Test Bank Care of the Patient with a Respiratory
Disorder. LATEST UPDATE 2023.
1. Which nursing intervention does the nurse add to the care plan to help a patient
with thick sputum mobilize and expectorate those secretions?
a. Drink salty fluids such as broth and bouillon.
b. Drink 3 to 4 L of water a day.
c. Inhale cool mist from a vaporizer for 15 minutes four times a day.
d. Sit in a tub of hot water three times a day. - answers ANS: B
Encourage fluids to liquefy secretions and aid in their expectoration.
REF: Pages 1632, 1659, Nursing Diagnoses boxesOBJ: 10
TOP: Secretions Step: Planning
2. The circulation of the lungs is through the
a. coronary arteries and coronary veins.
b. celiac arteries and celiac veins.
c. pulmonary arteries and pulmonary veins.
d. carotid arteries and jugular veins. - answers ANS: C
The lungs receive their blood supply, which comes directly from the heart, through
the pulmonary arteries. The blood, now rich in oxygen, is returned to the heart for
circulation to the body via the pulmonary veins to the left atrium.
REF: Page 1614
TOP: Circulation of the lungs
3. A 52-year-old patient has had a laryngectomy in treatment of cancer. A nursing
diagnosis for the patient with a laryngectomy would be social isolation related to
impaired verbal communication related to removal of the larynx. The correct nursing
intervention would be
a. complete care quickly.
b. provide a pad and pencil or magic slate available.
c. refrain from conversations with the patient to reduce his stress level.
d. offer books or jigsaw puzzles for entertainment. - answers ANS: B
Provide patient with implements for communication. Rapidly completing care and
provision of solitary activities does not reduce social isolation.
REF: Page 1626, Nursing Daignoses box
OBJ: 20 TOP: Cancer of larynx
4. A 62-year-old patient is seen in the emergency department with an epistaxis.
When a patient has an epistaxis, the correct nursing interventions would be
a. place the patient in Fowler's position with the head forward.
b. place the patient in low-Fowler's position with the head hyperextended.
c. compress the nostrils tightly below the bone and hold for 1 minute.
d. place hot compresses over the nose. - answers ANS: A
Elevate head of bed. Place patient in Fowler's position with the head forward.
Compression of nostrils should be for 10-15 minutes. Hot compresses will increase
bleeding-ice should be applied.
REF: Page 1621, Nursing Diagnoses box
, Test Bank Care of the Patient with a Respiratory
Disorder. LATEST UPDATE 2023.
TOP: Epistaxis
5. A 68-year-old male patient has chronic obstructive pulmonary disease (COPD).
He has a markedly increased need for protein and calories to maintain an adequate
nutritional status. To help him get the nutrition he needs, the nurse would encourage
him to
a. eat three meals a day.
b. rest 30 minutes before eating.
c. drink fluids only with meals.
d. perform bronchial drainage 30 minutes after eating. - answers ANS: B
The nurse can assist the patient in maintaining nutritional intake by advising rest for
30 minutes before eating.
REF: Pages 1659, 1662
TOP: Chronic obstructive pulmonary disease (COPD)
6. The patient, age 72, is admitted with acute pulmonary edema. In pulmonary
edema, the medical management will often include
a. IV infusion of D5LR at less than 30 mL/hr.
b. intravenous sodium.
c. supine position.
d. atropine to decrease respiratory rate. - answers ANS: A
Medications for acute pulmonary edema will include diuretics such as Lasix and a
narcotic analgesic, usually morphine sulfate. A patent IV line must be maintained,
usually at a very slow rate to keep the vein open for medication administration (i.e.,
30 mL/hr) per infusion pump.
REF: Page 1652 TOP: Pulmonary edema
7. An 83-year-old patient is admitted with a temperature of 102° F (38.8° C), chest
pain, and fatigue. The chest radiograph reveals an accumulation of fluid in the
pleural space, which the physician removes by performing a thoracentesis. The
nurse correctly records the purulent exudate as:
a. effusion.
b. emphysema.
c. sputum.
d. empyema. - answers ANS: D
If the fluid between the lung and the membrane lining the pleural cavity becomes
infected, it is called empyema.
REF: Pages 1642, 1644
TOP: Emphysema
8. Which instruction by the nurse is inappropriate for teaching the proper technique
for collection a sputum specimen?
a. Bring the sputum up from the lungs.
b. Maintain adequate fluid intake.
c. Collect specimens after meals.
