ATI MED Surg Respiratory Exam Prep Questions With
100% Complete Solutions
- A nurse in a provider's office is collecting data from a client
C who states he was recently exposed to TB. Which of the following
findings is a clinical manifestation of pulmonary TB? - ANSWER -
night sweats - night sweats and fevers are clinical manifestations of TB
- pericardial friction rub is a manifestation of rheumatic carditis
- anorexia and weight loss are manifestations of TB, not weight gain
- cyanosis of the fingertips are manifestation of Raynaud's disease
A nurse is assisting with the plan of care for a client who has COPD and
is malnourished. Which of the following recommendations to promote
nutritional intake should the nurse include in the plan? - ANSWER -eat
high-calorie foods first - clients with COPD often experiences early
satiety. Therefore, the client should eat calorie-dense foods first
- although it is important for a client who has COPD to maintain
adequate fluid intake to prevent dehydration and inhibit the production
of tenacious secretions, the client should limit intake of water at meal
times to reduce the feeling of early fullness
- the client should rest before meals to decrease dyspnea while eating
- although the client should keep foods on hand for snacking, she should
avoid dry and salty foods, which can place her at risk for aspiration and
make her mouth dry
, A nurse is caring for a client who has a tracheostomy with an inflated
cuff in place. Which of the following findings indicate that the nurse
should suction the client's airway secretions? - ANSWER -the client has
coarse crackles in the lung fields - the nurse should auscultate coarse
crackles or rhonchi, identify a moist cough, hear or see secretions in the
tracheostomy tube, and then suction the client's airway secretions
- the client who has a tracheostomy with an inflated cuff in place is
unable to speak
- the nurse should assess the need for suctioning every 2 hr and then
suction as necessary
- the nurse should check the client's airway after coughing and only
suction the client's secretions, if the client is able to cough and
expectorate secretions
A nurse is reinforcing teaching with a client who has cystic fibrosis and
a prescription for daily chest physiotherapy. The nurse should instruct
the client that which of the following is the purpose of these treatments?
- ANSWER -to mobilize secretions in the airways - the purpose of chest
physiotherapy is to loosen the client's secretions and promote drainage
of secretions from the lungs. Chest physiotherapy includes percussion,
vibration, and promotion of drainage by gravity
- chest therapy does not encourage deep breaths. However, once
airway secretions are mobilized and expectorated, the client might be
able to breathe deeper
, - chest physiotherapy does not dilate the bronchioles, however,
aerosol bronchodilators are often administered to the client to facilitate
mobilizing secretions from larger airways
- chest physiotherapy does not stimulate the cough reflex, however,
the mobilization of secretions can increase the client's ability to cough
up secretions
A nurse is assisting with the development of a teaching plan about how
to prevent an acute asthma attack for a young adult client. Which of the
following points should the nurse plan to discuss first? - ANSWER
determine the client's perception of the disease process and what might
have triggered the current attack - the first step the nurse should take is
to assess the client's current knowledge, by applying the nursing process
priority-setting framework
- although it is important for the nurse to discuss how to eliminate
environmental triggers that precipitate asthma attacks, there is another
point the nurse should discuss first
- it is important for the nurse to discuss the client's medication
regimen to ensure understanding of how to use each medication, there is
another point the nurse should discuss first
- it is important for the nurse to review manifestations of respiratory
infections with the client, there is another point the nurse should discuss
first
A nurse is assisting with discharge teaching for a client who is
postoperative following a rhinoplasty. Which of the following
instructions should the nurse include? - ANSWER -"Lie on your back
100% Complete Solutions
- A nurse in a provider's office is collecting data from a client
C who states he was recently exposed to TB. Which of the following
findings is a clinical manifestation of pulmonary TB? - ANSWER -
night sweats - night sweats and fevers are clinical manifestations of TB
- pericardial friction rub is a manifestation of rheumatic carditis
- anorexia and weight loss are manifestations of TB, not weight gain
- cyanosis of the fingertips are manifestation of Raynaud's disease
A nurse is assisting with the plan of care for a client who has COPD and
is malnourished. Which of the following recommendations to promote
nutritional intake should the nurse include in the plan? - ANSWER -eat
high-calorie foods first - clients with COPD often experiences early
satiety. Therefore, the client should eat calorie-dense foods first
- although it is important for a client who has COPD to maintain
adequate fluid intake to prevent dehydration and inhibit the production
of tenacious secretions, the client should limit intake of water at meal
times to reduce the feeling of early fullness
- the client should rest before meals to decrease dyspnea while eating
- although the client should keep foods on hand for snacking, she should
avoid dry and salty foods, which can place her at risk for aspiration and
make her mouth dry
, A nurse is caring for a client who has a tracheostomy with an inflated
cuff in place. Which of the following findings indicate that the nurse
should suction the client's airway secretions? - ANSWER -the client has
coarse crackles in the lung fields - the nurse should auscultate coarse
crackles or rhonchi, identify a moist cough, hear or see secretions in the
tracheostomy tube, and then suction the client's airway secretions
- the client who has a tracheostomy with an inflated cuff in place is
unable to speak
- the nurse should assess the need for suctioning every 2 hr and then
suction as necessary
- the nurse should check the client's airway after coughing and only
suction the client's secretions, if the client is able to cough and
expectorate secretions
A nurse is reinforcing teaching with a client who has cystic fibrosis and
a prescription for daily chest physiotherapy. The nurse should instruct
the client that which of the following is the purpose of these treatments?
- ANSWER -to mobilize secretions in the airways - the purpose of chest
physiotherapy is to loosen the client's secretions and promote drainage
of secretions from the lungs. Chest physiotherapy includes percussion,
vibration, and promotion of drainage by gravity
- chest therapy does not encourage deep breaths. However, once
airway secretions are mobilized and expectorated, the client might be
able to breathe deeper
, - chest physiotherapy does not dilate the bronchioles, however,
aerosol bronchodilators are often administered to the client to facilitate
mobilizing secretions from larger airways
- chest physiotherapy does not stimulate the cough reflex, however,
the mobilization of secretions can increase the client's ability to cough
up secretions
A nurse is assisting with the development of a teaching plan about how
to prevent an acute asthma attack for a young adult client. Which of the
following points should the nurse plan to discuss first? - ANSWER
determine the client's perception of the disease process and what might
have triggered the current attack - the first step the nurse should take is
to assess the client's current knowledge, by applying the nursing process
priority-setting framework
- although it is important for the nurse to discuss how to eliminate
environmental triggers that precipitate asthma attacks, there is another
point the nurse should discuss first
- it is important for the nurse to discuss the client's medication
regimen to ensure understanding of how to use each medication, there is
another point the nurse should discuss first
- it is important for the nurse to review manifestations of respiratory
infections with the client, there is another point the nurse should discuss
first
A nurse is assisting with discharge teaching for a client who is
postoperative following a rhinoplasty. Which of the following
instructions should the nurse include? - ANSWER -"Lie on your back
