Respiratory Disorders (Part 2)

101 Questions | Total Attempts: 314

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Respiratory Disorders (Part 2)

As a medical practitioner, proper diagnosis of a respiratory disorder will lead to giving the correct care and medication to a patient. Are you studying to be or practicing as a medical practitioner? Take the quiz below and see how conversant you are with issues regarding the respiratory disorders. Good luck!


Questions and Answers
  • 1. 
    The nursing staff is divided over withdrawing care from a competent, chronically ill client. The nurse manager should take which step to meet the needs of her staff?
    • A. 

      Contact the institutional ethics committee.

    • B. 

      Arrange a meeting with the client's family.

    • C. 

      Ask the physician to meet with the staff.

    • D. 

      Reinforce to the staff that the decision is the client's to make.

  • 2. 
    A client is being evaluated for possible lung cancer. Which client statement most likely indicates lung cancer?
    • A. 

      "My cough has changed from a dry cough to one with lots of sputum production."

    • B. 

      "I've had a low-grade fever for 2 weeks."

    • C. 

      "My voice is hoarser than it used to be."

    • D. 

      "I've lost 10 pounds in the last month."

  • 3. 
    A physician orders metaproterenol (Alupent) by metered-dose inhalation four times daily for a client with acute bronchitis. Which statement by the client indicates effective teaching about this medication?
    • A. 

      "I can stop using this drug when I begin to feel better."

    • B. 

      "I should use this inhaler whenever I get short of breath."

    • C. 

      "I need to hold my breath as long as possible after I take a deep inhalation."

    • D. 

      "I need to call the physician right away if I feel my heart beating fast after using the drug."

  • 4. 
    A nurse is performing a respiratory assessment on a client with pneumonia. She asks the client to say "ninety-nine" several times. Through her stethoscope, she hears the words clearly over his left lower lobe. What term should the nurse use to document this finding?
    • A. 

      Bronchophony

    • B. 

      Tactile fremitus

    • C. 

      Crepitation

    • D. 

      Egophony

  • 5. 
    A healthy client comes to the clinic for a routine examination. When auscultating his lower lung lobes, the nurse should expect to hear which type of breath sound?
    • A. 

      Bronchial

    • B. 

      Tracheal

    • C. 

      Vesicular

    • D. 

      Bronchovesicular

  • 6. 
    A trauma victim in the intensive care unit has a tension pneumothorax. Which signs or symptoms are associated with a tension pneumothorax? Select all that apply.
    • A. 

      Decreased cardiac output

    • B. 

      Flattened jugular veins

    • C. 

      Tracheal deviation to the affected side

    • D. 

      Hypotension

    • E. 

      Tracheal deviation to the opposite side

    • F. 

      Bradypnea

  • 7. 
    A nurse recognizes that a client with tuberculosisneeds further teaching when the client states:
    • A. 

      "I'll have to take these medications for 9 to 12 months."

    • B. 

      "It won't be necessary for the people I work with to take medication."

    • C. 

      "I'll need to have scheduled laboratory tests while I'm on the medication."

    • D. 

      "The people I have contact with at work should be checked regularly."

  • 8. 
    A client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination. When percussing the client's chest wall, the nurse expects to elicit:
    • A. 

      Resonant sounds.

    • B. 

      Hyperresonant sounds.

    • C. 

      Dull sounds.

    • D. 

      Flat sounds.

  • 9. 
    A client is chronically short of breath and yet has normal lung ventilation, clear lungs, and an arterial oxygen saturation SaO2of 96% or better. The client most likely has:
    • A. 

      Poor peripheral perfusion.

    • B. 

      A possible hematologic problem.

    • C. 

      A psychosomatic disorder.

    • D. 

      Left-sided heart failure.

  • 10. 
    A client with asthmais receiving a theophylline (Uniphyl) preparation to promote bronchodilation. Because of the risk of drug toxicity, the nurse must monitor the client's serum theophylline level closely. The nurse knows that the therapeutic theophylline concentration falls within which range?
    • A. 

      2 to 5 mcg/ml

    • B. 

      5 to 10 mcg/ml

    • C. 

      10 to 20 mcg/ml

    • D. 

      21 to 25 mcg/ml

  • 11. 
    A physician orders a palliative care consult for a client with end-stage chronic obstructive pulmonary diseasewho wishes no further medical intervention. Which step should the nurse anticipate based on her knowledge of palliative care?
    • A. 

      Decreasing administration of pain medications

    • B. 

      Reducing oxygen requirements

    • C. 

      Increasing the need for antianxiety agents

    • D. 

      Decreasing the use of bronchodilators

  • 12. 
    A client admitted to the facility for treatment for tuberculosisreceives instructions about the disease. Which statement made by the client indicates the need for further instruction?
    • A. 

      "I'll have to take the medication for up to a year."

    • B. 

      "This disease may come back later if I am under stress."

    • C. 

      "I'll stay in isolation for 6 weeks."

    • D. 

      "I'll always have a positive test for tuberculosis."

