Question 1

The nurse assessing an 11 year old who is having an asthma attack expects to hear adventitious sounds of:

Accepted Answer

A)  friction rub. 
B)  sibilant wheezes. 
C)  crackles. 
D)  sonorous wheezes. 
A)  friction rub. 
B)  sibilant wheezes. 
C)  crackles. 
D)  sonorous wheezes. B

Question 2

A patient,age 22,is admitted with acute asthma.The patient shows a pulse oximetry level of SaO2 of 82%.How should the nurse interpret this?

Accepted Answer

A)  Only 82% of the red blood cells are able to use oxygen. 
B)  There is only 82% of oxygen bound to the hemoglobin compared with the amount available. 
C)  Eighteen percent of oxygen is not dissolved in the blood. 
D)  The muscular respiratory effort is only 18% effective. 
A)  Only 82% of the red blood cells are able to use oxygen. 
B)  There is only 82% of oxygen bound to the hemoglobin compared with the amount available. 
C)  Eighteen percent of oxygen is not dissolved in the blood. 
D)  The muscular respiratory effort is only 18% effective. B

Question 3

What is a major advantage of video-assisted thoracoscopic surgery (VATS)?

Accepted Answer

A)  The surgeon can record entire surgical procedure on a video. 
B)  The surgeon can remove tumors of the lung through a small keyhole incision. 
C)  The surgeon can x-ray and excise tumor in the same procedure. 
D)  The surgeon can avoid the use of a closed chest drainage system after surgery. 
A)  The surgeon can record entire surgical procedure on a video. 
B)  The surgeon can remove tumors of the lung through a small keyhole incision. 
C)  The surgeon can x-ray and excise tumor in the same procedure. 
D)  The surgeon can avoid the use of a closed chest drainage system after surgery. B

Question 4

The nurse describes the pathophysiologic process of an asthma attack.What is the second step in the process?

Accepted Answer

A)  Inflammatory process in the mast cells of the lungs 
B)  Increase in edema and mucus production in the bronchioles 
C)  Release of histamine 
D)  Narrowing of the airways 
E)  Exposure to allergen 
A)  Inflammatory process in the mast cells of the lungs 
B)  Increase in edema and mucus production in the bronchioles 
C)  Release of histamine 
D)  Narrowing of the airways 
E)  Exposure to allergen

Question 5

The nurse explains that the opening between the vocal cords is the __________.

Accepted Answer

The answer of The nurse explains that the opening between...

Question 6

Which patient assessment indicates the most severe respiratory distress?

Accepted Answer

A)  Nasal flaring,symmetrical chest wall expansion,SaO2 88% 
B)  Abdominal breathing,SaO2 97% 
C)  Substernal retraction,SaO2 84% 
D)  Substernal retraction,SaO2 90% 
A)  Nasal flaring,symmetrical chest wall expansion,SaO2 88% 
B)  Abdominal breathing,SaO2 97% 
C)  Substernal retraction,SaO2 84% 
D)  Substernal retraction,SaO2 90%

Question 7

Which important precaution should the nurse include when instructing an emphysema patient on the use of home oxygen?

Accepted Answer

A)  Use oxygen only when extremely short of breath. 
B)  Keep the home oxygen regulator set on 6 L. 
C)  Use home oxygen at night while sleeping. 
D)  Limit to 1 to 2 L oxygen flow. 
A)  Use oxygen only when extremely short of breath. 
B)  Keep the home oxygen regulator set on 6 L. 
C)  Use home oxygen at night while sleeping. 
D)  Limit to 1 to 2 L oxygen flow.

Question 8

What happens when there is a decrease in the oxygen level in the blood?

Accepted Answer

A)  Pituitary stimulates the respiratory system to increase respiratory rate. 
B)  The alveoli diffuse more oxygen into the blood. 
C)  Chemoreceptors in the carotid body and aortic body stimulate the respiratory centers to modify respiratory rates. 
D)  The parietal pleura increases the negative pressure. 
A)  Pituitary stimulates the respiratory system to increase respiratory rate. 
B)  The alveoli diffuse more oxygen into the blood. 
C)  Chemoreceptors in the carotid body and aortic body stimulate the respiratory centers to modify respiratory rates. 
D)  The parietal pleura increases the negative pressure.

Question 9

The young man who had a bronchoscopy 1 hour ago asks when he can eat.Which response would be most helpful?

Accepted Answer

A)  In 24 hours,but must take cold liquids for the rest of the day 
B)  If there is no blood in his sputum 
C)  In 8 hours after a period of nothing by mouth 
D)  When the gag reflex returns 
A)  In 24 hours,but must take cold liquids for the rest of the day 
B)  If there is no blood in his sputum 
C)  In 8 hours after a period of nothing by mouth 
D)  When the gag reflex returns

Question 10

Which instruction by the nurse is inappropriate for teaching the proper technique for collection of a sputum specimen?

Accepted Answer

A)  Bring the sputum up from the lungs. 
B)  Rinse mouth with water before expectorating in specimen cup. 
C)  Collect specimens after meals. 
D)  Send specimen to the lab without delay. 
A)  Bring the sputum up from the lungs. 
B)  Rinse mouth with water before expectorating in specimen cup. 
C)  Collect specimens after meals. 
D)  Send specimen to the lab without delay.

Question 11

The nurse explains to the person with pneumonia in the left lung that being positioned in the "good lung down" offers the advantage of: (Select all that apply. )

Accepted Answer

A)  PaO2 rising in the good lung. 
B)  blood flow to "bad lung" being increased. 
C)  the dependent lung being better perfused. 
D)  dyspnea disappearing. 
E)  decreased hypoxia. 
A)  PaO2 rising in the good lung. 
B)  blood flow to "bad lung" being increased. 
C)  the dependent lung being better perfused. 
D)  dyspnea disappearing. 
E)  decreased hypoxia.

