NUR 2102 Exam 3 – Questions With Thorough
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Terms in this set (64)
A patient tells the nurse c. 40
that she has smoked 2
packs of cigarettes a day Two packs of cigarettes × 20 years = 40 pack-years.
for 20 years. The nurse This incorrect calculation was made by dividing 20
records this as how many years by 2 packs. Option B is correct if the patient
pack-years? smoked 1 pack per day for 20 years. Option D is
a. 10 correct if the patient smoked 3 packs per day for 20
b. 20 years or 2 packs a day for 30 years.
c. 40
d. 60
After taking a brief health a. A male who works as a painter
history, a nurse needs to
complete a focused The fumes and chemicals from the paint may expose
assessment on which the patient to respiratory irritants. A baseline
patient? pulmonary assessment needs to be documented.
a. A male who works as a Other patients are not at risk for pulmonary disease.
painter
b. A male who plays
basketball and hockey
c. A female who recently
moved into a college
dormitory
d. A female who has a
history of gout
,During a symptom d. Bacteria
analysis, a patient
describes his productive Bacteria usually produce sputum that is yellow or
cough and states his green in color. A virus usually produces a
sputum is thick and nonproductive cough. An allergy usually produces
yellow. Based on these clear sputum. A fungus usually produces few
data, the nurse suspects symptoms. The sputum used to diagnose the fungus
which factor as the cause is obtained from tracheal aspiration rather than the
of these symptoms? patient coughing up the sputum.
a. Virus
b. Allergy
c. Fungus
d. Bacteria
During the problem- a. "Does the sputum have an odor?"
based history, a patient
reports coughing up Sputum with odor and sputum production with
sputum when lying on change of position is associated with lung abscess
the right side, but not or bronchiectasis. Chest pain on deep breathing is
when lying on the back associated with pleural lining irritation. Tightness in
or left side. The nurse the chest is associated with asthma. Coughing up
suspects this patient may rust-colored sputum is associated with pneumonia,
have a lung abscess. but coughing up blood may be associated with lung
What additional question cancer.
does the nurse ask to
gather more data?
a. "Does the sputum have
an odor?"
b. "Do you have chest
pain when you take a
deep breath?"
c. "Have you also
experienced tightness in
your chest?"
d. "Have you coughed up
any blood?"
,Which question will give b. "How has this condition affected your day-to-day
the nurse additional activities?"
information about the
nature of a patient's Question B provides data about the severity of the
dyspnea? dyspnea and what actions the patient has taken to
a. "How often do you see cope with the dyspnea on a daily basis. Question A
the physician?" does not relate specifically to the patient's dyspnea.
b. "How has this condition This closed question (Question C) provides data, but
affected your day-to-day does not give additional facts about the patient's
activities?" dyspnea. A closed question limits the amount of
c. "Do you have a cough information gathered about the patient's dyspnea.
that occurs with the Question D is a closed-ended question that does
dyspnea?" not collect additional data about this episode of
d. "Does your heart rate dyspnea.
increase when you are
short of breath?"
A patient complains of c. Bilateral peripheral edema
shortness of breath and
having to sleep on three Bilateral peripheral edema indicates heart failure;
pillows to breathe dyspnea occurs because the heart cannot
comfortably at night. adequately perfuse the lungs. Increased
During the nurse's anteroposterior diameter is seen with lung
examination, what hyperinflation and may be associated with
findings will suggest that emphysema. Clubbing of the fingers is associated
the cause of this patient's with chronic hypoxia and may be associated with
dyspnea is due to heart cystic fibrosis or chronic obstructive pulmonary
disease rather than disease. Increased tactile fremitus occurs when
respiratory disease? vibrations are enhanced and is associated with
a. Increased consolidation that may occur in pneumonia or
anteroposterior diameter tumor.
b. Clubbing of the fingers
c. Bilateral peripheral
edema
d. Increased tactile
fremitus
, During a history, a nurse d. An increased anteroposterior diameter
notices a patient is short
of breath, is using An increased anteroposterior diameter is consistent
pursed-lip breathing, and with emphysema. Increased tactile fremitus occurs
maintains a tripod when vibrations are enhanced and is associated with
position. Based on these consolidation that may occur in pneumonia or
data, what abnormal tumor. Inspiratory and expiratory wheezing is
finding should the nurse associated with asthma. Tracheal deviation is
expect to find during the associated with tension pneumothorax.
examination?
a. Increased tactile
fremitus
b. Inspiratory and
expiratory wheezing
c. Tracheal deviation
d. An increased
anteroposterior diameter
A nurse notices a a. Palpate for tracheal deviation.
patient's chest wall
moving in during Chest wall moving in during inspiration and out
inspiration and out during during expiration is paradoxical chest wall
expiration. What movement. It can be caused by a tension
additional assessment pneumothorax, which increases intrathoracic
must the nurse perform pressure in the thorax, causing tracheal deviation
immediately? and indicating mediastinal shift. Tension
a. Palpate for tracheal pneumothorax does not create bronchovesicular
deviation. breath sounds in the lung periphery. Option C is
b. Auscultate for performed when the patient has air in the
bronchovesicular breath subcutaneous tissue or pleural friction rub. Absent
sounds in the lung breath sounds may be found in pneumothorax, but if
periphery. the patient has a tension pneumothorax, tracheal
c. Palpate posterior deviation is a more important sign.
thoracic muscles for
tenderness.
d. Auscultate for absence
of breath sounds in the
lung periphery.
