Acute Respiratory Questions – Flashcards
341 test answers
Unlock all answers in this set
Unlock answers 341question
40 mm Hg
answer
c.
Unlock the answer
question
80 mm Hg
answer
d.
Unlock the answer
question
A client's arterial blood gas (ABG) results are as follows: pH, 7.16; PaCO2, 80 mm Hg; PaO2 46 mm Hg; HCO3-, 24 mEq/L; SaO2, 81%. These ABG results represent which condition?
answer
2.
Unlock the answer
question
Metabolic acidosis
answer
a.
Unlock the answer
question
Metabolic alkalosis
answer
b.
Unlock the answer
question
Respiratory acidosis
answer
c.
Unlock the answer
question
Respiratory alkalosis
answer
d.
Unlock the answer
question
A firefighter was involved in extinguishing a house fire and is being treated for smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. He most likely has developed which condition?
answer
3.
Unlock the answer
question
Acute respiratory distress syndrome (ARDS)
answer
a.
Unlock the answer
question
Atelectasis
answer
b.
Unlock the answer
question
Bronchitis
answer
c.
Unlock the answer
question
Pneumonia
answer
d.
Unlock the answer
question
In a client with smoke inhalation who develops pulmonary edema, the nurse should expect to hear which breath sound?
answer
4.
Unlock the answer
question
Crackles
answer
a.
Unlock the answer
question
Decreased breath sounds
answer
b.
Unlock the answer
question
Inspiratory and expiratory wheezing
answer
c.
Unlock the answer
question
Upper airway rhonchi
answer
d.
Unlock the answer
question
Which nursing diagnosis would be the priority for a client with acute respiratory distress syndrome (ARDS)?
answer
5.
Unlock the answer
question
Ineffective breathing pattern
answer
a.
Unlock the answer
question
Risk for infection
answer
b.
Unlock the answer
question
Imbalanced nutrition: Less than body requirements
answer
c.
Unlock the answer
question
Impaired skin integrity
answer
d.
Unlock the answer
question
Which statement best describes what happens to the alveoli in acute respiratory distress syndrome (ARDS)?
answer
6.
Unlock the answer
question
Alveoli are overexpanded.
answer
a.
Unlock the answer
question
Alveoli increase perfusion.
answer
b.
Unlock the answer
question
Alveolar spaces are filled with fluid.
answer
c.
Unlock the answer
question
Alveoli improve gaseous exchange.
answer
d.
Unlock the answer
question
A 69-year-old client develops acute shortness of breath and progressive hypoxia requiring mechanical ventilation after repair of a fractured right femur. The hypoxia was probably caused by which condition?
answer
7.
Unlock the answer
question
Asthma attack
answer
a.
Unlock the answer
question
Atelectasis
answer
b.
Unlock the answer
question
Bronchitis
answer
c.
Unlock the answer
question
Fat embolism
answer
d.
Unlock the answer
question
A client with a fat embolism is receiving 100% FIO2 on a mechanical ventilator and continues to be hypoxic. Which measure can improve his oxygenation?
answer
8.
Unlock the answer
question
Add positive end-expiratory pressure (PEEP).
answer
a.
Unlock the answer
question
Give beta-adrenergic blockers.
answer
b.
Unlock the answer
question
Give diuretics.
answer
c.
Unlock the answer
question
Increase the FIO2 on the ventilator.
answer
d.
Unlock the answer
question
...
answer
ACUTE RESPIRATORY STUDY QUESTIONS, pg 2
Unlock the answer
question
If a client with a fat embolism continues to be hypoxic following therapy with positive end-expiratory pressure, what can be done to reduce oxygen demand?
answer
9.
Unlock the answer
question
Give diuretics.
answer
a.
Unlock the answer
question
Give neuromuscular blockers.
answer
b.
Unlock the answer
question
Put the head of the bed flat.
answer
c.
Unlock the answer
question
Use bronchodilators.
answer
d.
