Chapter 09 Care of the Patient with a Respiratory Disorder

Chapter 09  Care of the Patient with a Respiratory Disorder

MULTIPLE CHOICE

1. Which nursing intervention does the nurse add to the care plan to help a patient with thick sputum mobilize and expectorate those secretions?

1. Drink salty fluids such as broth and bouillon.
2. Drink 3 to 4 L of water a day.
3. Inhale cool mist from a vaporizer for 15 minutes four times a day.
4. Sit in a tub of hot water three times a day.

ANS: B
Encourage fluids to liquefy secretions and aid in their expectoration.

DIF: Cognitive Level: Analysis
REF: Pages 396, 423, Nursing Diagnoses boxes
TOP: Secretions KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity

2. The circulation of the lungs is through the

1. coronary arteries and coronary veins.
2. celiac arteries and celiac veins.
3. pulmonary arteries and pulmonary veins.
4. carotid arteries and jugular veins.

OBJ: 10

ANS: C
The lungs receive their blood supply, which comes directly from the heart, through the pulmonary arteries. The blood, now rich in oxygen, is returned to the heart for circulation to the body via the pulmonary veins to the left atrium.

DIF: Cognitive Level: Knowledge REF: Page 378 OBJ: 4 TOP: Circulation of the lungs KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity

3. A 52-year-old patient has had a laryngectomy in treatment of cancer. A nursing diagnosis for the patient with a laryngectomy would be social isolation related to impaired verbal communication related to removal of the larynx. The correct nursing intervention would be

1. complete care quickly.
2. provide a pad and pencil or magic slate available.
3. refrain from conversations with the patient to reduce his stress level.
4. offer books or jigsaw puzzles for entertainment.

ANS: B

Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 9-2

Provide patient with implements for communication. Rapidly completing care and provision of solitary activities does not reduce social isolation.

DIF: Cognitive Level: Application REF: Page 390, Nursing Daignoses box
OBJ: 20 TOP: Cancer of larynx
KEY: Nursing Process Step: Implementation

MSC: NCLEX: Physiological Integrity

4. A 62-year-old patient is seen in the emergency department with an epistaxis. When a patient has an epistaxis, the correct nursing interventions would be

1. place the patient in Fowler’s position with the head forward.
2. place the patient in low-Fowler’s position with the head hyperextended.
3. compress the nostrils tightly below the bone and hold for 1 minute.
4. place hot compresses over the nose.

ANS: A
Elevate head of bed. Place patient in Fowler’s position with the head forward. Compression of nostrils should be for 10-15 minutes. Hot compresses will increase bleeding-ice should be applied.

DIF: Cognitive Level: Application box
OBJ: 10 TOP: Epistaxis Implementation

MSC: NCLEX: Physiological Integrity

REF: Page 385, Nursing Diagnoses KEY: Nursing Process Step:

5. A 68-year-old male patient has chronic obstructive pulmonary disease (COPD). He has a markedly increased need for protein and calories to maintain an adequate nutritional status. To help him get the nutrition he needs, the nurse would encourage him to

1. eat three meals a day.
2. rest 30 minutes before eating.
3. drink fluids only with meals.
4. perform bronchial drainage 30 minutes after eating.

ANS: B
The nurse can assist the patient in maintaining nutritional intake by advising rest for 30 minutes before eating.

DIF: Cognitive Level: Analysis REF: Pages 423, 426
OBJ: 18 TOP: Chronic obstructive pulmonary disease (COPD)
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity