Respiratory Disorders (Part 1)

97 Questions | Total Attempts: 170

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Respiratory Disorders (Part 1)

Respiratory disorder is a term that encompasses a variety of pathogenic conditions that affect respiration in living organisms. If you are a student and want to know more then take this quiz. All the very best.


Questions and Answers
  • 1. 
    A nurse is caring for a client with cystic fibrosis. With which members of the health care team is it most appropriate for her to collaborate? Select all that apply.
    • A. 

      Nutritional services

    • B. 

      Physical therapy

    • C. 

      Social services

    • D. 

      Occupational therapy

    • E. 

      Respiratory therapy

  • 2. 
    A physician orders albuterol (Proventil) for a client with newly diagnosed asthma. When teaching the client about this drug, the nurse should explain that it may cause:
    • A. 

      Nasal congestion.

    • B. 

      Nervousness.

    • C. 

      Lethargy.

    • D. 

      Hyperkalemia.

  • 3. 
    A client with asthma has been taking theophylline (Theochron) as ordered. Now, the client's blood theophylline level is 4.8 mcg/ml. Which dosage change will the physician order?
    • A. 

      Increase the dose.

    • B. 

      Decrease the dose.

    • C. 

      Maintain the dose.

    • D. 

      Omit a dose.

  • 4. 
    A client with respiratory acidosis is admitted to the intensive care unit for close observation. The nurse should stay alert for which complication associated with respiratory acidosis?
    • A. 

      Shock

    • B. 

      Stroke

    • C. 

      Seizures

    • D. 

      Hyperglycemia

  • 5. 
    A client is being discharged with a home oxygen delivery device. Which comments indicate that the client understands safety regarding home oxygen? Select all that apply.
    • A. 

      No one can smoke within 10′ of the oxygen.

    • B. 

      I can carry my oxygen in a bag for easy portability.

    • C. 

      I need to keep my oxygen away from electrical sources.

    • D. 

      I should keep my oxygen away from direct heat.

    • E. 

      I'll keep my oxygen out of the sun in all circumstances.

  • 6. 
    A nurse is caring for a client who has a tracheostomy tube and who is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by:
    • A. 

      Suctioning the tracheostomy tube frequently.

    • B. 

      Using a cuffed tracheostomy tube.

    • C. 

      Using the minimal-leak technique with cuff pressure less than 25 cm H2O.

    • D. 

      Keeping the tracheostomy tube plugged.

  • 7. 
    During discharge teaching, a nurse is instructing a client about pneumonia. The client demonstrates his understanding of relapse when he states that he must:
    • A. 

      Follow up with the physician in 2 weeks.

    • B. 

      Continue to take antibiotics for the entire 10 days.

    • C. 

      Turn and reposition himself every 2 hours.

    • D. 

      Maintain fluid intake of 40 oz (1,200 ml) per day.

  • 8. 
    • A. 

      Leg movement

    • B. 

      Finger movement

    • C. 

      Lip movement

    • D. 

      Fighting the ventilator

  • 9. 
    A client asks a nurse a question about the Mantoux test for tuberculosis. The nurse should base her response on the fact that the:
    • A. 

      Area of redness is measured in 3 days and determines whether tuberculosis is present.

    • B. 

      Skin test doesn't differentiate between active and dormant tuberculosis infection.

    • C. 

      Presence of a wheal at the injection site in 2 days indicates active tuberculosis.

    • D. 

      Test stimulates a reddened response in some clients and requires a second test in 3 months.

  • 10. 
    At 11 p.m., a client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He's anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86%, and he's still wheezing. The nurse should plan to administer:
    • A. 

      Alprazolam (Xanax).

    • B. 

      Propranolol (Inderal).

    • C. 

      Morphine.

    • D. 

      Albuterol (Proventil).

  • 11. 
    A physician orders triamcinolone (Azmacort) and salmeterol (Serevent) for a client with a history of asthma. What action should the nurse take when administering these drugs?
    • A. 

      Administer the triamcinolone and then administer the salmeterol.

    • B. 

      Administer the salmeterol and then administer the triamcinolone.

    • C. 

      Allow the client to choose the order in which the drugs are administered.

    • D. 

      Monitor the client's theophylline level before administering the medications.

  • 12. 
    • A. 

      Lobar pneumonia.

    • B. 

      Empyema.

    • C. 

      Pneumocystis carinii pneumonia.

    • D. 

      Infected chest tube wound site.

  • 13. 
    A client with a history of type 1 diabetes is admitted to the hospital with community-acquired pneumonia. The client's blood glucose level in the emergency care unit was 576 mg/dl. The physician orders an I.V. containing normal saline solution, an insulin infusion, and I.V. levofloxacin (Levaquin). The nurse piggybacks the insulin infusion into the normal saline solution. She questions whether she can also piggyback the levofloxacin into the same I.V. line. Which health team member should she collaborate with to check the compatibility of these solutions?
    • A. 

