Respiratory

A client with tuberculosis asks the nurse why vitamin B6 (pyridoxine) is given with isoniazid (INH). What explanation should the nurse provide? 1."It will improve your immunological defenses." 2."The tuberculostatic effect of isoniazid is enhanced." 3."Isoniazid interferes with the synthesis of this vitamin." 4."Destruction of the tuberculosis organisms is accelerated."

3."Isoniazid interferes with the synthesis of this vitamin."

A client is admitted to the hospital with a diagnosis of an exacerbation of asthma. What should the nurse plan to do to best help this client? 1.Determine the client's emotional state. 2.Give prescribed drugs to promote bronchiolar dilation. 3.Provide education about the impact of a family history. 4.Encourage the client to use an incentive spirometer routinely

2.Give prescribed drugs to promote bronchiolar dilation.

What response provides evidence that a client with chronic obstructive pulmonary disease (COPD) understands the nurse's instructions about an appropriate breathing technique? 1.Inhales through the mouth. 2.Increases the respiratory rate. 3.Holds each breath for a second at the end of inspiration. 4.Progressively increases the length of the inspiratory phase

3.Holds each breath for a second at the end of inspiration.

The nurse is reviewing the client's health history. With which diagnosis is a client most likely to exhibit hemoptysis? 1.Anemia 2.Pneumonia 3.Tuberculosis 4.Leukocytosis

3.Tuberculosis

A client with the diagnosis of osteogenic sarcoma has metastasis to the lung. Which client statement about the concept of metastasis indicates a need for further instruction? 1."I'm upset to know that the tumor may metastasize to my bones." 2."I didn't realize that I could have metastasis without having pain." 3."I can have metastasis to other parts of my body besides the lung." 4."I need to talk with my doctor about the possibility of more metastases."

1."I'm upset to know that the tumor may metastasize to my bones."

A client who is a pipe smoker is diagnosed with cancer of the tongue. A hemiglossectomy and right radical neck dissection are performed. To ensure airway patency during the first hours after surgery, the nurse should: 1.Suction as needed 2.Apply an ice collar 3.Maintain a high-Fowler position 4.Encourage expectoration of secretions

1.Suction as needed

A client with a long history of asthma is scheduled for surgery. What information should be included in preoperative teaching? 1.There is an increased risk of respiratory tract infections. 2.Relaxation techniques limit the severity of asthmatic attacks. 3.Coughing forcibly must be avoided because it increases the intrathoracic pressure. 4.Local anesthesia is preferred because it has fewer side effects than general anesthesia.

1.There is an increased risk of respiratory tract infections.

A nurse auscultates a client's lungs and hears a fine crackling sound in the left lower lung during respiration. The nurse charts, "crackles and rhonchi in the left lower lung." What does this documentation represent? 1.A nursing diagnosis 2.An inaccurate interpretation 3.A correct nursing assessment 4.An accurate conclusion if crepitus was ruled out

2.An inaccurate interpretation

To evaluate the effectiveness of a chest tube inserted in a client with a pneumothorax, the nurse assesses for: 1.Productive coughing 2.Return of breath sounds 3.Increased pleural drainage in the chamber 4.Constant bubbling in the water-seal chamber

2.Return of breath sounds

A client has chronic obstructive pulmonary disease (COPD). To decrease the risk of CO2 intoxication (CO2 narcosis), the nurse should: 1.Initiate pulmonary hygiene to clear air passages of trapped mucus 2.Encourage continuous rapid panting to promote respiratory exchange 3.Administer oxygen at a low concentration to maintain respiratory drive 4.Encourage slow, deep breathing with inhalation longer than exhalation to increase intake

3.Administer oxygen at a low concentration to maintain respiratory drive

A client who had surgery for a laryngectomy is returned to the surgical unit from the postanesthesia care unit. Which position is most appropriate for the nurse to place the client at this time? 1.Prone with the head turned to one side 2.Supine with the knees flexed at 10 degrees 3.Lateral with the head slightly elevated and flexed 4.Supine with the head in a hyperextended position