Disorder. LATEST UPDATE 2023.
1. Which nursing intervention does the nurse add to the care plan to help a patient
with thick sputum mobilize and expectorate those secretions?
a. Drink salty fluids such as broth and bouillon.
b. Drink 3 to 4 L of water a day.
c. Inhale cool mist from a vaporizer for 15 minutes four times a day.
d. Sit in a tub of hot water three times a day. - answers ANS: B
Encourage fluids to liquefy secretions and aid in their expectoration.
REF: Pages 1632, 1659, Nursing Diagnoses boxesOBJ: 10
TOP: Secretions Step: Planning
2. The circulation of the lungs is through the
a. coronary arteries and coronary veins.
b. celiac arteries and celiac veins.
c. pulmonary arteries and pulmonary veins.
d. carotid arteries and jugular veins. - answers ANS: C
The lungs receive their blood supply, which comes directly from the heart, through
the pulmonary arteries. The blood, now rich in oxygen, is returned to the heart for
circulation to the body via the pulmonary veins to the left atrium.
REF: Page 1614
TOP: Circulation of the lungs
3. A 52-year-old patient has had a laryngectomy in treatment of cancer. A nursing
diagnosis for the patient with a laryngectomy would be social isolation related to
impaired verbal communication related to removal of the larynx. The correct nursing
intervention would be
a. complete care quickly.
b. provide a pad and pencil or magic slate available.
c. refrain from conversations with the patient to reduce his stress level.
d. offer books or jigsaw puzzles for entertainment. - answers ANS: B
Provide patient with implements for communication. Rapidly completing care and
provision of solitary activities does not reduce social isolation.
REF: Page 1626, Nursing Daignoses box
OBJ: 20 TOP: Cancer of larynx
4. A 62-year-old patient is seen in the emergency department with an epistaxis.
When a patient has an epistaxis, the correct nursing interventions would be
a. place the patient in Fowler's position with the head forward.
b. place the patient in low-Fowler's position with the head hyperextended.
c. compress the nostrils tightly below the bone and hold for 1 minute.
d. place hot compresses over the nose. - answers ANS: A
Elevate head of bed. Place patient in Fowler's position with the head forward.
Compression of nostrils should be for 10-15 minutes. Hot compresses will increase
bleeding-ice should be applied.
REF: Page 1621, Nursing Diagnoses box
, Test Bank Care of the Patient with a Respiratory
Disorder. LATEST UPDATE 2023.
TOP: Epistaxis
5. A 68-year-old male patient has chronic obstructive pulmonary disease (COPD).
He has a markedly increased need for protein and calories to maintain an adequate
nutritional status. To help him get the nutrition he needs, the nurse would encourage
him to
a. eat three meals a day.
b. rest 30 minutes before eating.
c. drink fluids only with meals.
d. perform bronchial drainage 30 minutes after eating. - answers ANS: B
The nurse can assist the patient in maintaining nutritional intake by advising rest for
30 minutes before eating.
REF: Pages 1659, 1662
TOP: Chronic obstructive pulmonary disease (COPD)
6. The patient, age 72, is admitted with acute pulmonary edema. In pulmonary
edema, the medical management will often include
a. IV infusion of D5LR at less than 30 mL/hr.
b. intravenous sodium.
c. supine position.
d. atropine to decrease respiratory rate. - answers ANS: A
Medications for acute pulmonary edema will include diuretics such as Lasix and a
narcotic analgesic, usually morphine sulfate. A patent IV line must be maintained,
usually at a very slow rate to keep the vein open for medication administration (i.e.,
30 mL/hr) per infusion pump.
REF: Page 1652 TOP: Pulmonary edema
7. An 83-year-old patient is admitted with a temperature of 102° F (38.8° C), chest
pain, and fatigue. The chest radiograph reveals an accumulation of fluid in the
pleural space, which the physician removes by performing a thoracentesis. The
nurse correctly records the purulent exudate as:
a. effusion.
b. emphysema.
c. sputum.
d. empyema. - answers ANS: D
If the fluid between the lung and the membrane lining the pleural cavity becomes
infected, it is called empyema.
REF: Pages 1642, 1644
TOP: Emphysema
8. Which instruction by the nurse is inappropriate for teaching the proper technique
for collection a sputum specimen?
a. Bring the sputum up from the lungs.
b. Maintain adequate fluid intake.
c. Collect specimens after meals.
