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RESPIRATORY, MED SURG, LEVEL 3 QUESTIONS REVIEWED AND ANSWERS VERIFIED.
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RESPIRATORY, MED SURG, LEVEL 3 QUESTIONS REVIEWED AND ANSWERS VERIFIED.
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RESPIRATORY, MED SURG, LEVEL 3QUESTIONS REVIEWED AND ANSWERS
VERIFIED.
the patient tells the nurse that her voice has been hoarse for 2 1/2 weeks what response is most
appropriate?
A.) try and talk as little as possible
B.) gargle with slightly salted warm water
C.) go see a primary healthcare provider
D.) use a high humidity vaporizer 2-3 times a day ANS - C.) go see a primary healthcare provider
-hoarseness or a sore throat that lasts longer than 2 weeks can assist in detection of throat malignancy
a nurse is assessing a client who has a chest tube in place when the nurse palpates the area around the
chest tube what is she looking for?
a.) lung re expansion
b.) increasing drainage
c.) subcutaneous emphysema
d.) chest tube obstruction ANS - c.) subcutaneous emphysema (helps identify crepitus)
a nurse is preparing to transport a patient with a closed chest wet suction drainage system what should
she do when detaching the suction source?
a.) attach a mobile draining device
b.) empty the collection chamber
c.) clamp the chest tube
d.) make sure the air vent is open ANS - d.) make sure the air vent is open
the school nurse is teaching a group of students about maintaining a healthy respiratory system which
risk factors for respiratory disease should the nurse include?
,A.) tobacco use
B.) contact sports
C.) chronic renal disease
D.) group living conditions
E.) compromised immune response ANS - A, C, D, E
the nurse is caring for a client who has had a laryngectomy which interventions are needed?
A.) administer oral feedings
B.) perform trach care
C.) maintain aspiration precautions
D.) maintain neutropenic precautions
E.) develop an alternate communication method ANS - B, C, E
the nurse assesses a patient with emphysema and notes a barrel chest what is the reason for the patient
anomaly?
A.) collapse of distal aleveoli
B.) use of accessory muscles
C.) hyperinflation of the lungs
D.) long term chronic hypoxia ANS - C.) hyperinflation of the lungs
A patient with COPD is receiving oxygen at 2 L/min. While in the supine position for a bath, the patient
complains of shortness of breath. What is the most appropriate first nursing action?
A. Increase the flow of oxygen.
B. Perform tracheal suctioning.
C. Report this to the physician.
D. Assist the patient to Fowler's position. ANS - D.) assist the patient to fowlers position
a patient with COPD asks the nurse to turn is oxygen up from 3 L/min to 5 L/min. What is the reason the
oxygen can not be turned up to 5 L/min?
A.) hypoxic drive is necessary for breathing
, B.) hypercapnic drive is necessary for breathing
C.) higher concentrations might result in headache
D.) higher levels will be required later for ABGS ANS - A.) hypoxic drive is necessary for breathing
-respiratory effort is stimulated by hypoxemia in patients with COPD. low o2 levels, not high carbon
dioxide levels, are the stimulus for the breathing patient with COPD
a patient taking aminophylline tells the nurse he is going to begin a smoking cessation program when
being discharged. Why should the nurse tell the patient to notify the physician if his smoking pattern
changes?
A.) the patient will need his aminophylline dosage adjusted
B.) the patient will not get much benefit out of the inhaler
C.) the patient will require an increase of antitussive meds
D.) the patient will no longer require a flu vaccine ANS - A.) the patient will need his aminophylline
dosage adjusted
a patient who experienced high fever, chills, productive cough, chest pain, general malaise what do
these symptoms correspond to?
A.) pneumonia
B.) type A influenza
C.) pleursy with effusion
D.) streptococcus empyema ANS - A.) pneumonia
the nurse is caring for a patient with viral pneumonia which interventions should be expected in the care
plan?
A.) providing rest
B.) maintain adequate fluid intake
C.) administering organism specific antibiotics
D.) monitor vitals and RR
E.) providing oral hygiene before and after meals ANS - A, B, D, E
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