Adult Health - Respiratory – Silvestri
QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+ (BRAND
NEW!! 2024/ 2025[NEXT GEN]
what would cause high pressure ventilator alarm - ANSWER>>When the high-pressure alarm sounds on
a ventilator, it is most likely because of an obstruction. The obstruction can be caused by the client's
biting on the tube, kinking of the tubing, or mucus plugging requiring suctioning.
what would cause low pressure ventilator alarm - ANSWER>>A cuff leak, apnea and tube disconnection
would cause the low-pressure alarm to sound
The nurse is caring for a client with a chest tube drainage system. The nurse notes a fluctuating water
level on inspiration and expiration in the submerged tube in the water seal chamber of the chest tube
drainage system. Which nursing action is appropriate? - ANSWER>>Document the findings.
The nurse is caring for a client with a chest tube drainage system and notes constant bubbling in the
water seal chamber. Which nursing action is appropriate? - ANSWER>>Notify the health care provider
(HCP).
what does constant bubbling in the water seal chamber mean - ANSWER>>Constant bubbling occurring
in the water seal chamber may indicate an air leak in the system. Among the options provided, the
appropriate action is to notify the HCP.
empyema - ANSWER>>is a collection of pus in the cavity between the lung and the membrane that
surrounds it (pleural space). The client with empyema usually experiences dyspnea, increased
respiratory rate, pleural pain, night sweats, fever, anorexia, and weight loss. There is a decrease in
breath sounds over the affected area, a flat sound to percussion, and decreased tactile fremitus.
A client did not seek medical treatment for a previous respiratory infection, and subsequently an
empyema developed in the left lung. The nurse should assess the client for which signs and symptoms
associated with this problem? - ANSWER>>Pleural pain and fever
Decortication - ANSWER>>Decortication is a surgical procedure that removes a restrictive layer of
fibrous tissue overlying the lung, chest wall, and diaphragm. The aim of decortication is to remove this
layer and allow the lung to reexpand.
A client with long-standing empyema undergoes decortication of the affected lung area. Postoperatively
the nurse should place the client in which position? - ANSWER>>Semi Fowler's
, The nurse is instructing a client in diaphragmatic breathing. To reinforce the need for this technique, the
nurse teaches the client that in normal respiration, which is an action of the diaphragm? -
ANSWER>>Moves downward and out as it contracts
Which are possible causes of upper airway obstruction? Select all that apply. - ANSWER>>-Laryngeal
edema
-Head and neck cancer
-Foreign body aspiration
-Lymph node enlargement
A chest x-ray report for a client indicates the presence of a left apical pneumothorax. The nurse would
assess the status of breath sounds in that area by placing the stethoscope in which location? -
ANSWER>>Just under the left clavicle
lung apex - ANSWER>>top of lung
lung base - ANSWER>>bottom of lungs
An ambulatory care nurse is assessing a client with chronic sinusitis. The nurse would expect to note
which assessment findings in this client? Select all that apply. - ANSWER>>Anosmia (loss of smell)
Chronic cough
Purulent nasal discharge
sinusitis - ANSWER>>When you have a sinus infection, one or more of your sinuses becomes inflamed
and fluid builds up, causing congestion and runny nose.
A clinic nurse notes that large numbers of clients present with flulike symptoms. Which
recommendations should the nurse include in the plan of care for these clients? Select all that apply. -
ANSWER>>-Get plenty of rest.
- Increase intake of liquids
-Take antipyretics for fever
- Eat fruits and vegetables high in vitamin C.
pleurisy - ANSWER>>inflammation of the sheet-like layers that cover the lungs (the pleura).
pleural friction rub - ANSWER>>a raspy breathing sound caused by inflammation of the tissues around
your lungs. The sound is usually "grating" or "creaky." It's also been compared to the sound of walking
on fresh snow.
