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N342- Pulmonary Disorders

Total questions: 10

Worksheet time: 12mins

Name
Class
Date
1.

A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?

a)

Abdominal pain or diarrhea

b)

Lightheadedness or paresthesia

c)

Nausea or vomiting

d)

Hallucinations or tinnitus

2.

Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnosed asthma. When teaching the patient about this drug, the nurse should explain that it may cause:

a)

Nasal Congestion

b)

Tachycardia

c)

Hyperkalemia

d)

Hypotension

3.

Rhea, confused and short of breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurse sees many abbreviations. What does a lowercase “a” in ABG value present?

a)

Alveoli

b)

Arterial oxygen saturation

c)

Acid-base

d)

Arterial blood

4.

A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient?

a)

Risk for infection related to retained secretions

b)

Activity intolerance related to fatigue

c)

Impaired gas exchange related to airflow obstruction

d)

Anxiety related to actual threat to health status

5.

Nurse Miranda has assisted a physician with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate?

a)

Continue to monitor the patient

b)

Inform the physician

c)

Reinforce the dressing

d)

Encourage deep breathing

6.

Nurse Taylor is caring for a client immediately after removal of the endotracheal tube. The nurse reports which of the following signs immediately if experienced by the client?

a)

Stridor

b)

A few basilar lung crackles on the right

c)

Occasional pink-tinged sputum

d)

Respiratory rate 22 breaths/min

7.

Toby, a community health nurse is conducting an educational session with members within the community regarding tuberculosis. The nurse tells the group that one of the first symptoms associated with tuberculosis is:

a)

Chest pain

b)

A cough with the expectoration of mucoid sputum

c)

Dyspnea

d)

A bloody, productive cough

8.

A nurse performs an admission assessment on a female client with a diagnosis of tuberculosis. The nurse reviews the result of which diagnosis test that will confirm this diagnosis?

a)

Chest x-ray

b)

Sputum culture

c)

Bronchoscopy

d)

Tuberculin Skin Test

9.

Respiratory acidosis, can be caused by airway obstruction in disorders such as (SELECT ALL THAT APPLY):

a)

pulmonary edema

b)

hyperventilation

c)

severe pneumonia

d)

asthma

e)

emphysema

10.

The nurse is caring for an elderly client with decreased mobility secondary to thoracic surgery and diagnosis of pneumonia. What interventions would be appropriate to include in this client's care plan? (SELECT ALL THAT APPLY)

a)

encourage limited movement to prevent pain

b)

limit oral fluids with each meal

c)

encourage position changes every 2 hours

d)

encourage deep breathing and turning

e)

provide adequate pain relief to allow coughing