Test Bank for Understanding Medical-Surgical Nursing 6th Edition By Linda S. Williams

UNDERSTANDINGbMEDICALbSURGICALbNURSINGb6THbEDITIONbWILLIAMSbTESTbBANK
489
TestbBankb-bUnderstandingbMedical-SurgicalbNursingb6eb(WilliamsbandbHopper)




Chapter 31. Nursing Care b b b b




of Patients With Lower Re
b b b b




spiratory TractDisorders b b




.
Multiple Choice b




Identifybthebchoicebthatbbestbcompletesbthebstatementborbanswersbthebquestion.



b

1.bAbpatientbisbadmittedbtobabrespiratorybunitbwithbabdiagnosisbofbleftblowerblobebpneumonia.bThebnursingb
assessmentbrevealsbthebpatientbtobbebfebrilebandbexperiencingbabweak,bcongested-
soundingbcough.bThebpatientbhasbmoistbcracklesbthroughoutbtheblungbfields.bBasedbonbthebdatabprovided,bwhi
chbnursingbdiagnosisbisbmostbappropriate?



a. Anxiety



b. ImpairedbGasbExchange



c. IneffectivebBreathingbPattern


d.bIneffectivebAirwaybClearance



b

2.bThebnursebisbcaringbforbabpatientbwithbpneumonia.bWhichblaboratorybtestbwouldbbestbhelpbthebnursebtob
monitorbthebconditionbofbthisbpatient?



a. Electrolytes,b serumb creatinine



b. Completebbloodbcountb(CBC),burinalysis


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, UNDERSTANDINGbMEDICALbSURGICALbNURSINGb6THbEDITIONbWILLIAMSbTESTbBANK
490
TestbBankb-bUnderstandingbMedical-SurgicalbNursingb6eb(WilliamsbandbHopper)




c. Partialbthromboplastinbtimeb(PTT),bserumbpotassium

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d.bWhitebbloodbcellb(WBC)bcount,barterialbbloodbgasesb(ABGs)


b

3.bAbpatientbisbunablebtobmaintainbabclearbairwaybeffectivelybwithbcoughingbandbhasbabrespiratorybratebofb
22/minbwithbcoarsebcracklesbbilaterally.bWhichbinterventionbshouldbthebnursebprovidebfirst?



a. Encouragebfluids.



b. Encouragebbedrest.



c. Performbtrachealbsuctioning.


d.bAssessbthebpatientsbcoughingbtechnique.



b

4.bThebnursebisbreviewingbdatabcollectedbonbabpatientbwithbabrespiratorybdisorder.bWhichbfactorbshouldbtheb
nursebidentifybthatbplacesbthebpatientbatbriskbforblungbcancer?



a. Smokingbandbexposurebtobradonbgas



b. Livingbinbabcoldbclimatebandbhavingbpets



c. Eatingbfoodsbhighbinbbetabcarotenebandbfiber



d. Livingbinbcrowdedbconditionsbandblackbofbsunlight


b

5.bAbpatientbwithblungbcancerbwhobisbscheduledbtobbeginbabcoursebofbradiationbtherapybasksbthebnurse,bHowb
willbtheybknowbifbImbcured?bThebnursesbbestbresponsebisbbasedbonbwhichbunderstandingbofbthebdiseasebprocess?



a. Lungbcancerbisbneverbabcurablebdisease;bprolongedblifebisbthebgoal.




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, UNDERSTANDINGbMEDICALbSURGICALbNURSINGb6THbEDITIONbWILLIAMSbTESTbBANK
491
TestbBankb-bUnderstandingbMedical-SurgicalbNursingb6eb(WilliamsbandbHopper)




b. Eightybpercentbofblungbcancersbarebcurablebwithbradiationbtherapy.



c. Radiationbinblungbcancerbisbmostboftenbusedbtobincreasebcomfort,bnotbcurebdisease.



d. Radiationbtherapybreducesbinflammation;bchemotherapybisbusedbtobshrinkbthebtumor.


b

6.bAbpatientbwithblungbcancerbdevelopsbpleuralbeffusion.bWhichbexplanationbbybthebnursebwouldbhelpbtheb
patientbunderstandbthisbproblem?



a. Pusbhasbdevelopedbinbyourbalveolibthatbmustbbebremovedbtobimprovebyourbbreathing.



b. Youbhaveblargebamountsbofbfluidbcollectingbinbyourbairwaysbbecausebofbtheblungbcancer.



c. Fluidbhasbcollectedbinbthebspacebbetweenbyourblungsbandbthebsacbsurroundingbyourblungs.



d. Fluidbinbyourbpericardialbsacbplacesbpressurebonbyourblungs,bmakingbitbdifficultbtobbreathe.


b

7.bAbpatientbdiagnosedbwithbabpleuralbeffusionbisbverybdyspneic.bWithbwhichbprocedurebshouldbthebnurseb
anticipatebassisting?



a. Tracheostomy



b. Thoracentesis



c. Bronchoscopy



d. Pericardiocentesis
b


8.bThebnursebisbprovidingbdischargebteachNiU
ngRS
foIN
rbaGpTaBti.C
enOtM
withbnewlybdiagnosedbasthma.bWhatbshouldbbebi
ncludedbinbthebdischargebteaching?



a. Fluidbfillsbthebtinybsacsbinbtheblungsbandbmakesbbreathingbdifficult.

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, UNDERSTANDINGbMEDICALbSURGICALbNURSINGb6THbEDITIONbWILLIAMSbTESTbBANK
492
TestbBankb-bUnderstandingbMedical-SurgicalbNursingb6eb(WilliamsbandbHopper)




b. Symptomsbarebcausedbbybinflammationbinbthebliningbofbyourbairways.



c. Youbmaybnoticeblargebamountsbofbpus-likebsputumbthatbhasbabfoulbodor.



d. Thebchestbwallbbecomesbstiffbandbairbmovementbisbrestrictedbinbindividualsbwithbasthma.



b 9.bThebnursebisbprovidingbroutinebfollow-upbcarebforbabyoungbadultbwithbasthmabwhobhasbbeenbonbab3-
bmonthbcoursebofbmaintenancebtherapy.bWhichbactivitybwouldbbestbhelpbthebnursebtobdeterminebifbthebpatientsb
treatmentbplanbwasbeffective?



a. ObtainbanbABGbanalysis.



b. Determinebthebpatientsbpulseboximeterbreading.



c. Evaluatebthebpatientsbusebofbanbincentivebspirometer.



d. Examinebdailybtrackingbrecordsbofbthebpeakbexpiratorybflowbrate.


b

10.bAbsummerbcampbworkerbreportsbtobthebcampbnursebwithbcomplaintsbofbshortnessbofbbreathbandbaudibleb
wheezing.bWhichbinhaledbmedicationbshouldbthebnursebprovide?



a. Albuterolb(Proventil)



b. Cromolynbsodiumb(Intal)





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