Question 1

Which of the following instructions is appropriate when teaching a dyspneic patient how to breathe effectively?

Accepted Answer

The answer of Which of the following instructions is appropriate...

Question 2

What is the rationale for placing a dyspneic patient in Fowler's position?

Accepted Answer

The answer of What is the rationale for placing a...

Question 3

A nurse is providing discharge instructions for a patient who is to use an adrenergic bronchodilator metered dose inhaler (MDI). Which of the following would be included in the teaching?

Accepted Answer

The answer of A nurse is providing discharge instructions for...

Question 4

A patient's arterial blood gas analysis shows a PaCO2 of 68 mm Hg. What action should the nurse take first?

Accepted Answer

The answer of A patient's arterial blood gas analysis shows...

Question 5

A patient has a thoracentesis for dyspnea caused by a pleural effusion. The physician obtains 1,000 mL of fluid. Which of the following indicates that the thoracentesis has been effective?

Accepted Answer

The answer of A patient has a thoracentesis for dyspnea...

Question 6

A patient with cancer in the left lung is acutely short of breath. Which position should the nurse suggest the patient assume?

Accepted Answer

The answer of A patient with cancer in the left...

Question 7

A patient returns to the medical unit after a pulmonary angiogram. Which of the following instructions by the nurse would help prevent complications from the test?

Accepted Answer

Lying flat for a period after a pulmonary angiogram is important to prevent bleeding from the catheter insertion site, which is a common complication following this procedure.

Question 8

After providing chest physiotherapy, the nurse notes the patient has loose secretions and a slight rattle with expiration. Which of the following actions should the nurse take first?

Accepted Answer

Encouraging the patient to cough and deep breathe is the first intervention, as it promotes the removal of loose secretions from the airway. Administering an expectorant or suctioning may be necessary if coughing and deep breathing are ineffective, but they are not the first interventions. Keeping the patient on bedrest for 4 hours is not indicated.

Question 9

After a bronchoscopic examination, the patient must remain NPO until the return of the gag reflex. How can the nurse determine when the gag reflex has returned?

Accepted Answer

Touching the roof of the mouth with a gloved finger is the most reliable way to determine if the gag reflex has returned.

Question 10

The LPN is assigned to monitor a patient with chronic lung disease who is receiving oxygen via a nonrebreathing mask. Which of the following observations tells the nurse that the system is functioning as expected?

Accepted Answer

The answer of The LPN is assigned to monitor a...

Question 11

A patient with a tracheostomy is dyspneic and has coarse crackles anteriorly on auscultation. What should the nurse do first?

Accepted Answer

Given the patient's symptoms of dyspnea and coarse crackles, the first priority should be to suction the tracheostomy to clear any airway secretions that may be causing the breathing difficulty. The other options may be appropriate interventions but are not the priority in this situation.

Question 12

Which of the following best describes an oxygen saturation value?

Accepted Answer

The answer of Which of the following best describes an...

Question 13

The nurse is examining a chest drainage system on a patient with a pneumothorax and notes the water level in the water seal chamber fluctuating with each of the patient's respirations. How should the nurse respond?

Accepted Answer

The answer of The nurse is examining a chest drainage...

Question 14

A patient with a tracheostomy requires suctioning. How many seconds can the nurse suction safely with each pass of the catheter?

Accepted Answer

The nurse can safely suction the patient for 15 seconds.C.D.More than 15 seconds can irritate mucosa and suction out too much oxygen.A.3 seconds may not provide enough suction to remove secretions.

Question 15

A patient's arterial blood gas analysis shows a pH of 7.28. The PaCO₂ is high. Which of the following acid-base imbalances is the patient experiencing?

Accepted Answer

The patient is experiencing respiratory acidosis, as indicated by a low pH (7.28, which is acidic) and a high PaCO2, suggesting that the acidosis is due to inadequate exhalation of CO2.

Question 16

A patient enters the emergency department with a stab wound to the chest. The physician places chest tubes to drain air and blood from the patient's thoracic cavity. The nurse sets up the chest tube drainage system. Where should the system be placed?

Accepted Answer

The chest tube drainage system should be placed 1 inch higher than the head of the bed to promote drainage of air and blood from the patient's thoracic cavity.

Question 17

A patient's oxygen saturation is 89%. Which of the following actions has the highest priority?

Accepted Answer

The answer of A patient's oxygen saturation is 89%. Which...

Question 18

A patient is being taught to administer nebulized mist treatments (NMTs) at home. Which outcome best helps the nurse know that the patient is able to administer the treatments?

Accepted Answer

The answer of A patient is being taught to administer...

Question 19

A patient with a chest drainage system is admitted to the respiratory unit. The nurse notes vigorous bubbling in the water seal chamber of the system. Which of the following actions by the nurse is correct?

Accepted Answer

The answer of A patient with a chest drainage system...

Question 20

A postoperative patient is taking shallow breaths because of fear of incisional pain. Which of the following actions should the nurse take first?

Accepted Answer

The answer of A postoperative patient is taking shallow breaths...

Quiz 29: Respiratory System Function, Assessment, and Therapeutic Measures

Which of the following instructions is appropriate when teaching a dyspneic patient how to breathe effectively?

