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Medical-Surgical: Respiratory Tests Bundle Set
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[Show more]The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. What is the minimum length of time the nurse should plan to hold pressure on the puncture site? 
 
A. 2 minutes 
B. 5 minutes 
C. 10 minutes 
D. 1...
Preview 2 out of 13 pages
Add to cartThe nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. What is the minimum length of time the nurse should plan to hold pressure on the puncture site? 
 
A. 2 minutes 
B. 5 minutes 
C. 10 minutes 
D. 1...
The nurse explains that the purpose of mucus is to: 
 
a. warm the air entering the lungs. 
b. trap particles and bacteria. 
c. protect the cilia. 
d. clean the sinus cavity. CORRECT ANSWER-B 
Mucus traps particles and bacteria that may be in the inspired air. 
 
A patient with emphysema presents to...
Preview 4 out of 33 pages
Add to cartThe nurse explains that the purpose of mucus is to: 
 
a. warm the air entering the lungs. 
b. trap particles and bacteria. 
c. protect the cilia. 
d. clean the sinus cavity. CORRECT ANSWER-B 
Mucus traps particles and bacteria that may be in the inspired air. 
 
A patient with emphysema presents to...
Which of the following is part of the respiratory tract? Choose all that apply. 
 
A. Bronchi 
B. Pharynx 
C. Larynx 
D. Sinuses CORRECT ANSWER-A. Bronchi 
B. Pharynx 
C. Larynx 
D. Sinuses 
 
Because the pressure of CO2 is higher in the blood vessels than the pressure of CO2 in the lungs, the...
Preview 4 out of 61 pages
Add to cartWhich of the following is part of the respiratory tract? Choose all that apply. 
 
A. Bronchi 
B. Pharynx 
C. Larynx 
D. Sinuses CORRECT ANSWER-A. Bronchi 
B. Pharynx 
C. Larynx 
D. Sinuses 
 
Because the pressure of CO2 is higher in the blood vessels than the pressure of CO2 in the lungs, the...
The nurse is caring for a client hospitalized with acute exacerbation of COPD. Which findings would the nurse expect to note on assessment of this client? SATA: 
a. A low arterial PCO2 level 
b. A hyperinflated chest noted on the CXR 
c. Decreased O2 sat with mild exercise 
d. A widened diaphragm no...
Preview 3 out of 20 pages
Add to cartThe nurse is caring for a client hospitalized with acute exacerbation of COPD. Which findings would the nurse expect to note on assessment of this client? SATA: 
a. A low arterial PCO2 level 
b. A hyperinflated chest noted on the CXR 
c. Decreased O2 sat with mild exercise 
d. A widened diaphragm no...
A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? 
a. Ask the patient to lie down to complete a full physical assessment. 
b. Briefly ask specific questions about this episode of respiratory distress...
Preview 2 out of 11 pages
Add to cartA patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? 
a. Ask the patient to lie down to complete a full physical assessment. 
b. Briefly ask specific questions about this episode of respiratory distress...
where does O2 and CO2 exchange occur? CORRECT ANSWER-alveoli 
 
ventilation CORRECT ANSWER-movement of air in and out of airways 
 
continually replenishes the oxygen and removes CO2 
 
where is the control of breathing located? CORRECT ANSWER-in the medulla 
 
what do ABGs measure? CORRECT ANSWER-P...
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Add to cartwhere does O2 and CO2 exchange occur? CORRECT ANSWER-alveoli 
 
ventilation CORRECT ANSWER-movement of air in and out of airways 
 
continually replenishes the oxygen and removes CO2 
 
where is the control of breathing located? CORRECT ANSWER-in the medulla 
 
what do ABGs measure? CORRECT ANSWER-P...
A nurse is auscultating the lung sounds of a client who came to the clinic for a physical exam. There is not any history of lung disease. What should the nurse expect to hear? 
a. adventitious breath sounds 
b. bronchial breath sounds 
c. bronchovesicular breath sounds 
d. vesicular breath sounds CO...
Preview 4 out of 34 pages
Add to cartA nurse is auscultating the lung sounds of a client who came to the clinic for a physical exam. There is not any history of lung disease. What should the nurse expect to hear? 
a. adventitious breath sounds 
b. bronchial breath sounds 
c. bronchovesicular breath sounds 
d. vesicular breath sounds CO...
A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements should the nurse make? CORRECT ANSWER-"I will show you how to splint your incision while coughi...
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Add to cartA nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements should the nurse make? CORRECT ANSWER-"I will show you how to splint your incision while coughi...
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To promote the release of surfactant, the nurse encourages the patient to 
 
a. take deep breaths. 
 
