Question 1

A client receiving treatment for acute respiratory distress syndrome (ARDS)is demonstrating anxiety related to having to stay on the ventilator indefinitely.Which interventions by the nurse are appropriate? Select all that apply.

Accepted Answer

A) Explain about care areas specifically designed for long-term ventilatory support. 
B) Dim the lights and reduce distracting noise,such as the television. 
C) Instruct that intubation and ventilation are temporary measures. 
D) Encourage family visits and participation in care. 
E) Remain with the client as much as possible.

Question 2

The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease (COPD).Which conditions will you include when you teach the client's family about the types of COPD?

Accepted Answer

A) Asthma and bronchitis 
B) Asthma and emphysema 
C) Bronchitis and emphysema 
D) Emphysema and atelectasis

Question 3

The nurse is evaluating care provided to a client diagnosed with chronic obstructive pulmonary disease (COPD).Which observation would indicate that care provided to this client has been effective?

Accepted Answer

A) Client conducts morning care and ambulates in room while maintaining an oxygen saturation of 92% on room air per oximetry reading. 
B) Client needs assistance with morning care and meals due to shortness of breath. 
C) Client states family members are discussing admission to a nursing home for continuing care. 
D) Client leaves hospital unit to smoke outside four times a day.

Question 4

The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD)after years of experiencing emphysema.Which clinical manifestation does the nurse anticipate when assessing this client?

Accepted Answer

A) Tachycardia 
B) Cough 
C) Barrel chest 
D) Wheezing

Question 5

The nurse working on a pediatric unit is caring for a client newly diagnosed with asthma.Which assessment data indicate impending respiratory failure and the need for immediate intervention? Select all that apply.

Accepted Answer

A) Shallow respirations 
B) Slightly diminished breath sounds 
C) Decreased wheezing 
D) Increased crackles 
E) Increased respiratory rate

Question 6

The nurse is providing care to an adult client with a long history of chronic obstructive pulmonary disease (COPD).The client is admitted to the intensive care unit with a pneumothorax.Which interventions are appropriate for this client? Select all that apply.

Accepted Answer

A) Elevate head of the bed 
B) Administer a high rate of oxygen by nasal cannula 
C) Prepare for a chest tube insertion 
D) Administer prescribed antihypertensive medications 
E) Administer intravenous caffeine per order

Question 7

A client asks why asthma medication is needed even though the client's last attack was several months ago.Which response by the nurse is appropriate?

Accepted Answer

A) "The medication needs to be taken or your lungs will be severely damaged and we will not be able to prevent an acute attack." 
B) "The medication needs to be taken indefinitely according to your doctor,so you should discuss this with him." 
C) "The medication is still needed to decrease inflammation in your airways and help prevent an attack." 
D) "The medication needs to be taken for at least a year;then,if you have not had an acute attack,you can stop it."

Question 8

The nurse is instructing a client who is prescribed ipratropium bromide (Atrovent)for asthma.Which should be included in this client's teaching? Select all that apply.

Accepted Answer

A) Take no more than the prescribed number of doses each day. 
B) Rinse the mouth after taking this medication. 
C) Take on an empty stomach. 
D) Take with meals or a full glass of water. 
E) Use hard candy or drink extra fluids to help with a dry mouth.

Question 9

The nurse is planning care for a baby born to a mother who smoked during the pregnancy.The mother states that she believes in bed sharing.Which nursing diagnosis would be appropriate for this baby?

Accepted Answer

A) Risk for Sudden Infant Death Syndrome (SIDS) 
B) Readiness for Enhanced Parenting 
C) Anxiety 
D) Deficient Knowledge

Question 10

The nurse is planning care for a young adolescent client diagnosed with asthma.Which evidence-based age-appropriate interventions will the nurse include in the plan of care? Select all that apply.

Accepted Answer

A) Referring to a peer-led support group 
B) Teaching the parents how to administer maintenance medication prior to teaching the client 
C) Assessing peer support when planning care 
D) Collaborating with teachers for support in the school setting 
E) Telling the client to avoid medication while at school

Question 11

The nurse is caring for a Spanish-speaking client admitted for exacerbation of chronic obstructive pulmonary disease (COPD).The client speaks very little English and is a smoker.Which action would be the most beneficial for this client?

Accepted Answer

A) Have the adult child of the client translate during the assessment process 
B) Encourage aerobic activity 
C) Encourage the client to write down questions prior to seeing the healthcare provider 
D) Obtain educational materials about smoking cessation written in Spanish.

Question 12

The client with ARDS who is likely to have the poorest outcome is

Accepted Answer

A) a Hispanic male with pneumonia. 
B) an African American male with sepsis. 
C) a Caucasian female with sepsis. 
D) an African American female with chest trauma.

Question 13

The nurse is collecting a health history for a 12-month-old child.The child lives in a home where both parents smoke,and the child has had respiratory syncytial virus twice since birth.The child's older sister was recently diagnosed with asthma.The nurse understands that this child's risk of developing asthma later in life is

Accepted Answer

A) above average. 
B) average. 
C) below average. 
D) well below average.

Question 14

Which independent nursing interventions are appropriate for a client who is experiencing an alteration in oxygenation? Select all that apply.

