care Of Clients With Respiratory Disorders
The following questions you are going to encounter are about the Care of Clients with Respiratory disorders. This will test your nursing skills in handling and dealing with patients with respiratory disorders.
Ready yourself for a 20 item pre-test. If you are ready, nurse, you may click the "start quiz" button. Good luck nurses.
- 1.
A 40-year old male returned ti his room an hour ago following bronchoscopy. He is requesting for a glass of water. The nurse must first:
- A.
Keep the client on NPO until an order is written.
- B.
Check the vital sign.
- C.
Check the gag reflex and swallowing reflexes.
- D.
Encourage deep breathing and coughing.
Correct Answer
C. Check the gag reflex and swallowing reflexes.Explanation
After the bronchoscopy, the nurse must check the gag and swallowing reflexes before resuming intakes to prevent aspiration.Rate this question:
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- 2.
Which of the following will the nurse interpret as positive Mantaux test?
- A.
Redness greater than 5mm.
- B.
Swelling greater than 7mm.
- C.
Induration greater than 20mm.
- D.
Exudates covering more than 12mm.
Correct Answer
C. Induration greater than 20mm.Explanation
Mantoux test is induration greater than 10mm.Rate this question:
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- 3.
A 49-year old client with cancer of the lung just had thoracentesis. The nurse would position the client:
- A.
On the affected side
- B.
On the unaffected side
- C.
Semi-fowler's position
- D.
On his back
Correct Answer
B. On the unaffected sideExplanation
After the thoracentesis, the client should be positioned on the unaffected side to prevent leakage of pleural into the thoracic cavity.Rate this question:
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- 4.
A client was admitted to the hospital with client chest pain and shortness of breath. Arterial blood gases were: pH=7.52, pCO2= 27, HCO3= 22. These values indicate:
- A.
Respiratory alkalosis
- B.
Respiratory acidosis
- C.
Metabolic alkalosis
- D.
Metabolic acidosis
Correct Answer
A. Respiratory alkalosisExplanation
ABG values of pH=7.52, pCO2= 27, HCO3= 22 indicate respiratory alkalosis (pH is high- alkalosis; pCO2 is low- respiratory alkalosis).Rate this question:
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- 5.
The nurse enters the room of a client with COPD. The client's oxygen is running at 8L/min. The nurse's best initial nursing action is:
- A.
Check the doctor's order
- B.
Lower the oxygen rate at 2L/min
- C.
Take the vital sign
- D.
Put the client in Fowler's position
Correct Answer
B. Lower the oxygen rate at 2L/minExplanation
The safest amount of oxygen to be given to a patient with COPD is 2L/min. High oxygen concentration will depress the drive for breathing and respiratory arrest may occur.Rate this question:
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- 6.
A 52 yera old client is being discharged following laryngectomy for cancer of the larynx. Prior to discharge, the nurse assesses the following psychomotor skills:
- A.
Administering injections, changing dressing and chest physiotherapy
- B.
Taking the blood pressure, pulse rate and monitoring serum glucose
- C.
Suctioning and caring for tracheostomies and tracheostomy tube
- D.
Tube feeding, taking aerosol medications and taking blood pressure
Correct Answer
C. Suctioning and caring for tracheostomies and tracheostomy tubeExplanation
The client who had undergone laryngectomy for cancer of the larynx has permanent tracheostomy. He should learn the skills od suctioning and care of tracheostomy and tracheostomy tube.Rate this question:
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- 7.
A 74-year old is diagnosed with tuberculosis. Which of the following laboratory reports most accurately confirms the diagnosis?
- A.
Chest X-ray
- B.
Sputum culture
- C.
Complete blood count
- D.
Mantoux test
Correct Answer
B. Sputum cultureExplanation
the most accurate laboratory test that confirms diagnosis of TB is sputum culture.Rate this question:
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- 8.
A client has active TB. Which of the following clinical manifestations will he exhibit?
- A.
Chest and lower backpain
- B.
Headache and fever
- C.
Fever, night sweats, chills, hemoptysis
- D.
Fever of more than 140F and nausea
Correct Answer
C. Fever, night sweats, chills, hemoptysisExplanation
Fever, chills, ng=ight sweats and hemoptysis are the characteristic manifestations of a client with active TB.Rate this question:
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- 9.
Before starting on Isoniazid (INH), a client will probably have which of the following laboratory tests?
- A.
AST and ALT
- B.
BUN, serum creatinine
- C.
Serum glucose level
- D.
Blood uric acid level
Correct Answer
A. AST and ALTExplanation
INH is hepatotoxic. Liver enzyme studies like AST and ALT should be check before starting INH.Rate this question:
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- 10.
The drug of choice in the treatment of histoplasmosis is:
- A.
Streptomycin
- B.
Rifampicin
- C.
Paraaminosalicyclic acid (PAS)
- D.
Amphotericin B
Correct Answer
D. Amphotericin BExplanation
The drug of choise in the treatment of histoplasmosis, a fungal infection of the lungs is AMPHOTERICIN B, an antifungal.Rate this question:
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- 11.
Which of the following would be considered most normal in the water - seal chamber withig the first 24 hours postoperatively with a two-bottle water-seal drainage?
- A.
No fluctuation in the water - seal tube
- B.
Intermittent, slight bubbling from the water-seal tube
- C.
Bright-red blood bloody drainage
- D.
