Term
| During inspiration, air enters the thoracic cavity as a result of: |
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Definition
| Decreased intrathoracic pressure relative to pressure at the airway. |
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Term
| The mechanism that stimulates the release of surfactant is: |
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Definition
| Alveolar stretch from deep breathing |
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Term
| The ability of lungs to adequately oxygenate the arterial blood is best determined by the examination of the: |
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Definition
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Term
| The most important respiratory defense mechanism distal to the respiratory bronchioles is the: |
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Definition
|
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Term
| A rightward shift of the oxygen-hemoglobin dissociation curve: |
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Definition
| Facilitates release of oxygen at the tissue level |
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Term
| Very early signs of symptoms of inadequate oxygenation include: |
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Definition
| Apprehension and restlessness |
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Term
| During the respiratory assessment of the older adult, the nurse would expect to find: |
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Definition
| Increased anterior-posterior chest diameter |
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Term
| When assessing activity-exercise patterns related to respiratory health, the nurse inquires about: |
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Definition
| Dyspnea during rest and exercise |
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Term
| When auscultating the chest of an elderly patient in respiratory distress, it is best to: |
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Definition
| Begin listening at the lung bases |
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Term
| Which of the following is an abnormal assessment finding of the respiratory system? |
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Definition
| Bronchial breath sounds in the in the lower lung fields |
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Term
| A diagnostic procedure done to remove pleural fluid for analysis is: |
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Definition
|
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Term
| A patient was seen in the clinic for an episode of epistaxis, which was controlled by placement of anterior nasal packing. During discharge teaching, the nurse instructs the patient to: |
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Definition
| Avoid vigorous nose blowing and strenuous activity |
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Term
| A patient with allergic rhinitis reports severe nasal congestion, sneezing, and watery, itchy eyes and nose at various times of the year. To teach the patient to control these symptoms, the nurse advises the patient to: |
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Definition
| Keep a diary of when the allergic reaction occurs and what precipitates it |
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Term
| A patient with sleep apnea would like to avoid using a nasal CPAP device if possible. To help him reach his goal, the nurse suggests that he: |
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Definition
|
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Term
| A type of tracheostomy tube that prevents speech is: |
|
Definition
| A tube with an inflated foam cuff |
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Term
| To prevent excessive pressure on tracheal capillaries, pressure in the cuff on a tracheostomy tube should be: |
|
Definition
| Less than 20 mm Hg or 25cm H2O |
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Term
| Which of the following is a late symptom of head and neck cancer? |
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Definition
| Decreased mobility of the tongue |
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Term
| While in the recovery room, a patient with a total laryngectomy is suctioned and has bloody mucus withsome clots. Which of the following nursing interventions would apply: |
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Definition
| Continue your assessment of the patient, including oxygen saturation, respiratory rate, and breath sounds |
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Term
| When using a voice prosthesis, the patient: |
|
Definition
| Blocks the stoma entrance with a finger |
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Term
| In assessing a patient with pnemococcal pneumonia, the nurse recognizes that clinical manifestations of this condition include: |
|
Definition
| Fever, chills, and a productive cough with rust-colored sputum |
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Term
| An appropriate nursing intervention for a patient with pneumonia with then nursing diagnosis of ineffective airway clearance related to thick secretions and fatigue would be to: |
|
Definition
| Teach the patient how to cough effectively to bring secretions to the mouth |
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Term
| A patient with TB has been admitted to the hospital and is placed in an airborne infection isolation room. The patient is taught all the following to prevent spread of disease except: |
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Definition
| Expect a routine TST to evaluate infection |
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Term
| A patient has been receiving high-dose corticosteroids and broad-spectrum antibiotics for treatment secondary to a traumatic injury and infection. The nurse plans care for the patient knowing that the patient is most susceptible to: |
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Definition
|
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Term
| Which of the following statements best describes the treatment of lung abscess? |
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Definition
| Antibiotics given for a prolonged period are the usual treatment of choice |
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Term
| A common complication of many types of environmental lung diseases is: |
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Definition
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Term
| The patient with lung cancer needs to receive influenza vaccine and pneumococcal vaccines. The nurse will: |
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Definition
| Administer both vaccines at the same time in different arms |
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Term
| The nurse identifies a flail chest in a trauma patient when: |
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Definition
| Paradox chest movement occurs during respiration |
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Term
| The nurse notes tidaling of the water level in the tube submerged in the water-seal chamber in a patient with closed chest tube drainage. The nurse should: |
|
Definition
| Continue to monitor this normal finding |
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Term
| A nursing measure that should be instituted after a pneumonectomy is: |
|
Definition
| Range of motion exercises on the affected upper extremity |
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Term
| Guillan-Barre syndrome causes respiratory problems primarily by: |
|
Definition
| Interrupting nerve transmission to respiratory muscles |
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Term
| A patient is on a continuous epoprostenol infusion pump. The alarm goes off indicating an obstruction in the intravenous line downstream. The nurse should: |
|
Definition
| Assess the central line immediately for any obstruction or accidental clamping of tubing |
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Term
| Which of the following statements does NOT describe the follow up management of lung transplantation? |
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Definition
| High doses of oxygen are administered around the clock |
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Term
| Asthma is best characterized as: |
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Definition
|
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Term
| In evaluating the asthmatic patient's knowledge of self-care, the nurse recognizes that additional instruction is needed when the patient says, |
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Definition
| "I use my corticosteroid inhaler when I feel short of breath" |
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Term
| A plan of care for the patient with COPD could include: |
|
Definition
|
|
Term
| The effects of cigarette smoking on the respiratory system include: |
|
Definition
| Hyperplasia of goblet cells and increased production of mucus |
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Term
| The major advantage of a Venturi mask is that it can: |
|
Definition
| Delivers a precise concentration of O2 |
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Term
| One of the most important things that a nurse can teach a patient with COPD is to: |
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Definition
| Know the early signs/symptoms of COPD exacerbation |
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Term
| Diagnostic studies that the nurse would expect to be abnormal in a person with CF are: |
|
Definition
| Pulmonary function test and sweat test |
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Term
| A primary goal for the patient with bronchiectasis is that the patient will: |
|
Definition
| Maintain removal of bronchial secretions |
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