Question 12

How do leukotriene modifiers reduce the symptoms of asthma?

Accepted Answer

A)  By drying up mucus 
B)  By causing bronchodilation and anti-inflammation effects 
C)  By suppressing cough 
D)  By liquefying mucus 
A)  By drying up mucus 
B)  By causing bronchodilation and anti-inflammation effects 
C)  By suppressing cough 
D)  By liquefying mucus

Question 13

The nurse prepares a patient for the procedure of a(n)__________,which will remove the fluid from around the lung to improve respiration and obtain a specimen.

Accepted Answer

The answer of The nurse prepares a patient for the...

Question 14

The nurse explains that the diagnostic test that can scan the chest and the abdomen in less than 30 seconds is the _____________ CT scan.

Accepted Answer

The answer of The nurse explains that the diagnostic test...

Question 15

The nurse recognizes that the _______ reading in an arterial gas report indicates the amount of oxygen dissolved in the plasma.

Accepted Answer

The answer of The nurse recognizes that the _______ reading...

Question 16

Identify the purposes of chest drainage.(Select all that apply. )

Accepted Answer

A)  Drains air,blood,and fluid from pleural space. 
B)  Restores positive pressure in chest cavity. 
C)  Restores negative intrapleural pressure. 
D)  Allows lung to collapse and rest. 
E)  Allows route for medication administration. 
A)  Drains air,blood,and fluid from pleural space. 
B)  Restores positive pressure in chest cavity. 
C)  Restores negative intrapleural pressure. 
D)  Allows lung to collapse and rest. 
E)  Allows route for medication administration.

Question 17

What should the nurse do to keep the chest tubes from becoming occluded?

Accepted Answer

A)  Irrigate tubes as needed. 
B)  Prevent dependent loops. 
C)  Loop the tube over the bed rail. 
D)  "Milk" the tube frequently. 
A)  Irrigate tubes as needed. 
B)  Prevent dependent loops. 
C)  Loop the tube over the bed rail. 
D)  "Milk" the tube frequently.

Question 18

The _________ are the structures of the lung in which gas exchange occurs.

Accepted Answer

The answer of The _________ are the structures of the...

Question 19

The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling)in the water seal chamber.What is the most appropriate nursing action based on this assessment?

Accepted Answer

A)  Document the tidaling. 
B)  Elevate the head of the bed and notify charge nurse of malfunction of drainage system. 
C)  Add more sterile water to the water seal chamber. 
D)  Turn patient to the affected side. 
A)  Document the tidaling. 
B)  Elevate the head of the bed and notify charge nurse of malfunction of drainage system. 
C)  Add more sterile water to the water seal chamber. 
D)  Turn patient to the affected side.

Question 20

A patient,age 69,has emphysema.On assessment,the nurse notes the presence of a "barrel chest." What does this pathology result from?

Accepted Answer

A)  An increase in the lateromedial area from hypertrophy of mucous glands in the bronchi 
B)  An increased anteroposterior diameter caused by overinflation of the alveoli 
C)  A decrease in anteroposterior diameter caused by chronic dilation of the bronchi 
D)  A widening of the sternocostal area secondary to chronic constriction of smooth muscles in the airways leading to bronchospasms 
A)  An increase in the lateromedial area from hypertrophy of mucous glands in the bronchi 
B)  An increased anteroposterior diameter caused by overinflation of the alveoli 
C)  A decrease in anteroposterior diameter caused by chronic dilation of the bronchi 
D)  A widening of the sternocostal area secondary to chronic constriction of smooth muscles in the airways leading to bronchospasms

Exam 49: Care of the Patient With a Respiratory Disorder

The nurse assessing an 11 year old who is having an asthma attack expects to hear adventitious sounds of:

A patient,age 22,is admitted with acute asthma.The patient shows a pulse oximetry level of SaO2 of 82%.How should the nurse interpret this?

What is a major advantage of video-assisted thoracoscopic surgery (VATS)?

The nurse describes the pathophysiologic process of an asthma attack.What is the second step in the process?

The nurse explains that the opening between the vocal cords is the __________.

Which patient assessment indicates the most severe respiratory distress?

Which important precaution should the nurse include when instructing an emphysema patient on the use of home oxygen?

What happens when there is a decrease in the oxygen level in the blood?

The young man who had a bronchoscopy 1 hour ago asks when he can eat.Which response would be most helpful?

Which instruction by the nurse is inappropriate for teaching the proper technique for collection of a sputum specimen?

The nurse explains to the person with pneumonia in the left lung that being positioned in the "good lung down" offers the advantage of: (Select all that apply. )

How do leukotriene modifiers reduce the symptoms of asthma?

The nurse prepares a patient for the procedure of a(n)__________,which will remove the fluid from around the lung to improve respiration and obtain a specimen.

The nurse explains that the diagnostic test that can scan the chest and the abdomen in less than 30 seconds is the _____________ CT scan.

The nurse recognizes that the _______ reading in an arterial gas report indicates the amount of oxygen dissolved in the plasma.

Identify the purposes of chest drainage.(Select all that apply. )

What should the nurse do to keep the chest tubes from becoming occluded?

The _________ are the structures of the lung in which gas exchange occurs.

The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling)in the water seal chamber.What is the most appropriate nursing action based on this assessment?

A patient,age 69,has emphysema.On assessment,the nurse notes the presence of a "barrel chest." What does this pathology result from?

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A patient,age 22,is admitted with acute asthma.The patient shows a pulse oximetry level of SaO₂ of 82%.How should the nurse interpret this?