Unlock the answer
question
Positive end-expiratory pressure (PEEP) therapy has which initial effect on the heart?
answer
10.
Unlock the answer
question
Bradycardia
answer
a.
Unlock the answer
question
Tachycardia
answer
b.
Unlock the answer
question
Increased blood pressure
answer
c.
Unlock the answer
question
Reduced cardiac output
answer
d.
Unlock the answer
question
Occasionally, clients with acute respiratory distress syndrome (ARDS) are placed in the prone position. How does this position help the client?
answer
11.
Unlock the answer
question
It improves cardiac output.
answer
a.
Unlock the answer
question
It makes the client more comfortable.
answer
b.
Unlock the answer
question
It prevents skin breakdown.
answer
c.
Unlock the answer
question
It recruits more alveoli.
answer
d.
Unlock the answer
question
Which condition could lead to acute respiratory distress syndrome (ARDS)?
answer
12.
Unlock the answer
question
Appendicitis
answer
a.
Unlock the answer
question
Massive trauma
answer
b.
Unlock the answer
question
Receiving conscious sedation
answer
c.
Unlock the answer
question
Right meniscus injury
answer
d.
Unlock the answer
question
Which indicators would show if the condition of a client with acute respiratory distress syndrome (ARDS) is improving?
answer
13.
Unlock the answer
question
Arterial blood gas (ABG) values
answer
a.
Unlock the answer
question
Bronchoscopy results
answer
b.
Unlock the answer
question
Increased blood pressure
answer
c.
Unlock the answer
question
Sputum culture and sensitivity results
answer
d.
Unlock the answer
question
A 24-year-old client comes into the clinic complaining of right-sided chest pain and shortness of breath. He reports that it started suddenly. The assessment should include which intervention?
answer
14.
Unlock the answer
question
Auscultation of breath sounds
answer
a.
Unlock the answer
question
Chest x-ray
answer
b.
Unlock the answer
question
Echocardiogram
answer
c.
Unlock the answer
question
Electrocardiogram (ECG)
answer
d.
Unlock the answer
question
The client in the previous question has decreased-to-absent breath sounds on the right side, from the apex to the base. Which condition best explains this?
answer
15.
Unlock the answer
question
Acute asthma
answer
a.
Unlock the answer
question
Chronic bronchitis
answer
b.
Unlock the answer
question
Pneumonia
answer
c.
Unlock the answer
question
Spontaneous pneumothorax
answer
d.
Unlock the answer
question
Which treatment should a nurse expect for a client with spontaneous pneumothorax?
answer
16.
Unlock the answer
question
Antibiotics
answer
a.
Unlock the answer
question
Bronchodilators
answer
b.
Unlock the answer
question
Chest tube placement
answer
c.
Unlock the answer
question
Hyperbaric chamber
answer
d.
Unlock the answer
question
...
answer
ACUTE RESPIRATORY STUDY QUESTIONS, pg 3
Unlock the answer
question
A 60-year-old client was in a motor vehicle collision as an unrestrained driver. He's now in the emergency department complaining of difficulty breathing and chest pain. On auscultation of his lung fields, no breath sounds are present in the left upper lobe. This client may have which condition?
answer
17.
Unlock the answer
question
Bronchitis
answer
a.
Unlock the answer
question
Pneumonia
answer
b.
Unlock the answer
question
Pneumothorax
answer
c.
Unlock the answer
question
Tuberculosis (TB)
answer
d.
Unlock the answer
question
Which method is the best way to confirm the diagnosis of a pneumothorax?
answer
18.
Unlock the answer
question
Auscultate for breath sounds.
answer
a.
Unlock the answer
question
Have the client use an incentive spirometer.
answer
b.
Unlock the answer
question
Take a chest x-ray.
answer
c.
Unlock the answer
question
Stick a needle in the area of the decreased breath sounds.
answer
d.
Unlock the answer
question
After a motor vehicle collision, a client has a chest tube inserted in the left upper chest. When the tube is inserted, it begins to drain a large amount of dark red fluid. Which explanation best describes what caused this?
answer
19.
