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Term 3 Respiratory System Flashcards | StudBud
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Term 3 Respiratory System
Term 3 Respiratory System
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1
In which position is it
most
appropriate for a client just returned from a laryngectomy?
lateral with head slightly elevated and flexed
prone with head to the side
supine with head hyperextended
supine with knees flexed
2
What is the primary action of montelukast?
antagonizes leukotriene, decreasing bronchial spasm and edema
causes relaxation of the bronchial muscles and decreases mucosal edema
blocks beta receptors to dilate airways
thins the mucous in airways to make it easier to expel
3
Your long-term care patient has a Mantoux reading of 10mm with induration. What do you do first?
report the findings to the CDC
report findings to the provider, place the patient on airborne precautions
report findings to the provider, place the patient on contact precautions
get a respirator mask for the patient
4
Your patient with COPD and a sudden 5-lb weight gain is at risk for which complication?
left ventricle failure
polycythemia
compensated acidosis
cor pulmonale
5
Your patient asks if tuberculosis can be spread from person to person. Which response by the nurse is
most
appropriate?
TB is not communicable at this time
untreated active TB is communicable
with new long-term therapy TB remains communicable
TB is communicable in the primary stage
6
Which exercise is appropriate for a patient with signs and symptoms of emphysema?
prolonged inhalation to promote gas exchange
diaphragm exercises to improve contraction to help with exhalation
abdominal exercises to prevent the use of accessory muscles
sit ups to help strengthen accessory muscles
7
Which of the following is ordered routinely for a COPD patient?
CT and CBC
CXR and PPD
ABG and PFT
CBC and AFB
8
Which of the following can affect the levels of oxygen in the blood? Select all that apply
hypoxia
restriction of thoracic cage
airway obstruction
weak diaphragm muscle
9
what will you teach your elderly patient regarding prevention of community-acquired pneumonia? Select all that apply
get plenty of rest
frequent hand washing
avoid crowds during flu season
get the pneumovax every 5 years
maintain a healthy diet
always wear a mask in public
10
Which assessment finding in an acute asthma exacerbation in a 24 yr old patient requires immediate intervention?
pulse oximetry of 94%
diminished breath sounds across all lobes
pulse rate of 120
respiratory rate of 28
11
Which of the following nursing interventions is
most important
for the nurse to implement after a thoracentesis?
auscultate lung sounds Q 15 minutess
instruct patient to splint when coughing
place patient on the unaffected side for lung expansion
keep patient NPO
12
How is a diagnosis of TB confirmed?
2-step Mantoux PPD test
chest x-ray
blood cultures
AFB sputum culture
13
Which of the following is how tuberculosis is transmitted?
inhalation of infected droplets
via insect bites
contact with infected blood
contact with infected wounds
14
Your post-op patient developed atelectasis. How do you explain what it is?
alveolar collapse in part of the lung
an abscess in part of the lung
bronchiole inflammation
constriction of airways r/t bronchial spasms
15
What immediate action should you take for a trach. client who suddenly develops noisy, increased RR and elevated HR?
perform a complete respiratory assessment
change the tracheostomy tube
suction the tracheostomy
readjust the tracheostomy tube
16
Your patient's CXR showed alveolar collapse. What is the medical diagnosis that best describes this complication?
pulmonary edema
atelectasis
pneumothorax
respiratory alkalosis
17
Your teenage patient in the ED was stabbed with an ice pick. For which symptom will you monitor closely?
episodes of palpitations
dizziness on standing
substernal chest pain
worsening SOB
18
Your post-op patient has a fever, productive cough with yellow sputum, and crackles in the left lower lobe, indicating:
aspiration pneumonia
nosocomial pneumonia
ventilator-associated pneumonia
community-acquired pneumonia
19
Which provider’s order would you question for a client with COPD?
arrange pulmonary rehabilitation
oxygen 7L/min via nasal cannula
administer flu and pneumococcal vaccines
refer for chest physiotherapy
20
Your patient's sputum after their lung tissue biopsy is blood-streaked. What action should you take?
call the provider
take vital signs
document the findings
prepare the patient for surgery
21
Which term best describes the presence of infected fluid that accumulates in the pleural space?
pleural effusion
atelectasis
pleurisy
empyema
22
Which lung sound is expected in a patient with a spontaneous lobular pneumothorax?
stridor
wheezes
crackles
decreased sounds
23
Which of the following are s/s of tuberculosis? Select all that apply.
night sweats
productive cough
blood tinged sputum
sibilant wheezes
weight loss
barrel chest
24
Which assessment findings are expected in a child with asthma exacerbation? Select all that apply
tachycardia
wheezing
blood-tinged sputum
strider
hypotension
fever
25
Which nursing intervention can prevent atelectasis in your post-trauma patient?
apply thoracic binder for support
proning position on a soft mattress
encourage cough and deep breathing
defer pain medicine for the first day
26
Which intervention will the nurse include in the plan for care for a client after a bronchoscopy examination?
check patient for gag reflex
have the client avoid Valsalva maneuver
send patient for chest x-ray
assess breath sounds Q 30 minutes
27
What should the nurse ask a patient prior to giving the first dose of propranolol?
do you have cardiac rhythm problems?
when did you last eat?
do you have any muscle weakness?
do you have a history of asthma or wheezing?
28
Which assessment finding indicates atelectasis?
bradypnea
crackles
symmetrical chest wall
hypoventilation
29
Which substance will the home health nurse instruct a client to use to cleanse the stoma site after laryngectomy ?
hydrogen peroxide
sterile saline
mild soap and water
70% alcohol
30
Your COPD patient's 02 sat is 87%. Which rate will you set the oxygen to?
2 L/min.
8 L/min
4 L/min
6 L/min
31
For patients arriving from a high-risk country, which of the following Mantoux PPD results is positive?
a 15mm area of induration
a 5mm area of induration
a 10mm area of erythema
a 10mm area of induration