3.Lateral with the head slightly elevated and flexed

A client is admitted to the hospital for a surgical resection of the lower left lobe of the lung. After surgery the client has a chest tube to a closed-chest drainage system. What should the nurse do to determine if the chest tube is patent? 1.Milk the chest tube toward the drainage unit 2.Check the amount of bubbling in the suction control chamber 3.Observe for fluctuations of the fluid in the water-seal chamber 4.Assess for extent of chest expansion in relation to breath sounds

3.Observe for fluctuations of the fluid in the water-seal chamber

A client reports having a bad cold and chest pain that worsens when the client takes deep breaths. Where should the nurse place the stethoscope to determine the presence of a pleural friction rub? 1.a 2.b 3.c 4.d

4. D Answer D is the lower-lateral chest, which is the area of greatest thoracic excursion.

While walking in a hallway, a client with a chest tube becomes confused and pulls the chest tube out. What is the nurse's immediate action? 1.Place the client in the supine position 2.Spread a clamp in the insertion side to hold the site open 3.Obtain a sterile Vaseline gauze to cover the opening 4.Cover the opening with the cleanest material available

4.Cover the opening with the cleanest material available

A client with bronchial pneumonia is having difficulty maintaining airway clearance because of retained thick secretions. To decrease the amount of secretions retained, the nurse plans to: 1.Administer continuous oxygen 2.Instruct the client to gargle deep in the throat using warmed normal saline 3.Place the client in a high Fowler position 4.Increase fluid intake to at least 2 L a day

4.Increase fluid intake to at least 2 L a day

The nurse reinforces instructions about how to use a nebulizer to a client with chronic obstructive pulmonary disease (COPD). The nurse concludes that additional teaching is needed when the client: 1.Places the tip of the mouthpiece an inch beyond the lips 2.Holds the inspired breath for at least three seconds 3.Exhales slowly through the mouth with lips pursed slightly 4.Inhales with the lips tightly sealed around the mouthpiece of the nebulizer

4.Inhales with the lips tightly sealed around the mouthpiece of the nebulizer

A nurse is teaching a preoperative client about postoperative breathing exercises. What information should the nurse include? (Select all that apply.) 1.Take short, frequent breaths 2.Exhale with the mouth open wide 3.Perform the exercises twice a day 4.Place a hand on the abdomen while feeling it rise 5.Hold the breath for several seconds at the height of inspiration

4.Place a hand on the abdomen while feeling it rise 5.Hold the breath for several seconds at the height of inspiration

A nurse is caring for a female client who is receiving rifampin (Rifadin) for tuberculosis. Which statements indicate that the client understands the teaching about rifampin? (Select all that apply.) 1."This drug may be hard on my liver so I must avoid alcoholic drinks while taking it." 2."This drug may reduce the effectiveness of the oral contraceptive I am taking." 3."I can take an antacid 15 minutes after I take my medicine." 4."My health care provider must be called immediately if my eyes and skin become yellow." 5."If I can't swallow the pill, I cannot open the capsule and mix the powder with applesauce."

1."This drug may be hard on my liver so I must avoid alcoholic drinks while taking it." 2."This drug may reduce the effectiveness of the oral contraceptive I am taking." 4."My health care provider must be called immediately if my eyes and skin become yellow."

What technique should a nurse use when cleaning a tracheostomy tube that has a nondisposable inner cannula? 1.Apply a precut dressing around the insertion site with the flaps pointing upward. 2.Replace the tube with a sterile obturator 3.Use sterile cotton balls to cleanse the outer cannula 4.Remove the tube after the high-volume, low-pressure cuff has been deflated

1.Apply a precut dressing around the insertion site with the flaps pointing upward.

