Question 1

A nurse is auscultating the lungs of a client who presented to the emergency department complaining of an asthma attack. The nurse hears no wheezing. The nurse should conclude that the client

Accepted Answer

A)  does not really have asthma. 
B)  is not having a bad attack. 
C)  may have severe airway constriction. 
D)  needs increased IV fluids.

Question 2

The nurse caring for a client with asthma would place the client in the

Accepted Answer

A)  Fowler position. 
B)  lithotomy position. 
C)  side-lying position. 
D)  supine position.

Question 3

A client tells the nurse that he read something about "dead space" in an article about emphysema and asks the nurse to explain it to him. The nurse's most accurate answer would be the following:

Accepted Answer

A)  "Any part of your lungs that contains mucous secretions is called dead space." 
B)  "Dead space is an area of your lung that does not participate in air exchange." 
C)  "Parts of the lower airway that serve as a conduit for fresh air." 
D)  "This is a small area of necrotic tissue that can cause infection."

Question 4

A client experiencing a pulmonary embolus has pleuritic pain and hemoptysis. The nurse would assesses the presence of hemoptysis as an indication of

Accepted Answer

A)  alveolar damage. 
B)  hemorrhage in the sinuses. 
C)  hemothorax. 
D)  ruptured vessels in the trachea.

Question 5

The nurse is caring for a client with a pulmonary embolism who is receiving heparin and must have an arterial blood gas (ABG) sample drawn. The nurse would arrange to remain in the room to be available to hold pressure on the puncture site for at least

Accepted Answer

A)  1 minute. 
B)  2 minutes. 
C)  5 minutes. 
D)  10 minutes.

Question 6

A client has chronic obstructive pulmonary disease (COPD). In reviewing this client's laboratory values, the nurse would not be surprised to see a/an

Accepted Answer

A)  decreased sedimentation rate. 
B)  elevated RBC count. 
C)  normochromic anemia. 
D)  therapeutic INR.

Question 7

A nonsmoking client has been diagnosed with mild asthma. The nurse instructs the client to try to identify and reduce or eliminate exposure to triggers, which may include (Select all that apply)

Accepted Answer

A)  being overly excited. 
B)  household pets. 
C)  physical exercise. 
D)  perfumes. 
E)  second-hand smoke.

Exam 61: Management of Clients with Lower Airway and Pulmonary Vessel