b. cough five times per hour to prevent alveolar collapse. 
 
c. decrease fluid intake to reduce fluid accumulation in the alveoli. 
 
d. sit with head of bed elevated to promote air movement throug...
Preview 3 out of 18 pages
Add to cartTo promote the release of surfactant, the nurse encourages the patient to 
 
a. take deep breaths. 
 
b. cough five times per hour to prevent alveolar collapse. 
 
c. decrease fluid intake to reduce fluid accumulation in the alveoli. 
 
d. sit with head of bed elevated to promote air movement throug...
The primary laboratory tests used to evaluate the respiratory system and diagnose the disorders affecting it are: 
A. Tissue biopsy, pulse oximetry, and arterial blood gases 
B. Arterial blood gases; tissue biopsy; and nasal, throat, and sputum cultures. 
C. Nasal, throat, and sputum cultures; ear s...
Preview 2 out of 13 pages
Add to cartThe primary laboratory tests used to evaluate the respiratory system and diagnose the disorders affecting it are: 
A. Tissue biopsy, pulse oximetry, and arterial blood gases 
B. Arterial blood gases; tissue biopsy; and nasal, throat, and sputum cultures. 
C. Nasal, throat, and sputum cultures; ear s...
How do we know someone will need to be in the ventilator? What will need to be done if a patient has these findings? CORRECT ANSWER--When the pt. is unable to maintain a: 
Ph above 2.5- OR 
PaCO2 below 50- OR 
Pa02 above 50 
 
-Despite oxygen therapy (the patient is still having difficulty breathing...
Preview 3 out of 22 pages
Add to cartHow do we know someone will need to be in the ventilator? What will need to be done if a patient has these findings? CORRECT ANSWER--When the pt. is unable to maintain a: 
Ph above 2.5- OR 
PaCO2 below 50- OR 
Pa02 above 50 
 
-Despite oxygen therapy (the patient is still having difficulty breathing...
clinical simulation exam 1 questions with correct answers
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Add to cartclinical simulation exam 1 questions with correct answers
You are caring for a patient who has just had a rhinoplasty for a broken nose and deviated septum. Which of the following post-op assessment findings must you report FIRST: 
 
A. Patient's pain level is 5/10. 
B. Patient's SpO2 (oxygen saturation) is 88%. 
C. Patient is upset with how his face loo...
Preview 3 out of 28 pages
Add to cartYou are caring for a patient who has just had a rhinoplasty for a broken nose and deviated septum. Which of the following post-op assessment findings must you report FIRST: 
 
A. Patient's pain level is 5/10. 
B. Patient's SpO2 (oxygen saturation) is 88%. 
C. Patient is upset with how his face loo...
How do we know someone will need to be in the ventilator? What will need to be done if a patient has these findings? CORRECT ANSWER -When the pt. is unable to maintain a: 
Ph above 2.5- OR 
PaCO2 below 50- OR 
Pa02 above 50 
 
-Despite oxygen therapy (the patient is still having difficulty breathing...
Preview 3 out of 22 pages
Add to cartHow do we know someone will need to be in the ventilator? What will need to be done if a patient has these findings? CORRECT ANSWER -When the pt. is unable to maintain a: 
Ph above 2.5- OR 
PaCO2 below 50- OR 
Pa02 above 50 
 
-Despite oxygen therapy (the patient is still having difficulty breathing...
D. Platelets counts is 120,000/ L. CORRECT ANSWER A patient with complicated deviate septum is hospitalized to have septoplasty. Which of the following findings must you report to the surgeon before the surgery? 
 
A. Serum sodium is 134 mEq/L. 
B. PT 12 seconds. 
C. Serum potassium is 4.8 mEq/L. 
D...
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Add to cartD. Platelets counts is 120,000/ L. CORRECT ANSWER A patient with complicated deviate septum is hospitalized to have septoplasty. Which of the following findings must you report to the surgeon before the surgery? 
 