Unlock the answer
question
The chest tube was inserted improperly.
answer
a.
Unlock the answer
question
This always happens when a chest tube is inserted.
answer
b.
Unlock the answer
question
An artery was nicked when the chest tube was placed.
answer
c.
Unlock the answer
question
The client had a hemothorax instead of a pneumothorax.
answer
d.
Unlock the answer
question
A hospitalized client needs a central IV catheter inserted. The physician places the catheter in the subclavian vein. Shortly afterward, the client develops shortness of breath and appears restless. Which action should the nurse perform first?
answer
20.
Unlock the answer
question
Administer a sedative.
answer
a.
Unlock the answer
question
Advise the client to calm down.
answer
b.
Unlock the answer
question
Auscultate for breath sounds.
answer
c.
Unlock the answer
question
Check to see if the client can have medication.
answer
d.
Unlock the answer
question
Which measure would be ordered for a client who recently had a central venous catheter inserted and who now appears short of breath and anxious?
answer
21.
Unlock the answer
question
Chest x-ray
answer
a.
Unlock the answer
question
Electrocardiogram
answer
b.
Unlock the answer
question
Laboratory tests
answer
c.
Unlock the answer
question
Sedation
answer
d.
Unlock the answer
question
A client needs to have a chest tube inserted in the right upper chest. Which action is part of the nurse's role?
answer
22.
Unlock the answer
question
The nurse isn't needed.
answer
a.
Unlock the answer
question
Prepare the chest tube drainage system.
answer
b.
Unlock the answer
question
Bring the chest x-ray to the client's room.
answer
c.
Unlock the answer
question
Insert the chest tube.
answer
d.
Unlock the answer
question
Which result shows that a chest tube insertion was done correctly?
answer
23.
Unlock the answer
question
Bronchial sounds heard at both bases
answer
a.
Unlock the answer
question
Vesicular sounds heard over upper lung fields
answer
b.
Unlock the answer
question
Bronchovesicular sounds heard over both lung fields
answer
c.
Unlock the answer
question
Crackles heard on the affected side
answer
d.
Unlock the answer
question
Which measure best determines that a chest tube is no longer needed for a client who had a pneumothorax?
answer
24.
Unlock the answer
question
The drainage from the chest tube is minimal.
answer
a.
Unlock the answer
question
Arterial blood gas (ABG) levels are obtained to ensure proper oxygenation.
answer
b.
Unlock the answer
question
It's removed and the client is assessed to see if he's breathing adequately.
answer
c.
Unlock the answer
question
No fluctuation in the water seal chamber occurs when no suction is applied.
answer
d.
Unlock the answer
question
...
answer
ACUTE RESPIRATORY STUDY QUESTIONS, pg 4
Unlock the answer
question
Which intervention should be done before a chest tube is removed?
answer
25.
Unlock the answer
question
Disconnect the drainage system from the tube.
answer
a.
Unlock the answer
question
Obtain a chest x-ray to document reexpansion.
answer
b.
Unlock the answer
question
Obtain an arterial blood gas level to document oxygen status.
answer
c.
Unlock the answer
question
Sedate the client, and the physician will slip the tube out without warning the client.
answer
d.
Unlock the answer
question
A client with a chest tube has accidentally removed it. What action should the nurse perform first?
answer
26.
Unlock the answer
question
Position the client on his left side.
answer
a.
Unlock the answer
question
Position the client on his right side.
answer
b.
Unlock the answer
question
Apply an occlusive dressing over the site.
answer
c.
Unlock the answer
question
Reinsert the chest tube that fell out.
answer
d.
Unlock the answer
question
A 165-lb client with a pulmonary embolus is ordered to receive heparin 20 units/kg/hour by IV infusion. How many units of heparin should he receive each hour?
answer
27.
Unlock the answer
question
1,000
answer
a.
Unlock the answer
question
1,200
answer
b.