What is the rationale for placing a dyspneic patient in Fowler's position?

A nurse is providing discharge instructions for a patient who is to use an adrenergic bronchodilator metered dose inhaler (MDI) . Which of the following would be included in the teaching?

A patient's arterial blood gas analysis shows a PaCO2 of 68 mm Hg. What action should the nurse take first?

A patient has a thoracentesis for dyspnea caused by a pleural effusion. The physician obtains 1,000 mL of fluid. Which of the following indicates that the thoracentesis has been effective?

A patient with cancer in the left lung is acutely short of breath. Which position should the nurse suggest the patient assume?

A patient returns to the medical unit after a pulmonary angiogram. Which of the following instructions by the nurse would help prevent complications from the test?

After providing chest physiotherapy, the nurse notes the patient has loose secretions and a slight rattle with expiration. Which of the following actions should the nurse take first?

After a bronchoscopic examination, the patient must remain NPO until the return of the gag reflex. How can the nurse determine when the gag reflex has returned?

The LPN is assigned to monitor a patient with chronic lung disease who is receiving oxygen via a nonrebreathing mask. Which of the following observations tells the nurse that the system is functioning as expected?

A patient with a tracheostomy is dyspneic and has coarse crackles anteriorly on auscultation. What should the nurse do first?

Which of the following best describes an oxygen saturation value?

The nurse is examining a chest drainage system on a patient with a pneumothorax and notes the water level in the water seal chamber fluctuating with each of the patient's respirations. How should the nurse respond?

A patient with a tracheostomy requires suctioning. How many seconds can the nurse suction safely with each pass of the catheter?

A patient's arterial blood gas analysis shows a pH of 7.28. The PaCO₂ is high. Which of the following acid-base imbalances is the patient experiencing?

A patient enters the emergency department with a stab wound to the chest. The physician places chest tubes to drain air and blood from the patient's thoracic cavity. The nurse sets up the chest tube drainage system. Where should the system be placed?

A patient's oxygen saturation is 89%. Which of the following actions has the highest priority?

A patient is being taught to administer nebulized mist treatments (NMTs) at home. Which outcome best helps the nurse know that the patient is able to administer the treatments?

A patient with a chest drainage system is admitted to the respiratory unit. The nurse notes vigorous bubbling in the water seal chamber of the system. Which of the following actions by the nurse is correct?

A postoperative patient is taking shallow breaths because of fear of incisional pain. Which of the following actions should the nurse take first?

Quiz 29: Respiratory System Function, Assessment, and Therapeutic Measures

Which of the following instructions is appropriate when teaching a dyspneic patient how to breathe effectively?

What is the rationale for placing a dyspneic patient in Fowler's position?

A nurse is providing discharge instructions for a patient who is to use an adrenergic bronchodilator metered dose inhaler (MDI) . Which of the following would be included in the teaching?

A patient's arterial blood gas analysis shows a PaCO2 of 68 mm Hg. What action should the nurse take first?

A patient has a thoracentesis for dyspnea caused by a pleural effusion. The physician obtains 1,000 mL of fluid. Which of the following indicates that the thoracentesis has been effective?

A patient with cancer in the left lung is acutely short of breath. Which position should the nurse suggest the patient assume?

A patient returns to the medical unit after a pulmonary angiogram. Which of the following instructions by the nurse would help prevent complications from the test?

After providing chest physiotherapy, the nurse notes the patient has loose secretions and a slight rattle with expiration. Which of the following actions should the nurse take first?

After a bronchoscopic examination, the patient must remain NPO until the return of the gag reflex. How can the nurse determine when the gag reflex has returned?

The LPN is assigned to monitor a patient with chronic lung disease who is receiving oxygen via a nonrebreathing mask. Which of the following observations tells the nurse that the system is functioning as expected?

A patient with a tracheostomy is dyspneic and has coarse crackles anteriorly on auscultation. What should the nurse do first?

Which of the following best describes an oxygen saturation value?

The nurse is examining a chest drainage system on a patient with a pneumothorax and notes the water level in the water seal chamber fluctuating with each of the patient's respirations. How should the nurse respond?

A patient with a tracheostomy requires suctioning. How many seconds can the nurse suction safely with each pass of the catheter?

A patient's arterial blood gas analysis shows a pH of 7.28. The PaCO2 is high. Which of the following acid-base imbalances is the patient experiencing?

A patient enters the emergency department with a stab wound to the chest. The physician places chest tubes to drain air and blood from the patient's thoracic cavity. The nurse sets up the chest tube drainage system. Where should the system be placed?

A patient's oxygen saturation is 89%. Which of the following actions has the highest priority?

A patient is being taught to administer nebulized mist treatments (NMTs) at home. Which outcome best helps the nurse know that the patient is able to administer the treatments?

A patient with a chest drainage system is admitted to the respiratory unit. The nurse notes vigorous bubbling in the water seal chamber of the system. Which of the following actions by the nurse is correct?

A postoperative patient is taking shallow breaths because of fear of incisional pain. Which of the following actions should the nurse take first?

A patient's arterial blood gas analysis shows a pH of 7.28. The PaCO₂ is high. Which of the following acid-base imbalances is the patient experiencing?