Question 1

Identify the purposes of chest drainage. (Select all that apply.)

Accepted Answer

A)  Drains air, blood, and fluid from pleural space 
B)  Restores positive pressure in chest cavity 
C)  Restores negative intrapleural pressure 
D)  Allows lung to collapse and rest 
E)  Allows route for medication administration 
A)  Drains air, blood, and fluid from pleural space 
B)  Restores positive pressure in chest cavity 
C)  Restores negative intrapleural pressure 
D)  Allows lung to collapse and rest 
E)  Allows route for medication administration A, C

Question 2

The nurse recognizes that the _______ reading in an arterial gas report indicates the amount of oxygen dissolved in the plasma.

Accepted Answer

PaO₂ The PaO₂ reading indicates the amount of oxygen dissolved in the plasma.

Question 3

What is a major advantage of video assisted thoracoscopic surgery (VATS)?

Accepted Answer

A)  The surgeon can record entire surgical procedure on a video. 
B)  The surgeon can remove tumors of the lung through a small keyhole incision. 
C)  The surgeon can x-ray and excise tumor in the same procedure. 
D)  The surgeon can avoid the use of a closed chest drainage system after surgery. 
A)  The surgeon can record entire surgical procedure on a video. 
B)  The surgeon can remove tumors of the lung through a small keyhole incision. 
C)  The surgeon can x-ray and excise tumor in the same procedure. 
D)  The surgeon can avoid the use of a closed chest drainage system after surgery. B

Question 4

The nurse prepares a patient for the procedure of a(n) __________, which will remove the fluid from around the lung to improve respiration and obtain a specimen.

Accepted Answer

thoracentesis
Often a thoracen

Question 5

A 55-year-old man comes to the health nurse at his place of work with epistaxis. He reports he has frequent nosebleeds that he can usually control himself. What would be the most helpful assessment after the nurse has stopped the bleeding?

Accepted Answer

A)  Obtain a blood pressure 
B)  Record the approximate amount of blood lost 
C)  Inquire about a headache 
D)  Record the last episode of epistaxis 
A)  Obtain a blood pressure 
B)  Record the approximate amount of blood lost 
C)  Inquire about a headache 
D)  Record the last episode of epistaxis

Question 6

The nurse explains that the opening between the vocal cords is the __________.

Accepted Answer

glottis
The glottis

Question 7

How should the newly diagnosed patient who has been prescribed isoniazid (INH) for the treatment of active tuberculosis (TB) be advised?

Accepted Answer

A)  Report redness and swelling of extremities 
B)  Accept that the therapy is long term 
C)  Monitor renal function every several months 
D)  Rise slowly to avoid dizziness 
A)  Report redness and swelling of extremities 
B)  Accept that the therapy is long term 
C)  Monitor renal function every several months 
D)  Rise slowly to avoid dizziness

Question 8

What is the appropriate nursing intervention for a patient, age 40, who is diagnosed with active tuberculosis?

Accepted Answer

A)  Place the patient in drainage and secretion precautions 
B)  Place the patient in acid-fast bacillus (AF
B)  Isolation Precautions 
C)  Maintain the patient in enteric isolation 
D)  Place the patient in any Isolation Precautions 
A)  Place the patient in drainage and secretion precautions 
B)  Place the patient in acid-fast bacillus (AF
B)  Isolation Precautions 
C)  Maintain the patient in enteric isolation 
D)  Place the patient in any Isolation Precautions

Question 9

An 83-year-old patient is admitted with a temperature of 102° F (38.8° C), chest pain, and fatigue. What is the infected fluid that the physician removes called?

Accepted Answer

A)  Emboli 
B)  Emphysema 
C)  Sputum 
D)  Empyema 
A)  Emboli 
B)  Emphysema 
C)  Sputum 
D)  Empyema

Question 10

Which independent nursing measures are effective in aiding a patient to expectorate? (Select all that apply.)

Accepted Answer

A)  Positioning in orthopneic position 
B)  Suctioning 
C)  Assisting to cough 
D)  Providing hydration 
E)  Starting IV fluids 
A)  Positioning in orthopneic position 
B)  Suctioning 
C)  Assisting to cough 
D)  Providing hydration 
E)  Starting IV fluids

Question 11

What are age-related changes in the older adult that make them at risk for respiratory diseases? (Select all that apply.)

Accepted Answer

A)  Moist mucous membranes 
B)  Kyphosis 
C)  Decrease in pulmonary blood flow 
D)  Stasis pooling of secretions 
E)  Reduced number of cilia 
A)  Moist mucous membranes 
B)  Kyphosis 
C)  Decrease in pulmonary blood flow 
D)  Stasis pooling of secretions 
E)  Reduced number of cilia

Question 12

How will the kidneys behave in respiratory acidosis?

Accepted Answer

A)  Retain bicarbonate to increase the pH 
B)  Excrete more urine to reduce potassium 
C)  Concentrate the urine to conserve circulating fluid in the blood stream 
D)  Lower the pH by excretion of bicarbonate 
A)  Retain bicarbonate to increase the pH 
B)  Excrete more urine to reduce potassium 
C)  Concentrate the urine to conserve circulating fluid in the blood stream 
D)  Lower the pH by excretion of bicarbonate

Question 13

The nurse assessing an 11-year-old who is having an asthma attack expects to hear adventitious sounds of:

Accepted Answer

A)  friction rub. 
B)  sibilant wheezes. 
C)  crackles. 
D)  sonorous wheezes. 
A)  friction rub. 
B)  sibilant wheezes. 
C)  crackles. 
D)  sonorous wheezes.

