care Of Clients With Respiratory Disorders
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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.
- 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.
- 3.
- A.
On the affected side
- B.
On the unaffected side
- C.
Semi-fowler's position
- D.
On his back
- 4.
- A.
Respiratory alkalosis
- B.
Respiratory acidosis
- C.
Metabolic alkalosis
- D.
Metabolic acidosis
- 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
- 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
- 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
- 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
- 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
- 10.The drug of choice in the treatment of histoplasmosis is:
- A.
Streptomycin
- B.
Rifampicin
- C.
Paraaminosalicyclic acid (PAS)
- D.
Amphotericin B
- 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
- 12.
- A.
Take a full nursing history
- B.
Administer bronchodilator by nebulizer
- C.
Provide emotional support to the client
- D.
Administer oxygen 6L/m
- 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
- 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.
- 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.
- 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
- 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
- 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.
- 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.
- 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.
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