The nurse is providing care for a client recently admitted with new onset pleurisy. Upon auscultation of
the client's lungs, the nurse notes the absence of the pleural friction rub, which was documented on
QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+ (BRAND
NEW!! 2024/ 2025[NEXT GEN]
what would cause high pressure ventilator alarm - ANSWER>>When the high-pressure alarm sounds on
a ventilator, it is most likely because of an obstruction. The obstruction can be caused by the client's
biting on the tube, kinking of the tubing, or mucus plugging requiring suctioning.
what would cause low pressure ventilator alarm - ANSWER>>A cuff leak, apnea and tube disconnection
would cause the low-pressure alarm to sound
The nurse is caring for a client with a chest tube drainage system. The nurse notes a fluctuating water
level on inspiration and expiration in the submerged tube in the water seal chamber of the chest tube
drainage system. Which nursing action is appropriate? - ANSWER>>Document the findings.
The nurse is caring for a client with a chest tube drainage system and notes constant bubbling in the
water seal chamber. Which nursing action is appropriate? - ANSWER>>Notify the health care provider
(HCP).
what does constant bubbling in the water seal chamber mean - ANSWER>>Constant bubbling occurring
in the water seal chamber may indicate an air leak in the system. Among the options provided, the
appropriate action is to notify the HCP.
empyema - ANSWER>>is a collection of pus in the cavity between the lung and the membrane that
surrounds it (pleural space). The client with empyema usually experiences dyspnea, increased
respiratory rate, pleural pain, night sweats, fever, anorexia, and weight loss. There is a decrease in
breath sounds over the affected area, a flat sound to percussion, and decreased tactile fremitus.
A client did not seek medical treatment for a previous respiratory infection, and subsequently an
empyema developed in the left lung. The nurse should assess the client for which signs and symptoms
associated with this problem? - ANSWER>>Pleural pain and fever
Decortication - ANSWER>>Decortication is a surgical procedure that removes a restrictive layer of
fibrous tissue overlying the lung, chest wall, and diaphragm. The aim of decortication is to remove this
layer and allow the lung to reexpand.
A client with long-standing empyema undergoes decortication of the affected lung area. Postoperatively
the nurse should place the client in which position? - ANSWER>>Semi Fowler's
, The nurse is instructing a client in diaphragmatic breathing. To reinforce the need for this technique, the
nurse teaches the client that in normal respiration, which is an action of the diaphragm? -
ANSWER>>Moves downward and out as it contracts
Which are possible causes of upper airway obstruction? Select all that apply. - ANSWER>>-Laryngeal
edema
-Head and neck cancer
-Foreign body aspiration
-Lymph node enlargement
A chest x-ray report for a client indicates the presence of a left apical pneumothorax. The nurse would
assess the status of breath sounds in that area by placing the stethoscope in which location? -
ANSWER>>Just under the left clavicle
lung apex - ANSWER>>top of lung
lung base - ANSWER>>bottom of lungs
An ambulatory care nurse is assessing a client with chronic sinusitis. The nurse would expect to note
which assessment findings in this client? Select all that apply. - ANSWER>>Anosmia (loss of smell)
Chronic cough
Purulent nasal discharge
sinusitis - ANSWER>>When you have a sinus infection, one or more of your sinuses becomes inflamed
and fluid builds up, causing congestion and runny nose.
A clinic nurse notes that large numbers of clients present with flulike symptoms. Which
recommendations should the nurse include in the plan of care for these clients? Select all that apply. -
ANSWER>>-Get plenty of rest.
- Increase intake of liquids
-Take antipyretics for fever
- Eat fruits and vegetables high in vitamin C.
pleurisy - ANSWER>>inflammation of the sheet-like layers that cover the lungs (the pleura).
pleural friction rub - ANSWER>>a raspy breathing sound caused by inflammation of the tissues around
your lungs. The sound is usually "grating" or "creaky." It's also been compared to the sound of walking
on fresh snow.
The nurse is providing care for a client recently admitted with new onset pleurisy. Upon auscultation of
the client's lungs, the nurse notes the absence of the pleural friction rub, which was documented on
