100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Bio 103 Chapter 23 Testbank uestions $9.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. Bergen Community College
  4.  
  5. BIO 103

Other

Bio 103 Chapter 23 Testbank uestions

 1 view  0 purchase

Detailed and comprehensive testbank that contains questions and correct answers on Ch 23 Management of Patients with Chest and Lower Respiratory Tract Disorders

Preview 3 out of 19  pages

Document information

  • October 6, 2024
  • 19
  • 2021/2022
  • Other
  • Unknown

Subjects

Written for

All documents for this subject (6)

Seller

avatar-seller
anyiamgeorge19

Content preview

TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 454



Chapter23:ManagementofPatientswithChestandLowerRespiratory
TractDisorders


1. Aperioperativenurseiscaringforapostoperativepatient.Thepatienthasashallowrespiratorypattern
andisreluctanttocoughortobeginmobilizing.Thenurseshouldaddressthepatientsincreasedriskfor
whatcomplication?


A) Acuterespiratorydistresssyndrome(ARDS)


B) Atelectasis


C) Aspiration


D) Pulmonaryembolism


Ans: B


Feedback:


Ashallow,monotonousrespiratorypatterncoupledwithimmobilityplacesthepatientatanincreased
riskofdevelopingatelectasis.Thesespecificfactorsarelesslikelytoresultinpulmonaryembolismor
aspiration.ARDSinvolvesanexaggeratedinflammatoryresponseanddoesnotnormallyresultfrom
factorssuchasimmobilityandshallowbreathing.


2. Acritical-carenurseiscaringforapatientdiagnosedwithpneumoniaasasurgicalcomplication.The
nursesassessmentrevealsthatthepatienthasanincreasedworkofbreathingduetocopious
tracheobronchialsecretions.Whatshouldthenurseencouragethepatienttodo?


A) Increaseoralfluidsunlesscontraindicated.


B) Callthenursefororalsuctioning,asneeded.


C) LieinalowFowlersorsupineposition.


D) Increaseactivity.


Ans: A


Feedback:


Thenurseshouldencouragehydrationbecauseadequatehydrationthinsandloosenspulmonary
secretions.Oralsuctioningisnotsufficientlydeeptoremovetracheobronchialsecretions.Thepatient
shouldhavetheheadofthebedraised,andrestshouldbepromotedtoavoidexacerbationofsymptoms.

,TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 455


3. ThepublichealthnurseisadministeringMantouxteststochildrenwhoarebeingregisteredfor
kindergarteninthecommunity.Howshouldthenurseadministerthistest?


A) Administerintradermalinjectionsintothechildrensinnerforearms.


B) Administerintramuscularinjectionsintoeachchildsvastuslateralis.


C) Administerasubcutaneousinjectionintoeachchildsumbilicalarea.


D) Administerasubcutaneousinjectionata45-degreeangleintoeachchildsdeltoid.


Ans: A


Feedback:


Thepurifiedproteinderivative(PPD)isalwaysinjectedintotheintradermallayeroftheinneraspectof
theforearm.Thesubcutaneousandintramuscularroutesarenotutilized.


4. Thenurseiscaringforapatientwhohasbeeninamotorvehicleaccidentandthecareteamsuspects
thatthepatienthasdevelopedpleurisy.Whichofthenursesassessmentfindingswouldbestcorroborate
thisdiagnosis?


A) Thepatientisexperiencingpainlesshemoptysis.


B) Thepatientsarterialbloodgases(ABGs)arenormal,buthedemonstratesincreasedworkof
breathing.


C) Thepatientsoxygensaturationlevelisbelow88%,buthedeniesshortnessofbreath.


D) Thepatientspainintensifieswhenhecoughsortakesadeepbreath.


Ans: D


Feedback:


Thekeycharacteristicofpleuriticpainisitsrelationshiptorespiratorymovement.Takingadeepbreath,
coughing,orsneezingworsensthepain.ThepatientsABGswouldmostlikelybeabnormaland
shortnessofbreathwouldbeexpected.


5. Thenursecaringforapatientrecentlydiagnosedwithlungdiseaseencouragesthepatientnottosmoke.
Whatistheprimaryrationalebehindthisnursingaction?


A) Smokingdecreasestheamountofmucusproduction.


B) Smokeparticlescompeteforbindingsitesonhemoglobin.

, TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 456




C) Smokingcausesatrophyofthealveoli.


D) Smokingdamagestheciliarycleansingmechanism.


Ans: D


Feedback:


Inadditiontoirritatingthemucouscellsofthebronchiandinhibitingthefunctionofalveolar
macrophage(scavenger)cells,smokingdamagestheciliarycleansingmechanismoftherespiratory
tract.Smokingalsoincreasestheamountofmucusproductionanddistendsthealveoliinthelungs.It
reducestheoxygen-carryingcapacityofhemoglobin,butnotbydirectlycompetingforbindingsites.


6. ApatienthasbeenbroughttotheEDbytheparamedics.ThepatientissuspectedofhavingARDS.What
interventionshouldthenursefirstanticipate?


A) Preparingtoassistwithintubatingthepatient


B) Settingupoxygenat5L/minutebynasalcannula


C) Performingdeepsuctioning


D) Settingupanebulizertoadministercorticosteroids


Ans: A


Feedback:


ApatientwhohasARDSusuallyrequiresintubationandmechanicalventilation.Oxygenbynasal
cannulawouldlikelybeinsufficient.Deepsuctioningandnebulizersmaybeindicated,butthepriorityis
tosecuretheairway.


7. Thenurseiscaringforapatientwhoisscheduledforalobectomyforadiagnosisoflungcancer.While
assistingwithasubclavianveincentrallineinsertion,thenursenotestheclientsoxygensaturation
rapidlydropping.Thepatientcomplainsofshortnessofbreathandbecomestachypneic.Thenurse
suspectsapneumothoraxhasdeveloped.Furtherassessmentfindingssupportingthepresenceofa
pneumothoraxincludewhat?


A) Diminishedorabsentbreathsoundsontheaffectedside


B) Paradoxicalchestwallmovementwithrespirations


C) Suddenlossofconsciousness


D) Muffledheartsounds

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78462 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.99
  • (0)
  Add to cart