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NURS 309 Quiz 7 Respiratory 1 Questions With Complete Solutions
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NURS 309 Quiz 7 Respiratory 1 Questions With Complete Solutions
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NURS 309 Quiz 7 Respiratory 1 Questions With CompleteSolutions
A client is admitted to the hospital with a diagnosis of
pneumonia. List the following nursing actions in the order they
should be accomplished.
1. Check the peak and trough levels of the antiboitic
2. Insert an IV catheter to establish venous access
3. Collect a sputum sample for culture and sensitivity
4. Administer prescribed antibiotic intravenous piggyback
5. Obtain data about the client's history and physical status
Correct Answers 5, 2, 3, 4, 1
A client is admitted with suspected atelectasis. Which clinical
manifestation does the nurse expect to identify when assessing
this client?
A. Slow, deep respirations
B. Normal oral temperature
C. Dry, unproductive cough
D. Diminished breath sounds Correct Answers D. Diminished
breath sounds
A client is scheduled for a pulmonary function test. The nurse
explains that during the test one of the instructions the
respiratory therapist will give the client is to breathe normally.
What should the nurse teach is being measured when the client
follows these directions?
A. Tidal volume
B. Vital capacity
C. Expiratory reserve
D. Inspiratory reserve Correct Answers A. Tidal volume
,A client states that the health care provider said the tidal volume
is slightly diminished and asks the nurse what this means.
Which explanation should the nurse provide about the volume of
air being measured to determine tidal volume?
A. Exhaled after there is a normal inspiration
B. Exhaled forcibly after a regular expiration
C. Inspired forcibly above a typical inspiration
D. Trapped in the alveoli after a maximum expiration Correct
Answers A. Exhaled after there is a normal inspiration
A nurse assess that several clients have low oxygen saturation
levels. Which client would benefit the most from receiving
oxygen via a nasal cannula?
A. Has an upper respiratory infection
B. Receives many visitors while sitting in a chair
C. Has a nasogastric tube for gastric decompression
D. Exhibits dry oral mucous membranes from mouth breathing
Correct Answers . Receives many visitors while sitting in a
chair
A nurse identifies that a client's hemoglobin level is decreasing
and is concerned about tissue hypoxia. An increase in what
diagnostic test result indicates an acceleration in oxygen
dissociation from hemoglobin?
A. pH
B. PO2
C. PCO2
D. HCO3 Correct Answers C. PCO2
,A nurse is caring for a client in respiratory distress. The health
care provider orders oxygen via a non rebreather mask. Which
mask should the nurse obtain to implement the oxygen order?
Correct Answers
A nurse is caring for a group of clients on a medical-surgical
unit. Which client has the highest risk for developing a
pulmonary embolism?
A. Obese client with leg trauma
B. Pregnant client with acute asthma
C. Client with diabetes who ha cholecystitis
D. Client with pneumonia who is immunodeficient Correct
Answers A. Obese client with leg trauma
A nurse is caring for a variety of clients. For which client is it
most essential for the nurse to implement measures to prevent
pulmonary embolism?
A. 59-year-old who had a knee replacement
B. 60-year-old who has bacterial pneumonia
C. 68-year-old who had emergency dental surgery
D. 76-year-old who has a history of thrombocytopenia Correct
Answers A. 59-year-old who had a knee replacement
A nurse is instructing a client to use an incentive spirometer.
What client action indicates the need for further instruction?
A. Blowing vigorously into the mouthpiece
B. Getting into a chair to use the spirometer
C. Coughing deeply after using the spirometer
D. Using lips to form a seal around the mouthpiece Correct
Answers A. Blowing vigorously into the mouthpiece
, A nurse uses abdominal-thoracic thrusts (Heimlich maneuver)
when an older adult in a senior center chokes on a piece of meat.
Which volume of air is the basis for the efficacy of the
abdominal thrusts to expel a foreign object in the larynx?
A. Tidal
B. Residual
C. Vital capacity
D. Inspiratory reserve Correct Answers B. Residual
A patient arrives in the emergency department with a severe
crush injury to the face with blood gurgling from the mouth and
nose and obvious respiratory distress. The nurse prepares to
assist the physician with which procedure to manage the airway?
A. Performing a needle thoractomy
B. Inserting an endotracheal tube
C. Performing a tracheotomy
D. Inserting a nasal airway and giving oxygen Correct Answers
C. Performing a tracheotomy
A patient demonstrates chest pain, dyspnea, dry cough, and
change in level of consciousness. The nurse suspects pulmonary
embolism (PE) and notifies the health care provider, who orders
and arterial blood gas (ABG). In the early stage of a PE, what
would ABG results probably indicate?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis Correct Answers A. Respiratory
alkalosis
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