RESPIRATORY DISORDERS PRACTICE QUESTIONS 2023

The person with long-term emphysema is admitted with a secondary diagnosis of cor pulmonaie. What should the nurse anticipate? a. the patient will present with edema of the lower extremities and distended neck veins due to hypertension of pulmonary circulation b. the patient will present dry hacking cough and chest pain due to constriction of pulmonary vein c. the patient will present with hypertension and a headache related to pulmonary hypertension d. the patient will present with unlabored respirations and cyanosis around the mouth The nurse teaches pursed lip breathing to a client who is newly diagnosed with chronic obstructive pulmonary disease. The nurse reinforces that this technique will assist respiration by which mechanism A. Preventing air trapping in the lungs during exhalation and increase the elimination of carbon dioxide B. Increasing the respiratory rate and giving the client control of respiratory patterns C. Loosening secretions so that they may be coughed up more easily D. Promoting maximal inhalation for better oxygenation of the lungs The nurse interviews a client with a new diagnosis of chronic obstructive pulmonary disease. Which information is most helpful in confirming a diagnosis of chronic bronchitis? A. The client denies having any respiratory problems until the last 12 months B. The client tells the nurse about a family history of bronchitis C. The client's history indicates a 30 pack year cigarette history D. The client complains about a productive cough for 3 months for 2 years The nurse assesses a client with a history of asthma. Which assessment finding indicates that the nurse should take immediate action? A. No intercostal retractions B. Use of accessory muscles in breathing C. Respiratory rate of 21 breaths per minute D. Pulse oximetry reading of 94% The nurse administers a tuberculin skin test for tuberculosis to a client who has COPD and HIV. The test results indicate a 10-mm area of induration with 5 mm of erythema. The nurse should: A. Indicate the degree of erythema and record the results as positive B. Take the clients history into account and note that the patient has active disease of tuberculosis C. Record a false result and re-administer the tuberculin skin test D. Determine that the millimeters of induration is significant and the client has been exposed to mycobacterium tubercle; report to the physician The client with chronic obstructive pulmonary disease is predisposed to the development of CO2 retention. Therefore the nurse should: A. Administer oxygen at a low concentration to maintain respiratory drive B. Encourage slow, deep breathing with inhalation longer than exhalation to increase intake C. Initiate pulmonary hygiene to clear air passages of trapped mucus D. Encourage continuous rapid panting to promote respiratory exchange RESPIRATORY DISORDERS PRACTICE QUESTIONS 2023 If tuberculosis is suspected, the patient is placed into respiratory isolation. Which actions should be taken with this type of isolation? Select all that apply. Place patient into a negative pressure room with HEPA filter; Close all doors and windows in the room; Provide particulate filter masks to all providers During a routine physical examination, a client's chest -ray film reveals lesion in the right upper lobe. When the nurse obtains a history from the client, the information that supports the physical examination shows? A. Dry cough and pulmonary congestion B. Productive cough and engorged neck veins C. Frothy sputum and fever D. Night sweats and blood-tinged sputum A primary goal for the patient with bronchiectasis is that the patient will; A. Maintain removal of bronchial secretions B. Restore the alveolar wall capacity C. Have no recurrence of disease D. Have normal pulmonary function A nurse is caring for a client with emphysema who is receiving oxygen. The nurse checks the oxygen flow rate to ensure that it does not exceed: A. 3 L/min B. 6 L/min C. 10 L/min D. 1 L/min A nurse has instructed a client diagnosed Ed with tuberculosis about how to prevent the spread of infection after discharge. The nurse determines that the client needs further reinforcement of information A. "It's very important to wash my hands after I touch my mask, tissues, or body fluid." B. "I should cough into tissues and throw them away carefully.' C. "It's important to cover my mouth if I laugh, sneeze, or cough.” D. "I should use disposable plates, forks and knives." A client with tuberculosis is being started on antituberculosis therapy with pyrazinemide. Before giving the client the first dose, a nurse ensures that which of the following baseline studies has been A. Liver enzyme levels B. Coagulation times C. Electrolyte levels D. Serum creatinine level A client with tuberculosis asks the nurse how long the therapy must be continued. The nurse's most accurate reply would be: A. “4-5 months” B. "Probably 3 years or longer." C. "1-2 weeks." D. " At least 6 months." A client who is taking rifampin for tuberculosis calls the clinic and reports having orange discolored urine and tears. Which is the best response by the nurse? A. Advise the client to stop the drug and report the symptoms to the health care provider B. Ask if the client is experiencing shortness of breath, hives, or itching C. Ask the client about any visual abnormalities such as red-green color discrimination D. Explain that orange discolored urine and tears are normal while taking this medication A client has been taking isoniazid for 1 ¼ months. The client complains to a nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing A. Small blood vessel spasm B. Peripheral neuropathy C. Impaired peripheral circulation D. Hypercalcemia A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.) Dyspnea; Barrel chest; Usage of accessory muscles; Chronic weight loss A nurse is reviewing the ABG values of a client who has chronic bronchitis and reports dyspnea with minimal exertion. Which of the following acid-base imbalances should the nurse suspect? A. Metabolic acidosis B. Respiratory alkalosis C. Respiratory acidosis D. Metabolic alkalosis A nurse is reinforcing teaching with a client who has cystic fibrosis and is receiving pancreatic enzymes. The nurse should tell the client that which of the following is an effect of this medication? A. Increased peristalsis B. Increased nasal congestion C. Decrease viscosity of sputum D. Decreased the foul smelling stool A nurse is reinforcing teaching with the mother of a child who has cystic fibrosis and is to take pancreatic enzymes three times per day. Which of the following statements indicates the mother understands the teaching A. "My child will take the enzymes to help digest the fat in foods.” B. "My child will chew the capsules." C. "My child will take the enzymes 2 hours after meals.” D. "My child will take the enzymes to prevent nausea." A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest the nurse should expect to hear which of the following sounds? a. Pleural friction rub b. Fine rales c. Rhonchi d. Expiratory wheeze A nurse is assisting with the admission of a client who has tuberculosis with a productive cough. Which type of isolation precautions should the nurse initiate for the client? A. Airborne B. Protective C. Reverse D. Contact When teaching a client with tuberculosis about recovery after discharge from the hospital, the nurse should reinforce that the treatment measure with the highest priority is: