Respiratory

Question 1

Nurse assessing pt&#x27;s resp status finds fremitus has increased from yesterday, which resp problem will RN further assess?

Accepted Answer

Pneumonia

Question 2

Pt is getting out of bed & is anxious with feeling of impending doom, nurse suspects a PE, which action comes first?

Accepted Answer

Place client in high Fowler&#x27;s position

Question 3

Nurse is assessing 13 yo pt with acute exacerbation of asthma, which clinical manifestations would nurse expect to find?

Accepted Answer

Dyspnea and wheezing

Question 4

With which client will the nurse expect to find a barrel chest on resp assessment?

Accepted Answer

55 yo with chronic emphysema

Question 5

The nurse is assessing the client diagnosed with COPD. Which data require immediate intervention by the nurse?

Accepted Answer

Oxygen flowmeter set on 8 liters

Question 6

The nurse is caring for the client diagnosed with COPD. Which outcome requires a revision in the plan of care?

Accepted Answer

The client demonstrates intolerance to activity

Question 7

Which statement made by the pt indicates the nurse's discharge teaching is effective for the pt diagnosed with COPD?

Accepted Answer

"I need to get an flu vaccine each year, even when there&#x27;s a shortage."

Question 8

Where does gas exchange occur?

Accepted Answer

Alveoli

Question 9

Which statement by the pt diagnosed with PE indicates the d/c teaching is effective?

Accepted Answer

"I will wear a medical alert bracelet at all times"

Question 10

Pt diagnosed with PE is in ICU, which assessment data warrant immediate intervention by the nurse?

Accepted Answer

Pt&#x27;s pulse ox is 90%

Question 11

Pt suspected of having a PE, which test suggests presence of a PE and requires further investigation?

Accepted Answer

Plasma D-dimer test

Question 12

Nurse suspects pt may be developing ARDS, which assessment data confirm the diagnosis of ARDS?

Accepted Answer

Low arterial oxygen when administering high concentration of oxygen

Question 13

The nurse is caring for a client diagnosed with a cold. Which is an example of alternative therapy?

Accepted Answer

Vitamin C, 2,000 mg daily

Question 14

Which factor does nurse teach as most common cause of chronic resp problems and physical limitations?

Accepted Answer

Smoking cigarettes or chronic exposure to cigarette smoke

Question 15

Which pt will the nurse assess most often for the possibility of a post procedure pneumothorax?

Accepted Answer

Thoracentesis

Question 16

The nurse planning care for pt with pneumonia writes a problem of impaired gas exchange. What is the expected outcome?

Accepted Answer

Alter and oriented to person, place, time and events

Question 17

What is the priority medical-surgical concept for the nurse when performing an assessment of pt&#x27;s respiratory system?

Accepted Answer

Gas exchange

Question 18

I am going to pass this quiz tomorrow

Accepted Answer

True

Question 19

Which ABG values from an 86 yo pt does the nurse consider to be normal?

Accepted Answer

pH 7.32, PaO2 94, PaCO2 42

Question 20

Pt diagnosed with ARDS is in respiratory distress & the vent is malfunctioning, what should the nurse do first?

Accepted Answer

Ventilate with manual resuscitation bag

Question 21

How will the nurse document the resp findings on auscultation that are squeaky, musical sounds on inhale & exhlale?

Accepted Answer

Wheezes

Question 22

Which question will the nurse ask first when a client reports a persistant, nagging cough?

Accepted Answer

"How long has your cough been present?"

Question 23

Nurse is caring for a pt with end-stage COPD. Which data warrant immediate intervention by the nurse?

Accepted Answer

The client&#x27;s sputum is rusty colored

Question 24

Pt admitted to ED with diff breathing and blue color around mouth, which diagnostic test will be ordered?

Accepted Answer

PFT

Question 25

Which pt assessment finding does the nurse recognize as an immediate gas exchange and perfusion problem?

Accepted Answer

Cyanosis

Question 26

Nurse is assessing pt diagosed with COPD. Which health-promotion information is most important for the nurse to obtain?

Accepted Answer

Willingness to modify lifestyle

Question 27

Which assessment data indicate to the nurse the pt diagnosed with ARDS has complication secondary to the ventilator?

Accepted Answer

Pt has asymmetrical chest expansion

Question 28

Pt is diagnosed with mild intermittent asthma. Which medication should the nurse discuss with the pt?

Accepted Answer

Use of a "rescue inhaler"

Question 29

Priority action to prevent harm before allowing pt who had a flex bronchoscopy 2 hrs ago to drink or eat?

Accepted Answer

Check for return of gag reflex

Question 30

Which nursing assessment data support that the client has experienced a PE?

Accepted Answer

Sudden onset of chest pain and dyspnea

Respiratory

Questions 30

Respiratory

Questions 30