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Learning System: Respiratory Exam/20 Questions with Answers 2024
Learning System: Respiratory Exam/20 Questions with Answers 2024
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Learning System: RespiratoryExam/20 Questions with Answers
2024
A nurse is caring for a client who has a tracheostomy with an inflated cuff in
place. Which of the following indicates that the nurse should suction the
client's airway secretions?
A. The client is unable to speak
B. The client's airway secretions were last suctioned 2 hr ago
C. The client coughs and expectorates a large mucous plug
D. The nurse auscultates coarse crackles in the lung fields - -D. The nurse
auscultates coarse crackles in the lung fields.
- The nurse should auscultate coarse crackles or rhonchi, identify a moist
cough, hear or see secretions in the tracheostomy tube, and then suction the
client's airway secretions.
-A nurse in a clinic is providing teaching for a client who is to have a
tuberculin skin test. Which of the following information should the nurse
include?
A."If the test is positive, it means you have an active case of tuberculosis."
B. "If the test is positive, you should have another tuberculin skin test in 3
weeks."
C. "You must return to the clinic to have the test read in 2 or 3 days."
D. "A nurse will use a small lancet to scratch the skin of your forearm before
applying the tuberculin substance." - -C. "You must return to the clinic to
have the test read in 2 or 3 days."
- The client should have the skin test read in 2 to 3 days. An area of
induration after 48 to 72 hr indicates exposure to the tubercle bacillus. If the
client does not return to have the test read within 72 hr, another tuberculin
skin test is necessary.
-The nurse is providing teaching to a client who is postoperative following a
rhinoplasty. Which of the following instructions should the nurse include?
, A. "Apply warm compresses to the face."
B. "Take aspirin 650 milligrams by mouth for mild pain."
C. "Close your mouth when sneezing."
D. "Lie on your back with your head elevated 30° when resting." - -D. "Lie on
your back with your head elevated 30° when resting."
- The nurse should instruct the client to rest in the semi-fowler's position to
prevent aspiration of nasal secretions.
-A nurse is planning care for a client who has chronic obstructive pulmonary
disease and is malnourished. Which of the following recommendations to
promote nutritional intake should the nurse include in the plan?
A. Eat high-calorie foods first
B. Increase intake of water at meal times
C. Perform active range-of-motion exercises before meals
D. Keep saltine crackers nearby for snacking - -A. Eat high-calorie foods first
- Although it is important for a client who has COPD to maintain adequate
fluid intake to prevent dehydration and inhibit the production of tenacious
secretions, the client should limit intake of water at mealtimes to reduce the
feeling of early satiety.
-A nurse in the emergency department is assessing a client for a closed
pneumothorax and significant bruising of the left chest following a motor-
vehicle crash. The client reports severe left chest pain on inspiration. The
nurse should assess the client for which of the following manifestations of
pneumothorax?
A. Absence of breath sounds
B. Expiratory wheezing
C. Inspiratory stridor
D. Ronchi - -A. Absence of breath sounds
- A client who has pneumothorax experiences severely diminished or absent
breath sounds on the affected side.
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