WorksheetsNC of Pt. with Lower Respiratory Tract Disorders
Total questions: 10
Worksheet time: 5mins
Disorders of the lower respiratory tract include problems of the lower portion of the trachea, bronchi, bronchioles, and alveoli.
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Bronchitis is an inflammation of the alveoli.
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The most common cause of community-acquired bacterial pneumonias is Streptococcus pneumoniae, also called pneumococcal pneumonia
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• Restrictive disorders cause limited expansion of the lungs and, therefore, expiration.
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Nursing care plays an important role in the prevention of hospital-acquired pneumonia. Regular coughing, deep breathing, and position changes for patients on bedrest or after surgery, prevention of aspiration for patients at risk, and good hand hygiene practices by both patients and healthcare personnel can help prevent many cases.
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A patient with end-stage obstructive pulmonary disease has a nursing diagnosis of Impaired Gas Exchange. Which assessment finding shows that interventions have been effective?
The patient’s peripheral capillary oxygen saturation is 92% on 2 liters of oxygen.
The patient appears comfortable.
The patient is coughing up copious white sputum.
The patient is able to move in bed without difficulty.
Which of the following interventions is most appropriate for the patient with an ineffective breathing pattern?
Encourage the patient to cough and deep breathe.
Teach the patient controlled diaphragmatic breathing
Encourage oral fluids.
Allow the patient to rest between activities.
A patient asks the nurse why he doesn’t feel sick even though the tuberculosis test is positive. The nurse knows the patient has been diagnosed with latent tuberculosis infection. Which explanation is best to provide the patient?
“Tuberculosis often does not make people feel sick, but it is contagious nevertheless.”
“You have latent disease, which just stays in your system but won’t ever make you sick.”
“You have tuberculosis infection but not active disease. As long as your immune system stays strong, it can keep the infection from making you sick.”
“Even though you do not feel sick, the positive test shows that you have the disease and must be treated with antibiotics.”
Which of the following assessment findings does the nurse expect in the patient with emphysema?
Purulent sputum
Diminished breath sounds
Generalized edema
Dull chest pain
A patient is admitted to the hospital with shortness of breath. The nurse notes increasing confusion and combativeness during the past hour. Which of the following actions is appropriate first?
Assess peripheral capillary oxygen saturation and apply oxygen per protocol if indicated.
Page the physician stat.
Put up the patient’s side rails and apply soft restraints.
Administer a dose of sedative as needed.
