Review for Exam 3-Resp, Neuro, Musculo

A patient tells the nurse that she has smoked 2 packs of cigarettes a day for 30 years. The nurse records this as how many pack-years?

• 10
• 20
• 40
• 60

After taking a brief health history, a nurse needs to complete a respiratory focused assessment on which patient?

• A male who works as a painter
• A male who plays basketball and hockey
• A female who recently moved into a college dormitory
• A female who has a history of gout

During a symptom analysis, a patient describes his productive cough and states his sputum is thick and yellow. Based on these data, the nurse suspects which factor as the cause of these symptoms?

• Virus
• Allergy
• Fungus
• Bacteria

During the problem-based history, a patient reports coughing up sputum when lying on the right side, but not when lying on the back or left side. The nurse suspects this patient may have a lung abscess. What additional question does the nurse ask to gather more data?

• "Does the sputum have an odor?"
• "Do you have chest pain when you take a deep breath?"
• "Have you also experienced tightness in your chest?"
• "Have you coughed up any blood?"

Which question will give the nurse additional information about the nature of a patient's dyspnea?

• "How often do you see the physician?"
• "How has this condition affected your day-to-day activities?"
• "Do you have a cough that occurs with the dyspnea?"
• "Does your heart rate increase when you are short of breath?"

A nurse is assessing a patient who was diagnosed with emphysema and chronic bronchitis 5 years ago. During the assessment of this patient's integumentary system, what finding should the nurse correlate to this respiratory disease?

• Dry, flaky skin
• Clubbing of the fingers
• Hypertrophy of the nails
• Hair loss from the scalp

The nurse is comparing pitch and duration of the various types of a patient's breath sounds and recognizes which one of these as an expected finding?

• Bronchial sounds are low-pitched and have a 2:1 inspiratory-versus-expiratory ratio.
• Bronchovesicular sounds have a moderate pitch and 1:1 expiratory-versus-inspiratory ratio.
• Vesicular breath sounds are high-pitched and have a 1:2 inspiratory-versus-expiratory ratio.
• Wheezes are low-pitched and have a 2.5:1 inspiratory-versus-expiratory ratio.

On inspection, a nurse finds the patient's anteroposterior diameter of the chest to be the same as the lateral diameter. Based on this finding, what additional data does the nurse anticipate?

• Increased vocal fremitus on palpation
• Dull tones heard on percussion
• Decreased breath sounds on auscultation
• Complaint of sharp chest pain on inspiration

Which patient should the nurse assess first?

• The patient whose respiratory rate is 26 breaths/min and whose trachea deviates to the right.
• The patient who has pleuritic chest pain, bilateral crackles, a productive cough of yellow sputum, and fever.
• The patient who is short of breath, using pursed-lip breathing, and in a tripod position.
• The patient whose respiratory rate is 20 breaths/min, and has eight-word dyspnea and expiratory wheezes.

A patient reports a productive cough with yellow sputum, fever, and a sharp pain when taking a deep breath to cough. Based on these data, what abnormal finding will the nurse anticipate on examination?

• Decreased breath sounds on auscultation
• Increased tactile fremitus and dull percussion tones
• Inspiratory wheezing found on auscultation
• Muffled sounds heard when the patient says "e-e-e"