Unlock the answer
question
1,500
answer
c.
Unlock the answer
question
1,700
answer
d.
Unlock the answer
question
Which source is the most common origin for a pulmonary embolism?
answer
28.
Unlock the answer
question
Amniotic fluid
answer
a.
Unlock the answer
question
Bone marrow
answer
b.
Unlock the answer
question
Septic thrombi
answer
c.
Unlock the answer
question
Venous thrombi
answer
d.
Unlock the answer
question
Clients most at risk for pulmonary embolism are those with which condition?
answer
29.
Unlock the answer
question
Arthritis
answer
a.
Unlock the answer
question
Diabetes
answer
b.
Unlock the answer
question
Pregnancy
answer
c.
Unlock the answer
question
Trauma to the pelvis or lower extremities
answer
d.
Unlock the answer
question
Which measure to prevent pulmonary embolism after lower extremity surgery is the best?
answer
30.
Unlock the answer
question
Early ambulation
answer
a.
Unlock the answer
question
Frequent chest x-rays to find a pulmonary embolism
answer
b.
Unlock the answer
question
Frequent lower extremity scans
answer
c.
Unlock the answer
question
Intubation of the client
answer
d.
Unlock the answer
question
Which physiologic effects of a pulmonary embolism would initially affect oxygenation?
answer
31.
Unlock the answer
question
A blood clot blocks ventilation; perfusion is unaffected.
answer
a.
Unlock the answer
question
A blood clot blocks ventilation, producing hypoxia despite normal perfusion.
answer
b.
Unlock the answer
question
A blood clot blocks perfusion and ventilation, producing profound hypoxia.
answer
c.
Unlock the answer
question
A blood clot blocks perfusion, producing hypoxia despite normal or hypernormal ventilation.
answer
d.
Unlock the answer
question
Which statement best describes the ventilation-perfusion mismatch that occurs with a pulmonary embolism?
answer
32.
Unlock the answer
question
The area of the lung being ventilated isn't being perfused.
answer
a.
Unlock the answer
question
The area of the lung being perfused isn't being ventilated.
answer
b.
Unlock the answer
question
The area of the lung being ventilated is also being perfused.
answer
c.
Unlock the answer
question
The amount of ventilation occurring doesn't equal perfusion.
answer
d.
Unlock the answer
question
When a client has a pulmonary embolism, he develops chest pain caused by which condition?
answer
33.
Unlock the answer
question
Costochondritis
answer
a.
Unlock the answer
question
Myocardial infarction (MI)
answer
b.
Unlock the answer
question
Inflammatory reaction
answer
c.
Unlock the answer
question
Referred pain from the pelvis to the chest
answer
d.
Unlock the answer
question
...
answer
ACUTE RESPIRATORY STUDY QUESTIONS, pg 5
Unlock the answer
question
A client with a pulmonary embolism frequently feels apprehension or a sense of "impending doom" because of which reason?
answer
34.
Unlock the answer
question
Inflammatory reaction in the lung parenchyma
answer
a.
Unlock the answer
question
Loss of chest expansion
answer
b.
Unlock the answer
question
Loss of lung tissue
answer
c.
Unlock the answer
question
Sudden reduction in adequate oxygenation
answer
d.
Unlock the answer
question
Hemoptysis may be present in a client with a pulmonary embolism because of which reason?
answer
35.
Unlock the answer
question
Alveolar damage in the infarcted area
answer
a.
Unlock the answer
question
Involvement of major blood vessels where the clot formed
answer
b.
Unlock the answer
question
Loss of lung parenchyma
answer
c.
Unlock the answer
question
Loss of lung tissue
answer
d.
Unlock the answer
question
A client with a massive pulmonary embolism will have an arterial blood gas analysis performed to determine the extent of hypoxia. The acid-base disorder that may be present is:
answer
36.
Unlock the answer
question
metabolic acidosis.
answer
a.
Unlock the answer
question
metabolic alkalosis.
answer
b.
