Respiratory questions part 3 nur1130 Exam Questions and Answers

Respiratory questions part 3 nur1130 Exam Questions and Answers A client is being sent home with oxygen therapy. The nurse instructs that A.Smoking or a flame is dangerous near oxygen. B.The client will not be able to travel with oxygen. C.The client should raise the flow of oxygen if shortness of breath increases. D.Oxygen is addictive and its use must be decreased. - Ans:-A The nurse should cautions the client against smoking or using a flame near oxygen. Oxygen is not addictive. Clients can travel with portable oxygen systems. Teaching also includes the proper flow of oxygen. Which vaccine should a nurse encourage a client with chronic obstructive pulmonary disease (COPD) to receive? ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/15 A.Influenza B.Hepatitis B C.Varicella D.Human papilloma virus (HPV) - Ans:-A Clients with COPD are more susceptible to respiratory infections, so they should be encouraged to receive the influenza and pneumococcal vaccines. Clients with COPD aren't at high risk for varicella or hepatitis B. The HPV vaccine is to guard against cervical cancer and is recommended only for women ages 9 to 26. Which is the most important risk factor for development of chronic obstructive pulmonary disease (COPD)? A.Cigarette smoking B.Genetic abnormalities C.Air pollution D.Occupational exposure - Ans:-A ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/15 Pipe, cigar, and other types of tobacco smoking are also risk factors for COPD. Although risk factors, neither occupational exposure nor air pollution is the most important risk factor for development of COPD. Genetic abnormalities are also a risk factor, but again, not the most important one. The nurse is assessing a client whose respiratory disease in characterized by chronic hyperinflation of the lungs. What would the nurse most likely assess in this client? A.A barrel chest B.Chronic chest pain C.Signs of oxygen toxicity D.Long, thin fingers - Ans:-A In COPD clients with a primary emphysematous component, chronic hyperinflation leads to the barrel chest thorax configuration. The nurse most likely would not assess chest pain or long, thin fingers; these are not characteristic of emphysema. The client would not show signs of oxygen toxicity unless they received excess supplementary oxygen. Which terms means an increase in the red blood cell concentration in the blood? A.Polycythemia ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/15 B.Asthma C.Emphysema D.Bronchitis - Ans:-A Polycythemia is an increase in the red blood cell concentration in the blood. Emphysema is a disease of the airways characterized by destruction of the walls of overdistended alveoli. Asthma is a disease with multiple precipitating mechanisms resulting in a common clinical outcome of reversible airflow obstruction. Bronchitis is a disease of the airways defined as the presence of cough and sputum production for a certain period of time. A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD). What should the nurse identify as a complication of COPD? A.Pneumothorax B.Hemothorax C.Lung cancer D.Respiratory failure - Ans:-D ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/15 Complications of COPD include respiratory failure, pneumothorax, atelectasis, pneumonia, and pulmonary hypertension (cor pulmonale). Lung cancer, pneumothorax, and hemothorax are not common complications. A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma? A.Bilateral wheezes B.Shallow respirations C.Increased anterior-posterior (AP) diameter D.Bradypnea - Ans:-A The three most common symptoms of asthma are cough, dyspnea, and wheezing. There may be generalized wheezing (the sound of airflow through narrowed airways), first on expiration and then, possibly, during inspiration as well. Respirations are not usually slow and the child's AP diameter does not normally change. Which of the following is the most common chronic disease of