A. Serum sodium is 134 mEq/L. 
B. PT 12 seconds. 
C. Serum potassium is 4.8 mEq/L. 
D...
what function does the nose have in the respiratory system? CORRECT ANSWER filters and humidifies and warms the air as it is inhaled. 
 
what function do the paranasal sinuses have in the respiratory system? CORRECT ANSWER serve as a resonating chamber in speech and a common site of infection. Inclu...
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Add to cartwhat function does the nose have in the respiratory system? CORRECT ANSWER filters and humidifies and warms the air as it is inhaled. 
 
what function do the paranasal sinuses have in the respiratory system? CORRECT ANSWER serve as a resonating chamber in speech and a common site of infection. Inclu...
The nurse explains that the purpose of mucus is to: 
 
a. warm the air entering the lungs. 
b. trap particles and bacteria. 
c. protect the cilia. 
d. clean the sinus cavity. CORRECT ANSWER B 
Mucus traps particles and bacteria that may be in the inspired air. 
 
A patient with emphysema presents to...
Preview 4 out of 88 pages
Add to cartThe nurse explains that the purpose of mucus is to: 
 
a. warm the air entering the lungs. 
b. trap particles and bacteria. 
c. protect the cilia. 
d. clean the sinus cavity. CORRECT ANSWER B 
Mucus traps particles and bacteria that may be in the inspired air. 
 
A patient with emphysema presents to...
4. The ED nurse is assessing a client who is reporting dyspnea. The nurse auscultates the 
client's chest and hears wheezing throughout the lung fields. What might this indicate 
about the client? 
A. Bronchoconstriction 
B. Pneumonia 
C. Hemoptysis 
D. Hemothorax CORRECT ANSWER A. Bronchoconstrict...
Preview 3 out of 21 pages
Add to cart4. The ED nurse is assessing a client who is reporting dyspnea. The nurse auscultates the 
client's chest and hears wheezing throughout the lung fields. What might this indicate 
about the client? 
A. Bronchoconstriction 
B. Pneumonia 
C. Hemoptysis 
D. Hemothorax CORRECT ANSWER A. Bronchoconstrict...
Respiratory System Function CORRECT ANSWER Oxygenation 
 
Tissue Perfusion 
 
Breathing 
-Oxygen for tissue perfusion 
-Remove carbon dioxide 
 
Influences 
-Acid-base balance 
-Speech 
-Sense of smell 
-Fluid balance 
-Temperature control 
 
Oxyhemoglobin Dissociation Curve CORRECT ANSWER Helps us...
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Add to cartRespiratory System Function CORRECT ANSWER Oxygenation 
 
Tissue Perfusion 
 
Breathing 
-Oxygen for tissue perfusion 
-Remove carbon dioxide 
 
Influences 
-Acid-base balance 
-Speech 
-Sense of smell 
-Fluid balance 
-Temperature control 
 
Oxyhemoglobin Dissociation Curve CORRECT ANSWER Helps us...
A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements should the nurse make? 
 
a. after the surgeon removes the lung you will not need to cough 
 
b...
Preview 3 out of 16 pages
Add to cartA nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements should the nurse make? 
 
a. after the surgeon removes the lung you will not need to cough 
 
b...
A nurse is suctioning a client's airway. Which nursing action will limit hypoxia? 
1.Apply suction only after catheter is inserted 
2.Limit suctioning with catheter to half a minute 
3.Lubricate the catheter with saline before insertion 
4.Use sterile suction catheter for each suctioning episode CO...
Preview 4 out of 35 pages
Add to cartA nurse is suctioning a client's airway. Which nursing action will limit hypoxia? 
1.Apply suction only after catheter is inserted 
2.Limit suctioning with catheter to half a minute 
3.Lubricate the catheter with saline before insertion 
4.Use sterile suction catheter for each suctioning episode CO...
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A nurse is caring for a pt who developed a pulmonary embolism. Which of the following meds should the nurse anticipate administering? 
 
