PN 102 Final Exam Review

A client visits the physician's office concerned about possible sleep apnea. The client states he lives alone and fears that he will not awaken from sleep. The client states that he has many symptoms which may indicate sleep apnea. Which symptom, stated by the client, is not a symptom of sleep apnea?

"I have pressure in the middle of my chest at night."

The nurse is obtaining a health history from a client with laryngitis. Which causative factor, stated by the client, is least likely?

"I was chewing ice chips all day long."

The nurse is caring for a client with an exacerbation of COPD and scheduled for pulmonary function studies using a spirometer. Which client statement would the nurse clarify?

"I will breathe in through my mouth and out through my nose."

A nurse is evaluating teaching when discussing care of a new tracheostomy. Which statement, made by the client, indicates that the client does not accept the new tracheostomy?

"Tell my wife about it, I do not want to touch it."

Which statement would indicate that the parents of child with cystic fibrosis understand the disorder?

"There is a production of abnormally thick sticky mucus"

A client, who is at risk for pneumonia, has been ordered influenza vaccine. Which statement from the nurse best explains the rationale for this vaccine?

"Viruses, like influenza, can lead to complications such as pneumonia."

The nurse is caring for a respiratory client who uses a oxygen delivery system that delivers the highest amount of oxygen. Which medical equipment does the nurse anticipate to find in the client's room?

A nonrebreather mask

The nurse is caring for a client who is in respiratory distress. The physician orders arterial blood gases (ABGs) to determine various factors related to blood oxygenation. What site can ABGs be obtained from?

A puncture at the radial artery

The nurse caring for a 2-year-old near-drowning victim monitors for what possible complication?

Acute respiratory distress syndrome

The nurse is caring for a client who has just had a tracheostomy. What should the nurse monitor frequently?

Airway patency

A client comes into the emergency department with epistaxis. What intervention should the nurse perform when caring for a client with epistaxis?

Apply direct continuous pressure.

The nurse is caring for an adolescent client injured in a snowboarding accident. The client has a head injury, a fractured right rib, and various abrasions and contusions. The client has a blood pressure of 142/88 mm Hg, pulse of 102 beats/minute, and respirations of 26 breaths/minute. Which laboratory test best provides data on a potential impairment in ventilation?

Blood gases

The nurse is providing health education on the body's ability to exchange oxygen and carbon dioxide through the alveolar capillary membrane. Which statement, provided by the nurse, is most correct when asked about diffusion during inspiration?

During inspiration, oxygen is greater in the alveoli than in the capillaries.

The nurse is caring for a client status postnasal polypectomy. What would the nurse instruct this client to report?

Excessive swallowing

The client, with a lower respiratory airway infection, is presenting with symptoms such as fever, chills, dry hacking cough, and wheezing. Which nursing diagnosis best supports the assessment by the nurse?

Ineffective Airway Clearance

What happens to the diaphragm during inspiration?

It contracts and flattens.

The nurse is caring for a client who has just been diagnosed with lung cancer. What is a cardinal sign of lung cancer?

Mucopurulent sputum

The nurse is caring for a client who, upon awakening , was disoriented to person, place and time. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority?

Obtain baseline vital signs and oxygen saturation

A nurse is providing information about tuberculosis to a group of clients at a local community center. Which of the following manifestations should the nurse include? (Select all that apply)

Persistent cough< Fatigue< Night sweats< Purulent sputum<

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?

Pulse oximetry

When managing the postoperative pain after a lobectomy, the nurse is most concerned about which assessment data?

Respirations 10 breaths/minute

The nurse receives an order to obtain a sputum sample from a client with hemoptysis. When advising the client of the physician's order, the client states not being able to produce sputum. Which suggestion, offered by the nurse, is helpful in producing the sputum sample?

Take deep breaths and cough forcefully.

The emergency department nurse is assessing a client following a motor vehicle accident. The nurse notes facial deformities with swelling and bleeding and a clear drainage coming from the nares. Which diagnostic test is completed to determine whether the clear drainage is cerebrospinal fluid?

Test fluid with a Dextrostix

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 pouring a glass of water to wet the client's mouth.

The nurse is caring for the client who presents to the clinic with hoarseness for 2 months. Further testing diagnoses laryngeal cancer with the treatment plan of a radical neck dissection. When reinforcing information provided by the physician, which nursing instruction is most correct?

The physician removes lymph nodes, muscles, and tissue.

The nurse is caring for a client following sinus surgery. When assessing the client, the nurse asks him how many fingers are being held up. Why does the nurse assess postoperative visual acuity?

To assess damage to the optic nerve

A nurse is caring for a client who has frequent upper respiratory infections. Which structure is most helpful in protecting against infection?

Tonsils

What is the difference between respiration and ventilation?

Ventilation is the movement of air in and out of the respiratory tract.

The clinic nurse is caring for a client with acute bronchitis. The client asks what may have caused the infection. What might cause acute bronchitis?

Viral or Bacterial infections

A nurse is collecting data from a client who is experiencing an acute asthma attack. Which of the following findings indicates the clients respiratory status is declining? (Select all that apply)

Wheezing< use of accessory muscles< Ineffective cough<