Respiratory Disorders (Part 1)

97 Questions | Total Attempts: 258

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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    A competent client requiring long-term mechanical ventilation privately tells a nurse that he wants the ventilator withdrawn. Which response by the nurse is best?
    • A. 

      Tell me how you are feeling.

    • B. 

      What about your family?

    • C. 

      You're asking us to do something we can't do.

    • D. 

      You have been doing so well.

  • 2. 
    A client with severe shortness of breath comes to the emergency department. He tells the emergency department staff that he recently traveled to China for business. Based on his travel history and presentation, the staff suspects severe acute respiratory syndrome (SARS). Which isolation precautions should the staff institute?
    • A. 

      Droplet precautions

    • B. 

      Airborne and contact precautions

    • C. 

      Contact and droplet precautions

    • D. 

      Contact precautions

  • 3. 
    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).

  • 4. 
    Which vaccine should a nurse encourage a client with chronic obstructive pulmonary disease (COPD) to receive?
    • A. 

      Varicella

    • B. 

      Influenza

    • C. 

      Hepatitis B

    • D. 

      Human papilloma virus (HPV)

  • 5. 
    A nurse is caring for a client with chest trauma. Which nursing diagnosis takes the highest priority?
    • A. 

      Impaired gas exchange

    • B. 

      Anxiety

    • C. 

      Decreased cardiac output

    • D. 

      Ineffective tissue perfusion (cardiopulmonary)

  • 6. 
    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.

  • 7. 
    A client with suspected severe acute respiratory syndrome (SARS) comes to the emergency department. Which physician order should the nurse implement first?
    • A. 

      Institute isolation precautions.

    • B. 

      Begin an I.V. infusion of dextrose 5% in half-normal saline solution at 100 ml/hour.

    • C. 

      Obtain a nasopharyngeal specimen for reverse-transcription polymerase chain reaction testing.

    • D. 

      Obtain a sputum specimen for enzyme immunoassay testing.

  • 8. 
    A client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which mode of oxygen delivery is most likely to reverse these manifestations?
    • A. 

      Simple mask

    • B. 

      Nonrebreather mask

    • C. 

      Face tent

    • D. 

      Nasal cannula

  • 9. 
    A client in the emergency department is diagnosed with a communicable disease. When complications of the disease are discovered, the client is admitted to the hospital and placed in respiratory isolation. Which infection warrants airborne isolation?
    • A. 

      Mumps

    • B. 

      Impetigo

    • C. 

      Measles

    • D. 

      Cholera

  • 10. 
    A nurse notices that a client admitted for exacerbation of chronic obstructive pulmonary disease is short of breath. The client has signed an advance directive indicating that he doesn't want to be resuscitated. The nurse should:
    • A. 

      Not provide any care.

    • B. 

      Check the client's oxygen saturation.

    • C. 

      Get the crash cart.

    • D. 

      Call the physician.

  • 11. 
    When caring for a client who has just had a total laryngectomy, the nurse should plan to:
    • A. 

      Encourage oral feedings as soon as possible.

    • B. 

      Develop an alternative communication method.

    • C. 

      Keep the tracheostomy cuff fully inflated.

    • D. 

      Keep the client flat in bed.

  • 12. 
    Which set of arterial blood gas (ABG) results requires further investigation?
    • A. 

      PH 7.38, partial pressure of arterial carbon dioxide (PaCO2) 36 mm Hg, partial pressure of arterial oxygen (PaO2) 95 mm Hg, bicarbonate (HCO3–) 24 mEq/L

    • B. 

      PH 7.49, PaCO2 30 mm Hg, PaO2 89 mm Hg, and HCO3– 18 mEq/L

    • C. 

      PH 7.44, PaCO2 43 mm Hg, PaO2 99 mm Hg, and HCO3– 26 mEq/L

    • D. 

      PH 7.35, PaCO2 40 mm Hg, PaO2 91 mm Hg, and HCO3– 22 mEq/L

  • 13. 
    A client with chronic obstructive pulmonary disease presents with respiratory acidosis and hypoxemia. He tells the nurse that he doesn't want to be placed on a ventilator. What action should the nurse take?
    • A. 

      Notify the physician immediately so he can determine client competency.

    • B. 

      Have the client sign a do-not-resuscitate (DNR) form.

    • C. 

