motherchildTESTBANKch2-11
Chapter 30. Nursing Care of Patients W
Upper Respiratory Tract Disorders
Chapter 30. Nursing Care of Patients With Upper Respiratory Tract Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is reviewing the arterial blood gas results for a patient with a resp
disorder. What should the nurse recognize as being the most important chemica
regulator of respiration?
a. The blood level of oxygen
b. The blood level of nitrogen
c. The blood level of carbon dioxide
d. The amount of hemoglobin in red blood cells
2. The nurse is reviewing the results of a patient’s pulmonary function tests. Wh
describes the air remaining in lungs after normal expiration?
a. Tidal volume
b. Expiratory reserve
c. Forced vital capacity
d. Functional residual capacity
3. The nurse is reviewing the exchange of gases in the blood stream with a pati
prescribed oxygen ther- apy. How should the nurse explain the transport of carbo
the blood?
a. As CO2 in plasma
b. As bicarbonate ions in plasma
c. As hydrogen ions in red blood cells
d. As part of hemoglobin in red blood cells
4. A patient is having problems with oxygenation of body tissues. What is impo
nurse to con- sider about the transport of oxygen in the blood?
,d. It is bonded to hemoglobin in red blood cells.
5. The nurse is reviewing the physiology of the respiratory system with a patien
treated for pneu- monia. What structure should the nurse identify as sweeping muc
pathogens from the nasal cavities and trachea to the pharynx?
a. Ciliated epithelium
b. Alveolar macrophages
c. Elastic connective tissue
d. Simple squamous epithelium
6. The nurse is coaching a patient to empty the lungs of all air before using a m
inhaler. What air that is expired beyond tidal volume in a forceful exhalation is the
coaching the patient to remove from the lungs?
a. Tidal volume
b. Expiratory reserve
c. Forced vital capacity
d. Peak expiratory flow rate
7. A patient has a low oxygen level. Which body structure should the nurse cons
being responsible for this low level?
a. Larynx
b. Alveoli
c. Bronchi
d. Nasal passages
8. The nurse is providing care to a patient who experienced an ischemic stro
requires respira- tory support with mechanical ventilation. The nurse realizes tha
most likely occurred in which part of the brain?
a. Medulla
b. Cerebrum
c. Cerebellum
d. Hypothalamus
9. A nurse is providing care for a patient who complains of difficulty breathing.
assessment will best help the nurse determine the severity of the patient’s dysp
a. Count the patient’s respiratory rate.
b. Ask the patient to describe the dyspnea.
c. Have the patient rate the dyspnea on a 0-to-10 scale.
d. Observe the patient throughout two to three respirations.
10. While providing care for a patient with asthma, the nurse notes the patient
are rising with each breath. What should the nurse realize this action represents?
a. Hyperinflation of the chest
,unit, the nurse
, notes the patient has a barrel-shaped chest. Which assessment should the nurse pe
a. Assess the patient’s rate and character of respirations.
b. Ask the patient about presence of a productive cough.
c. Palpate the patient’s thorax to determine presence of tenderness.
d. Obtain a blood sample for arterial blood gas (ABG) to detect respiratory acidosis.
12. The nurse is auscultating a patient’s chest and hears an adventitious sound
lower lobe. What is the first step in determining whether this is an abnormality?
a. Call another nurse to listen to the patient’s lungs.
b. Ask the patient if this has ever occurred in the past.
c. Have the physician listen and verify what the nurse is hearing.
d. Listen to the corresponding area in the patient’s right lower lobe.
13. The nurse is auscultating a patient’s lungs but is unable to hear much air m
What should the nurse do to most effectively hear the lung sounds?
a. Try another stethoscope.
b. Have the patient rest between breaths.
c. Have the patient assume a side-lying position.
d. Ask the patient to breathe deeply through the mouth.
14. The nurse observes a patient who has periods of fast, deep respirations alte
periods of ap- nea. What term should the nurse use to describe this pattern?
a. Tachypnea
b. Kussmaul’s
c. Cheyne-Stokes
d. Hyperventilation
15. An adult patient has a respiratory rate of 36 breaths per minute. Which ter
the nurse use to document this finding?
a. Apnea
b. Bradypnea
c. Tachypnea
d. Within normal limits
16. A patient with pulmonary edema has moist, bubbling lung sounds. How sho
describe this
finding?
a. Wheezing
b. Fine crackles
c. Coarse crackles
d. Pleural friction rub
17. A patient is making a loud crowing sound caused by an obstruction of the a
foreign body. How should the nurse document this patient’s lung sound?
