Passpoint - Respiratory Disorders

Which factor does the nurse inform the parents will place a child at increased risk for an asthma-related death?

Prior admission to an intensive care unit for asthma

After undergoing a thoracotomy, a client is receiving epidural analgesia. Which data collection finding indicates that the client has developed the most serious complication of epidural analgesia?

Respiratory depression

An older adult client who has chronic respiratory disease comes to the clinic for a 6- month check. The nurse informs the client that it's time for the pneumococcal and flu vaccines. What would be the nurse's best explanation to the client for these injections?

Respiratory infections can cause severe hypoxia and possibly death in clients with chronic respiratory diseases.

A nurse is caring for a client with dyspnea who has a resting respiratory rate of 44 breaths/minute and dusky nail beds. Arterial blood gases are obtained, and the results are as follows: pH, 7.52; PaO2, 50 mm Hg; PaCO2, 28 mm Hg; HCO3-, 24 mEq/ L. The nurse knows these results are consistent with which condition?

respiratory alkalosis

A client has been diagnosed with tuberculosis (TB). Which pharmacologic therapy does the nurse anticipate administering?

rifampin, isoniazid, and rifapentine

A client presents with shortness of breath and absent breath sounds on the right side, from the apex to the base. Which condition best explains these symptoms?

spontaneous pneumothorax

A client is admitted with symptoms of fever, cough with copious secretions, and chest pain. Which test should the nurse ensure is performed prior to giving an antibiotic?

sputum culture and sensitivity

A child is diagnosed with tuberculosis (TB). When reinforcing education for the parents about care of the child, which statement made by the parent would indicate a need for further instruction?

"As long as I keep a surgical mask on I will not get TB."

A nurse reinforces education for a pregnant woman who is scheduled for a cesarean birth regarding prevention of complications that can develop after the birth. Which statement by the client indicates a need for further education?

"At least one complication I don't have to worry about is blood clots."

A nurse reinforce teaches a group of police officers about the spread of TB. Which statement by an officer indicates that teaching has been effective?

"I could get TB if I inhale infected droplets when an infected individual coughs."

A nurse is caring for a client who was visiting from out-of-state when he developed severe acute respiratory syndrome (SARS). The nurse receives a phone call from a person who identifies herself as the client's wife. The caller is tearful and requests information about the client. Which response by the nurse is best?

"I'm sorry, but for confidentiality reasons I can't give you information over the phone."

On entering the room of a client with chronic obstructive pulmonary disease (COPD), the nurse observes that the client is receiving oxygen at 4 L/minute by way of a nasal cannula. The nurse's next action should be based on which statement?

"The flow rate is too high."

A 10-year-old child is admitted with asthma. The health care provider orders an aminophylline infusion. A loading dose of 6 mg/kg is ordered. The client weighs 30 kg. How many milligrams of aminophylline is contained in the loading dose? Record your answer using a whole number.

180

Which child would be at increased risk for a respiratory syncytial virus (RSV) infection?

2-month-old child with broncho pulmonary dysplasia

A client recovering from a pulmonary embolism is receiving warfarin. To counteract a warfarin overdose, the nurse would administer:

vitamin K (phytonadione).

A nurse is caring for a client with pneumonia who was prescribed ceftriaxone oral suspension 600 mg once daily. The medication label indicates that the strength is 125 mg/5 mL. How many milliliters of medication should the nurse pour to administer the correct dose? Record your answer as a whole number.

24

A 2-month-old infant is given a preliminary diagnosis of bronchiolitis. Which symptom would the nurse expect to find?

wheezing on auscultation

The nurse is administering a purified protein derivative (PPD) test to a homeless client. Which statement concerning PPD testing is true?

A positive reaction indicates that the client has been exposed to the disease.

A client with a productive cough, chills, and night sweats is suspected of having active tuberculosis (TB). Which action should the nurse take first?

Admit the client to the hospital in respiratory isolation.

A client has a chest tube inserted for the treatment of a pneumothorax. While ambulating, the client dislodges the tube, and it falls on the floor. What is the first action by the nurse

Apply an occlusive dressing such as Vaseline gauze.

