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Respiratory
Respiratory questions from the Lewis text Ch 26-29
40
Nursing
Undergraduate 3
09/11/2012

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Term
During inspiration, air enters the thoracic cavity as a result of:
Definition
Decreased intrathoracic pressure relative to pressure at the airway.
Term
The mechanism that stimulates the release of surfactant is:
Definition
Alveolar stretch from deep breathing
Term
The ability of lungs to adequately oxygenate the arterial blood is best determined by the examination of the:
Definition
Arterial Oxygen Tension
Term
The most important respiratory defense mechanism distal to the respiratory bronchioles is the:
Definition
Alveolar macrophage
Term
A rightward shift of the oxygen-hemoglobin dissociation curve:
Definition
Facilitates release of oxygen at the tissue level
Term
Very early signs of symptoms of inadequate oxygenation include:
Definition
Apprehension and restlessness
Term
During the respiratory assessment of the older adult, the nurse would expect to find:
Definition
Increased anterior-posterior chest diameter
Term
When assessing activity-exercise patterns related to respiratory health, the nurse inquires about:
Definition
Dyspnea during rest and exercise
Term
When auscultating the chest of an elderly patient in respiratory distress, it is best to:
Definition
Begin listening at the lung bases
Term
Which of the following is an abnormal assessment finding of the respiratory system?
Definition
Bronchial breath sounds in the in the lower lung fields
Term
A diagnostic procedure done to remove pleural fluid for analysis is:
Definition
Thorancentesis
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:
Definition
Avoid vigorous nose blowing and strenuous activity
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:
Definition
Keep a diary of when the allergic reaction occurs and what precipitates it
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:
Definition
Lose excess weight
Term
A type of tracheostomy tube that prevents speech is:
Definition
A tube with an inflated foam cuff
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
Term
Which of the following is a late symptom of head and neck cancer?
Definition
Decreased mobility of the tongue
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:
Definition
Continue your assessment of the patient, including oxygen saturation, respiratory rate, and breath sounds
Term
When using a voice prosthesis, the patient:
Definition
Blocks the stoma entrance with a finger
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
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
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:
Definition
Expect a routine TST to evaluate infection
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:
Definition
Cadidiasis
Term
Which of the following statements best describes the treatment of lung abscess?
Definition
Antibiotics given for a prolonged period are the usual treatment of choice
Term
A common complication of many types of environmental lung diseases is:
Definition
Pulmonary Fibrosis
Term
The patient with lung cancer needs to receive influenza vaccine and pneumococcal vaccines. The nurse will:
Definition
Administer both vaccines at the same time in different arms
Term
The nurse identifies a flail chest in a trauma patient when:
Definition
Paradox chest movement occurs during respiration
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
Term
A nursing measure that should be instituted after a pneumonectomy is:
Definition
Range of motion exercises on the affected upper extremity
Term
Guillan-Barre syndrome causes respiratory problems primarily by:
Definition
Interrupting nerve transmission to respiratory muscles
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
Term
Which of the following statements does NOT describe the follow up management of lung transplantation?
Definition
High doses of oxygen are administered around the clock
Term
Asthma is best characterized as:
Definition
An inflammatory disease
Term
In evaluating the asthmatic patient's knowledge of self-care, the nurse recognizes that additional instruction is needed when the patient says,
Definition
"I use my corticosteroid inhaler when I feel short of breath"
Term
A plan of care for the patient with COPD could include:
Definition
Exercise such as walking
Term
The effects of cigarette smoking on the respiratory system include:
Definition
Hyperplasia of goblet cells and increased production of mucus
Term
The major advantage of a Venturi mask is that it can:
Definition
Delivers a precise concentration of O2
Term
One of the most important things that a nurse can teach a patient with COPD is to:
Definition
Know the early signs/symptoms of COPD exacerbation
Term
Diagnostic studies that the nurse would expect to be abnormal in a person with CF are:
Definition
Pulmonary function test and sweat test
Term
A primary goal for the patient with bronchiectasis is that the patient will:
Definition
Maintain removal of bronchial secretions
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