      Determine whether the client's family was consulted about his decision.

    • D. 

      Consult the palliative care group to direct care for the client.

  • 14. 
    A client with unresolved hemothorax is febrile, with chills and sweating. He has a nonproductive cough and chest pain. His chest tube drainage is turbid. A possible explanation for these findings is:
    • A. 

      Lobar pneumonia.

    • B. 

      Empyema.

    • C. 

      Pneumocystis carinii pneumonia.

    • D. 

      Infected chest tube wound site.

  • 15. 
    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

  • 16. 
    A nurse is feeding an average-size client when the client suddenly begins choking on his food. According to the American Heart Association, the nurse should intervene using the actions listed below. List the actions in the sequence in which the nurse should perform them.1. Give abdominal thrusts until effective or until cleint is unresponsive.2. Activate the emergency response team.3. Ask the client if he can speak.4. Perform cardiopulmonary resuscitation (CPR).
  • 17. 
    During the insertion of a rigid scope for bronchoscopy, a client experiences a vasovagal response. The nurse should expect:
    • A. 

      The client's pupils to become dilated.

    • B. 

      The client to experience bronchodilation.

    • C. 

      A decrease in the client's gastric secretions.

    • D. 

      A drop in the client's heart rate.

  • 18. 
    A nurse is caring for a client who is at high risk for developing pneumonia. Which intervention should the nurse include on the client's care plan?
    • A. 

      Keeping the head of the bed at 15 degrees or less

    • B. 

      Turning the client every 4 hours to prevent fatigue

    • C. 

      Using strict hand hygiene

    • D. 

      Providing oral hygiene daily

  • 19. 
    A chronically ventilated client requests that care be withdrawn. The client is competent and understands the consequences of his decisions. He isn't depressed, but he's certain that he doesn't want to live as he has been living. What should the nurse consider in this situation?
    • A. 

      Withdrawing care for this client would be considered euthanasia.

    • B. 

      The client will die eventually.

    • C. 

      The client has a right to refuse medical treatments.

    • D. 

      The family's wish will be granted.

  • 20. 
    A client comes to the emergency department with status asthmaticus. His respiratory rate is 48 breaths/minute, and he is wheezing. An arterial blood gas analysis reveals a pH of 7.52, a partial pressure of arterial carbon dioxide (PaCO2) of 30 mm Hg, PaO2 of 70 mm Hg, and bicarbonate (HCO3−) of 26 mEq/L. What disorder is indicated by these findings?
    • A. 

      Metabolic acidosis

    • B. 

      Respiratory acidosis

    • C. 

      Metabolic alkalosis

    • D. 

      Respiratory alkalosis

  • 21. 
    A nurse is caring for a group of clients on a medical-surgical floor. Which client is at greatest risk for developing pneumonia?
    • A. 

      A client with a history of smoking two packs of cigarettes per day until quitting 2 years ago

    • B. 

      A client who ambulates in the hallway every 4 hours

    • C. 

      A client with a nasogastric tube

    • D. 

      A client who is receiving acetaminophen (Tylenol) for pain

  • 22. 
    A nurse is providing discharge teaching for a client who had a laryngectomy. Which instruction should the nurse include in her teaching?
    • A. 

      Wear a tight cloth at the stoma to prevent anything from entering it.

    • B. 

      Keep the humidity in your house low.

    • C. 

      Cover the stoma whenever you shower or bathe.

    • D. 

      Swimming is good exercise after this surgery.

  • 23. 
    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.

  • 24. 
    A client with end-stage chronic obstructive pulmonary disease (COPD) requires bi-level positive airway pressure (BiPAP). While caring for the client, the nurse determines that bilateral wrist restraints are required to prevent compromised care. Which client care outcome is associated with restraint use in the client who requires BiPAP?
    • A. 

      The client will remain infection-free.

    • B. 

      The client will maintain adequate oxygenation.

    • C. 

      The client will maintain adequate urine output.

    • D. 

      The client will remain pain-free.

  • 25. 
    For a client with an endotracheal (ET) tube, which nursing action is the most important?
    • A. 

      Auscultating the lungs for bilateral breath sounds

    • B. 

      Turning the client from side to side every 2 hours

    • C. 

      Monitoring serial blood gas values every 4 hours

    • D. 

      Providing frequent oral hygiene

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