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Funds Ch 28 Respiratory Care

Total questions: 12

Worksheet time: 11mins

Name
Class
Date
1.

The nurse is caring for a patient with COPD. Which of the following does the nurse understands is the client's stimulus to breathe?

a)

Low levels of oxygen in the blood

b)

High levels of oxygen in the blood

c)

Low levels of CO2 in the blood

d)

High levels of CO2 in the blood

2.

A nurse is caring for an African-American client with a long history of lung disease. Which finding will concern the nurse?

a)

The client's respiratory rate is 22

b)

The client's oxygen saturation is 96%

c)

The client's skin is warm and moist

d)

The client's mucous membranes are ashen

3.

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?

a)

Cyanotic with ambulation

b)

Dyspnea on exertion

c)

Client states inability to walk to the bathroom

d)

Hypoxemia present after walking to the bathroom

4.

The nurse is performing a reassessment of a patient's breath sounds. Which action by the nurse is correct during auscultation

a)

Listening to only the anterior chest wall

b)

Listening to the apex of the lungs before listening to the bases

c)

Listening to all the lobes on the left before listening to the lobes on the right.

d)

Listening for a full inhalation at each auscultation site.

5.

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?

a)

Encourage the use of the incentive spirometer

b)

Provide pain medication as ordered

c)

Provide a bedside commode

d)

Encourage increased fluid intake

6.

A nurse is caring for a number of clients on a medical unit. Which client will the nurse identify as the highest priority?

a)

A young-adult client with pneumonia who is restless and confused

b)

A middle-age client with a chest tube who has noticeable tidaling

c)

Ad adult client with chronic obstructive pulmonary disease and nonproductive cough

d)

An older-adult client with pneumonia expectorating rust-colored sputum

7.

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?

a)

Place a clean cup at the client's bedside with instructions to spit into it when available

b)

Contract respiratory therapy to provide a treatment that will induce sputum collection

c)

Explain the order to the client and plan sputum collection for the following morning

d)

Encourage the client to increase fluid intake so that sputum can be more readily collected

8.

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?"

a)

"It is important to identify and treat a Streptococcus infection quickly to prevent major illness."

b)

"We are attempting to test every sick child for the possibility of whooping cough."

c)

"Doctors need to cut the number of antibiotics ordered because the insurance companies won't pay for them"

d)

"Throat cultures are always performed on clients with sore throats and intense coughing."

9.

Which oxygen delivery system would be most appropriate for a patient who can eat normally but needs supplemental oxygen?

a)

Simple face mask

b)

Nasal cannula

c)

Venturi mask

d)

Nonrebreathing mask

10.

Which oxygen delivery system allows the patient to receive a precise percentage of oxygen ordered by the physician?

a)

Face tent

b)

Nasal cannula

c)

Venturi mask

d)

Simple face mask

11.

The nurse is performing a respiratory assessment. Which of the following should the nurse include? Select all that apply

a)

Oxygen saturation

b)

Use of accessory muscles

c)

Skin color

d)

Respiratory rate

e)

Capillary refill

12.

The nurse recognizes which of the following sign/symptoms as early signs of hypoxia? Select all that apply

a)

Tachypnea

b)

Cyanosis

c)

Decreased level of consciousness

d)

Restlessness

e)

Bradycardia