumothorax. which finding would be expected when listening to he patient lungs ?
absent or diminished breath sounds
which medication class is important to prevent respiratory fatigue by inhibiting the cough reflex in the cough center of the brain?
antitussives
the nurse is assessing the patient with influenza the patient reports having general malaise and aching muscles over the past 2 weeks the nurse suspects that the patient may have developed which complication of influenza?
bacterial pneumonia
the nurse is assessing the patient with influenza. the patient reports having general malaise and aching muscles over the part 2 weeks. the nurse suspects that the patient may have developed which complication of influenza?
bacterial pneumonia
what would be an appropriate food to offer a patient suffering pharyngitis ?
blended food
a nurse is walking down the street and finds a person lying on the ground breathing 5 breaths per minute which additional information should the nurse immediately gather at this time
check the level of consciousness or alertness and check pluse ox
a patient is diagnosed with chronic sinusitis what is the most likely cause of chronic sinus infections ?
deviated septum
manifestation of chronic bronchitis
dyspnea cyanosis barral chest weight loss
define the process of internal respiration
exchange of gases between the blood and and the cells
Patient with Emphysema also copd should practice
first lip breathing
the nurse plans to teach a patient how to manage allergic rhinitis which information should the nurse include in the teaching plan?
identification and avoidance of environmental triggers are the best way to avoid symptoms.
a nurse in a yearly influenza clinic is administering shots for the flu season a patient asks which of her family members should avoid getting the flu shot. which member should avoid the shot?
influenza 7 days
A nurse is caring for a client who has an acute respiratory illness. For which of the following manifestations of an airway obstruction should the nurse monitor ?
inspiratory stridor, retractions, and cyanosis
a nurse is caring for a patient experiencing epistaxis. what action should the nusre take first
instruct the patient to sit forward and pinch the nose below the bone.
a woman brings in her daughter who is in acute respiratory distress. the child has loud stridor, air hunger, and is drooling. the nurse suspects the child's partial airway obstruction is a complication of which upper respiratory disorder?
laryngitis
a client is admitted to the a acute care unit due to chronic cough with copious foul smelling secretions the nurse identifies dyspnea hemoptysis and recent weight loss what should by the priority independent action by the nurse for this client
monitor respiratory status and pulse ox values
the nurse is performing tracheal suction on a newly postoperative tracheostomy patient which action should the nurse perform ? select all that apply
no more then 10 secs proper position wash hands listen to acetate to listen
which oxygen mask would be most appropriate in an emergency situation to provide 60-90 oxygenation ?
nonrebreathing mask
which are indications for a thoracentesis Select all that apply
obtaining fluid for diagnostic purposes .instillation of medication quickly improve patient ventilation
a patient have pallor infusion patient have difficulty breathing dr should
perform thoracentesis
a patient with respiratory diseases you notice patient 02 sat drop 95 to 88 first thing to do is
provide oxygen as prescribed
a patient with femur fracture this patient sit up right and began to gasp for air what do you think the patient have
pulmonary embolism
the physician has ordered ethambutol myambutol as part of a four drug regimen for treating a client with tuberculosis which side effect is associated with the use of ethambutol?
red urine
patient with COPD should monitor for
respiratory infection
which represents Early symptoms of hypoxia
restlessness hypertension pallor
a patient visiting the local clinic is complaining of headache, upper teeth pain, and malaise. the patient recently suffered viral rhinitis. which condition has most likely developed?
sinusitis
patient have influenza or flu important info the nurse tell the patient
splint chest with pillow which out for signs of ammonia increase water if fever isn't going down or symptoms get worse go to urgent care or doctor
which normal physiological substance decreases the surface tension of the alveolar walls aiding in prevention of alveolar collapse ?
surfactant
which instructions should be given to the patient to obtain a good sputum specimen?
the specimen should be obtained in the morning before eating
why do we encourage fluid intake for patients with COPD?
to thin out circulation for patient to expectorate the sprudel easly
the nurse is caring for a patient with sleep apnea. the patient complains that he is constantly fatigued which response by the nusre is most appropriate
unfortunately, patients with sleep apnea often wake frequently during the night
A nurse is caring for a client who had a bronchoscopy. Which of the following actions should the nurse take ?
withhold food and liquids until the clients gag reflex returns
a nurse is reinforcing teaching for a client who is scheduled for a bronchoscopy. which statement should the nurse include in the teaching ?
your neck will be placed in a hyperextended position during the procedure
