WorksheetsRespiratory Case Study
Total questions: 10
Worksheet time: 20mins
What underlying diagnosis puts this patient at increased risk for pneumonia?
COPD
Hypercholesterolemia
HTN
GERD
What, in this patient's history, may be contributing factors to his SOB? (SELECT ALL THAT APPLY)
Hypertension
Left sided heart failure
right sided heart failure
COPD
NKDA
Using the patient's past medical history and presenting illness, what physical assessment findings would the nurse expect to find? (SELECT ALL THAT APPLY)
Pursed-lip breathing
Jugular venous distention
AP diameter equal to transverse
Rhonchi and wheezing upon auscultation
Hepatomegaly and peripheral edema
What interventions would promote the clearing of pulmonary secretions? (SELECT ALL THAT APPLY)
Use of incentive spirometer
Supine positioning
Chest physiotherapy
Encouraging coughing and deep breathing
Fluid Restriction
Where would the nurse expect to auscultate adventitious breath sounds?
Above the right clavicle.
Anteriorly between the 2nd and 3rd rib on the right side of the chest.
Posteriorly between C7 and T1 on the right side of the chest.
Anteriorly between the 5th and 6th rib on the right side of the chest.
Which of the following admission orders would the nurse question? (SELECT ALL THAT APPLY).
Strict I & O
Regular diet, no restrictions
Ambulate four times per day
Remove oxygen when ambulating
Maintain O2 sats above 90%
AB experiences a sudden hypoxic episode when ambulating. His O2sat drops to 82% on 2 L NC and his respiratory rate increases to 40 bpm.
During the hypoxic episode, what would be the priority nursing intervention?
Administer pain medication and call the pharmacist.
Start another IV and call the nurse manager.
Administer additional oxygen via a non-rebreather mask and call the physician.
Reassure the patient and family.
The physician orders furosemide 40 mg IV daily. Available is a vial containing 20mg/ml. How many ml will the nurse administer?
4ml
2ml
1ml
0.5 ml
What is the likely underlying cause of AB’s continued wheezing?
Bronchodilation
Bronchial inflammation
Fluid overload
Pulmonary consolidation
Prior to discharge, the nurse needs to administer AB's digoxin. The order requires the nurse to assess the apical impulse pulse prior to giving the medication. Based on AB's
history of chronic heart failure, where would the nurse expect to auscultate the apical impulse?
6th to 7th intercostal space, slightly lateral to the left midclavicular line
5th to 6th intercostal space, left midaxillary line.
4th to 5th intercostal space, left midclavicular line
3rd to 4th intercostal space, slightly lateral to the left midclavicular line
