Deck 35: Nursing Care of People With Ventilation Disorders

Question 1

Which of the following would be the nurse's assessment of a patient that was admitted with hypoxia that has been advanced from a face mask to a nasal cannula?

A)Improving
B)Stabilising
C)Affected by another health issue
D)Worsening

Answer 1

Improving

Question 2

A person is diagnosed with a fungal respiratory infection. Which of the following elements of this person's history would help explain the reason for the disease? The person:

A)is a train driver.
B)works part-time on a fresh poultry farm.
C)drives a vehicle that uses diesel fuel.
D)lives in a city with chemical plants.

Answer 2

works part-time on a fresh poultry farm.

Question 3

A person who is receiving radiation therapy for lung cancer complains of ongoing fatigue. What is appropriate teaching for this person?

A)Restricting protein intake often helps with the fatigue.
B)This is a complication of radiation therapy and will continue for years.
C)Frequent rest periods and good nutrition can help with the fatigue.
D)There is nothing that can help with the fatigue.

Answer 3

Frequent rest periods and good nutrition can help with the fatigue.

Question 4

A person is diagnosed with a tension pneumothorax. Which of the following would be consistent with this diagnosis?

A)Absent breath sounds on the affected side
B)Distended neck veins
C)Bradycardia
D)Bradypnoea

Question 5

A 20-year-old person who is asking questions about smoking cessation tells the nurse about an upcoming class on scuba diving. The nurse identifies that this person might be at risk of developing what?

A)Haemothorax
B)Pneumothorax
C)Pulmonary oedema
D)Atelectasis

Question 6

The nurse observes air bubbles in a person's chest tube water seal chamber. How should the nurse interpret this finding?

A)An emergency as air is entering the tubing
B)Normal
C)An indication that the pneumothorax is worsening
D)An indication to replace the chest tube

Question 7

A person who is diagnosed with primary atypical pneumonia tells the nurse that he 'doesn't feel too sick.' What is the nurse's best response?

A)'You're lucky.'
B)'This type of pneumonia is usually mild in its effects.'
C)'You must be in the recovery phase of the disease.'
D)'As the illness progresses you will get much sicker.'

Question 8

A person with lung cancer is demonstrating signs of complete tumour response after two courses of chemotherapy. What should the nurse conclude about this response? It is:

A)an indication that radiation therapy can now be commenced.
B)good for long-term survival from the disease.
C)a contraindication for further chemotherapy.
D)an indication that surgery can now be safely performed.

Question 9

Which of the following should be included in the discharge instructions of a patient diagnosed with a lung abscess?

A)Complete the entire course of antibiotics.
B)Expect symptoms to initially worsen.
C)Recommence routine activities of daily living.
D)Lung abscesses rarely cause other problems once treatment is started.

Question 10

Which of the following statements is correct about a white blood cell (WBC)differential for a person with pneumonia? The white blood cell count is:

A)slightly elevated with viral pneumonia.
B)depressed with viral pneumonia.
C)decreased with bacterial pneumonia.
D)elevated with bacterial pneumonia.

Question 11

The nurse is providing care to a person with a differential diagnosis of carbon monoxide poisoning. Which of the following would be consistent with this diagnosis? Select all that apply.

A)Cherry red mucous membranes
B)Nausea
C)Dizziness
D)Circumoral pallor

Question 12

A person who had a Mantoux test for tuberculosis 2 days ago has a 2 mm area of erythema at the site of the test. What is the significance of the person's test result? It:

A)is positive for tuberculosis.
B)is negative for tuberculosis.
C)should be followed up with a chest x-ray.
D)requires a lung biopsy.

Question 13

A person states, 'I've been sick for days and all my general practitioner does is take a chest x-ray, hand me prescriptions, and tell me I have bronchitis.' Which of the following is correct about the person's treatment? It:

A)is inappropriate for the diagnosis of bronchitis.
B)should include more diagnostic tests.
C)is appropriate for the diagnosis.
D)should include hospitalisation for intravenous antibiotic therapy.

Question 14

A person is diagnosed with pleurisy. What does the nurse teach the person to do for the associated chest pain?

A)Warn the person to expect a fever to develop.
B)Teach the person how to splint the affected area when coughing.
C)Advise the person to maintain strict bed rest.
D)Only take the prescribed analgesic when the pain is severe.

Question 15

During the assessment of a person's respiratory status, the nurse notes paradoxical lung movements. What is this finding consistent with?

A)Pneumothorax
B)Lung abscess
C)Flail chest
D)Atelectasis

Question 16

A person who is on isoniazid (INH)for pulmonary tuberculosis tells the nurse he doesn't like taking the medication because it makes his 'fingers burn.' What is the person experiencing?

A)A long-term complication of isoniazid (INH)that has no effective treatment
B)A long-term complication of isoniazid (INH)that can be treated with folic acid
C)A common side effect of isoniazid (INH)that will go away after completing the medication
D)A common side effect of isoniazid (INH)that can be treated with vitamin B6

Question 17

A person tells the nurse he had the Bacille Calmette-Guérin (BCG)vaccination as a child because his mother had tuberculosis. How should this person be screened for tuberculosis?

A)By a Mantoux skin test
B)With a chest x-ray
C)By both sputum and Mantoux tests
D)By an AFB sputum test

Question 18

The nurse is providing care to a person with pulmonary tuberculosis. What should the nurse do to ensure personal protection while caring for this person?

A)Wear a gown and goggles.
B)Wear a gown and face mask.
C)Wear a gown and sterile gloves.
D)Wear a gown and wash hands thoroughly.

Question 19

What does bright orange urine signify in a patient taking rifampicin for treatment of tuberculosis?

A)An opportunistic urinary tract infection
B)A common side effect of rifampicin (RMP)therapy
C)A manifestation of developing renal failure
D)The onset of a kidney stone

Question 20

A person who is being treated at home for pneumonia is demonstrating signs of increased confusion. What does this information indicate to the nurse? The person:

A)is experiencing an adverse effect of the prescribed medication.
B)has become dehydrated.
C)is improving.
D)could be experiencing a worsening of the pneumonia.