Complex Respiratory Disorders and Vents Practice Quizzes |
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1. The patient with a chest tube is being transported to X-ray. Which complication may
occur if the chest tube is clamped during transportation?
A. Tension pneumothorax
B. Cardiac tamponade
C. Flail chest
D. Pulmonary contusion
2. A client is brought to the emergency department following a motor vehicle accident.
Which of the following nursing assessments is significant in diagnosing this client with
flail chest?
A. Respiratory acidosis
B. Paradoxical chest movement
C. Chest pain on inspiration
D. Clubbing of fingers and toes
3. A nurse is caring for a client with chest trauma. Which nursing diagnosis takes the
highest priority?
A. Impaired gas exchange
B. Anxiety
C. Decreased cardiac output
D. Ineffective tissue perfusion (cardiopulmonary)
,4. A client who underwent surgery 12 hours ago has difficulty breathing. He has petechiae
over his chest and complains of acute chest pain. What action should the nurse take first?
A. Initiate oxygen therapy.
B. Administer a heparin bolus and begin an infusion at 500 units/hour.
C. Administer analgesics as ordered.
D. Perform nasopharyngeal suctioning.
5. The ICU nurse is caring for a client who was admitted with a diagnosis of smoke
inhalation. The nurse knows that this client is at increased risk for which of the
following?
A. Acute respiratory distress syndrome
B. Lung cancer
C. Bronchitis
D. Tracheobronchitis
6. A client diagnosed with acute respiratory distress syndrome (ARDS) is restless and has a
low oxygen saturation level. If the client's condition does not improve and the oxygen
saturation level continues to decrease, what procedure will the nurse expect to assist with
in order to help the client breathe more easily?
A. Intubate the client and control breathing with mechanical ventilation
B. Increase oxygen administration
C. Administer a large dose of furosemide (Lasix) IVP stat
D. Schedule the client for pulmonary surgery
, 7. A patient arrives in the emergency department after being involved in a motor vehicle
accident. The nurse observes paradoxical chest movement when removing the patient's
shirt. What does the nurse know that this finding indicates?
A. Pneumothorax
B. Flail chest
C. ARDS
D. Tension pneumothorax
8. A client arrived in the emergency department with a sharp object penetrating the
diaphragm. When planning nursing care, which nursing diagnosis would the nurse
identify as a priority?
A. Acute Pain
B. Potential for Infection
C. Impaired Gas Exchange
D. Ineffective Airway Clearance
9. A physician stated to the nurse that the client has fluid in the pleural space and will need
a thoracentesis. The nurse expects the physician to document this fluid as
A. pneumothorax.
B. hemothorax.
C. consolidation.
D. pleural effusion.