GNRS 554: Respiratory Exam Practice Questions and Answers 100% Solved correctly

A client diagnosed with COPD is drowsy and unable to expectorate secretions. The nurse takes which initial action? a. forces fluids b. administers high flow O2 via mask c. performs nasotracheal suctioning d. encourages client to pursed lip breathe - c. performs nasotracheal suctioning Explanation: increased drowsiness in COPD can indicate CO2 retention. If the client is unable to expectorate secretions, nasotracheal suctioning is appropriate to clear the airway and facilitate coughing for the client. The nurse would first auscultate breath sounds to determine if suctioning is required, and auscultate the lungs after suctioning to determine if suctioning was effective. A client is admitted to the hospital after sustaining severe electrical burns. A tracheostomy is performed, and the client is unable to use either hand. It is most important for the nurse to take which action? a. obtain a closed-circuit video monitor b. pad the side rails of the bed c. obtain a blow-touch call bell d. transfer the client with a Hoyer lift - c. obtain a blow-touch call bell Explanation: call systems can keep clients safe since they will be able to call for assistance when required. The client is unable to use either hand, so the most appropriate way for the client to call the nurse or a nursing assistant is with a blow-touch call bell. A client is prescribed rifampin and isoniazid. Which explanation concerning these medications is most appropriate for the nurse to give the client?a. "you will have to take these medications for the rest of your life." b. "you must isolate yourself from your family while on these medications." c. "you will have to take these medications for 6-9 months." d. "you will need to take these medications only when you have symptoms." - c. "you will have to take these medications for 6-9 months." Explanation: It is important that people with TB get treated, take medications exactly as prescribed, and complete the medication regimen. Due to development of drug-resistant strains of TB, multiple medications are prescribed. If a client stops taking the medications too soon, the client can become sick again. If the client does not take the medications correctly, the TB bacteria that are still alive may become resistant to those medications. TB that is resistant to drugs is harder and more expensive to treat. A client is scheduled for rhinoplasty. Postoperatively, it is most important for the nurse to place the client in which position? a. supine b. left sims c. modified trendelenburg d. semi-fowler - d. semi-fowler Explanation: the client is positioned on the back with the head and trunk raised to between 15 and 45 degrees. The client should be placed in semi-fowler position to decrease edema, promote drainage, and facilitate breathing. A client requires emergency tracheostomy. When caring for the tracheostomy, the nurse takes which action? a. suctions the tracheostomy every hour b. cleans the inner cannula after suctioning c. cleans the site every four hours d. hyperextends the client's neck to maintain patency - c. cleans the site every four hours