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WorksheetsRESPIRATORY 2 2025
Total questions: 15
Worksheet time: 11mins
Mr. R has a pleural effusion. Doctor plans for active intervention to reduce his problem. The active intervention can be carried out to him are
Thoracentesis
refer to physiotherapy
administer oxygen through nasal cannula based on level of dyspnea
insert tunneled indwelling pleural catheter with intermittent drainage.
Mr. P was diagnosed with lung adenocarcinoma with dysphagia due to compression of the tumor and unable to swallow the meals. The nursing assessments to carry out by
serving patients with nourishing fluid
assessing the patient’s level of appetite
referring to dieticians for a full dietetic assessment
assessing malnutrition using Malnutrition Screening Tool (MST).
Madam G had stage IV lung cancer and was depressed due to her condition. Psychosocial support that can be given are
self-care activity.
group therapy counseling
teach relaxation techniques
isolate the patient to give her space
Mr. F was informed by the doctors regarding his lung cancer disease. Health education that may be given to him are
eat a well-balanced diet
encourage him to take beta carotene vitamin.
able to involve people who smoke without restrictions
quit smoking reduce symptoms such as cough and shortness of breath.
Madam X had a malignant pleural effusion for 2 weeks and she also had a severe case of dyspnea. The treatment that can be given to her are
fibrinolytics.
pleurodesis.
thoracentesis
indwelling pleural catheter.
Mr. K had a chest tube inserted on the right side for pleural effusion caused by metastatic cancer. Which of the following actions should the nurse take to ensure proper chest tube care?
monitoring the fluctuating and bubbling
Strip the chest tube frequently to promote drainage
skip the wound dressing since it was not a major operation
ensure the underwater seal is placed at the flat surface area
Mr. J, a 65-year-old patient with non-small cell lung cancer, has experienced massive hemoptysis. Which of the following are appropriate management in this situation?
monitor for respiratory distress
place the patient with the supine position.
monitor for any increase of blood loss changes
avoid administering cough suppression with an opioid
Madam L underwent a lobectomy for non-small cell lung cancer. After surgery, she was placed in an upright position with her head elevated to 30–40 degrees. The primary reason for this position is to
promote venous return and prevent leg edema
prevent aspiration due to nausea from anesthesia
reduce postoperative pain and promote wound healing.
enhance lung expansion and reduce the risk of postoperative respiratory complications
Miss B was diagnosed with Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) developed water retention and hyponatremia. Which of the following nursing interventions are appropriate for managing this condition?
Monitor intake and output charting
Do daily weight (same time every day, same clothes, same scale).
Encourage high fluid intake to promote diuresis
Monitor serum sodium levels and implement fluid restrictions as prescribed
Bilobectomy is a surgical procedure to remove
one lung
a portion of the lung called a lobe
an area of the lung that includes part of one or more lobes
two pulmonary lobes on the right side, including the middle lobe
The surgical procedure to remove tumors in the central area of the lung involve either the 2 lobes in the left lung or the 3 lobes in the right lung is
Lobectomy.
Bilobectomy
Pneumonectomy
Wedge resection
Which of the following best describes the primary roles of palliative surgery in the management of lung cancer?
Evaluation of the extent of the disease
Cure cancer by completely removing the tumor mass
Surgical reconstruction or rehabilitation to improve quality of life
Manage complications such as airway obstruction or pleural effusion
Palliative surgical procedures for direct symptom control are
Definitive management of pleural effusion (VATS).
Gastrostomy (PEG) placement for relief of obstruction or hunger.
Drainage procedures for ascites, pleural effusion and pericardial
effusions
Resection of tumor (debulking) for relief pain, constitutional
symptoms, control of odor.
Mr. N will plan for wedge resection. The preoperative assessments that need to be carried out are
allergic history
physical examination
cardiovascular & respiratory status
mental & physiological status of the patient
Proper care and maintenance of the chest drain post-thoracic surgery are essential in preventing infection, maintaining lung expansion, and monitoring for drainage output. Which of the following nursing actions required to maintain a chest drain in a post-thoracic surgery patient?
Ensure there are 2 artery forceps for clamping available at the patient’s bedside.
Ensure all connections between chest tubes and drainage units are tight and secure.
The water level of the underwater seal tube must be 2 cm above in the drainage bottle.
Ensure the water column in the underwater seal fluctuates with respiration/ventilation.