a. furosemide 
b. dexamethasone 
c. heparin 
d. atropine CORRECT ANSWER C. Heparin 
 
heparin is an anti-coagulant, used to prevent the enlargement of the existing...
Preview 3 out of 16 pages
Add to cartA nurse is caring for a pt who developed a pulmonary embolism. Which of the following meds should the nurse anticipate administering? 
 
a. furosemide 
b. dexamethasone 
c. heparin 
d. atropine CORRECT ANSWER C. Heparin 
 
heparin is an anti-coagulant, used to prevent the enlargement of the existing...
Preview 3 out of 16 pages
Add to cartMED SURG EXAM 1- Respiratory Study Guide
1 L of Nasal Cannula gives how much Oxygen? CORRECT ANSWER 4% 
 
How much oxygen in 6L nasal cannula? CORRECT ANSWER ~24% 
 
simple face mask delivers how much oxygen? CORRECT ANSWER 40-60% 
 
How much oxygen should be given with a simple face mask? CORRECT ANSWER 5L/min minimum 
 
Partial Rebreathe...
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Add to cart1 L of Nasal Cannula gives how much Oxygen? CORRECT ANSWER 4% 
 
How much oxygen in 6L nasal cannula? CORRECT ANSWER ~24% 
 
simple face mask delivers how much oxygen? CORRECT ANSWER 40-60% 
 
How much oxygen should be given with a simple face mask? CORRECT ANSWER 5L/min minimum 
 
Partial Rebreathe...
To promote the release of surfactant, the nurse encourages the patient to 
 
a. take deep breaths 
b. cough five times per hour to prevent alveolar collapse 
c. decrease fluid intake to reduce fluid accumulation in the alveoli 
d. sit with head of bed elevated to promote air movement through the po...
Preview 4 out of 67 pages
Add to cartTo promote the release of surfactant, the nurse encourages the patient to 
 
a. take deep breaths 
b. cough five times per hour to prevent alveolar collapse 
c. decrease fluid intake to reduce fluid accumulation in the alveoli 
d. sit with head of bed elevated to promote air movement through the po...
When assessing a patient's sleep-rest pattern related to respiratory health, what should the nurse ask the patient about (select all that apply)? 
 
A. Have trouble falling asleep? 
B. Need to urinate during the night? 
C. Awaken abruptly during the night? 
D. Sleep more than 8 hours per night? 
E....
Preview 3 out of 17 pages
Add to cartWhen assessing a patient's sleep-rest pattern related to respiratory health, what should the nurse ask the patient about (select all that apply)? 
 
A. Have trouble falling asleep? 
B. Need to urinate during the night? 
C. Awaken abruptly during the night? 
D. Sleep more than 8 hours per night? 
E....
Which patient is exhibiting an early clinical manifestation of hypoxemia? 
A A 48-year-old patient who is intoxicated and acutely disoriented to time and place 
B A 72-year-old patient who has four new premature ventricular contractions per minute 
C A 67-year-old patient who has dyspnea while res...
Preview 2 out of 10 pages
Add to cartWhich patient is exhibiting an early clinical manifestation of hypoxemia? 
A A 48-year-old patient who is intoxicated and acutely disoriented to time and place 
B A 72-year-old patient who has four new premature ventricular contractions per minute 
C A 67-year-old patient who has dyspnea while res...
Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? 
a. Weak, nonproductive cough effort 
b. Large amounts of greenish sputum 
c. Respiratory rate of 28 breaths/minute 
d. Rest...
Preview 3 out of 24 pages
Add to cartFollowing assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? 
a. Weak, nonproductive cough effort 
b. Large amounts of greenish sputum 
c. Respiratory rate of 28 breaths/minute 
d. Rest...
Tidal Volume CORRECT ANSWER Volume of air exchanged with each breath. 
 
Alveoli CORRECT ANSWER Small sacs in the lungs that are the primary site of gas exchange for O2 and CO2. 
 
Alveolar-capillary CORRECT ANSWER Gases are exchanged at the ______-______ membrane. 
 
Surfactant CORRECT ANSWER lipop...
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Add to cartTidal Volume CORRECT ANSWER Volume of air exchanged with each breath. 
 
Alveoli CORRECT ANSWER Small sacs in the lungs that are the primary site of gas exchange for O2 and CO2. 
 