      The physician who ordered the medications

    • B. 

      The coworker with 20 years of nursing experience

    • C. 

      The pharmacist covering the floor

    • D. 

      The infectious disease nurse

  • 14. 
    The amount of air inspired and expired with each breath is called:
    • A. 

      Tidal volume.

    • B. 

      Residual volume.

    • C. 

      Vital capacity.

    • D. 

      Dead-space volume.

  • 15. 
    A recent immigrant is diagnosed with pulmonary tuberculosis (TB). Which intervention is the most important for the nurse to implement with this client?
    • A. 

      Client teaching about the cause of TB

    • B. 

      Reviewing the risk factors for TB

    • C. 

      Developing a list of people with whom the client has had contact

    • D. 

      Client teaching about the importance of TB testing

  • 16. 
    A nurse is teaching a client about using an incentive spirometer. Which statement by the nurse is correct?
    • A. 

      Breathe in and out quickly.

    • B. 

      You need to start using the incentive spirometer 2 days after surgery.

    • C. 

      Before you do the exercise, I'll give you pain medication if you need it.

    • D. 

      Don't use the incentive spirometer more than 5 times every hour.

  • 17. 
    • A. 

      Restricting fluid intake to 1,000 ml/day

    • B. 

      Enforcing absolute bed rest

    • C. 

      Teaching the client how to perform controlled coughing

    • D. 

      Administering ordered sedatives regularly and in large amounts

  • 18. 
    • A. 

      Oxygen

    • B. 

      Aminoglycosides

    • C. 

      Diuretics

    • D. 

      Vasodilators

    • E. 

      Antihistamines

    • F. 

      Sulfonamides

  • 19. 
    During morning assessment, a nurse assesses four clients. Which client is the priority for follow up?
    • A. 

      An 84-year-old client with heart failure who's on telemetry and 2 L/minute of oxygen.

    • B. 

      A 42-year-old client who has left lower lobe pneumonia and an I.V. line.

    • C. 

      A 48-year-old client with chronic obstructive pulmonary disease with occasional atrial fibrillation.

    • D. 

      A 73-year-old client who has pneumonia with coarse crackles, is receiving 2 L/minute of oxygen, and has an I.V. line.

  • 20. 
    A nurse is caring for a client who transferred from a local nursing home and who has tested positive for methicillin-resistant Staphylococcus aureus (MRSA). To prevent the spread of MRSA, the nurse knows she must:
    • A. 

      Maintain sterile technique at all times.

    • B. 

      Wear a mask when caring for the client.

    • C. 

      Give the client an I.V. dose of antibiotics.

    • D. 

      Keep a mask on the client.

  • 21. 
    A client with chronic obstructive pulmonary disease (COPD) takes theophylline (Uniphyl), 200 mg P.O. twice per day. During a routine clinic visit, the client asks the nurse how the drug works. What is the mechanism of action of theophylline in treating a nonreversible obstructive airway disease such as COPD?
    • A. 

      It makes the central respiratory center more sensitive to carbon dioxide and stimulates the respiratory drive.

    • B. 

      It inhibits the enzyme phosphodiesterase, decreasing degradation of cyclic adenosine monophosphate, a bronchodilator.

    • C. 

      It stimulates adenosine receptors, causing bronchodilation.

    • D. 

      It alters diaphragm movement, increasing chest expansion and enhancing the lung's capacity for gas exchange.

  • 22. 
    A nurse enters the room of a client who has returned to the unit after having a radical neck dissection. Which assessment finding requires immediate intervention?
    • A. 

      Serosanguineous drainage on the dressing

    • B. 

      Foley catheter bag containing 500 ml of amber urine

    • C. 

      A piggyback infusion of levofloxacin (Levaquin)

    • D. 

      The client lying in a lateral position, with the head of bed flat

  • 23. 
    • A. 

      Immunizations can prevent anthrax.

    • B. 

      Blood and body secretions can transmit anthrax.

    • C. 

      Physicians use isoniazid (INH), rifampin (Rifadin), and pyrazinamide to treat anthrax.

    • D. 

      Anthrax can infect the integumentary, GI, and respiratory systems.

  • 24. 
    While suctioning a client's tracheostomy tube, the nurse notes the following pattern on the electrocardiogram (ECG) strip. What should the nurse do?
    • A. 

      Continue suctioning to remove the mucus.

    • B. 

      Stop suctioning and provide oxygen as ordered.

    • C. 

      Turn the client onto his left side.

    • D. 

      Administer a precordial thump.

  • 25. 
    • A. 

      The water level in the humidifier reservoir is too low.

    • B. 

      The oxygen tubing is pinched.

    • C. 

      The client has a nasal obstruction.

    • D. 

      The oxygen concentration is above 44%.