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Resp. Review
Resp. Review
20 terms
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StudBud Administration
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CMSRN Resp Review
Flashcards
20 cards
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Practice quiz
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Questions
20
Answers
1
An elderly male admitted with influenza. The nurse monitors the client for complications.
Pulmonary edema
Pneumonia
Meningitis
Septicemia
2
Which clinical findings commonly accompany respiratory alkalosis?
Lightheadedness or paresthesia
Abdominal pain or diarrhea
Hallucinations or tinnitus
Nausea or vomiting
3
Pt sits up in bed, reports having difficulty breathing and O2 Sat 88%. Which mode of oxygen?
Face tent
Nasal cannula
Non-rebreather mask
Simple mask
4
A client who DC prednisone abruptly may experience:
GI bleeding.
Restlessness and seizures.
Acute adrenocortical insufficiency.
Hyperglycemia and glycosuria.
5
Pt w/ a pneumothorax and chest tube notes continuous gentle bubbling in the sxn control chamber
Immediately clamp the chest tube and notify the physician.
Check for an air leak, the bubbling should be intermittent.
Increase the sxn pressure so that bubbling becomes vigorous
Do nothing, because this is an expected finding.
6
When suctioning a Trach, the nurse must limit the suctioning time to a maximum of:
1 minute
30 seconds
5 seconds
10 seconds
7
A male patient has a sucking stab wound to the chest. Which action should the nurse take first?
Preparing a chest tube insertion tray
Drawing blood for a hematocrit and hemoglobin
Applying a drsg over the wound and taping it on three sides
Preparing to start an I.V. line
8
Recovering from a MI. Because the client can’t produce an effective cough, monitor for
Pleural effusion.
Pulmonary edema.
Oxygen toxicity.
Atelectasis.
9
Acute respiratory distress syndrome. Which of the following would the nurse expect to note
Low arterial PaO2
Elevated arterial PaO2
Decreased respiratory rate
Pallor
10
Chest tube with fluctuation of the fluid level in the water seal chamber.
Continue to monitor the client.
Inform the physician.
Reinforce the occlusive dressing
Encourage the client to deep-breathe
11
Despite the different causes of the various types of pneumonia, all of them share which feature
Sudden onset
Inflamed lung tissue
Responsiveness to penicillin.
Elevated white blood cell (WBC) count
12
The nurse assesses the O2 flow rate of a pt with emphysema to ensure that it does not exceed
6 L/min
1 L/min
10 L/min
2 L/min
13
Audible sucking noises on both insp and exp and diminished on the left. The nurse should prep
Humidified O2
Chest tube insertion
Arterial blood gas draw
Rapid fluid infusion
14
After removal of the ETT. The nurse reports which of the following signs immediately
Respiratory rate of 24 breaths/min
A few basilar lung crackles on the right
Stridor
Occasional pink-tinged sputum
15
Assisting a physician w/ the removal of a chest tube. The nurse should instruct the client to:
Exhale slowly
Inhale and exhale quickly
Stay very still
Perform the Valsalva maneuver
16
Pt has wheezing, bradycardia, RR of 10 breaths/minute. These signs are associated with?
Delirium
Hypoxia
Hyperventilation
Semiconsciousness
17
Which finding indicates the pt developed the most serious complication of epidural analgesia?
Respiratory depression
Increased heart rate
Heightened alertness
Numbness and tingling of the extremities
18
Which observation indicates that the client is experiencing difficulty breathing?
Use of accessory muscles
Controlled breathing
Pursed-lip breathing
Diaphragmatic breathing
19
Which of the following is NOT the function of the respiratory system?
Protection against blood loss
Contains receptors for the sense of smell
Regulate blood pH
Helps in gaseous exchange
20
Acute exacerbation of COPD. Which of the following would the nurse expect to note
Hypocapnia
A widened diaphragm noted on the chest x-ray
Increased oxygen saturation with exercise
A hyperinflated chest noted on the chest x-ray