A client's respiratory status may be affected after abdominal surgery. The nurse documents the behavioral objective for this client. What statement is a behavioral objective? 1.Demonstrates the technique of coughing and deep breathing 2.Respirations will improve with coughing and deep breathing 3.Coughing and deep breathing will facilitate output of secretions 4.Will cough and deep breathe five or six times every hour while awake

1.Demonstrates the technique of coughing and deep breathing

A nurse is caring for a client who experienced a crushing chest injury. A chest tube was inserted. Which observation indicates a desired response to this treatment? 1.Increased breath sounds 2.Increased respiratory rate 3.Crepitus detected on palpation of the chest 4.Constant bubbling in the drainage collection chamber

1.Increased breath sounds

After emergency surgery, the nurse teaches a client how to use an incentive spirometer. What client behavior indicates to the nurse that the spirometer is being used correctly? 1.Inhales deeply through the mouthpiece, relaxes, and then exhales. 2.Inhales deeply, seals the lips around the mouthpiece, and exhales. 3.Uses the incentive spirometer for 10 consecutive breaths per hour. 4.Coughs several times before inhaling deeply through the mouthpiece

1.Inhales deeply through the mouthpiece, relaxes, and then exhales.

The nurse is providing care during the immediate postoperative period for a client that had a radical neck dissection. The best method to assess for stridor is: 1.Listen with a stethoscope over the trachea 2.Determine the client's ability to do neck exercises 3.Listen with a stethoscope over the base of the lungs 4.Determine the client's ability to cough and deep breathe

1.Listen with a stethoscope over the trachea

After a gastroscopy, the nurse assesses the client for the return of the gag reflex by: 1.Touching the pharynx with a tongue depressor 2.Giving a small amount of water using an oral syringe 3.Observing the client's swallowing ability 4.Instructing the client to breathe deeply and cough gently

1.Touching the pharynx with a tongue depressor

After multiple bee stings a client experiences an anaphylactic reaction. The nurse determines that the symptoms the client is experiencing are caused by: 1.Respiratory depression and cardiac arrest 2.Bronchial constriction and decreased peripheral resistance 3.Decreased cardiac output and dilation of major blood vessels 4.Constriction of capillaries and decreased peripheral circulation

2.Bronchial constriction and decreased peripheral resistance

When assessing the breath sounds of a client with chronic obstructive pulmonary disease (COPD), the nurse hears coarse rhonchi. They are described best as: 1.Snorting sounds during the inspiratory phase 2.Moist rumbling sounds that clear after coughing 3.Musical sounds more pronounced during expiration 4.Crackling inspiratory sounds unchanged with coughing

2.Moist rumbling sounds that clear after coughing

Two portable drainage catheters with hemovacs attached were placed during a client's hemiglossectomy and right radical neck dissection. Six hours after the catheters were placed, the nurse empties 180 mL of serosanguineous drainage from one of the drainage catheters. The priority nursing intervention is to: 1.Turn the client onto the right side 2.Notify the health care provider immediately 3.Document the output as an expected finding 4.Irrigate the drainage catheter to ensure patency

2.Notify the health care provider immediately

A nurse is monitoring a client who is receiving an intravenous (IV) infusion of normal saline. What is a serious complication of IV therapy? 1.Bleeding at the infusion site 2.Shortness of breath with crackles 3.Feeling of warmth throughout the body 4.Infiltration at the catheter insertion site

2.Shortness of breath with crackles

A skier skied off the marked trail into the woods and collided with a tree. After several hours, the skier was found by the ski patrol and brought to the emergency department of the hospital. Moderate hypothermia (temperature range 87° to 90° F) is diagnosed. What clinical findings specific to moderate hypothermia should the nurse expect the client to exhibit? 1.Confusion and lethargy 2.Shivering and irrational behavior 3.Absent reflexes and dilated pupils 4.Rigidity and slowed respiratory rate

4.Rigidity and slowed respiratory rate

A client with emphysema has a history of smoking two packs of cigarettes a day. What is the best approach for the nurse to help the client stop smoking? 1.Teach pursed-lip breathing 2.Encourage the client to reduce emotional stress 3.Obtain a referral to a smoking cessation program in the community 4.Suggest that the client limit smoking to one pack of cigarettes a day

4.Suggest that the client limit smoking to one pack of cigarettes a day