Deck 20: Respiratory Inflammation and Infection
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Deck 20: Respiratory Inflammation and Infection
1
Which unique respiratory infection is caused by a resilient bacterial organism that can remain dormant in the body?
1) Dyspnea
2) Tuberculosis(TB)
3) Pulmonary aspiration
4) Cough
1) Dyspnea
2) Tuberculosis(TB)
3) Pulmonary aspiration
4) Cough
2
2
)Which symptom is related to tuberculosis (TB)?
1) Cachexia
2) Night sweats
3) Hemoptysis
4) Both B and C
1) Cachexia
2) Night sweats
3) Hemoptysis
4) Both B and C
4
3
Which condition results in lung tissue filling up with fluid or pus, inflammatory cells, and fibrin?
1) Pneumonia
2) Acute bronchitis
3) Tracheitis
4) Acute rhinitis
1) Pneumonia
2) Acute bronchitis
3) Tracheitis
4) Acute rhinitis
1
4
The primary health-care provider orders decongestants for a client. Which condition may be present?
1) Tonsillitis
2) Rhinitis
3) Pharyngitis
4) Sinusitis
1) Tonsillitis
2) Rhinitis
3) Pharyngitis
4) Sinusitis
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5
Which bacterium is responsible for pneumonia in a client with HIV infection?
1) Pneumocystis carinii
2) Pneumocystis jiroveci
3) Mycobacterium tuberculosis
4) Mycoplasma pneumoniae
1) Pneumocystis carinii
2) Pneumocystis jiroveci
3) Mycobacterium tuberculosis
4) Mycoplasma pneumoniae
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6
While going through the physical assessment finding of a particular client, the primary health-care provider observes facial pain in the client. The client complains that the pain gets worse when he or she leans forward. What inference can the primary health-care provider draw from these findings?
1) Sinusitis
2) Pharyngitis
3) Epiglottitis
4) Tonsillitis
1) Sinusitis
2) Pharyngitis
3) Epiglottitis
4) Tonsillitis
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7
While going through one of the client prescriptions, the nurse finds that the primary health-care provider has prescribed antihistamines and antipyretics. The nurse observes that a corticosteroid anti-inflammatory nasal spray has also been advised in the prescription. What condition can the nurse infer from the prescription?
1) The prescription provides medication for pharyngitis.
2) The prescription provides medication for sinusitis.
3) The prescription provides medication for rhinitis.
4) The prescription provides medication for tonsillitis.
1) The prescription provides medication for pharyngitis.
2) The prescription provides medication for sinusitis.
3) The prescription provides medication for rhinitis.
4) The prescription provides medication for tonsillitis.
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8
On assessing the physical findings of a client, the nurse discovers that the client has red, swollen, inflamed pharynx and tonsils. What condition can the nurse suspect from the findings?
1) Laryngitis
2) Acute bronchitis
3) Lung abscess
4) Epiglottitis
1) Laryngitis
2) Acute bronchitis
3) Lung abscess
4) Epiglottitis
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9
Which test involves the continuous monitoring of the oxygen saturation of hemoglobin?
1) Bronchoscopy
2) Computed tomography
3) Pulse oximetry
4) Arterial blood gases
1) Bronchoscopy
2) Computed tomography
3) Pulse oximetry
4) Arterial blood gases
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10
While examining a client, the primary health-care provider finds that the client has symptoms that include cough, fever, and sore throat, and general malaise. Physical assessment findings include mucus production and rhonchi. Which treatment should the primary health-care provider administer to the client?
1) Bronchodilator and antibiotics
2) Intravenous (IV) fluids and humidified oxygen
3) Antibiotics and surgical treatment
4) Adequate hydration and nutrition
1) Bronchodilator and antibiotics
2) Intravenous (IV) fluids and humidified oxygen
3) Antibiotics and surgical treatment
4) Adequate hydration and nutrition
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11
A client is diagnosed with allergic rhinitis. Which medication should the primary health-care provider prescribe as a treatment?
1) Penicillin
2) Corticosteroid anti-inflammatory nasal spray
3) Intravenous fluids
4) Acetaminophen
1) Penicillin
2) Corticosteroid anti-inflammatory nasal spray
3) Intravenous fluids
4) Acetaminophen
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12
While studying the vocal resonance in the client's physical assessment report, the nurse observes that the egophony, bronchophony, and whispered pectoriloquy are bringing out crackle in the client. Which condition can the nurse infer from the readings?
1) The client is suffering from acute bronchitis.
2) The client is suffering from pneumonia.
3) The client is suffering from lung abscess.
4) The client is suffering from tuberculosis (TB).
1) The client is suffering from acute bronchitis.
2) The client is suffering from pneumonia.
3) The client is suffering from lung abscess.
4) The client is suffering from tuberculosis (TB).
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13
The nursing instructor is teaching student nurses about the pathophysiology of tuberculosis (TB). Which statement confirms proper learning of the student nurse?
1) "The M. tuberculi bacterium gets absorbed through the perspiration of an individual."
2) "The calcified lesion in TB is called the Ghon's focus."
3) "The cheese-like necrotic lung tissue is called the caseous necrosis."
4) "The TB organism is anaerobic."
1) "The M. tuberculi bacterium gets absorbed through the perspiration of an individual."
2) "The calcified lesion in TB is called the Ghon's focus."
3) "The cheese-like necrotic lung tissue is called the caseous necrosis."
4) "The TB organism is anaerobic."
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14
A client admitted with a lung abscess has developed an area of pulmonary tissue necrosis. What is the most appropriate treatment to manage this complication?
