Exam 17: Respiratory System

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The nurse is preparing to assess an older adult client diagnosed with emphysema. Which anatomical change does the nurse anticipate when performing this client's assessment?

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B

During the respiratory assessment of a client the nurse wishes to locate the angle of Louis. Which landmarks will the nurse use to identify this structure?

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B

The nurse is examining an African American client. When compared to Caucasian client, which conditions is this client at a higher risk for developing?

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A,B,C,D

The nurse is preparing to assess the client's respiratory system. Rank in order according to how the nurse should proceed. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list. Response A) Auscultation. Response B) Inspection. Response C) Percussion. Response D) Client survey. Response E) Palpation.

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The nurse percusses the lungs and determines that there is an area of hyperresonance. Based on this finding, which condition does the nurse suspect?

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While the client sleeps, the nurse notes that the client's respirations periodically stop. Which term will the nurse use to document this finding in the medical record?

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A client with chronic bronchitis is admitted to the hospital. The nurse inspects the client while assessing the client's respiratory system. Which assessment finding is expected?

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The nurse is caring for an adolescent client who is hospitalized with asthma. Several peers are preparing to visit the client and have brought gifts. Which gift will the nurse prevent from being placed in the client's room?

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The nurse is assessing the client's respiratory system. Which method will result in the most accurate assessment of the client's respiratory rate?

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The nurse auscultates the client's lungs and prepares to document the assessment. Which breath sounds are considered abnormal and may require further intervention?

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The nursing instructor is observing a student nurse assess the client's respiratory system. Which technique demonstrated by the student is the most appropriate?

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A client is experience tachypnea with anxiety and is "hyperventilating." Based on this assessment, which finding does the nurse anticipate for this client?

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While palpating respiratory expansion on a client the nurse notes movement on only one side of the chest. Which conditions are associated with this assessment finding?

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The nurse is assessing the client's respiratory pattern and notes periods of deep breathing alternating with periods of apnea. When documenting this assessment finding, which term is the most appropriate for the nurse to use?

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The client is 36 weeks pregnant. The nurse is assessing the client's respiratory system and finds that the respiratory rate is 24 breaths per minute. The client states that she sometimes experiences shortness of breath. Which response by the nurse is the most appropriate?

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The nurse documents that the client's respirations are shallow and rapid with a rate of 30 breaths per minute. Based on these assessment findings, which conclusion by the nurse is the most appropriate?

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During the assessment of a client's respiratory system, the nurse determines that the client's expiration phase is the same length as the inspiration phase. The client's respiratory rate is 14 per minute. Which term will the nurse use to document this client finding in the medical record?

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The nurse is assessing a client with a severe left pleural effusion. Which assessment data does the nurse anticipate based on the client's diagnosis?

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A preschool client's respiratory rate is 30 per minute. The mother states, "That seems like a really high number. My healthcare provider told me my respiratory rate is only 16 per minute." Which response by the nurse is the most appropriate?

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The nurse is assessing a 1-month-old infant's respiratory system and sees that the infant is primarily using abdominal muscles to breathe and has an irregular breathing pattern. Which conclusion by the nurse is appropriate based on this observation?

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