A child with thoracic water-seal drainage is on the elevator. The transport aide has placed the drainage system on the stretcher. What action should the nurse on the elevator take first?

Assist the aide in placing the drainage system lower than the child's chest.

When a client is placed on oxygen therapy the nurse should follow protocol. Place the following steps in the correct order.

Check the health care provider's order Explain procedure to client Attach flow meter to wall outlet, fill humidifier with water, attach the delivery system and tubing Place the face mask or cannula on the client Re-assess client and document the procedure

A child admitted with pneumonia has a history of cystic fibrosis (CF). Which statement made by the parents best demonstrates an understanding of cystic fibrosis?

Cystic fibrosis (CF) is an inherited disease characterized by an abnormality in the body's salt, water- and mucus-making cells.

For a client with impaired gas exchange, which position is best?

High Fowler's

The nurse is caring for a child with a diagnosis of croup. What advice should the nurse give to the parent when concern is expressed about the child waking at night due to the cough?

Hold child in the bathroom with a hot shower running, allowing steam to fill room.

After receiving an oral dose of codeine for an intractable cough, the client asks the nurse, "How long will it take for this drug to work?" How should the nurse respond?

In 30 minutes

An elderly client is admitted to an acute care facility with influenza. The nurse monitors the client closely for which most common complication of influenza?

Pneumonia

A client has been prescribed a new drug for hypertension. Thirty minutes after taking the drug, the client develops chest tightness, becomes short of breath and tachypneic, and exhibits an altered level of consciousness. What is the best explanation for these symptoms?

The client is experiencing a hypersensitivity reaction to the medication.

A client will need CPAP (continuous positive airway pressure) and is told that an oxygen mask will be required. How can the nurse best explain why the mask is needed for CPAP?

The mask provides pressurized oxygen so the client can breathe more easily.

A client with a pneumothorax receives a chest tube attached to a Pleur-evac. The nurse notices that the fluid of the second chamber of the Pleur-evac is bubbling continuously. Which nursing assumptions would be valid?

There is a leak somewhere in the tubing system.

Which phrase would the nursing student expect to describe the volume of air inspired and expired with a normal breath?

Tidal volume

The client who was diagnosed with pneumonia 2 days prior comes to the emergency department with a sudden onset of severe shortness of breath. The chest x-ray shows fluid in the alveolar spaces. Which disease should the nurse suspect this client to have?

acute respiratory distress syndrome (ARDS)

The nurse is caring for a client with asthma and impending anaphylaxis from hypersensitivity to a drug. What is the priority action by the nurse?

administer bronchodilators

The nurse auscultates inspiratory and expiratory wheezes with a decreased forced expiratory volume in a client with asthma. Which class of medication would the nurse expect to administer immediately?

bronchodilators

After suctioning a tracheostomy, the nurse determines the effectiveness of the suctioning. Which findings will the nurse document that indicates the airway is now patent?

clear breath sounds and nonlabored respirations

A client who has just had a right arthroscopy is back on the acute care unit. What action does the nurse identify as the best to prevent a pulmonary embolism in this client?

early ambulation

While caring for a client with chronic obstructive pulmonary disease (COPD), a licensed practical nurse observes and reports that the client is short of breath, restless, irritable, and disoriented. After nursing interventions fail to reverse the client's escalating respiratory distress, what medical intervention should the nurse be prepared to assist with?

endotracheal intubation

A nurse is caring for a child diagnosed with bronchiolitis. Which symptom would cause the nurse the most concern?

severe sternal retractions

A client with a large pulmonary embolism has an arterial blood gas analysis indicating respiratory alkalosis. What does the nurse determine is the potential cause of this result?

large region of lung tissue unavailable for perfusion

A nurse is caring for a client who was admitted to the intensive care unit with a diagnosis of respiratory failure. Arterial blood gases are as follows: pH 7.28, PCO2 54 mm Hg, and HCO3- 25 mEq/L, PO2 55, O 2 saturation 89%. What does the nurse determine the results indicate?

respiratory acidosis