WorksheetsFunds Ch 28 Respiratory Care
Total questions: 12
Worksheet time: 11mins
The nurse is caring for a patient with COPD. Which of the following does the nurse understands is the client's stimulus to breathe?
Low levels of oxygen in the blood
High levels of oxygen in the blood
Low levels of CO2 in the blood
High levels of CO2 in the blood
A nurse is caring for an African-American client with a long history of lung disease. Which finding will concern the nurse?
The client's respiratory rate is 22
The client's oxygen saturation is 96%
The client's skin is warm and moist
The client's mucous membranes are ashen
The nurse is providing care for a client who becomes short of breath when ambulating to the bathroom. Which documentation should nurse enter on the client's medical record?
Cyanotic with ambulation
Dyspnea on exertion
Client states inability to walk to the bathroom
Hypoxemia present after walking to the bathroom
The nurse is performing a reassessment of a patient's breath sounds. Which action by the nurse is correct during auscultation
Listening to only the anterior chest wall
Listening to the apex of the lungs before listening to the bases
Listening to all the lobes on the left before listening to the lobes on the right.
Listening for a full inhalation at each auscultation site.
While caring for a client with pneumonia, the nurse notes that the client is having difficulty expectorating thick, rust-colored sputum. Which nursing intervention is the priority?
Encourage the use of the incentive spirometer
Provide pain medication as ordered
Provide a bedside commode
Encourage increased fluid intake
A nurse is caring for a number of clients on a medical unit. Which client will the nurse identify as the highest priority?
A young-adult client with pneumonia who is restless and confused
A middle-age client with a chest tube who has noticeable tidaling
Ad adult client with chronic obstructive pulmonary disease and nonproductive cough
An older-adult client with pneumonia expectorating rust-colored sputum
The nurse notes a new order for collection of a sputum specimen for culture from an older adult client. Which is the most appropriate action by the nurse?
Place a clean cup at the client's bedside with instructions to spit into it when available
Contract respiratory therapy to provide a treatment that will induce sputum collection
Explain the order to the client and plan sputum collection for the following morning
Encourage the client to increase fluid intake so that sputum can be more readily collected
The nurse working in a pediatrician's office is preparing to do a throat culture for a preschool-aged client being seen for a sore throat. The patient asks, "Why is this test necessary?" Which reply will the nurse make to the parent?"
"It is important to identify and treat a Streptococcus infection quickly to prevent major illness."
"We are attempting to test every sick child for the possibility of whooping cough."
"Doctors need to cut the number of antibiotics ordered because the insurance companies won't pay for them"
"Throat cultures are always performed on clients with sore throats and intense coughing."
Which oxygen delivery system would be most appropriate for a patient who can eat normally but needs supplemental oxygen?
Simple face mask
Nasal cannula
Venturi mask
Nonrebreathing mask
Which oxygen delivery system allows the patient to receive a precise percentage of oxygen ordered by the physician?
Face tent
Nasal cannula
Venturi mask
Simple face mask
The nurse is performing a respiratory assessment. Which of the following should the nurse include? Select all that apply
Oxygen saturation
Use of accessory muscles
Skin color
Respiratory rate
Capillary refill
The nurse recognizes which of the following sign/symptoms as early signs of hypoxia? Select all that apply
Tachypnea
Cyanosis
Decreased level of consciousness
Restlessness
Bradycardia
