respiratory

What finding by the nurse may indicate that the client has chronic hypoxia? Crackles Peripheral edema Clubbing of the fingers Cyanosis

Clubbing of the fingers

The nurse knows that what condition is associated with increased compliance of the lungs? Atelectasis Pulmonary edema Emphysema Pleural effusion

Emphysema

While assessing for tactile fremitus, the nurse palpates almost no vibration. Which of the following conditions in this client's history will account for this finding? Pneumonia Funnel chest Emphysema Pigeon chest

Emphysema

What would the instructor tell the students purulent fluid indicates? Cancer Infection Inflammation Heart failure

Infection

The nurse is in the radiology unit of the hospital. The nurse is caring for a client who is scheduled for a lung scan. The nurse knows that lung scans need the use of radioisotopes and a scanning machine. Before the perfusion scan, what must the client be assessed for? Bleeding Iodine allergy Dysrhythmias Inflammation

Iodine allergy

A patient diagnosed with diabetic ketoacidosis would be expected to have which type of respiratory pattern? Kussmaul respirations Cheyne-Stokes Biot's respirations Apnea

Kussmaul respirations

A nurse is discussing squamous epithelial cells lining each alveolus, which consist of different types of cells. Which type of alveolar cells produce surfactant? Type I cells Type II cells Type III cells Type IV cells

Type II cells

Which hollow tube transports air from the laryngeal pharynx to the bronchi? trachea larynx bronchioles pharynx

trachea

Your client is scheduled for a bronchoscopy to visualize the larynx, trachea, and bronchi. What precautions would you recommend to the client before the procedure? Abstain from food for at least 6 hours before the procedure. Avoid sedatives or narcotics as they depress the vagus nerve. Avoid atropines as they dry the secretions. Practice holding the breath for short periods.

Abstain from food for at least 6 hours before the procedure.

During a routine visit to the pulmonologist, a client is told to undergo a mediastinoscopy. After the physician leaves the room, the nurse enters and is asked about this procedure. How should the nurse respond? Exploration and biopsy of the lymph nodes that drain the lungs Aspiration of the fluid that has accumulated around the lungs Injection of radioactive dye to measure the integrity of the lung's blood flow Inspection and examination of the larynx, trachea, and bronchi

Exploration and biopsy of the lymph nodes that drain the lungs

The nurse is caring for a client whose respiratory status has declined since shift report. The client has tachypnea, is restless, and displays cyanosis. Which diagnostic test should be assessed first? Arterial blood gases Pulmonary function test Pulse oximetry Chest x-ray

Pulse oximetry

A student nurse is working with a client who is diagnosed with head trauma. The nurse has documented Cheyne-Stokes respirations. The student would expect to see which of the following? Irregular breathing at 14 to 18 breaths per minute Period of cessation of breathing Periods of normal breathing followed by periods of apnea Regular breathing where the rate and depth increase, then decrease

Regular breathing where the rate and depth increase, then decrease

The nurse answers a client's call light. The client reports an irritating tickling sensation in the throat, a salty taste, and a burning sensation in the chest. Upon further assessment, the nurse notes a tissue with bright red, frothy blood at the bedside. The nurse can assume the source of the blood is likely from the lungs. stomach. nose. rectum.

lungs.

A nurse is instructing the client on the normal sensations that can occur when contrast medium is infused during pulmonary angiography. Which client statement demonstrates an understanding of the teaching? "I will feel a dull pain when the catheter is introduced." "I will feel light-headed when the contrast medium is introduced." "I will feel waves of nausea throughout the procedure." "I will feel warm and may have chest pain"

"I will feel warm and may have chest pain"

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

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

The nurse assessed a 28-year-old woman who was experiencing dyspnea severe enough to make her seek medical attention. The history revealed no prior cardiac problems and the presence of symptoms for 6 months' duration. On assessment, the nurse noted the presence of both inspiratory and expiratory wheezing. Based on this data, which of the following diagnoses is likely? Acute respiratory obstruction Adult respiratory distress syndrome Pneumothorax Asthma

Asthma

A son brings his father into the clinic, stating that his father's color has changed to bluish around the mouth. The father is confused, with a respiratory rate of 28 breaths per minute and scattered crackles throughout. The son states this condition just occurred within the last hour. Which of the following factors indicates that the client's condition has lasted for more than 1 hour? Respiratory rate Cyanosis Son's statement Crackles

Cyanosis

A client with chronic bronchitis is admitted to the health facility. Auscultation of the lungs reveals low-pitched, rumbling sounds. Which term should the nurse document? Crackles Pleural friction rub Rhonchi Bronchial TAKE ANOTHER QUIZ

