RESPI NCM 112

45問 • 2年前

問題一覧

In ventilation, it refers to the volume of air entering the respiratory system that is determined by which anatomical properties? 1. Chest wall 2. Thoracic cavity 3. Upper and lower airways

1,2,3,

In respiratory distress a significant change of appearance of the chest wall and exaggerations in respiratory patterns. What causes a barrel chest appearance of the chest wall?

Chronic hyperinflation

The patient is experiencing respiratory distress that caused the muscles of respiration contracted. What are the following muscles of respiration involved?

Sternocleidomastoid

The patient's thoracic cavity is being assessed by the nurse in the emergency department. The nurse identified an important landmark that contain heart, aorta, and other great blood vessels which are?

Mediastinum

On a normal deep inspiration, the lower lung borders descends on the level of:

T12

The left lung conduct 55% of the normal lung function

False

The nurse is taking care of a client who consulted in the emergency room. The client is having dyspnea which was diagnosed as having hyaline membrane disease. What causes the symptoms of dyspnea?

Insufficient surfactant production

It is the control of ventilation and determines the breathing patterns located in the brain.

Medullary center

The following statement is true about obstructive lung disease.

There is a resistance to air movement in & out of the lungs

A client was visited by the nurse who had a history of dyspnea due to respiratory alterations. What level of dyspnea when he mentioned that becomes short of breath while talking or doing activities of daily living?

Level 3

A client in the emergency department is experiencing coughing out of blood with bright red mixed with frothy sputum as noted by the nurse. What symptom thus the client is manifesting?

Hemoptysis

The most important nursing interventions of the nurse when a client has undergone bronchoscopy one hour after the procedure.

NPO

A 54-year old client has a smoking history since 18 years old with 1 1/2 pack of cigarettes per day. The correct smoking pack years of the client is:

54 pack years

When the nurse ask the client if he can walk up a flight of steps without stopping. What Gordon's functional health pattern the nurse wants to ask?

Activity-exercise

If the nurse ask a client during assessment of respiratory problems about experiencing pain associated with breathing, what functional pattern would the nurse is assessing?

Cognitive-perceptual

A symptom of a client who is experiencing respiratory difficulty which may indicate vascular changes in the systemic circulation is:

Peripheral cyanosis

During physical examination of a client with respiratory symptoms, the nurse is assessing the chest for any alteration. The normal antero-posterior diameter of the chest is:

1:2

Emphysema & asthma manifest sternal abnormalities that in sever cases, clients manifests structural problems of the chest. What is this chest structural problem?

Barrel chest

The nurse is assessing a client in the Outpatient dept for a presence of Thrombophlebitis. Which sign thus the nurse will suspect a deep vein thrombosis?

Homan's sign

In chest tube drainage, fluctuation of fluid will stop when: 1. The lung has re-expanded 2. The tubing is obstructed by blood clots of fibrin 3. The dependent loop develop 4. Suction machine is not function properly

1,2,3,4

Which of the following pathologies is significant to the respiratory system when assessing the family history?

Kyphoscoliosis

Which of the following client has increased risk of respiratory system problems?

45- year old man who breeds and raises racing pigeons

Which of the following observation is NOT made when inspecting the lungs and thorax?

Color of oropharynx

Which of the following pieces of data is an objective sign of oxygen deprivation?

Clubbing of fingers

Palpation of the chest is used to assess for:

Tactile fremitus

Which of the following pulse oximetry reading calls for immediate intervention?

85%

A pulse oximeter measures:

Oxygen saturation of the blood

Long term maintenance of an effective airway requires:

Tracheostomy

A tracheostomy is a:

Surgical incision of the trachea

Interventions for the client with tracheostomy include:

Changing the tracheostomy ties daily

The nursing priority for the client with problems of the upper airways is to:

Ensure a patent airway

Care of the client who has had rhinoplasty include:

Apply ice to the nasal area to decrease edema

Care of the client with epistaxis includes:

Placing direct pressure over the nose

The first priority in the management of facial and neck trauma is to:

Maintain a patent airway

Equipment that should be kept at the bedside of a client who has a tracheostomy includes:

A tracheostomy tube with obturator

Which of the following symptoms would indicate that the client is experiencing an inflamed maxillary sinus?

Pain in the client's cheek

After tonsillectomy, which of the following findings would alert nurse to suspect early hemorrhage in the client?

Frequent swallowing or drooling of bright red secretion

A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?

Chronic obstructive bronchitis

A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. He's tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. The client has symptoms of which of the following respiratory disorders?

Emphysema

Its highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations for which of the following reasons?

Respiratory infections can cause severe hypoxia and possible death in these clients.

Clients with chronic obstructive bronchitis are given diuretic therapy. Which of the following reasons best explains why?

Reducing fluid volume reduces oxygen demand

A client with emphysema should receive only 1 to 3 L/minutes of oxygen, if needed, or he may lose his hypoxic drive. Which of the following statements is correct about hypoxic drive.

The client breathes only when his carbon dioxide level dips below a certain point.

A client is attached to a dry chest tube system. Which of the following would the nurse expect?

No bubbling in the suction chamber.

You are providing care to a patient with a chest tube. On assessment of the drainage system, you note continuous bubbling in the water seal chamber and oscillation. Which of the following is the CORRECT nursing intervention for this type of finding?

Notify the physician of air leak.

A patient is receiving positive pressure mechanical ventilation and has a chest tube. When assessing the water seal chamber what do you expect to find?

The water in the chamber will decrease during inspiration and increase during expiration.