Step By Step Solutions
Save
Terms in this set (64)
A patient tells the nurse c. 40
that she has smoked 2
packs of cigarettes a day Two packs of cigarettes × 20 years = 40 pack-years.
for 20 years. The nurse This incorrect calculation was made by dividing 20
records this as how many years by 2 packs. Option B is correct if the patient
pack-years? smoked 1 pack per day for 20 years. Option D is
a. 10 correct if the patient smoked 3 packs per day for 20
b. 20 years or 2 packs a day for 30 years.
c. 40
d. 60
After taking a brief health a. A male who works as a painter
history, a nurse needs to
complete a focused The fumes and chemicals from the paint may expose
assessment on which the patient to respiratory irritants. A baseline
patient? pulmonary assessment needs to be documented.
a. A male who works as a Other patients are not at risk for pulmonary disease.
painter
b. A male who plays
basketball and hockey
c. A female who recently
moved into a college
dormitory
d. A female who has a
history of gout
,During a symptom d. Bacteria
analysis, a patient
describes his productive Bacteria usually produce sputum that is yellow or
cough and states his green in color. A virus usually produces a
sputum is thick and nonproductive cough. An allergy usually produces
yellow. Based on these clear sputum. A fungus usually produces few
data, the nurse suspects symptoms. The sputum used to diagnose the fungus
which factor as the cause is obtained from tracheal aspiration rather than the
of these symptoms? patient coughing up the sputum.
a. Virus
b. Allergy
c. Fungus
d. Bacteria
During the problem- a. "Does the sputum have an odor?"
based history, a patient
reports coughing up Sputum with odor and sputum production with
sputum when lying on change of position is associated with lung abscess
the right side, but not or bronchiectasis. Chest pain on deep breathing is
when lying on the back associated with pleural lining irritation. Tightness in
or left side. The nurse the chest is associated with asthma. Coughing up
suspects this patient may rust-colored sputum is associated with pneumonia,
have a lung abscess. but coughing up blood may be associated with lung
What additional question cancer.
does the nurse ask to
gather more data?
a. "Does the sputum have
an odor?"
b. "Do you have chest
pain when you take a
deep breath?"
c. "Have you also
experienced tightness in
your chest?"
d. "Have you coughed up
any blood?"
,Which question will give b. "How has this condition affected your day-to-day
the nurse additional activities?"
information about the
nature of a patient's Question B provides data about the severity of the
dyspnea? dyspnea and what actions the patient has taken to
a. "How often do you see cope with the dyspnea on a daily basis. Question A
the physician?" does not relate specifically to the patient's dyspnea.
b. "How has this condition This closed question (Question C) provides data, but
affected your day-to-day does not give additional facts about the patient's
activities?" dyspnea. A closed question limits the amount of
c. "Do you have a cough information gathered about the patient's dyspnea.
that occurs with the Question D is a closed-ended question that does
dyspnea?" not collect additional data about this episode of
d. "Does your heart rate dyspnea.
increase when you are
short of breath?"
A patient complains of c. Bilateral peripheral edema
shortness of breath and
having to sleep on three Bilateral peripheral edema indicates heart failure;
pillows to breathe dyspnea occurs because the heart cannot
comfortably at night. adequately perfuse the lungs. Increased
During the nurse's anteroposterior diameter is seen with lung
examination, what hyperinflation and may be associated with
findings will suggest that emphysema. Clubbing of the fingers is associated
the cause of this patient's with chronic hypoxia and may be associated with
dyspnea is due to heart cystic fibrosis or chronic obstructive pulmonary
disease rather than disease. Increased tactile fremitus occurs when
respiratory disease? vibrations are enhanced and is associated with
a. Increased consolidation that may occur in pneumonia or
anteroposterior diameter tumor.
b. Clubbing of the fingers
c. Bilateral peripheral
edema
d. Increased tactile
fremitus
, During a history, a nurse d. An increased anteroposterior diameter
notices a patient is short
of breath, is using An increased anteroposterior diameter is consistent
pursed-lip breathing, and with emphysema. Increased tactile fremitus occurs
maintains a tripod when vibrations are enhanced and is associated with
position. Based on these consolidation that may occur in pneumonia or
data, what abnormal tumor. Inspiratory and expiratory wheezing is
finding should the nurse associated with asthma. Tracheal deviation is
expect to find during the associated with tension pneumothorax.
examination?
a. Increased tactile
fremitus
b. Inspiratory and
expiratory wheezing
c. Tracheal deviation
d. An increased
anteroposterior diameter
A nurse notices a a. Palpate for tracheal deviation.
patient's chest wall
moving in during Chest wall moving in during inspiration and out
inspiration and out during during expiration is paradoxical chest wall
expiration. What movement. It can be caused by a tension
additional assessment pneumothorax, which increases intrathoracic
must the nurse perform pressure in the thorax, causing tracheal deviation
immediately? and indicating mediastinal shift. Tension
a. Palpate for tracheal pneumothorax does not create bronchovesicular
deviation. breath sounds in the lung periphery. Option C is
b. Auscultate for performed when the patient has air in the
bronchovesicular breath subcutaneous tissue or pleural friction rub. Absent
sounds in the lung breath sounds may be found in pneumothorax, but if
periphery. the patient has a tension pneumothorax, tracheal
c. Palpate posterior deviation is a more important sign.
thoracic muscles for
tenderness.
d. Auscultate for absence
of breath sounds in the
lung periphery.
