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NU 424 Respiratory Quiz PrepU Questions With Complete Solutions
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NU 424 Respiratory Quiz PrepU Questions With Complete Solutions
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NU 424 Respiratory Quiz PrepU Questions With CompleteSolutions
A client abruptly sits up in bed, reports having difficulty
breathing and has an arterial oxygen saturation of 88%. Which
mode of oxygen delivery is most likely to reverse these
manifestations?
A. Nonrebreather mask
B. Simple mask
C. Nasal Cannula
D. Face Tent Correct Answers A. Nonrebreather mask
A client diagnosed with tuberculosis (TB) is taking medication
for the treatment of TB. The nurse should instruct the client that
he will be safe from infecting others approximately how long
after initiation of the chemotherapy regimen?
A. After completion of 6 months of bacteriocidal drugs
B. Within 48 hours after initiation of bacteriocidal drugs
C. Results vary with each client, so it is difficult to predict
D. Two to 3 weeks after initiation of bacteriocidal drugs Correct
Answers D. Two to 3 weeks after initiation of bacteriocidal
drugs
A client has a diagnosis of multiple sclerosis. The nurse is aware
that neuromuscular disorders such as multiple sclerosis may lead
to a decreased vital capacity. What does vital capacity measure?
A. The maximal volume of air exhaled from the point of
maximal inspiration
,B. The volume of air in the lungs after a maximal inspiration
C. The maximal volume of air inhaled after normal expiration
D. The volume of air inhaled and exhaled with each breath
Correct Answers A. The maximal volume of air exhaled from
the point of maximal inspiration
A client has a nursing diagnosis of ineffective airway clearance
related to excessive mucus production. The best short-term goal
is for the client to
A. Increase fluid intake.
B. Use a room vaporizer to loosen secretions.
C. Assume an upright position to facilitate drainage.
D. Report decreased congestion. Correct Answers D. Report
decreased congestion.
A client has suspected fluid accumulation in the pleural space of
the lungs and is scheduled for a thoracentesis. The nurse will
implement which of the following for this procedure? Select all
that apply.
A. Place the client in the prone position.
B. Prepare the client for magnetic resonance imaging after the
procedure to verify tube placement.
C. Apply pressure to the puncture site after the procedure.
D. Complete a respiratory assessment after the procedure.
E. Educate the client about the need to cleanse the thoracic area.
Correct Answers C. Apply pressure to the puncture site after the
procedure.
D. Complete a respiratory assessment after the procedure.
E. Educate the client about the need to cleanse the thoracic area.
,A client in acute respiratory distress is brought to the emergency
department. After endotracheal (ET) intubation and initiation of
mechanical ventilation, the client is transferred to the intensive
care unit. Before suctioning the ET tube, the nurse
hyperventilates and hyperoxygenates the client. What is the
rationale for these interventions?
A. They help prevent pneumothorax.
B. They help prevent subcutaneous emphysema.
C. They help prevent pulmonary edema.
D. They help prevent cardiac arrhythmias. Correct Answers D.
They help prevent cardiac arrhythmias.
A client in the ICU has had an endotracheal tube in place for 3
weeks. The health care provider has ordered that a tracheostomy
tube be placed. The client's family wants to know why the
endotracheal tube cannot be left in place. What would be the
nurse's best response?
A. "The physician may feel that mechanical ventilation will
have to be used long-term."
B. "It is much harder to breathe through an endotracheal tube
than a tracheostomy."
C. "Long-term use of an endotracheal tube diminishes the
normal breathing reflex."
D. "When an endotracheal tube is left in too long it can damage
the lining of the windpipe." Correct Answers D. "When an
endotracheal tube is left in too long it can damage the lining of
the windpipe."
, A client is being treated in the ED for respiratory distress
coupled with pneumonia. The client has no medical history.
However, the client works in a coal mine and smokes 10
cigarettes a day. The nurse anticipates which order based on the
client's immediate needs?
A. Administration of antibiotics
B. Completion of a 12-lead ECG
C. Client education: avoidance of irritants like smoke and
pollutants
D. Administration of corticosteroids and bronchodilators
Correct Answers A. Administration of antibiotics
A client is chronically short of breath and yet has normal lung
ventilation, clear lungs, and an arterial oxygen saturation SaO2
of 96% or better. The client most likely has:
A. a psychosomatic disorder.
B. a possible hematologic problem.
C. left-sided heart failure.
D. poor peripheral perfusion. Correct Answers B. a possible
hematologic problem.
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