Unlock the answer
question
respiratory acidosis.
answer
c.
Unlock the answer
question
respiratory alkalosis.
answer
d.
Unlock the answer
question
A ventilation-perfusion (VQ) scan is commonly performed to diagnose a pulmonary embolism. This test provides what type of information?
answer
37.
Unlock the answer
question
Amount of perfusion present in the lung
answer
a.
Unlock the answer
question
Extent of the occlusion and amount of perfusion lost
answer
b.
Unlock the answer
question
Location of the pulmonary embolism
answer
c.
Unlock the answer
question
Location and size of the pulmonary embolism
answer
d.
Unlock the answer
question
Which test can be used to definitively diagnose a pulmonary embolism?
answer
38.
Unlock the answer
question
Arterial blood gas (ABG) analysis
answer
a.
Unlock the answer
question
Chest x-ray
answer
b.
Unlock the answer
question
Pulmonary angiogram
answer
c.
Unlock the answer
question
Ventilation-perfusion (VQ) scan
answer
d.
Unlock the answer
question
Which medication is prescribed after a pulmonary embolism is diagnosed?
answer
39.
Unlock the answer
question
Warfarin (Coumadin)
answer
a.
Unlock the answer
question
Heparin
answer
b.
Unlock the answer
question
Streptokinase (Streptase)
answer
c.
Unlock the answer
question
Urokinase (Abbokinase)
answer
d.
Unlock the answer
question
IV Heparin is given to clients with pulmonary embolism for which reason?
answer
40.
Unlock the answer
question
To dissolve the clot
answer
a.
Unlock the answer
question
To break up the pulmonary embolism
answer
b.
Unlock the answer
question
To slow the development of other clots
answer
c.
Unlock the answer
question
To prevent clots from breaking off and embolizing to the lung
answer
d.
Unlock the answer
question
A client with a pulmonary embolism is discharged but will remain on warfarin (Coumadin) therapy for up to 6 months to:
answer
41.
Unlock the answer
question
prevent further embolism formation.
answer
a.
Unlock the answer
question
minimize the growth of new or existing thrombi.
answer
b.
Unlock the answer
question
continue to reduce the size of the pulmonary embolism.
answer
c.
Unlock the answer
question
break up the existing pulmonary embolism until it's totally gone.
answer
d.
Unlock the answer
question
...
answer
ACUTE RESPIRATORY STUDY QUESTIONS, pg 6
Unlock the answer
question
The goal of oxygen therapy for a client with a pulmonary embolism is to obtain which value?
answer
42.
Unlock the answer
question
PaCO2 greater than 40 mm Hg
answer
a.
Unlock the answer
question
PaCO2 less than 40 mm Hg
answer
b.
Unlock the answer
question
PaO2 greater than 60 mm Hg
answer
c.
Unlock the answer
question
PaO2 less than 60 mm Hg
answer
d.
Unlock the answer
question
A client may develop hypotension caused by a pulmonary embolism that produces which result?
answer
43.
Unlock the answer
question
Pressure on the heart and reduced cardiac output
answer
a.
Unlock the answer
question
Reduced blood flow to the lung, which causes hypotension
answer
b.
Unlock the answer
question
Reduced blood return to the right side of the heart leading to lower blood pressure
answer
c.
Unlock the answer
question
Increased pulmonary vascular resistance and reduced blood delivery to the left side of the heart
answer
d.
Unlock the answer
question
A client with a pulmonary embolism typically has chest pain and apprehension, which can be treated by which method?
answer
44.
Unlock the answer
question
Administering analgesics
answer
a.
Unlock the answer
question
Using guided imagery
answer
b.
Unlock the answer
question
Positioning the client on his left side
answer
c.
Unlock the answer
question
Providing emotional support
answer
d.
Unlock the answer
question
A client with a pulmonary embolism may have an umbrella filter placed in the vena cava for which reason?
answer
45.
Unlock the answer
question
The filter prevents further clot formation.
answer
a.