1) Surgical treatment
2) Adequate hydration and nutrition
3) Humidified oxygen
4) Intravenous fluids
1) Surgical treatment
2) Adequate hydration and nutrition
3) Humidified oxygen
4) Intravenous fluids
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15
Which is the process of coughing up sputum?
1) Expectoration
2) Hemoptysis
3) Atelectasis
4) Hypoxia
1) Expectoration
2) Hemoptysis
3) Atelectasis
4) Hypoxia
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16
Which pulmonary condition is caused by infiltration of bacteria, resulting in a localized area of purulent inflammation, tissue necrosis, and central area of liquefaction?
1) Lung abscess
2) Myringitis
3) Tuberculosis
4) Tracheitis
1) Lung abscess
2) Myringitis
3) Tuberculosis
4) Tracheitis
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17
In the prescription of a client, the nurse observes treatment involving decongestants, antihistamines, saline sprays, and heated mists. Which condition, according to the nurse, can be treated by these types of medications?
1) Pharyngitis
2) Sinusitis
3) Tracheitis
4) Acute bronchitis
1) Pharyngitis
2) Sinusitis
3) Tracheitis
4) Acute bronchitis
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18
The nursing instructor is teaching a group of nursing students about pneumonia. Which statement shows proper learning about pneumonia by the nursing students?
1) "Pneumonia causes more deaths in the United States than any other infection."
2) "Hospital-associated pneumonia (HAP) is a lung infection that is contracted immediately when the client is admitted to the hospital."
3) "The pseudomonas microorganism is responsible for pneumonia that is spread by water."
4) All of the above
1) "Pneumonia causes more deaths in the United States than any other infection."
2) "Hospital-associated pneumonia (HAP) is a lung infection that is contracted immediately when the client is admitted to the hospital."
3) "The pseudomonas microorganism is responsible for pneumonia that is spread by water."
4) All of the above
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19
The nursing instructor is teaching the student nurses about the origin and risk factors leading to lung abscess. Which statement confirms proper learning of the student nurse about the subject?
1) "One of the most prominent risk factors includes obesity."
2) "Lung abscesses lead to the complication of bacterial pneumonia."
3) "Intraoral drug use poses a risk factor for lung abscess."
4) "Staphylococcal endocarditis is the initial stage of lung abscesses."
1) "One of the most prominent risk factors includes obesity."
2) "Lung abscesses lead to the complication of bacterial pneumonia."
3) "Intraoral drug use poses a risk factor for lung abscess."
4) "Staphylococcal endocarditis is the initial stage of lung abscesses."
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20
The nurse is teaching a group of nursing students about acute sinusitis. Which statement by the student indicates proper learning about sinusitis?
1) "Sinusitis can be divided into acute and subacute sinusitis."
2) "Chronic sinusitis involves inflammation of the sinuses, which is cured within a week."
3) "Virus, bacteria, or both organism types may be responsible for acute sinusitis."
4) "Mucolytic agents are used to treat the infection."
1) "Sinusitis can be divided into acute and subacute sinusitis."
2) "Chronic sinusitis involves inflammation of the sinuses, which is cured within a week."
3) "Virus, bacteria, or both organism types may be responsible for acute sinusitis."
4) "Mucolytic agents are used to treat the infection."
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21
While diagnosing a client, the primary health-care provider finds the cervical lymph nodes to be extremely tender. Which condition does the primary health-care provider write in the client's prescription?
1) Lung abscess
2) Myringitis
3) Acute pharyngitis
4) Tracheitis
1) Lung abscess
2) Myringitis
3) Acute pharyngitis
4) Tracheitis
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22
The primary health-care provider, while examining the test report of a client, finds that the client is producing foul-smelling sputum with a cough. This sign is accompanied by chills, fever, and chest pain. Which treatments should be prescribed by the primary health-care provider?
1) Antibiotic therapy
2) Antimicrobial medications such as isoniazid, rifampin, pyrazinamide, ethambutol, and streptomycin
3) Respiratory isolation until the client is no longer infected
4) Surgical intervention
5) Bronchoscopy
1) Antibiotic therapy
2) Antimicrobial medications such as isoniazid, rifampin, pyrazinamide, ethambutol, and streptomycin
3) Respiratory isolation until the client is no longer infected
4) Surgical intervention
5) Bronchoscopy
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23
The nursing instructor is teaching lung anatomy to a group of students. Which statement relates appropriately to the students' learning of lung anatomy?
1) "The lung receives air from the lower respiratory tract."
2) "There are three lobes in the lung tissue on the left."
3) "There are three lobes in the lung tissue on the right."
4) "The two main bronchi and bronchioles are part of the lungs."
1) "The lung receives air from the lower respiratory tract."
2) "There are three lobes in the lung tissue on the left."
3) "There are three lobes in the lung tissue on the right."
4) "The two main bronchi and bronchioles are part of the lungs."
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24
The nurse is treating a client who has the symptoms of pharyngeal erythema, lymphadenopathy, and rhinorrhea on physical examination. The inspiratory stridor of the client shows mucous obstruction within the trachea. Which would the nurse expect the primary health-care provider to prescribe or carry out?
1) Symptomatology
2) Complete blood count (CBC)
3) Throat culture and sensitivity
4) Mantoux tuberculin skin test
5) Palpate the frontal and transmaxillary sinuses
1) Symptomatology
2) Complete blood count (CBC)
3) Throat culture and sensitivity
4) Mantoux tuberculin skin test
5) Palpate the frontal and transmaxillary sinuses
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25
Which specialized cellular mechanism comprises ciliated pseudocolumnar epithelial cells and goblet cells?
1) Mucociliary apparatus
2) Alveoli
3) Oxyhemoglobin
4) Erythropoietin
1) Mucociliary apparatus
2) Alveoli
3) Oxyhemoglobin
4) Erythropoietin
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