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Chapter 30: Nursing Management: Lower Respiratory Problems Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition Exam Practice Questions and Answers $12.49   Add to cart

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Chapter 30: Nursing Management: Lower Respiratory Problems Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition Exam Practice Questions and Answers

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/36 b. Maintain a semi-Fowler's position. c. Wear the nasal oxygen cannula at all times. d. Use relaxation techniques to reduce anxiety. - Ans:-ANS: A Coughing is less painful and more likely to be eff...

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  • October 23, 2024
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  • Lewis Medical-Surgical Nursing
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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Chapter 30: Nursing Management:
Lower Respiratory Problems Lewis et al.:
Medical-Surgical Nursing in Canada, 3rd
Edition Exam Practice Questions and
Answers

1. Following assessment of a patient with pneumonia, the nurse documents a nursing diagnosis of

ineffective airway clearance. On which of the following data would the nurse base this nursing diagnosis?


a. SpO2 of 85%


b. Respiratory rate of 28 breaths/min


c. Presence of greenish sputum


d. Weak, nonproductive cough - Ans:✔✔-ANS: D


The weak, nonproductive cough indicates that the patient is unable to clear the airway effectively.




Page 1/36

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




PTS: 1 DIF: Cognitive Level: Application


REF: page 667, Nursing Care Plan 30-1 OBJ: 2


TOP: Nursing Process: Diagnosis MSC: CRNE: CH-15


2. A 56-year-old normally healthy patient at the clinic is diagnosed with community-acquired

pneumonia. The nurse anticipates that empirical treatment of the patient could include the

administration of which of the following medications?


a. Ciprofloxacin (Cipro)


b. Azithromycin (Zithromax)


c. Trimethoprim-sulfamethoxazole (Bactrim)


d. A second- or third-generation cephalosporin - Ans:✔✔-ANS: B


Early initiation of appropriate antibiotic therapy has been demonstrated to reduce mortality. The

treatment of choice is a macrolide (erythromycin, azithromycin, or clarithromycin).




PTS: 1 DIF: Cognitive Level: Comprehension REF: page 665


OBJ: 1 TOP: Nursing Process: Planning MSC: CRNE: CH-44




Page 2/36

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




3. During assessment of the chest in a patient with pneumococcal pneumonia, what would the nurse

expect to find?


a. Hyperresonance on percussion


b. Increased tactile fremitus on palpation


c. Fine crackles in all lobes on auscultation


d. Asymmetrical chest expansion on inspection - Ans:✔✔-ANS: B


Pneumonias caused by Streptococcus pneumoniae are typically lobar or segmental. The nurse would

expect to find increased tactile fremitus over the affected area of the lungs. The area would be dull to

percussion.




PTS: 1 DIF: Cognitive Level: Application


REF: page 666, Table 30-5 OBJ: 1


TOP: Nursing Process: Assessment MSC: CRNE: CH-4


4. To promote airway clearance in a patient with pleurisy, what should the nurse instruct the patient to

do?


a. Splint the chest when coughing.


Page 3/36

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




b. Maintain a semi-Fowler's position.


c. Wear the nasal oxygen cannula at all times.


d. Use relaxation techniques to reduce anxiety. - Ans:✔✔-ANS: A


Coughing is less painful and more likely to be effective when the patient splints the chest during

coughing.




PTS: 1 DIF: Cognitive Level: Comprehension REF: page 699


OBJ: 11 TOP: Nursing Process: Implementation MSC: CRNE: CH-32


5. Four days after admission, a patient with chronic obstructive lung disease is diagnosed with hospital-

acquired pneumonia (HAP). Which of the following organisms does the nurse recognize is a common

cause of this type of pneumonia?


a. Pneumocystis carinii


b. Haemophilus influenzae


c. Pseudomonas aeruginosa


d. Mycoplasma pneumoniae - Ans:✔✔-ANS: C




Page 4/36

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