Unlock the answer
question
The filter collects clots so they don't go to the lung.
answer
b.
Unlock the answer
question
The filter breaks up clots into insignificantly small pieces.
answer
c.
Unlock the answer
question
The filter contains anticoagulants that are slowly released, dissolving any clots.
answer
d.
Unlock the answer
question
A client with a pulmonary embolism may need an embolectomy, which involves which action?
answer
46.
Unlock the answer
question
Removing an embolism in the lower extremity
answer
a.
Unlock the answer
question
Sucking the embolism out of the lung by bronchoscopy
answer
b.
Unlock the answer
question
Surgically removing the embolism source in the pelvis
answer
c.
Unlock the answer
question
Surgically removing the embolism in the pulmonary vasculature
answer
d.
Unlock the answer
question
Nursing management of a client with a pulmonary embolism focuses on which action?
answer
47.
Unlock the answer
question
Assessing oxygenation status
answer
a.
Unlock the answer
question
Monitoring the oxygen delivery device
answer
b.
Unlock the answer
question
Monitoring other sources of clots
answer
c.
Unlock the answer
question
Determining whether the client requires another ventilation-perfusion (VQ) scan
answer
d.
Unlock the answer
question
How does positive end-expiratory pressure (PEEP) improve oxygenation?
answer
48.
Unlock the answer
question
It provides more oxygen to the client.
answer
a.
Unlock the answer
question
It opens up bronchioles and allows oxygen to get in the lungs.
answer
b.
Unlock the answer
question
It opens up collapsed alveoli and helps keep them open.
answer
c.
Unlock the answer
question
It adds pressure to the lung tissue, which improves gaseous exchange.
answer
d.
Unlock the answer
question
Continuous positive airway pressure (CPAP) can be provided through an oxygen mask to improve oxygenation in hypoxic clients by which method?
answer
49.
Unlock the answer
question
The mask provides 100% oxygen to the client.
answer
a.
Unlock the answer
question
The mask provides continuous air that the patient can breathe.
answer
b.
Unlock the answer
question
The mask provides pressurized oxygen so that the client can breathe more easily.
answer
c.
Unlock the answer
question
The mask provides pressurized oxygen at the end of expiration to open collapsed alveoli.
answer
d.
Unlock the answer
question
...
answer
ACUTE RESPIRATORY STUDY QUESTIONS, pg 7
Unlock the answer
question
Bi-level positive airway pressure (BiPAP) is delivered through a special oxygen mask that performs which function?
answer
50.
Unlock the answer
question
The mask provides 100% oxygen at both inspiration and expiration.
answer
a.
Unlock the answer
question
The mask provides pressurized oxygen so the client can breathe more easily.
answer
b.
Unlock the answer
question
The mask provides pressurized oxygen at the end of expiration to open collapsed alveoli.
answer
c.
Unlock the answer
question
The mask provides both continuous positive airway pressure (CPAP) and positive end-expiratory pressure (PEEP) to provide optimal oxygenation and ventilation.
answer
d.
Unlock the answer
question
After a motor vehicle collision, an 18-year-old client is admitted with a pneumothorax. The surgeon inserts a chest tube and attaches it to a chest drainage system. Bubbling soon appears in the water seal chamber. Which factor is the most likely cause of the bubbling?
answer
51.
Unlock the answer
question
Air leak
answer
a.
Unlock the answer
question
Adequate suction
answer
b.
Unlock the answer
question
Inadequate suction
answer
c.
Unlock the answer
question
Kinked chest tube
answer
d.
Unlock the answer
question
A client's arterial blood gas (ABG) analysis reveals a pH of 7.18, PaCO2 of 73 mm Hg, PaO2 of 77 mm Hg, and HCO3- of 24 mEq/L. What do these values indicate?
answer
52.
Unlock the answer
question
Metabolic acidosis
answer
a.
Unlock the answer
question
Respiratory alkalosis
answer
b.
Unlock the answer
question
Metabolic alkalosis
answer
c.