Continuous bubbling in the water-seal tube
Correct Answer
B. Intermittent, slight bubbling from the water-seal tubeExplanation
Ia a two-bottle seal drainage, INTERMITTENT, SLIGHT BUBBLING from the water-seal bottle (chamber) is NORMAL. (But if Pleur-evac is used, there should be NO bubbling in the water-seal chmaber).Rate this question:
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- 12.
A 19-year old client comes to the emergency department with acute asthma. His respiratory rate is 44 bpm and he appears in acute respiratory distress. Which of the following actions should be taken first?
- A.
Take a full nursing history
- B.
Administer bronchodilator by nebulizer
- C.
Provide emotional support to the client
- D.
Administer oxygen 6L/m
Correct Answer
B. Administer bronchodilator by nebulizerExplanation
The first nursing intervention for a client with acute asthmatic attack is to OPEN THE AIRWAY. Administer bronchodilator by nebulizer.Rate this question:
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- 13.
Which of the following additional assessment data should immediately be gathered to determine the status of a client with a respiratory rate of 4 breaths/minute?
- A.
ABG and breath sounds
- B.
Level of consciousness and a pulse oximetry values
- C.
Breath sounds and reflexes
- D.
Heart sounds and reflexes
Correct Answer
B. Level of consciousness and a pulse oximetry valuesExplanation
Level of consciousness and pulse oximetry values are most important assessment data that should immediately be gathered in a client whose respiratory rate is very slow. (4 breaths per minute) to determine much oxygen the client needs.Rate this question:
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- 14.
Which of the following statements best describes ARDS?
- A.
Alveoli are overdistended.
- B.
Alveoli are fluid filled.
- C.
Alveoli are filled with mucus secretions.
- D.
Alveoli have increased perfusion.
Correct Answer
B. Alveoli are fluid filled.Explanation
In Acute Respiratory Distress Syndrome (ARDS), the ALVEOLI ARE FLUID-FILLED (pulmonary edema) and atelectasis occurs.Rate this question:
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- 15.
A client with chest tube has accidentally removed it. What should be done first?
- A.
Lie the client down on the left side.
- B.
Lie the client on the right side.
- C.
Apply an occlusive dressing over the site.
- D.
Reinsert the chest tube that fell out.
Correct Answer
C. Apply an occlusive dressing over the site.Explanation
In cases a chest tube is accidentally removed, apply an occlusive dressing over the site to prevent tension pneumothorax and collapse of the lungs.Rate this question:
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- 16.
A client with emphysema is observed to have labored breathing and exhibits slow, shallow respiration.. This endangers him to develop :
- A.
Respiratory alkalosis
- B.
Respiratory acidosis
- C.
Metabolic alkalosis
- D.
Metabolic acidosis
Correct Answer
B. Respiratory acidosisExplanation
Slow, shallow respirations will cause carbon dioxide retention. This leads to RESPIRATORY ACIDOSIS.Rate this question:
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- 17.
The most comfortable position for the client with COPD is:
- A.
Semi-Fowler's pisition
- B.
Sitting upright leaning forward
- C.
Lateral position
- D.
High-Fowler's position
Correct Answer
B. Sitting upright leaning forwardExplanation
The most comfortable position for the client with COPD is SITTING UPRIGHT, LEANING FORWARD. This position enhances lung expansion and exhalation of carbon dioxide as well.Rate this question:
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- 18.
The client had undergone total laryngectomy. He has permanent tracheostomy. Which of the following action needs intervention during tracheal suctioning?
- A.
The nurse dons sterile gloves and uses sterile suction catheter.
- B.
The nurse administers 100% oxygen before and after the suctioning.
- C.
The nurse applies suction for 30 seconds at a time.
- D.
The nurse applies suction during withdrawal of the suction catheter tip.
Correct Answer
C. The nurse applies suction for 30 seconds at a time.Explanation
When the nurse applies suction fir 30 seconds at a time, her nursing action needs intervention (need to be corrected). Prolonged suctioning may cause hypoxia, vagal stimulation and bleeding.Rate this question:
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- 19.
The nurse teaches an adolescent who has had a tonsillectomy which of the following?
- A.
Avoid coughing and cleaning the throat the first week postoperatively.
- B.
Do not eat or drink anything for the first 24 hours.
- C.
If your stool is black for the first few days postop, notify the doctor.
- D.
Avoid cold beverages to prevent irritation of the throat.
Correct Answer
A. Avoid coughing and cleaning the throat the first week postoperatively.Explanation
After tonsillectomy, the client should be instructed to avoid coughing and clearing the throat the first week postop. This is to prevent bleeding.Rate this question:
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- 20.
Which of the following breathing techniques does the nurse teache a client with pulmonary emphysema that will assist in exhalation?
- A.
Push on abdomen during exhalation.
- B.
Sit in high-Fowler's position with legs extended
- C.
Lean forward 30 to 40 degrees with each exhalation.
- D.
Sit up with shoulders back.
Correct Answer
C. Lean forward 30 to 40 degrees with each exhalation.Explanation
The breathing technique that will assist in exhalation of a client with emphysema is to lean forward 30 to 40 degrees with each exhalation.Rate this question:
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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
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Current Version
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Mar 22, 2023Quiz Edited by
ProProfs Editorial Team -
Jan 26, 2010Quiz Created by
Sars
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