Med-Surg Test -1 (Respiratory) questions with answers

Med-Surg Test #1 (Respiratory) questions |\ |\ |\ |\




with answers
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A nurse is auscultating the lung sounds of a client who came to
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the clinic for a physical exam. There is not any history of lung
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disease. What should the nurse expect to hear?
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a. adventitious breath sounds
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b. bronchial breath sounds
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c. bronchovesicular breath sounds
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d. vesicular breath sounds - CORRECT ANSWERS ✔✔answer: c
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rationale: the nurse auscultates breath sounds from side to side,
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moving from the upper to the lower chest. They listen anteriorly,
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laterally, and posteriorly. Normal breath sounds include
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bronchovesicular sounds. |\




A client comes to the doctor's office describing shortness of
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breath and strange breath sounds when inhaling deeply. Upon
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auscultation of the lung fields, sibilant wheezes are noted. Which
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of the following statements by the nurse most correct?
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a. "Wheezes result from air passing through narrowed passages."
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b. "Wheezes result from air escaping through a pneumothorax."
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c. "Wheezes result from air collecting in the pleural cavity."
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d. "Wheezes result from air between visceral and parietal
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pleurae." - CORRECT ANSWERS ✔✔answer: a |\ |\ |\ |\ |\

,ratioanle: wheezes may be sibilant (hissing/whistling) or sonorous
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(full and deep). Sibilant wheezes (formerly called wheezes) are
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continuous musical sounds that can be heard during inspiration |\ |\ |\ |\ |\ |\ |\ |\ |\


and expiration; and result from air passing through narrowed or
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partially obstructed air passages and are heard in clients with
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increased secretions. |\




A nurse needs to obtain a sputum specimen from an adult client.
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Which nursing action will best facilitate obtaining the specimen?
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a. ask the client to spit into the collection container
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b. have the client take deep breaths
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c. restrict the client's fluids
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d. wait until after the client has eaten to get the specimen. -
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CORRECT ANSWERS ✔✔answer: b |\ |\ |\




rationale: collecting a sputum specimen have the client rinse
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their mouth with tap water; instruct the client to take several
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deep breaths, cough forcefully, and expectorate into the
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container.


The nurse is giving instructions to a client having pulmonary
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angiography. Which of the following statements is the best |\ |\ |\ |\ |\ |\ |\ |\ |\


evidence that the client understands the nurse's instructions
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about what will take place during the diagnostic procedure?
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Select all that apply. |\ |\ |\




a. "I may feel some pressure at the site."
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b. "I may have bleeding at the site following the procedure."
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c. "I will not be allowed to cough after the procedure."
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,d. "I will sense a warm, flushed feeling and an urge to cough
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when the dye is injected." - CORRECT ANSWERS ✔✔answer: a,d
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rationale: during pulmonary angiograpy, the nurse obtains data
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about the client's level of anxiety and knowledge of the
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procedure. The nurse provides explanations and reinforces the
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client's understanding. The client will experience a feeling of
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pressure on catheter insertion. When the contrast medium is
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infused, the client will sense a warm, flushed feeling and an urge
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to cough.
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When caring for a client having a lung scan, which of the
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following nursing interventions is most important during the
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procedure?
a. reassure the client about the amount of radiation from the
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procedure.
b. coach the client to hold his or her breath at times during the
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procedure
c.administer sedative or narcotic as per orders before the |\ |\ |\ |\ |\ |\ |\ |\ |\


procedure
d. aid the client to rest arms and head on a pillow during the
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procedure. - CORRECT ANSWERS ✔✔answer: a |\ |\ |\ |\ |\




rationale: the client must receive adequate explanations before
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the procedure to reduce anxiety. The nurse must reassure the
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client that the amount of radiation from this procedure is less
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than that used during a chest x-ray.
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, Movement of air into and out of the lungs sufficient to maintain
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normal arterial oxygen and carbon dioxide tensions is termed
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what?
a. perfusion
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b. ventilation
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c. diffusion
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d. inspiration - CORRECT ANSWERS ✔✔answer: b
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rationale: ventilation is the actual movement of air in and out of
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the respiratory tract. This process requires a patent airway and
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intact and functioning respiratory muscles.
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While conducting the physical examination during assessment of
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the respiratory system, which of the following would describe
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lung sounds produced by air movement through the trachea and
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are loud with long expiration?
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a. bronchovesicular sounds
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b. bronchial sounds
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c. sonorous wheezes
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d. vesicular sounds - CORRECT ANSWERS ✔✔answer: b
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rationale: normal bronchial lung sounds are auscultated over the
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trachea and are loud with long expiration.
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The physician orders arterial blood gases (ABGs) to determine
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various factors related to blood oxygenation on a patient who
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