Unlock the answer
question
Respiratory acidosis
answer
d.
Unlock the answer
question
An unrestrained passenger is thrown 20 feet (6.1 m) from a care. On admission to the emergency department, he has a heart rate of 130 beats/minute, shallow respirations at a rate of 32 breaths/minute, and a blood pressure of 90/60 mm Hg. His skin is pale and cool, and capillary refill is delayed. Breath sounds are diminished on the right side and paradoxical chest-wall movement appears on the right side. A chest x-ray reveals a right pneumothorax with multiple rib fractures (4th to 7th right ribs). Which diagnosis is the most probable?
answer
53.
Unlock the answer
question
Tension pneumothorax
answer
a.
Unlock the answer
question
Flail chest
answer
b.
Unlock the answer
question
Ruptured diaphragm
answer
c.
Unlock the answer
question
Massive hemothorax
answer
d.
Unlock the answer
question
To obtain an arterial blood gas sample from a client's radial artery, which action should the nurse perform first?
answer
54.
Unlock the answer
question
Perform Allen's test.
answer
a.
Unlock the answer
question
Place a rolled towel under the client's wrist.
answer
b.
Unlock the answer
question
Clean the puncture site with an alcohol or povidone-iodine pad.
answer
c.
Unlock the answer
question
Palpate the artery with the index and middle fingers of one hand.
answer
d.
Unlock the answer
question
After experiencing an anxiety attack, a client comes to the emergency department complaining of dizziness and light-headedness. Arterial blood gas (ABG) analysis reveals a pH of 7.62, PaCO2 of 22 mm Hg, PaO2 of 96 mm Hg, and HCO3- of 24 mEq/L. Which action should the nurse take?
answer
55.
Unlock the answer
question
Do nothing; these ABG values are normal.
answer
a.
Unlock the answer
question
Encourage the client to breathe into a paper bag.
answer
b.
Unlock the answer
question
Notify the physician and prepare to give sodium bicarbonate.
answer
c.
Unlock the answer
question
Notify the physician and prepare to give supplemental oxygen.
answer
d.
Unlock the answer
question
A physician places an order in the computer for a nurse to change a client's chest drainage system from suction to gravity drainage. How should the nurse proceed?
answer
56.
Unlock the answer
question
Detach the tubing from the suction to provide a vent.
answer
a.
Unlock the answer
question
Clamp the client's drainage tube.
answer
b.
Unlock the answer
question
Question the physician's order.
answer
c.
Unlock the answer
question
Turn off the suction source and leave the tubing connected.
answer
d.
Unlock the answer
question
...
answer
ACUTE RESPIRATORY STUDY QUESTIONS, pg 8
Unlock the answer
question
A client with acute respiratory failure is admitted to the intensive care unit with an arterial line for frequent measurement of arterial blood gas levels and continuous measurement of blood pressure. The nurse is evaluating the waveform. Identify the area that indicates that the aortic valve has closed.
answer
57.
Unlock the answer
question
A client with a suspected pulmonary embolus is brought to the emergency department. He complains of shortness of breath and chest pain. Which other signs and symptoms would support this diagnosis? Select all that apply:
answer
58.
Unlock the answer
question
Low-grade fever
answer
a.
Unlock the answer
question
Thick green sputum
answer
b.
Unlock the answer
question
Bradycardia
answer
c.
Unlock the answer
question
Frothy sputum
answer
d.
Unlock the answer
question
Tachycardia
answer
e.
Unlock the answer
question
Blood-tinged sputum
answer
f.
Unlock the answer
question
A nurse begins her shift by reading the following shift report note on a client.
answer
59.
Unlock the answer
question
...
answer
H.B. age 78
Unlock the answer
question
...
answer
Hyperventilating, RR 36
Unlock the answer
question
...
answer
bpm, c/o dizziness,
Unlock the answer
question
...
answer
shortness of breath,
Unlock the answer
question
...
answer
tingling in hands and feet,
Unlock the answer
question
...
answer
weakness. Anxious.