Accepted Answer

A) Encouraging deep breathing exercises 
B) Assisting with positioning 
C) Providing suctioning 
D) Prescribing bronchodilators 
E) Monitoring activity intolerance

Question 15

The nurse is caring for a 72-year-old client who has presented to the emergency department for the third time in 8 months with acute asthma exacerbations.The client states that he has trouble holding his inhaler,and sometimes he forgets to take his medication.He is also worried because he thinks his new drugs are adversely interacting with medications for his other conditions.What nursing diagnosis is appropriate for this client?

Accepted Answer

A) Deficient Knowledge 
B) Ineffective Health Management 
C) Risk for Aspiration 
D) Ineffective Coping

Question 16

Besides the respiratory system,which system would be critical for the nurse to assess in a client recently diagnosed with cystic fibrosis?

Accepted Answer

A) Nervous system 
B) Gastrointestinal system 
C) Musculoskeletal system 
D) Urinary system

Question 17

The nurse is caring for a client diagnosed with acute respiratory distress syndrome (ARDS).The client is intubated and placed on mechanical ventilation with positive pressure ventilation.Which assessment finding indicates a decrease of cardiac output secondary to positive pressure ventilation?

Accepted Answer

A) Blood pressure increases from 88/58 mmHg to 90/60 mmHg 
B) Urine output decreases from 30 mL/hr to 25 mL/hr 
C) Heart rate drops from 108 bpm to 104 bpm 
D) Oxygen saturation increases from 82% to 90%

Question 18

A nurse is teaching environmental control to the parents of a child with asthma.Which statement by the parents indicates effective teaching?

Accepted Answer

A) "We'll be sure to use the fireplace often to keep the house warm in the winter." 
B) "We will replace the carpet in our child's bedroom with tile." 
C) "We'll keep the plants in our child's room dusted." 
D) "We're glad the dog can continue to sleep in our child's room."

Question 19

The nurse is caring for an 18-month-old client who is newly diagnosed with cystic fibrosis.The client is currently hospitalized due to a Pseudomonas aeruginosa infection in the lungs.The client's vital signs are: P 138,R 43,T 101.3°F,BP 86/40,SpO2 88%.The client is coughing up thick,green mucus.What independent nursing intervention can the nurse implement to improve the client's oxygenation?

Accepted Answer

A) Administration of CFTR modulators 
B) Percussion and postural drainage 
C) Nutritional counseling 
D) Teaching the client to cough into a tissue

Question 20

A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS).Which variables should the nurse highlight as contributing to increased risk of SIDS? Select all that apply.

Accepted Answer

A) Prone sleeping 
B) Side sleeping 
C) Loose bedding 
D) Bed sharing 
E) Supine sleeping

Exam 15: Oxygenation

A client receiving treatment for acute respiratory distress syndrome (ARDS) is demonstrating anxiety related to having to stay on the ventilator indefinitely.Which interventions by the nurse are appropriate? Select all that apply.

The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease (COPD) .Which conditions will you include when you teach the client's family about the types of COPD?

The nurse is evaluating care provided to a client diagnosed with chronic obstructive pulmonary disease (COPD) .Which observation would indicate that care provided to this client has been effective?

The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD) after years of experiencing emphysema.Which clinical manifestation does the nurse anticipate when assessing this client?

The nurse working on a pediatric unit is caring for a client newly diagnosed with asthma.Which assessment data indicate impending respiratory failure and the need for immediate intervention? Select all that apply.

The nurse is providing care to an adult client with a long history of chronic obstructive pulmonary disease (COPD) .The client is admitted to the intensive care unit with a pneumothorax.Which interventions are appropriate for this client? Select all that apply.

A client asks why asthma medication is needed even though the client's last attack was several months ago.Which response by the nurse is appropriate?

The nurse is instructing a client who is prescribed ipratropium bromide (Atrovent) for asthma.Which should be included in this client's teaching? Select all that apply.

The nurse is planning care for a baby born to a mother who smoked during the pregnancy.The mother states that she believes in bed sharing.Which nursing diagnosis would be appropriate for this baby?

The nurse is planning care for a young adolescent client diagnosed with asthma.Which evidence-based age-appropriate interventions will the nurse include in the plan of care? Select all that apply.

The nurse is caring for a Spanish-speaking client admitted for exacerbation of chronic obstructive pulmonary disease (COPD) .The client speaks very little English and is a smoker.Which action would be the most beneficial for this client?

The client with ARDS who is likely to have the poorest outcome is

Which independent nursing interventions are appropriate for a client who is experiencing an alteration in oxygenation? Select all that apply.

Besides the respiratory system,which system would be critical for the nurse to assess in a client recently diagnosed with cystic fibrosis?

The nurse is caring for a client diagnosed with acute respiratory distress syndrome (ARDS) .The client is intubated and placed on mechanical ventilation with positive pressure ventilation.Which assessment finding indicates a decrease of cardiac output secondary to positive pressure ventilation?

A nurse is teaching environmental control to the parents of a child with asthma.Which statement by the parents indicates effective teaching?

A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS) .Which variables should the nurse highlight as contributing to increased risk of SIDS? Select all that apply.