Chapter 30. Nursing Care of Patients W
Upper Respiratory Tract Disorders
Chapter 30. Nursing Care of Patients With Upper Respiratory Tract Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is reviewing the arterial blood gas results for a patient with a resp
disorder. What should the nurse recognize as being the most important chemica
regulator of respiration?
a. The blood level of oxygen
b. The blood level of nitrogen
c. The blood level of carbon dioxide
d. The amount of hemoglobin in red blood cells
2. The nurse is reviewing the results of a patient’s pulmonary function tests. Wh
describes the air remaining in lungs after normal expiration?
a. Tidal volume
b. Expiratory reserve
c. Forced vital capacity
d. Functional residual capacity
3. The nurse is reviewing the exchange of gases in the blood stream with a pati
prescribed oxygen ther- apy. How should the nurse explain the transport of carbo
the blood?
a. As CO2 in plasma
b. As bicarbonate ions in plasma
c. As hydrogen ions in red blood cells
d. As part of hemoglobin in red blood cells
4. A patient is having problems with oxygenation of body tissues. What is impo
nurse to con- sider about the transport of oxygen in the blood?
,d. It is bonded to hemoglobin in red blood cells.
5. The nurse is reviewing the physiology of the respiratory system with a patien
treated for pneu- monia. What structure should the nurse identify as sweeping muc
pathogens from the nasal cavities and trachea to the pharynx?
a. Ciliated epithelium
b. Alveolar macrophages
c. Elastic connective tissue
d. Simple squamous epithelium
6. The nurse is coaching a patient to empty the lungs of all air before using a m
inhaler. What air that is expired beyond tidal volume in a forceful exhalation is the
coaching the patient to remove from the lungs?
a. Tidal volume
b. Expiratory reserve
c. Forced vital capacity
d. Peak expiratory flow rate
7. A patient has a low oxygen level. Which body structure should the nurse cons
being responsible for this low level?
a. Larynx
b. Alveoli
c. Bronchi
d. Nasal passages
8. The nurse is providing care to a patient who experienced an ischemic stro
requires respira- tory support with mechanical ventilation. The nurse realizes tha
most likely occurred in which part of the brain?
a. Medulla
b. Cerebrum
c. Cerebellum
d. Hypothalamus
9. A nurse is providing care for a patient who complains of difficulty breathing.
assessment will best help the nurse determine the severity of the patient’s dysp
a. Count the patient’s respiratory rate.
b. Ask the patient to describe the dyspnea.
c. Have the patient rate the dyspnea on a 0-to-10 scale.
d. Observe the patient throughout two to three respirations.
10. While providing care for a patient with asthma, the nurse notes the patient
are rising with each breath. What should the nurse realize this action represents?
a. Hyperinflation of the chest
,unit, the nurse
, notes the patient has a barrel-shaped chest. Which assessment should the nurse pe
a. Assess the patient’s rate and character of respirations.
b. Ask the patient about presence of a productive cough.
c. Palpate the patient’s thorax to determine presence of tenderness.
d. Obtain a blood sample for arterial blood gas (ABG) to detect respiratory acidosis.
12. The nurse is auscultating a patient’s chest and hears an adventitious sound
lower lobe. What is the first step in determining whether this is an abnormality?
a. Call another nurse to listen to the patient’s lungs.
b. Ask the patient if this has ever occurred in the past.
c. Have the physician listen and verify what the nurse is hearing.
d. Listen to the corresponding area in the patient’s right lower lobe.
13. The nurse is auscultating a patient’s lungs but is unable to hear much air m
What should the nurse do to most effectively hear the lung sounds?
a. Try another stethoscope.
b. Have the patient rest between breaths.
c. Have the patient assume a side-lying position.
d. Ask the patient to breathe deeply through the mouth.
14. The nurse observes a patient who has periods of fast, deep respirations alte
periods of ap- nea. What term should the nurse use to describe this pattern?
a. Tachypnea
b. Kussmaul’s
c. Cheyne-Stokes
d. Hyperventilation
15. An adult patient has a respiratory rate of 36 breaths per minute. Which ter
the nurse use to document this finding?
a. Apnea
b. Bradypnea
c. Tachypnea
d. Within normal limits
16. A patient with pulmonary edema has moist, bubbling lung sounds. How sho
describe this
finding?
a. Wheezing
b. Fine crackles
c. Coarse crackles
d. Pleural friction rub
17. A patient is making a loud crowing sound caused by an obstruction of the a
foreign body. How should the nurse document this patient’s lung sound?
