The RN is educating the patient on PFTs. What statement by the client indicates a need for further teaching?

“I should use my inhaler anytime during the test if I need it.”

Which question by the nurse is best to ask the pt with COPD that has an increased cough and a low great temp?

“Is anyone else in your house sick?”

A client is scheduled to undergo a thoracentesis. What is the nurse’s priority intervention?

Verify that informed consent has been given by the client.

The nurse is caring for several clients on a respiratory unit. Which client does the nurse see first?

Young adult with an arterial oxygen level of 85%

The nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct intervention

Client has reduced breath sounds; nurse calls physician immediately.

A postop pt has an o2 sat of 96%, is pale and dyspneic saying, “I can’t get enough air!” What is the RN's next step?

Call the physician and request a hemoglobin and hematocrit level.

The client has recently been diagnosed with lung cancer. Which is the nurse’s priority intervention during the interview

Maintain a nonjudgmental attitude to avoid causing the client to feel guilt

A client had a bronchoscopy 2 hours ago and is requesting water to drink. Which action by the nurse is most appropriate?

Assess the client’s gag reflex before giving anything.

An African-American client’s pulse oximetry reading is 93%. The client has no complaints. Which action is next?

Assess other signs of respiratory adequacy.

The nurse is caring for an older adult client with a pulmonary infection. Which nursing action is a priority?

Assessing the client’s level of consciousness

The nurse is assessing a client’s breath sounds. Which assessment finding has been correctly linked to the intervention

Wheezes heard in central areas; administer inhaled bronchodilator

A pt had a flexible bronch 2 hours ago and is mildly cyanotic despite being on o2. What question should the RN ask?

“What kind of topical anesthetic was used on the client?”

A client with pulmonary problems is classified as having class III dyspnea, what type of ADL assistance is needed

The client may require rest periods during performance of ADLs.

A client’s anteroposterior (AP) chest diameter is the same as his lateral chest diameter. What ? does the nurse ask?

“Do you have any chronic breathing problems?”

The nurse is caring for a client after a thoracentesis. Which assessment finding by the nurse warrants immediate action?

Trachea is deviated toward opposite side of the neck.

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Respiratory Quiz

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Questions 19

Answers

1
The RN is educating the patient on PFTs. What statement by the client indicates a need for further teaching?
“PFTs can determine whether my lung problem has gotten worse.”
“If I get really short of breath, I’ll tell the technician.”
“I should use my inhaler anytime during the test if I need it.”
“I should not smoke for at least 6 hours before the test.”
2
Which question by the nurse is best to ask the pt with COPD that has an increased cough and a low great temp?
“How long have you been sick?”
“Has your sputum changed color?”
“Do you take any medications?”
“Is anyone else in your house sick?”
3
A client is scheduled to undergo a thoracentesis. What is the nurse’s priority intervention?
Measure oxygen saturation before and after a 12-minute walk.
Explain the procedure in detail to the client and the family.
Verify that the client understands all possible complications.
Verify that informed consent has been given by the client.
4
The nurse is caring for several clients on a respiratory unit. Which client does the nurse see first?
Young adult with an arterial oxygen level of 85%
Older adult with an SaO2 of 96% on room air
Young adult with an arterial oxygen level of 94%
Adult client with an SaO2 of 94% on 2 L/min
5
The nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct intervention
Client’s heart rate is 55 beats/min; nurse withholds pain medication.
Client feels “dizzy;” nurse applies oxygen and pulse oximeter.
d. Client’s respiratory rate is 18 breaths/min; nurse decreases oxygen f
Client has reduced breath sounds; nurse calls physician immediately.
6
A postop pt has an o2 sat of 96%, is pale and dyspneic saying, “I can’t get enough air!” What is the RN's next step?
Encourage the client to cough and deep breathe 10 times each hour.
Take the client’s temperature and give antipyretics if needed.
Call the physician and request a hemoglobin and hematocrit level.
Notify respiratory therapy and request a breathing treatment.
7
A client has a long-standing history of chronic obstructive pulmonary disease (COPD). Which laboratory correlates?
White blood cell count, 7500/mm3
Neutrophils, 6000/ mm3
Hemoglobin, 22 g/dL
Monocytes, 600/mm3
8
The client has recently been diagnosed with lung cancer. Which is the nurse’s priority intervention during the interview
Encourage the client to be completely honest about both tobacco and drugs
a. Encourage the client to quit smoking to stop further cancer growth
Avoid giving the client false hope regarding cancer treatment and prognosis
Maintain a nonjudgmental attitude to avoid causing the client to feel guilt
9
When assessing a client’s respiratory status, which information is of highest priority for the nurse to obtain?
Neck circumference
Height and weight
Average daily fluid intake
Occupation and hobbies
10
A client had a bronchoscopy 2 hours ago and is requesting water to drink. Which action by the nurse is most appropriate?
Call the physician and request an order for food and water.
Assess the client’s gag reflex before giving anything.
Let the client have a small sip to see whether he or she can swallow.
Give the client ice chips instead of a drink of water.
11
An African-American client’s pulse oximetry reading is 93%. The client has no complaints. Which action is next?
Replace the sensor probe of the oximeter.
Assess other signs of respiratory adequacy.
Place the probe on another finger.
Prepare to obtain arterial blood gases.
12
The nurse is caring for an older adult client with a pulmonary infection. Which nursing action is a priority?
Raising the head of the bed to at least 45 degrees
Assessing the client’s level of consciousness
Encouraging the client to increase fluid intake
Providing the client with humidified oxygen
13
The nurse is assessing a client’s breath sounds. Which assessment finding has been correctly linked to the intervention
Vesicular sounds heard over the periphery; have the client breathe deeply
Wheezes heard in central areas; administer inhaled bronchodilator
Hollow sounds heard over trachea; increase oxygen flow rate
Crackles heard in bases; have the client cough forcefully
14
A pt had a flexible bronch 2 hours ago and is mildly cyanotic despite being on o2. What question should the RN ask?
“Are you sure the client was NPO before the bronchoscopy?”
“How long was the client sedated for the procedure?”
“Were the oximetry readings during the test normal?”
“What kind of topical anesthetic was used on the client?”
15
A client with pulmonary problems is classified as having class III dyspnea, what type of ADL assistance is needed
Owing to severe dyspnea, this client cannot participate in any self-care
The client may require rest periods during performance of ADLs.
The client requires assistance for some but not all tasks.
Dyspnea is minimal and the client requires no additional assista
16
A client has undergone a thoracentesis. Which assessment finding requires immediate action by the nurse?
Tachycardia
Slowed respiratory rate
Decreased level of consciousness
Increased temperature
17
A client’s anteroposterior (AP) chest diameter is the same as his lateral chest diameter. What ? does the nurse ask?
“How often do you perform aerobic exercise?”
No questions are needed regarding this normal finding.
“What is your occupation and what are your hobbies?”
“Do you have any chronic breathing problems?”
18
The nurse is caring for a client after a thoracentesis. Which assessment finding by the nurse warrants immediate action?
Trachea is deviated toward opposite side of the neck.
Small amount of drainage is noted from the site.
Client rates pain as 5/10 at the site of the procedure.
Pulse oximetry is 93% on 2 liters of oxygen.
19
The nurse is caring for four clients who had ABGs. Which laboratory value warrants immediate intervention by the nurse?
SpO2 of 96%
HCO3– of 25 mEq/L
pH of 7.38
PaCO2 of 48 mm Hg

Respiratory Quiz Flashcards | StudBud