RESPIRATORY SYSTEM IMPORTANT QUESTION

1. A client is admitted with suspected atelectasis. Which clini­cal manifestation does the nurse expect to identify when assessing this client?

1. Slow, deep respirations

2. Normal oral temperature

3. Dry, unproductive cough

        4. Diminished breath sounds

Ans 4

2. What nursing action will most help a client obtain maximum benefits after postural drainage?

1. Administer prn oxygen.

2. Encourage coughing deeply.

3. Place the client in a sitting position.

          4. Encourage the client to rest for a half hour.

Ans 2

3. A client is diagnosed with emphysema. For what long-term problem should the nurse monitor this client?

1. Localized tissue necrosis

2. Carbon dioxide retention

3. Increased respiratory rate

          4. Saturated hemoglobin molecules

Ans 2

4.A client who is taking rifampin (Rifadin) tells the nurse, “My urine looks orange.” What action should the nurse take?

1. Explain this is expected.

2. Check the liver enzymes.

3. Strain the urine for stones.

           4. Ask what foods were eaten.

Ans 1

5. The arterial blood gases of a client with chronic obstructive pulmonary disease (COPD) deteriorate, and respiratory failure is impending. For which clinical indicator should the nurse assess first?

1. Cyanosis

2. Bradycardia

3. Mental confusion

         4. Distended neck veins

Ans 3

6. A client has chest tubes attached to a chest tube drainage system. What should the nurse do when caring for this client?

1. Clamp the chest tubes when suctioning.

2. Palpate the surrounding area for crepitus.

3. Change the dressing daily using aseptic technique.

               4. Empty the drainage chamber at the end of the shift.

ANS 2

7. A nurse identifies that a client’s hemoglobin level is decreas­ing and is concerned about tissue hypoxia. An increase in what diagnostic test result indicates an acceleration in oxygen dissociation from hemoglobin?

1. pH

2. PO2

3. PCO2

          4. HCO3

ANS 3

8. A nurse repositions a client who is diagnosed with emphy­sema to facilitate breathing. Which position facilitates maximum air exchange?

1. Supine

2. Orthopneic

3. Low-Fowler

          4. Semi-Fowler

ANS 2

9. What must the nurse determine before discontinuing airborne precautions for a client with pulmonary tuber-culosis?

1. Client no longer is infected.

2. Tuberculin skin test is negative.

3. Sputum is free of acid-fast bacteria.

          4. Client’s temperature has returned to normal.

Ans 3

10. A client is admitted to the intensive care unit with acute pulmonary edema. Which rapidly acting intravenous diuretic should the nurse anticipate will be prescribed?

1. Furosemide (Lasix)

2. Chlorothiazide (Diuril)

3. Spironolactone (Aldactone)

         4. AcetaZOLAMIDE (Diamox)

ANS 1