Chapter 23 Management of Patients With Chest and Lower Respiratory Tract Disorders

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Chapter 23  Management of Patients With Chest and Lower Respiratory Tract Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. A critical-care nurse is caring for a postoperative patient following lung surgery. The patient has a shallow, monotonous respiratory pattern and is reluctant to cough. What may the patient may be at an increased risk for?
A) Increased oxygen saturation

B) Atelectasis C) Aspiration D) Malnutrition

Ans: B
Chapter: 23
Client Needs: D-3
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Nursing Process Objective: 1
Page and Header: 552, Atelectasis

Feedback: The reluctance to cough is likely due to poor pain control. A shallow, monotonous respiratory pattern places the patient at an increased risk of developing atelectasis. The patient would not be at increased risk for increased oxygen saturation, aspiration, or malnutrition.

2. A critical-care nurse is caring for a 68-year-old patient diagnosed with mycoplasmal pneumonia after a surgical procedure. The nurse documents that the patient has an increased work of breathing due to copious tracheobronchial secretions. What should the nurse encourage the patient to do?
A) Increase oral fluids unless contraindicated
B) Call the nurse for deep suctioning
C) Lie in a low Fowler’s position
D) Increase activity

Ans: A
Chapter: 23
Client Needs: D-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 3
Page and Header: 563, Respiratory Infections

Feedback: The nurse should encourage hydration because adequate hydration thins and loosens pulmonary secretions. Deep suctioning may cause trauma to the mucosa. The patient should have the head of the bed increased, and rest should be promoted to avoid exacerbation of symptoms.

3. You are helping to give Mantoux tests to children who are being registered for kindergarten in your community. How should you administer this test?
A) Interdermal injection into the inner forearm
B) Intramuscular injection into the vastus lateralis

C) Subcutaneous injection into the umbilical area D) Insert at a 45-degree angle into the deltoid

Ans: A
Chapter: 23
Client Needs: D-2
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 2
Page and Header: 569, Respiratory Infections

Feedback: The PPD is injected into the intradermal layer of the inner aspect of the forearm.

Therefore, options B, C, and D are incorrect.

4. The nurse is caring for a patient who has been in a motor vehicle accident. The patient has been diagnosed with pleurisy. What is the preferred treatment for pain caused by pleurisy?
A) Morphine sulfate
B) Meperidine sulfate

C) Acetaminophen D) Indomethacin

Ans: D
Chapter: 23
Client Needs: D-2
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 5
Page and Header: 574, Pleural Conditions

Feedback: The drug that is commonly used to control pain for patients with pleurisy is indomethacin. Morphine sulfate and meperidine sulfate are generally not used. Acetaminophen may not provide enough relief for the pain.

5. A nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the rationale behind this nursing action?
A) Because smoking decreases the amount of mucus production
B) Because smoking oxygenates the hemoglobin

C) Because smoking inflates the alveoli in the lungs
D) Because smoking damages the ciliary cleansing mechanism of the respiratory tract

Ans: D
Chapter: 23
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 6
Page and Header: 565, Respiratory Infections

Feedback: Smoking damages the ciliary cleansing mechanism of the respiratory tract. Smoking also increases the amount of mucus production, reduces the oxygen-carrying capacity of

hemoglobin, and distends the alveoli in the lungs.

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