Unlock the answer
question
...
answer
ABG: pH 7.48
Unlock the answer
question
PaCO2: 33 mm Hg
answer
...
Unlock the answer
question
...
answer
Without further information, the nurse plans to reevaluate the client's status for which problem?
Unlock the answer
question
Metabolic acidosis
answer
a.
Unlock the answer
question
Acute respiratory failure
answer
b.
Unlock the answer
question
Respiratory alkalosis
answer
c.
Unlock the answer
question
Anxiety reaction
answer
d.
Unlock the answer
question
A 28-year-old client with human immunodeficiency virus (HIV) is admitted to the hospital with flulike symptoms. He has dyspnea and a cough. He's placed on a 100% nonrebreather mask and arterial blood gases are drawn. Which result indicates the need for intubation?
answer
60.
Unlock the answer
question
PaO2, 90 mm Hg; PaCO2, 40 mm Hg
answer
a.
Unlock the answer
question
PaO2, 85 mm Hg; PaCO2, 45 mm Hg
answer
b.
Unlock the answer
question
PaO2, 80 mm Hg; PaCO2, 45 mm Hg
answer
c.
Unlock the answer
question
PaO2, 70 mm Hg; PaCO2, 55 mm Hg
answer
d.
Unlock the answer
question
...
answer
ACUTE RESPIRATORY STUDY QUESTIONS, pg 9
Unlock the answer
question
A client with acquired immunodeficiency syndrome is intubated, leaving him prone to skin breakdown from the endotracheal (ET) tube. Which intervention is best to prevent this?
answer
61.
Unlock the answer
question
Use lubricant on the lips.
answer
a.
Unlock the answer
question
Provide oral care every 2 hours.
answer
b.
Unlock the answer
question
Suction the oral cavity every 2 hours.
answer
c.
Unlock the answer
question
Reposition the ET tube every 24 hours.
answer
d.
Unlock the answer
question
A 31-year-old client is admitted to the hospital with respiratory failure. He's intubated in the emergency department, placed on 100% FiO2, and is coughing up copious secretions. Which intervention should be done first?
answer
62.
Unlock the answer
question
Get and x-ray.
answer
a.
Unlock the answer
question
Suction the client.
answer
b.
Unlock the answer
question
Restrain the client.
answer
c.
Unlock the answer
question
Obtain an arterial blood gas (ABG) analysis.
answer
d.
Unlock the answer
question
A client with an endotracheal (ET) tube has copious, brown-tinged secretions. Which intervention is a priority?
answer
63.
Unlock the answer
question
Use a trap to obtain a specimen.
answer
a.
Unlock the answer
question
Instill saline to break up secretions.
answer
b.
Unlock the answer
question
Culture the specimen with a culturette swab.
answer
c.
Unlock the answer
question
Obtain an order for a liquefying agent for the sputum.
answer
d.
Unlock the answer
question
An x-ray shows an endotracheal (ET) tube is 2 cm above the carina, and there are nodular lesions and patchy infiltrates in the upper lobe. Which interpretation of the x-ray is accurate?
answer
64.
Unlock the answer
question
The x-ray is inconclusive.
answer
a.
Unlock the answer
question
The client has a disease process going on.
answer
b.
Unlock the answer
question
The ET tube needs to be advanced.
answer
c.
Unlock the answer
question
The ET tube needs to be pulled back.
answer
d.
Unlock the answer
question
A client has arterial blood gases drawn. The results are as follows: pH, 7.52; PaO2, 50 mm Hg; PaCO2, 28 mm Hg; HCO3-, 24 mEq/L. Which condition is indicated?
answer
65.
Unlock the answer
question
Metabolic acidosis
answer
a.
Unlock the answer
question
Metabolic alkalosis
answer
b.
Unlock the answer
question
Respiratory acidosis
answer
c.
Unlock the answer
question
Respiratory alkalosis
answer
d.
Unlock the answer
