NURS 3000 Exam #4 (Ch. 20, 23, 41, 43, 46, 49-51) Quizzes
With Correct Answers
Pulmonary ventilation depends on: SATA
a. clear airways
b. intact CNS and respiratory center
c. intact thoracic cavity
d. adequate pulmonary compliance
e. intact cerebellum
a, b, c, d
Movement of oxygen and carbon dioxide between the systematic capillaries and
tissues is a component of:
Respiration
What lipoprotein produced by specialized alveolar cells reduces surface tension
of alveolar fluid?
Surfactant
Without ___________ lung expansion is exceedingly difficult and the lungs will
eventually collapse.
Surfactant
In clients with COPD low oxygen level is the main stimulus for respiratory drive
therefore what intervention should occur for those receiving supplemental
oxygen?
Monitor respiratory rate
What are some factors that can affect respiratory function?
age, environment, lifestyle, health status, medications, and stress
The patient is unable to breath well when laying down the nurse would record this
as:
a. apnea
b. orthopnea
c. hypoxia
d. hypoxemia
orthopnea
the inability to breath easily unless sitting upright or standing
The patients ABGs show reduced oxygen in the blood, this would be recorded as:
a. ischemia
b. anemia
c. hypoxemia
d. hypoxia
hypoxemia
reduced oxygen levels in the blood
The patients H&H shows a lack of healthy RBCs, this would be evidence of:
a. ischemia
b. anemia
c. hypoxia
d. infarction
, anemia
Which of the following would be helpful diagnostic studies to assess respiratory
function? SATA
a. CXR
b. Bronchoscopy
c. Angiogram
d. ABGs
e. Stress test
CXR, Bronchoscopy, ABGs, Stress test
Adventitious breath sounds:
crackles (rales), rhonchi, friction rub, wheeze
Which medication promote oxygenation? SATA
a. bronchodilators
b. anti-inflammatories
c. diuretics
d. expectorants
e. beta blockers
bronchodilators - reduce bronchospasms and open tight airways
anti-inflammatories - decrease edema and inflammation in airways
expectorants - break up mucus by making it more liquid and easier to expectorate
Hypoventilation can lead to: SATA
a. hypercarbia
b. hypercapnia
c. hypoxia
d. hypoxemia
e. seizures
hypercarbia - increased CO2 in bloodstream
hypercapnia - same as hypercarbia
hypoxia - insufficient O2
hypoxemia - reduced O2 in the blood
Interventions by the nurse to maintain the normal respirations of clients:
-Positioning the client to allow for maximum chest expansion
-Encourage or provide frequent changes in position
-Encourage deep breathing and coughing
-Encourage ambulation
Clients with severe pneumonia or other pulmonary disease in one lung, if
positioned laterally, should be generally positioned how?
with the "good lung" down
A client with COPD experiencing dyspnea may benefit from: SATA
a. tripod sitting position
b. laying flat in bed
c. ambulating
d. pursed lip breathing
tripod sitting position - forces the diaphragm down and forward and stabilizes the chest,
which reduces the work of breathing
pursed lip breathing - tightens abd muscles to assist with exhalation
With Correct Answers
Pulmonary ventilation depends on: SATA
a. clear airways
b. intact CNS and respiratory center
c. intact thoracic cavity
d. adequate pulmonary compliance
e. intact cerebellum
a, b, c, d
Movement of oxygen and carbon dioxide between the systematic capillaries and
tissues is a component of:
Respiration
What lipoprotein produced by specialized alveolar cells reduces surface tension
of alveolar fluid?
Surfactant
Without ___________ lung expansion is exceedingly difficult and the lungs will
eventually collapse.
Surfactant
In clients with COPD low oxygen level is the main stimulus for respiratory drive
therefore what intervention should occur for those receiving supplemental
oxygen?
Monitor respiratory rate
What are some factors that can affect respiratory function?
age, environment, lifestyle, health status, medications, and stress
The patient is unable to breath well when laying down the nurse would record this
as:
a. apnea
b. orthopnea
c. hypoxia
d. hypoxemia
orthopnea
the inability to breath easily unless sitting upright or standing
The patients ABGs show reduced oxygen in the blood, this would be recorded as:
a. ischemia
b. anemia
c. hypoxemia
d. hypoxia
hypoxemia
reduced oxygen levels in the blood
The patients H&H shows a lack of healthy RBCs, this would be evidence of:
a. ischemia
b. anemia
c. hypoxia
d. infarction
, anemia
Which of the following would be helpful diagnostic studies to assess respiratory
function? SATA
a. CXR
b. Bronchoscopy
c. Angiogram
d. ABGs
e. Stress test
CXR, Bronchoscopy, ABGs, Stress test
Adventitious breath sounds:
crackles (rales), rhonchi, friction rub, wheeze
Which medication promote oxygenation? SATA
a. bronchodilators
b. anti-inflammatories
c. diuretics
d. expectorants
e. beta blockers
bronchodilators - reduce bronchospasms and open tight airways
anti-inflammatories - decrease edema and inflammation in airways
expectorants - break up mucus by making it more liquid and easier to expectorate
Hypoventilation can lead to: SATA
a. hypercarbia
b. hypercapnia
c. hypoxia
d. hypoxemia
e. seizures
hypercarbia - increased CO2 in bloodstream
hypercapnia - same as hypercarbia
hypoxia - insufficient O2
hypoxemia - reduced O2 in the blood
Interventions by the nurse to maintain the normal respirations of clients:
-Positioning the client to allow for maximum chest expansion
-Encourage or provide frequent changes in position
-Encourage deep breathing and coughing
-Encourage ambulation
Clients with severe pneumonia or other pulmonary disease in one lung, if
positioned laterally, should be generally positioned how?
with the "good lung" down
A client with COPD experiencing dyspnea may benefit from: SATA
a. tripod sitting position
b. laying flat in bed
c. ambulating
d. pursed lip breathing
tripod sitting position - forces the diaphragm down and forward and stabilizes the chest,
which reduces the work of breathing
pursed lip breathing - tightens abd muscles to assist with exhalation
