Med Surg "Respiratory" Adaptive Quizzing:
Already Passed
A client who was recently diagnosed with emphysema develops a malignancy in the
right lower lobe of the lung, and a lobectomy is performed. After surgery, the client is
receiving oxygen by nasal cannula at 2 L per minute. Blood gas results demonstrate
respiratory acidosis. What should be the initial nursing intervention? - Correct
✓✓Encourage deep breathing
A client sustains a crushing injury to the lower left leg, and a below-the-knee amputation
is performed. For which common clinical manifestations of a pulmonary embolus should
the nurse assess this client? Select all that apply. - Correct ✓✓*Unilateral chest pain
*Acute onset of dyspnea
The nurse is caring for a client after a right pneumonectomy for cancer. As part of the
assessment, the nurse palpates the client's trachea. What is the rationale for this
assessment? - Correct ✓✓A mediastinal shift may have occurred.
A client is admitted to the intensive care unit with a diagnosis of adult respiratory
distress syndrome. Which clinical finding should the nurse expect when assessing this
client? - Correct ✓✓Altered mental status
- Correct ✓✓
, As a result of pulmonary tuberculosis, a client has a decreased surface area for gas
exchange in the lungs. Which physiologic process does the nurse consider will be
affected as a result? - Correct ✓✓Molecular diffusion
A nurse assesses a client who is experiencing profound (late) hypovolemic shock.
When monitoring the client's arterial blood gas results, what response does the nurse
expect? - Correct ✓✓Metabolic Acidosis
Immediately after a thoracentesis, a client's right lung collapses. A chest tube is inserted
and is attached to a three-chamber closed drainage system. What does the nurse
assess about the fluid when the chest tube is functioning properly? - Correct ✓✓Rises
in the tube of the water seal chamber during inspiration.
Oxygen given to clients during stage 4 of chronic obstructive pulmonary disease
(COPD) should be administered in which manner? - Correct ✓✓1 to 2 L via nasal
cannula to keep SaO2 above 90%.
What nursing action will limit hypoxia when suctioning a client's airway? - Correct
✓✓Apply suction only after catheter is inserted.
What breathing exercises should the nurse teach a client with the diagnosis of
emphysema? - Correct ✓✓Diaphragmatic exercises to improve contraction of the
diaphragm.
A client with acquired immunodeficiency syndrome (AIDS) and Cryptococcus
pneumonia frequently is incontinent of feces and urine and produces copious sputum.
When providing care for this client, the nurse's priority is to: - Correct ✓✓Use gown,
mask, and gloves when bathing the client
Already Passed
A client who was recently diagnosed with emphysema develops a malignancy in the
right lower lobe of the lung, and a lobectomy is performed. After surgery, the client is
receiving oxygen by nasal cannula at 2 L per minute. Blood gas results demonstrate
respiratory acidosis. What should be the initial nursing intervention? - Correct
✓✓Encourage deep breathing
A client sustains a crushing injury to the lower left leg, and a below-the-knee amputation
is performed. For which common clinical manifestations of a pulmonary embolus should
the nurse assess this client? Select all that apply. - Correct ✓✓*Unilateral chest pain
*Acute onset of dyspnea
The nurse is caring for a client after a right pneumonectomy for cancer. As part of the
assessment, the nurse palpates the client's trachea. What is the rationale for this
assessment? - Correct ✓✓A mediastinal shift may have occurred.
A client is admitted to the intensive care unit with a diagnosis of adult respiratory
distress syndrome. Which clinical finding should the nurse expect when assessing this
client? - Correct ✓✓Altered mental status
- Correct ✓✓
, As a result of pulmonary tuberculosis, a client has a decreased surface area for gas
exchange in the lungs. Which physiologic process does the nurse consider will be
affected as a result? - Correct ✓✓Molecular diffusion
A nurse assesses a client who is experiencing profound (late) hypovolemic shock.
When monitoring the client's arterial blood gas results, what response does the nurse
expect? - Correct ✓✓Metabolic Acidosis
Immediately after a thoracentesis, a client's right lung collapses. A chest tube is inserted
and is attached to a three-chamber closed drainage system. What does the nurse
assess about the fluid when the chest tube is functioning properly? - Correct ✓✓Rises
in the tube of the water seal chamber during inspiration.
Oxygen given to clients during stage 4 of chronic obstructive pulmonary disease
(COPD) should be administered in which manner? - Correct ✓✓1 to 2 L via nasal
cannula to keep SaO2 above 90%.
What nursing action will limit hypoxia when suctioning a client's airway? - Correct
✓✓Apply suction only after catheter is inserted.
What breathing exercises should the nurse teach a client with the diagnosis of
emphysema? - Correct ✓✓Diaphragmatic exercises to improve contraction of the
diaphragm.
A client with acquired immunodeficiency syndrome (AIDS) and Cryptococcus
pneumonia frequently is incontinent of feces and urine and produces copious sputum.
When providing care for this client, the nurse's priority is to: - Correct ✓✓Use gown,
mask, and gloves when bathing the client