Rhonchi

In which position should the client be placed for a thoracentesis? Prone Sitting on the edge of the bed Supine Lateral recumbent

Sitting on the edge of the bed

The nurse is admitting a client who just had a bronchoscopy. Which assessment should be the nurse's priority? Medication allergies Swallow reflex Presence of carotid pulse Ability to deep breathe

Swallow reflex

The client is returning from the operating room following a bronchoscopy. Which action, performed by the nursing assistant, would the nurse stop if began prior to nursing assessment? The nursing assistant is assisting the client to a semi-Fowler's position. The nursing assistant is assisting the client to the side of the bed to use a urinal. The nursing assistant is pouring a glass of water to wet the client's mouth. The nursing assistant is asking a question requiring a verbal response.

The nursing assistant is pouring a glass of water to wet the client's mouth.

A client experiences a head injury in a motor vehicle accident. The client's level of consciousness is declining, and respirations have become slow and shallow. When monitoring a client's respiratory status, which area of the brain would the nurse realize is responsible for the rate and depth? The pons The frontal lobe Central sulcus Wernicke's area

The pons

The nurse is caring for a client diagnosed with asthma. While performing the shift assessment, the nurse auscultates breath sounds including sibilant wheezes, which are continuous musical sounds. What characteristics describe sibilant wheezes? They result from air passing through widened air passages. They can be heard during inspiration and expiration. They are heard in clients with decreased secretions. They occur when the pleural surfaces are inflamed.

They can be heard during inspiration and expiration.

A nurse caring for a patient with a pulmonary embolism understands that a high ventilation-perfusion ratio may exist. What does this mean for the patient? Perfusion exceeds ventilation. There is an absence of perfusion and ventilation. Ventilation exceeds perfusion. Ventilation matches perfusion.

Ventilation exceeds perfusion.

The nurse is performing chest auscultation for a patient with asthma. How does the nurse describe the high-pitched, sibilant, musical sounds that are heard? Rales Crackles Wheezes Rhonchi

Wheezes

A nurse is preparing a client with a pleural effusion for a thoracentesis. The nurse should: assist the client to a sitting position on the edge of the bed, leaning over the bedside table. raise the arm on the side of the client's body on which the physician will perform the thoracentesis. place the client supine in the bed, which is flat. raise the head of the bed to a high Fowler's position.

assist the client to a sitting position on the edge of the bed, leaning over the bedside table.

What is the primary function of the larynx? Producing sound Protecting the lower airway from foreign objects Facilitating coughing Preventing infection

Producing sound

A client has suspected fluid accumulation in the pleural space of the lungs and is scheduled for a thoracentesis. The nurse will implement which of the following for this procedure? Select all that apply. 1.Place the client in the prone position. 2.Educate the client about the need to cleanse the thoracic area. 3.Apply pressure to the puncture site after the procedure. 4.Prepare the client for magnetic resonance imaging after the procedure to verify tube placement. 5.Complete a respiratory assessment after the procedure

2.Educate the client about the need to cleanse the thoracic area. 3.Apply pressure to the puncture site after the procedure. 5.Complete a respiratory assessment after the procedure.

The nurse enters the room of a client who is being monitored with pulse oximetry. Which of the following factors may alter the oximetry results? Placement of the probe on an earlobe Diagnosis of peripheral vascular disease Reduced lighting in the room Increased temperature of the room

Diagnosis of peripheral vascular disease

A client arrived in the emergency department with a sharp object penetrating the diaphragm. When planning nursing care, which nursing diagnosis would the nurse identify as a priority? Acute Pain Potential for Infection Impaired Gas Exchange Ineffective Airway Clearance

Impaired Gas Exchange

A nurse is concerned that a client may develop postoperative atelectasis. Which nursing diagnosis would be most appropriate if this complication occurs? Ineffective airway clearance Impaired gas exchange Decreased cardiac output Impaired spontaneous ventilation

Impaired gas exchange

A patient comes to the emergency department complaining of a knifelike pain when taking a deep breath. What does this type of pain likely indicate to the nurse? Bacterial pneumonia Bronchogenic carcinoma Lung infarction Pleurisy

Pleurisy

The nurse is taking a respiratory history for a patient who has come into the clinic with a chronic cough. What information should the nurse obtain from this patient? (Select all that apply.) Financial ability to pay the bill Social support Previous history of lung disease in the patient or family Occupational and environmental influences Previous history of smoking

Previous history of lung disease in the patient or family Occupational and environmental influences Previous history of smoking

A black client with asthma seeks emergency care for acute respiratory distress. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the: lips. mucous membranes. nail beds. earlobes.

mucous membranes.

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

pulmonary edema.