Question 14

What is the purpose of the cilia?

Accepted Answer

A)  Warm and moisturize inhaled air 
B)  Sweep debris toward nasal cavity 
C)  Stimulate cough reflex 
D)  Produce mucus 
A)  Warm and moisturize inhaled air 
B)  Sweep debris toward nasal cavity 
C)  Stimulate cough reflex 
D)  Produce mucus

Question 15

The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling) in the water seal chamber. What is the most appropriate nursing action based on this assessment?

Accepted Answer

A)  Document the tidaling 
B)  Elevate the head of the bed and notify charge nurse of malfunction of drainage system 
C)  Add more sterile water to the water seal chamber 
D)  Turn patient to the affected side 
A)  Document the tidaling 
B)  Elevate the head of the bed and notify charge nurse of malfunction of drainage system 
C)  Add more sterile water to the water seal chamber 
D)  Turn patient to the affected side

Question 16

How should a patient be positioned after a thoracentesis is completed and the dressing applied?

Accepted Answer

A)  High Fowler 
B)  Semi-Fowler 
C)  Side lying on unaffected side 
D)  Prone 
A)  High Fowler 
B)  Semi-Fowler 
C)  Side lying on unaffected side 
D)  Prone

Question 17

The nurse describes the pathophysiologic process of an asthma attack. Place the events in their proper sequence. (Separate letters by a comma and space as follows: A, B, C, D)
A) Inflammatory process in the mast cells of the lungs
B) Increase in edema and mucus production in the bronchioles
C) Release of histamine
D) Narrowing of the airways
E) Exposure to allergen

Accepted Answer

E, A, C, B, D
The allergen activates the

Question 18

What should the nurse do to keep the chest tubes from becoming occluded?

Accepted Answer

A)  Irrigate tubes as needed 
B)  Prevent dependent loops 
C)  Loop the tube over the bed rail 
D)  "Milk" the tube frequently 
A)  Irrigate tubes as needed 
B)  Prevent dependent loops 
C)  Loop the tube over the bed rail 
D)  "Milk" the tube frequently

Question 19

A patient, age 22, is admitted with acute asthma. The patient shows a pulse oximetry level of SaO? of 82%. How should the nurse interpret this?

Accepted Answer

A)  Only 82% of the red blood cells are able to use oxygen. 
B)  There is only 82% of oxygen bound to the hemoglobin compared with the amount available. 
C)  Eighteen percent of oxygen is not dissolved in the blood. 
D)  The muscular respiratory effort is only 18% effective. 
A)  Only 82% of the red blood cells are able to use oxygen. 
B)  There is only 82% of oxygen bound to the hemoglobin compared with the amount available. 
C)  Eighteen percent of oxygen is not dissolved in the blood. 
D)  The muscular respiratory effort is only 18% effective.

Question 20

How would the nurse examining a patient with pleurisy document a low-pitched grating lung sound?

Accepted Answer

A)  Sonorous wheeze 
B)  Friction rub 
C)  Coarse crackles 
D)  Crackles 
A)  Sonorous wheeze 
B)  Friction rub 
C)  Coarse crackles 
D)  Crackles

Exam 48: Care of the Patient with a Respiratory Disorder

Identify the purposes of chest drainage. (Select all that apply.)

The nurse recognizes that the _______ reading in an arterial gas report indicates the amount of oxygen dissolved in the plasma.

What is a major advantage of video assisted thoracoscopic surgery (VATS)?

The nurse prepares a patient for the procedure of a(n) __________, which will remove the fluid from around the lung to improve respiration and obtain a specimen.

A 55-year-old man comes to the health nurse at his place of work with epistaxis. He reports he has frequent nosebleeds that he can usually control himself. What would be the most helpful assessment after the nurse has stopped the bleeding?

The nurse explains that the opening between the vocal cords is the __________.

How should the newly diagnosed patient who has been prescribed isoniazid (INH) for the treatment of active tuberculosis (TB) be advised?

What is the appropriate nursing intervention for a patient, age 40, who is diagnosed with active tuberculosis?

An 83-year-old patient is admitted with a temperature of 102° F (38.8° C), chest pain, and fatigue. What is the infected fluid that the physician removes called?

Which independent nursing measures are effective in aiding a patient to expectorate? (Select all that apply.)

What are age-related changes in the older adult that make them at risk for respiratory diseases? (Select all that apply.)

How will the kidneys behave in respiratory acidosis?

The nurse assessing an 11-year-old who is having an asthma attack expects to hear adventitious sounds of:

What is the purpose of the cilia?

The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling) in the water seal chamber. What is the most appropriate nursing action based on this assessment?

How should a patient be positioned after a thoracentesis is completed and the dressing applied?

What should the nurse do to keep the chest tubes from becoming occluded?

A patient, age 22, is admitted with acute asthma. The patient shows a pulse oximetry level of SaO? of 82%. How should the nurse interpret this?

How would the nurse examining a patient with pleurisy document a low-pitched grating lung sound?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

Filters