Respiratory Exam 2 Review

A client with chronic obstructive pulmonary disease (COPD) is prescribed a bronchodilator. The nurse understands that the primary action of bronchodilators in managing COPD is to:

• a) Reduce inflammation in the airways

• b) Increase mucus production

• 
  c) Relax smooth muscles in the airways

• 
  d) Stimulate cough reflex

A client with pneumonia is experiencing decreased oxygen saturation levels. Which nursing intervention is the highest priority for this client?

• a) Administering prescribed antibiotics

• 
  b) Providing oxygen therapy

• 
  c) Encouraging deep breathing and coughing exercises

• d) Monitoring fluid intake and output

A nurse is caring for a client with pulmonary embolism (PE). The nurse understands that the ventilation-perfusion (V/Q) ratio in the affected area of the lung is likely to be:

• a) Increased

• b) Decreased

• 
  c) Unchanged
  

• d) Fluctuating

Before an ABG is drawn from the patient's radial artery, what test should be performed?

• Doppler flow test

• Allens test

• Babinski's test

• A/B index

A patient is admitted to the ICU after falling from a roof and sustaining fractures of the first three ribs on the right side. The patient is dyspneic, and crepitus (subcutaneous emphysema) can be palpated. Auscultation reveals decreased breath sounds on the right. The chest X-ray reveals a pneumothorax. Upon percussion, what does the nurse expect to hear?

• Dullness to the right

• Resonance on the right

• Tympany on the right

• hyper-resonance on the right

A patient presents to the emergency department with pulmonary edema. The nurse expects to hear what adventitious sound?

• Decreased breath sounds

• Inspiratory and expiratory wheezing

• clear lung sounds

• friction rub

The nurse is providing education to a client who has been diagnosed with a sinus infection. What would the nurse identify as a major cause of this disorder?

• Inflammatory processes

• Facial pain

• Autoimmune processes

• Impaired blood supply

Which nursing diagnosis would provide the clearest indication for the administration of inhaled acetylcysteine?

• Risk for infection

• Ineffective airway clearance

• Impaired tissue perfusion

• Ineffective breathing pattern

A client reports taking pseudoephedrine to relieve nasal congestion. The nurse would instruct the client to stop using the medication if what disorder is documented in the client history?

• hypertension

• diabetes

• Hashimoto's

• hypotension

The nurse is performing a routine assessment of a client whose medical record indicates a history of asthma. What assessment findings would the nurse expect? Select all that apply

• Bradycardia

• Damaged airway mucosa

• Airway inflammation

• elevated tempurature

• chronic hypertension