Exam 29: Respiratory System Function, Assessment, and Therapeutic Measures

The nurse observes a patient us accessory muscles while walking for the first time after hip surgery.Which muscles are commonly used in respiration during exercise or strenuous activity? (Select all that apply.)

The nurse is participating in the planning of care for a patient with a newly placed tracheostomy.Which interventions should the nurse identify as a priority for this patient? (Select all that apply.)

A patient with ineffective airway clearance is being discharged home.Which home therapy will help the patient loosen and expectorate secretions?

The nurse is reviewing the results of a patient's pulmonary function tests.Which result describes the air remaining in lungs after normal expiration?

A patient with a tracheostomy is dyspneic and has coarse crackles anteriorly on auscultation.What should the nurse do first?

An adult patient has a respiratory rate of 36 breaths per minute.Which term should the nurse use to document this finding?

The nurse is reviewing the physiology of the respiratory system with a patient being treated for pneumonia.What structure should the nurse identify as sweeping mucus and pathogens from the nasal cavities and trachea to the pharynx?

The nurse is reviewing the results of a patient's pulmonary function studies.Which result indicates the patient's tidal volume is within normal limits?

The nurse observes a patient place one hand on the abdomen and the other on the chest as the abdomen is pushed out with each breath.Which breathing technique did the nurse observe the client perform?

After a bronchoscopic examination,the patient must remain NPO (nothing by mouth)until the return of the gag reflex.How can the nurse determine when the gag reflex has returned?

A nurse is providing discharge instructions for a patient who is to use an adrenergic bronchodilator metered dose inhaler (MDI).What should be included in the teaching?

A patient with pulmonary edema has moist,bubbling lung sounds.How should the nurse describe this finding?

A patient's arterial blood gas analysis shows a PaCO₂ of 68 mm Hg.What action should the nurse take first?

The nurse coaches a patient with chronic obstructive pulmonary disease to make one long "huff" when performing huff coughing.What should the nurse explain as the purpose of the long huff when using this approach to clear the airway?

The nurse is reviewing the exchange of gases in the blood stream with a patient prescribed oxygen therapy.How should the nurse explain the transport of carbon dioxide in the blood?

The nurse is caring for a patient experiencing dyspnea.What should the nurse instruction the patient to breathe more effectively?

A patient is being taught to administer nebulized mist treatments (NMTs)at home.Which outcome indicates that the patient is able to administer the treatments?

A licensed practical nurse (LPN)is helping prepare a patient for a thoracentesis.What should the nurse include in the teaching? (Select all that apply.)

The nurse is caring for a patient who has just had a chest tube inserted.What should the nurse ensure is available at the bedside while this chest tube is in place?

The nurse is reviewing the arterial blood gas results for a patient with a respiratory disorder.What should the nurse recognize as being the most important chemical regulator of respiration?