Chapter 25: Respiratory System Introduction

37問 • 1年前

問題一覧

Which portion of the internal nose traps particles and kills bacteria?

Mucous membrane

Which of the following functions of the tonsils and adenoids in small children is correct?

Protect against bacterial infections of the throat

A patient comes into the clinic complaining of a runny nose and facial pain. Which information should the nurse’s initial assessment include?

Assessment for nasal drainage and sinus tenderness

A 68-year-old patient tells the nurse that her sense of smell is not as acute as before, her nose is drier, and she occasionally gets a nosebleed. Which situation should the nurse suspect?

Normal age-related changes

Which symptom does age-related relaxation of the esophageal sphincter in a 70-year-old patient cause?

Burning in the throat when lying down

A patient with sleep apnea says, “I’m not wearing that silly mask. I look like something out of Star Wars.” Which information should the nurse remind the patient about regarding the function of the mask?

Uses positive pressure to keep the airway open

Which information should patient education for a patient being given nose drops for the first time include?

Tipping the head back and holding the dropper over the nostril and then telling the patient to keep her head back for a few minutes

A patient comes into the clinic complaining of waking up with a dry mouth and nose and asks if the dryness has caused the colds she has had in the past few months. Which suggestion is most appropriate the nurse to suggest?

Use a humidifier at home.

Which assessment should indicate the necessity for a nurse to suction a patient with a tracheostomy?

Becomes restless and has increases in vital signs

Which position is the most appropriate for a patient returning from surgery with a nasal pack and mustache dressing?

High Fowler position and apply a cold dressing to reduce swelling

Which intervention should a nurse implement when providing tracheostomy care?

Use a sterile solution of normal saline or other solution to wash the inner cannula and then rinse with sterile water.

A nurse assesses wheezes in a patient with asthma. Which process should the nurse know is the cause of wheezes?

Movement of air through narrowed airways

The patient has had anterior nasal packing placed for severe epistaxis. The nurse notes that he is swallowing frequently. Which assessment should a nurse suspect?

The patient is bleeding.

Which sequence indicates how air goes from the nose to the lung?

Pharynx, trachea, bronchi, alveoli

A nurse charts that a patient has had periods of tachypnea during the night. Which assessment is true in regard to the respiration rate?

Above 20 breaths/min

A 90-year-old patient complains to the nurse of shortness of breath after walking up a flight of stairs. Which age-related change should the nurse explain results in this problem?

Enlarged bronchioles

Which personal data should the nurse exclude when documenting the findings in the functional assessment portion of the nursing assessment for a patient with a respiratory disorder?

Previous respiratory disorders

Which intercostal space is used to auscultate breath sounds in the right middle lobe from the anterior aspect?

Fifth

Which assessment should the nurse suspect regarding the bronchus when auscultating coarse crackles in the lower right lobe?

Partially filled with fluid

Which advantage of a fluoroscopy would the nurse explain when a worried patient enquires about their ordered procedure?

Shows respiratory function in motion

Which nursing intervention is inappropriate in the immediate post-procedure care of a patient who has had a fiberoptic bronchoscopy?

Offer fluids to assess swallowing ability.

Which rationale explains the importance of the nurse closely monitoring bilateral breath sounds and chest movement after a thoracentesis?

The lung may have been punctured during the procedure.

Which nursing assessment indicates a positive reading of a tuberculin (TB) skin test?

2 days after injection with a 5-mm area of redness and swelling and swelling

A nurse performs an Allen test before performing the arterial stick for an arterial blood gas. Which information explains what this test assesses?

Perfusion of the hand

A patient who is severely dyspneic and cyanotic enters the emergency department. At which rate should a nurse administer oxygen to the patient?

2 L to preserve the hypoxic drive

Which assessment indicates to the nurse that the chest tube in a water seal drainage device is working correctly?

Fluctuation of the column of water in the water seal

Which assessment by the nurse at the bedside of a patient with a chest tube attached to a water seal drainage device should require intervention?

Dependent loops in the chest tube

A home health nurse who is caring for an 88-year-old patient with severe hypertension in addition to a respiratory problem notices several drugs on the bedside table. Which medication should the nurse suggest the patient avoid?

Decongestant

In which position should a nurse place a patient who had a left pneumonectomy in an effort to enhance gas exchange?

In a semi-Fowler position

Which position should the nurse assist a patient to maintain during a thoracentesis?

Sitting on the side of the bed bent over bedside table

Which purpose describes how the ventilator function of positive end-expiratory pressure assists the patient?

Keeps pressure in the lungs after expiration

The patient has had anterior nasal packing placed for severe epistaxis. The nurse notes that he is swallowing frequently. Which assessment should a nurse suspect?

The patient is bleeding.

Which actions should be included in the postoperative care of a patient who has had nasal surgery? (Select all that apply.)

Placing the patient in a semi-Fowler position without a pillow, Giving frequent oral hygiene, Providing humidification for dry mucous membranes, Assessing the back of the throat for bleeding

Which information correctly explains that the breathing pattern has been altered when a patient complains of tachypnea? (Select all that apply.)

Decreased oxygen level signals the phrenic nerve to alter the respiration rate., Muscles of respiration respond to the stimulus.

Which assessment findings would indicate respiratory dysfunction when examining a patient with respiratory difficulty? (Select all that apply.)

Cyanotic nail beds, Abdominal distention, Clubbed fingers

Which instructions should a nurse provide to a patient just before a scheduled spirometry test? (Select all that apply.)

Avoid smoking 4 to 6 hours before test., Do not use bronchodilator medications for at least 4 hours.

A nurse computes the number of “pack-years” of a 24-year-old man who has smoked packs of cigarettes every day since he was 15 years old. This patient has _________ pack-years. (Use only numeric characters. If the answer is not a whole number, use decimals instead of fractions.)

13.5

study

ユーザ名非公開 · 61問 · 1年前

study