How does pursed lip breathing assist patients with asthma during an attack?
a. It distracts the patient with breathing technique to reduce anxiety.
b. It gets rid of CO2 faster.
c. It opens bronchioles by backflow air pressure.
d. It increases PACO2..
Question 2The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling) in the water seal chamber.
What is the most appropriate nursing action based on this assessment?
a.
Document the tidaling
b.
Elevate the head of the bed and notify charge nurse of malfunction of drainage system
c.
Add more sterile water to the water seal chamber
d.
Turn patient to the affected side
Question 3Which important precaution should the nurse include when instructing an emphysema patient on the use of home oxygen?
a. Use oxygen only when extremely short of breath
b. Keep the home oxygen regulator set on 6 L
c. Use home oxygen at night while sleeping
d. Limit to 1 to 2 L oxygen flow
Question 4The older adult patient with long-term emphysema complains of a sharp pleuritic pain after a severe period of coughing.
The patient's heart rate and respiratory rate have increased. Auscultation reveals no breath sounds on the left side. These are signs and symptoms of what condition?
a.
Pulmonary embolus
b.
Spontaneous pneumothorax
c.
Early signs of unilateral pneumonia
d.
An attack of asthma
Question 5The patient has advanced emphysema and complains of dyspnea and fatigue.
What would the most appropriate nursing intervention be for the nursing diagnosis of Activity intolerance related to an imbalance between the oxygen supply and demand?
a.
Direct patient in vigorous independent ROM.
b.
Allow to exercise until respirations are over 20 breaths/min over baseline.
c.
Plan care to provide optimum rest.
d.
Provide frequent cool showers.
Question 6How should the newly diagnosed patient who has been prescribed isoniazid (INH) for the treatment of active tuberculosis (TB) be advised?
a. Report redness and swelling of extremities
b. Accept that the therapy is long term
c. Monitor renal function every several months
d. Rise slowly to avoid dizziness
Question 7A nursing diagnosis for the patient with a new laryngectomy would be Social isolation related to impaired verbal communication related to removal of the larynx. What is an appropriate nursing intervention?
a. Complete care quickly
b. Provide a pad and pencil or magic slate
c. Refrain from conversations with the patient to reduce stress level
d. Offer books or jigsaw puzzles for entertainment
Question 8What is the purpose of the cilia?
a. Warm and moisturize inhaled air
b. Sweep debris toward nasal cavity
c. Stimulate cough reflex
d. Produce mucus
Question 9What happens when there is a decrease in the oxygen level in the blood?
a. Pituitary stimulates the respiratory system to increase respiratory rate
b. The alveoli diffuse more oxygen into the blood
c. Chemoreceptors in the carotid body and aortic body stimulate the respiratory centers to modify respiratory rates
d. The parietal pleura increases the negative pressure