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WorksheetsRespiratory Quiz #3
Total questions: 30
Worksheet time: 34mins
A flail chest occurs when a person suffers a double fracture of at least:
Two adjacent ribs
Three adjacent ribs
Four adjacent ribs
Five adjacent ribs
When a patient named Arjun is put on mechanical ventilation to stabilize a flail chest, how much time generally is needed for adequate bone healing to occur?
5 to 10 days
10 to 15 days
15 to 20 days
20 to 25 days
Which of the following are the clinical manifestations of a flail chest?
- During inspiration the fractured ribs are pushed inward
- During expiration the ribs bulges outward
- During inspiration the fractured ribs are pushed outward
- During expiration the ribs bulges inward
1 and 2
3 and 4
2 and 3
1 and 4
Which of the following may cause a pneumothorax?
1. Pneumonia
2. Tuberculosis
3. Chronic obstructive pulmonary disease
4. Blebs
1 and 2 only
2 and 3 only
2, 3, and 4 only
1, 2, 3, and 4
The physician usually elects to evacuate the intrathoracic gas when the pneumothorax is greater than:
5%
10%
15%
20%
When gas moves between the pleural space and the atmosphere during a ventilatory cycle, the patient is said to have a(n):
Closed pneumothorax
Iatrogenic pneumothorax
Sucking chest wound
Valvular pneumothorax
When gas enters the pleural space during inspiration but is unable to leave during expiration, the patient is said to have a(n):
1. Iatrogenic pneumothorax
2. Valvular pneumothorax
3. Tension pneumothorax
4. Open pneumothorax
1 only
3 only
2 and 3 only
3 and 4 only
Continuous bubbling in which chamber is indicative of an air leak?
Vacuum chamber
Tension chamber
Water-seal chamber
Suction control chamber
For a pneumothorax, a chest tube is inserted where?
The eighth intercostal space
The second intercostal space.
On the proximal portion of the fifth intercostal space
Distal to the injury
ROM exercises can prevent which complication of chest tubes
Back pain
Frozen shoulder
Elevated ICP
Infection
Chest tubes reestablish what type of pressure?
Peer pressure
Positive pressure
Med-Surg pressure
Negative pressure
A nurse caring for a client with a pneumothorax who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is appropriate?
a) Do nothing because this is an expected finding
b) Immediately clamp the chest tube and notify the physician
c) Check for an air leak because the bubbling should be intermittent
d) Increase the suction pressure so that the bubbling becomes vigorous
During a medical examination, a physician hears absence of breath sounds in the right thorax of a patient. What does this finding suggest?
a) bilateral inspiratory and expiratory crackles
b) absence of breath sounds in the right thorax
c) inspiratory wheezes in the right thorax
d) bilateral pleural friction rub
A potentially life threatening condition in which air and pressure rapidly accumulate in the pleural space, and if not treated, can result in a mediastinal shift is referred to as?
a) an open pneumothorax
b) a closed pneumothorax
c) a tension pneumothorax
d) a spontaneous pneumothorax
What is the definition of COPD?
Chronic obstruction of blood flow that interferes with normal breathing.
Chronic obstruction of lung airflow that interferes with normal breathing.
Chronic obstruction of mucus airflow that interferes with normal breathing.
Chronic obstruction of lung airflow that interferes with normal breathing.
Which of the following exercise programs are recommended for people with COPD?
Aerobic exercise & oxygen therapy exercise
Aerobic exercise & screening exercise
Anaerobic exercise & resistance exercise
Aerobic exercise & resistance exercise
What are the signs and symptoms of COPD?
Wheezing, snoring & sneezing
Weight muscle, mucus & wheezing
Wheezing, mucus & weight loss
Shortness of breath, sneezing & mucus
Doctors often use this additional therapy for people with moderate or severe COPD.
Aerobic exercise programs
Resistance exercise programs
Pulmonary rehabilitation programs
Chemotherapy
In the treatment of COPD, what are the important considerations to keep in mind?
One (medication)
Two (medication & vaccination)
Three (medication, vaccination & bronchodilator)
Four (medication, vaccination, bronchodilator & infection)
Which type of patient would you suspect as a "Pink Puffer"?
CHF
Emphysema
Bronchitis
Pneumonia
Which type of patient would expect to see with a Barrel Chest ?
CHF
Emphysema
Bronchitis
Pneumonia
Which type of patient would you expect to be a "Blue Bloater"?
CHF
Emphysema
Bronchitis
Pneumonia
A patient with COPD has all of the following ABG changes from earlier today. Which change alerts the nurse to take immediate action to prevent harm?
HCO3 remains the same at 29
PH 7.21 to 7.20
PaCO2 from 45 to 65
PaO2 from 88 to 86
The nurse is caring for a patient with chronic bronchitis. Upon rounds, the nurse finds an O2 sat of 76%. What will the nurse do first?
Document the findings
Notify the RT
Ask how long the pt has been short of breath
Apply O2
Which goal should the nurse consider for a patient with (COPD)?
The patient will stop smoking immediately.
The patient will maintain oxygen saturation greater than 96%.
The patient will demonstrate appropriate breathing patterns.
The patient will develop only two respiratory infections per year
The nurse is caring for a COPD patient with SHOB, RR 28, and O2 sats of 92%. What intervention will be contraindicated?
Percussion, vibration, postural drainage
Administer bronchodilators
Place pt in high fowler's position
apply O2
A patient named Maya with emphysema may present with all of the following symptoms except?
Barrel chest
Dyspnea
Productive cough
Decreased appetite
The nurse teaches pursed-lip breathing to a newly diagnosed COPD patient. This technique will assist respiration how?
Loosen up secretions
Increase the RR and patterns
Tighten up alveolus
Prolong exhalation
What is a common medical condition characterized by abnormal accumulation of fluid in the pleural space?
pneumothorax
emphysema
mesothelioma
pleural effusion
What is the medical term for the collection of air in the pleural space?
pleural effusion
pneumonia
pneumothorax
pulmonary edema