GERIA PRELIMS

GERIA PRELIMS

CARDIO NCM 112

CARDIO NCM 112

PERI-OP NCM 112

PERI-OP NCM 112

CHN PRELIMS

CHN PRELIMS

NURSING RESEARCH PRELIMS

ユーザ名非公開 · 15問 · 2年前

NURSING RESEARCH PRELIMS

GERIA MT

GERIA MT

ONCO NCM 112

ONCO NCM 112

HEMA NCM 112 (not final)

ユーザ名非公開 · 25問 · 2年前

HEMA NCM 112 (not final)

25問 • 2年前

ユーザ名非公開

NURSING RESEARCH 1 MT

ユーザ名非公開 · 30問 · 2年前

NURSING RESEARCH 1 MT

30問 • 2年前

ユーザ名非公開

問題一覧

In ventilation, it refers to the volume of air entering the respiratory system that is determined by which anatomical properties? 1. Chest wall 2. Thoracic cavity 3. Upper and lower airways

1,2,3,

In respiratory distress a significant change of appearance of the chest wall and exaggerations in respiratory patterns. What causes a barrel chest appearance of the chest wall?

Chronic hyperinflation

The patient is experiencing respiratory distress that caused the muscles of respiration contracted. What are the following muscles of respiration involved?

Sternocleidomastoid

Mediastinum

On a normal deep inspiration, the lower lung borders descends on the level of:

T12

The left lung conduct 55% of the normal lung function

False

The nurse is taking care of a client who consulted in the emergency room. The client is having dyspnea which was diagnosed as having hyaline membrane disease. What causes the symptoms of dyspnea?

Insufficient surfactant production

It is the control of ventilation and determines the breathing patterns located in the brain.

Medullary center

The following statement is true about obstructive lung disease.

There is a resistance to air movement in & out of the lungs

Level 3

A client in the emergency department is experiencing coughing out of blood with bright red mixed with frothy sputum as noted by the nurse. What symptom thus the client is manifesting?

Hemoptysis

The most important nursing interventions of the nurse when a client has undergone bronchoscopy one hour after the procedure.

NPO

A 54-year old client has a smoking history since 18 years old with 1 1/2 pack of cigarettes per day. The correct smoking pack years of the client is:

54 pack years

When the nurse ask the client if he can walk up a flight of steps without stopping. What Gordon's functional health pattern the nurse wants to ask?

Activity-exercise

If the nurse ask a client during assessment of respiratory problems about experiencing pain associated with breathing, what functional pattern would the nurse is assessing?

Cognitive-perceptual

A symptom of a client who is experiencing respiratory difficulty which may indicate vascular changes in the systemic circulation is:

Peripheral cyanosis

During physical examination of a client with respiratory symptoms, the nurse is assessing the chest for any alteration. The normal antero-posterior diameter of the chest is:

1:2

Emphysema & asthma manifest sternal abnormalities that in sever cases, clients manifests structural problems of the chest. What is this chest structural problem?

Barrel chest

The nurse is assessing a client in the Outpatient dept for a presence of Thrombophlebitis. Which sign thus the nurse will suspect a deep vein thrombosis?

Homan's sign

1,2,3,4

Which of the following pathologies is significant to the respiratory system when assessing the family history?

Kyphoscoliosis

Which of the following client has increased risk of respiratory system problems?

45- year old man who breeds and raises racing pigeons

Which of the following observation is NOT made when inspecting the lungs and thorax?

Color of oropharynx

Which of the following pieces of data is an objective sign of oxygen deprivation?

Clubbing of fingers

Palpation of the chest is used to assess for:

Tactile fremitus

Which of the following pulse oximetry reading calls for immediate intervention?

85%

A pulse oximeter measures:

Oxygen saturation of the blood

Long term maintenance of an effective airway requires:

Tracheostomy

A tracheostomy is a:

Surgical incision of the trachea

Interventions for the client with tracheostomy include:

Changing the tracheostomy ties daily

The nursing priority for the client with problems of the upper airways is to:

Ensure a patent airway

Care of the client who has had rhinoplasty include:

Apply ice to the nasal area to decrease edema

Care of the client with epistaxis includes:

Placing direct pressure over the nose

The first priority in the management of facial and neck trauma is to:

Maintain a patent airway

Equipment that should be kept at the bedside of a client who has a tracheostomy includes:

A tracheostomy tube with obturator

Which of the following symptoms would indicate that the client is experiencing an inflamed maxillary sinus?

Pain in the client's cheek

After tonsillectomy, which of the following findings would alert nurse to suspect early hemorrhage in the client?

Frequent swallowing or drooling of bright red secretion

Chronic obstructive bronchitis

Emphysema

Its highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations for which of the following reasons?

Respiratory infections can cause severe hypoxia and possible death in these clients.

Clients with chronic obstructive bronchitis are given diuretic therapy. Which of the following reasons best explains why?

Reducing fluid volume reduces oxygen demand

A client with emphysema should receive only 1 to 3 L/minutes of oxygen, if needed, or he may lose his hypoxic drive. Which of the following statements is correct about hypoxic drive.

The client breathes only when his carbon dioxide level dips below a certain point.

A client is attached to a dry chest tube system. Which of the following would the nurse expect?

No bubbling in the suction chamber.

Notify the physician of air leak.

A patient is receiving positive pressure mechanical ventilation and has a chest tube. When assessing the water seal chamber what do you expect to find?

The water in the chamber will decrease during inspiration and increase during expiration.