  • 13. 
    A client is experiencing dryness in the nares while receiving oxygen via nasal cannulaat 4 L/minute. Which medication should the nurse apply to help alleviate the dryness?
    • A. 

      Petroleum jelly

    • B. 

      Sterile water

    • C. 

      Lubricant jelly

    • D. 

      Antibiotic ointment

  • 14. 
    A client is undergoing a complete physical examination as a requirement for college. When checking the client's respiratory status, the nurse observes respiratory excursion to help assess:
    • A. 

      Lung vibrations.

    • B. 

      Vocal sounds.

    • C. 

      Breath sounds.

    • D. 

      Chest movements.

  • 15. 
    A home health nurse sees a client with end-stage chronic obstructive pulmonary disease. An outcome identified for this client is preventinginfection. Which finding indicates that this outcome has been met?
    • A. 

      Decreased oxygen requirements

    • B. 

      Increased sputum production

    • C. 

      Decreased activity tolerance

    • D. 

      Normothermia

  • 16. 
    A client comes to the emergency department complaining of sudden onset of diarrhea, anorexia, malaise, cough, headache, and recurrent chills. Based on the client's history and physical findings, the physician suspects legionnaires' disease. While awaiting diagnostic test results, the client is admitted to the facility and started on antibiotic therapy. What's the drug of choice for treating legionnaires' disease?
    • A. 

      Azithromycin (Zithromax)

    • B. 

      Rifampin (Rifadin)

    • C. 

      Amantadine (Symmetrel)

    • D. 

      Amphotericin B (Fungizone)

  • 17. 
    A client with chronic obstructive pulmonary disease(COPD) is admitted to an acute care facility because of an acute respiratoryinfection. When assessing the client's respiratory status, which finding should the nurse anticipate?
    • A. 

      An inspiratory-expiratory (I:E) ratio of 2:1

    • B. 

      A transverse chest diameter twice that of the anteroposterior diameter

    • C. 

      An oxygen saturation of 99%

    • D. 

      A respiratory rate of 12 breaths/minute

  • 18. 
    A client with chronic obstructive pulmonary disease(COPD) is being evaluated for a lung transplant. The nurse performs the initial physical assessment. Which signs and symptoms should the nurse expect to find? Select all that apply.
    • A. 

      Decreased respiratory rate

    • B. 

      Dyspnea on exertion

    • C. 

      Barrel chest

    • D. 

      Shortened expiratory phase

    • E. 

      Clubbed fingers and toes

    • F. 

      Fever

  • 19. 
    After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive isoniazid (INH [Laniazid]) as prophylaxis against tuberculosis. The client's daughter asks the nurse how long the drug must be taken. What is the usual duration of prophylactic isoniazid therapy?
    • A. 

      3 to 5 days

    • B. 

      1 to 3 weeks

    • C. 

      2 to 4 months

    • D. 

      6 to 12 months

  • 20. 
    After undergoing a thoracotomy, a client is receiving epidural analgesia. Which assessment finding indicates that the client has developed the most serious complication of epidural analgesia?
    • A. 

      Heightened alertness

    • B. 

      Increased heart rate

    • C. 

      Numbness and tingling of the extremities

    • D. 

      Respiratory depression

  • 21. 
    A client's breathing stops after receiving the wrong medication. The nurse initiates the code protocol, and the client is emergently intubated. As soon as the client's condition stabilizes, the nurse completes an incident report. What should the nurse do next?
    • A. 

      Place the incident report on the client's chart.

    • B. 

      Document the incident in the nurses' notes.

    • C. 

      Document in the nurses' notes that an incident report was completed.

    • D. 

      Make a copy of the incident report for the client.

  • 22. 
    For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the care plan?
    • A. 

      Measuring and documenting the drainage in the collection chamber

    • B. 

      Maintaining continuous bubbling in the water-seal chamber

    • C. 

      Keeping the collection chamber at chest level

    • D. 

      Stripping the chest tube every hour

  • 23. 
    A client with myasthenia gravisis receiving continuous mechanical ventilation. When the high-pressure alarm on the ventilator sounds, what should the nurse do?
    • A. 

      Check for an apical pulse.

    • B. 

      Suction the client's artificial airway.

    • C. 

      Increase the oxygen percentage.

    • D. 

      Ventilate the client with a handheld mechanical ventilator.

  • 24. 
    A physician determines that a client has been exposed to someone with tuberculosis. The nurse expects the physician to order which treatment?
    • A. 

      Daily oral doses of isoniazid (Nydrazid) and rifampin (Rifadin) for 6 months to 2 years

    • B. 

      Isolation until 24 hours after antitubercular therapy begins

    • C. 

      Nothing, until signs of active disease arise

    • D. 

      Daily doses of isoniazid, 300 mg for 6 months to 1 year

  • 25. 
    A client is diagnosed with a chronic respiratory disorder. After assessing the client's knowledge of the disorder, the nurse prepares a teaching plan. This teaching plan is most likely to include which nursing diagnosis?
    • A. 

      Anxiety

    • B. 

      Imbalanced nutrition: More than body requirements

    • C. 

      Impaired swallowing

    • D. 

      Unilateral neglect

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