Alveolar-capillary CORRECT ANSWER Gases are exchanged at the ______-______ membrane. 
 
Surfactant CORRECT ANSWER lipop...
The nurse is caring for a 27-yr-old man with multiple fractured ribs from a motor vehicle crash. Which clinical manifestation, if experienced by the patient, is an early indication that the patient is developing respiratory failure? 
 
 A Tachycardia and pursed lip breathing 
 B Kussmaul respiratio...
Preview 4 out of 31 pages
Add to cartThe nurse is caring for a 27-yr-old man with multiple fractured ribs from a motor vehicle crash. Which clinical manifestation, if experienced by the patient, is an early indication that the patient is developing respiratory failure? 
 
 A Tachycardia and pursed lip breathing 
 B Kussmaul respiratio...
d. Leave the call light in the patient's hand. CORRECT ANSWER Your patient is receiving mechanical ventilation which of the following actions is appropriate for the nursing diagnosis anxiety related to inability to communicate with fear of suffocation? 
 
a. Restrain patient to prevent accidental r...
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Add to cartd. Leave the call light in the patient's hand. CORRECT ANSWER Your patient is receiving mechanical ventilation which of the following actions is appropriate for the nursing diagnosis anxiety related to inability to communicate with fear of suffocation? 
 
a. Restrain patient to prevent accidental r...
1. The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if made by the patient, indicates that the teaching was successful? 
a. "My nose will look normal after 24 to 48 hours." 
b. "I can take 800 mg ibuprofen every 6 hours for pain." 
c. "I will remove...
Preview 4 out of 86 pages
Add to cart1. The nurse teaches a patient about discharge instructions after a rhinoplasty. Which statement, if made by the patient, indicates that the teaching was successful? 
a. "My nose will look normal after 24 to 48 hours." 
b. "I can take 800 mg ibuprofen every 6 hours for pain." 
c. "I will remove...
When assessing a patient's sleep-rest pattern related to respiratory health, what should the nurse ask the patient about? (Select all that apply.) 
 
A. Have trouble falling asleep? 
B. Need to urinate during the night? 
C. Awaken abruptly during the night? 
D. Sleep more than 8 hours per night? 
E...
Preview 2 out of 13 pages
Add to cartWhen assessing a patient's sleep-rest pattern related to respiratory health, what should the nurse ask the patient about? (Select all that apply.) 
 
A. Have trouble falling asleep? 
B. Need to urinate during the night? 
C. Awaken abruptly during the night? 
D. Sleep more than 8 hours per night? 
E...
A patient with recurrent shortness of breath has just had a bronchoscopy. What is a priority nursing action immediately after the procedure? 
 
-Monitor the patient for laryngeal edema. 
-Assess the patient's level of consciousness. 
-Monitor and manage the patient's level of pain. 
-Assess the pa...
Preview 3 out of 19 pages
Add to cartA patient with recurrent shortness of breath has just had a bronchoscopy. What is a priority nursing action immediately after the procedure? 
 
-Monitor the patient for laryngeal edema. 
-Assess the patient's level of consciousness. 
-Monitor and manage the patient's level of pain. 
-Assess the pa...
A patient has metabolic acidosis secondary to type 1 diabetes. What physiologic response should the nurse expect to assess in the patient? 
1. Vomiting 
2. Increased urination 
3. Decreased heart rate 
4. Increased respiratory rate CORRECT ANSWER 4. Increased respiratory rate 
Rationale: 
When a pat...
Preview 4 out of 34 pages
Add to cartA patient has metabolic acidosis secondary to type 1 diabetes. What physiologic response should the nurse expect to assess in the patient? 
1. Vomiting 
2. Increased urination 
3. Decreased heart rate 
4. Increased respiratory rate CORRECT ANSWER 4. Increased respiratory rate 
Rationale: 
When a pat...
The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. What is the minimum length of time the nurse should plan to hold pressure on the puncture site? 
 
A. 2 minutes 
B. 5 minutes 
C. 10 minutes 
D. 1...
Preview 2 out of 13 pages
Add to cartThe nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. What is the minimum length of time the nurse should plan to hold pressure on the puncture site? 
 
A. 2 minutes 
B. 5 minutes 
C. 10 minutes 
D. 1...
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