PNVN1631 (Medical - Surgical Nursing I) Quiz 2 Respiratory System Exam Questions with Correct Answers Latest Update 2023

PNVN1631 (Medical - Surgical Nursing I) Quiz 2 Respiratory System Exam Questions with Correct Answers Latest Update 2023. The physician ordered 100 mg of Cleocin (clindamycin) IM q6h. The drug is available in a vial labeled 300 mg/2 mL. Using a 1-mL syringe and rounding off to the nearest tenth, how many milliliters of Cleocin would the nurse give for each dose? IncorrectQuestion 7 0 / 1 pts A 62-year-old patient is seen in the emergency department with an epistaxis. When a patient has an epistaxis, the correct nursing interventions would be place the patient in Fowler’s position with the head leaning forward. place the patient in low-Fowler’s position with the head hyperextended. compress the nostrils tightly below the bone and hold for 1 minute. place hot compresses over the nose. 0.7 Elevate head of bed. Place patient in Fowler’s position with the head forward. Compression of nostrils should be for 10-15 minutes. Hot compresses will increase bleeding-ice should be applied. Question 8 1 / 1 pts The circulation of the lungs is through the carotid arteries and jugular veins. coronary arteries and coronary veins. celiac arteries and celiac veins. pulmonary arteries and pulmonary veins. The lungs receive their blood supply, which comes directly from the heart, through the pulmonary arteries. The blood, now rich in oxygen, is returned to the heart for circulation to the body via the pulmonary veins to the left atrium. Question 9 1 / 1 pts A nurse is suctioning a client through a tracheostomy tube. The nurse plans to apply suction during the withdrawal of the catheter for a period of time no greater than: 10 seconds 35 seconds 30 seconds 25 seconds Rationale: During suctioning, the nurse would apply suction during the withdrawal of the catheter for a period of 5 to 10 seconds. Suction applied longer than this can cause hypoxia in the client. Strategy: Visualize this procedure and recall the complications associated with suctioning. Note the key words, no greater than. It is best to select the option that identifies the least amount of time. Review the procedure for suctioning if you had difficulty with this question. Question 10 1 / 1 pts What process happens when there is a decrease in the oxygen level in the blood? Pituitary stimulates the respiratory system to increase respiratory rate Chemoreceptors in the carotid body and aortic body stimulate the respiratory centers to modify respiratory rates The parietal pleura increases the negative pressure The alveoli diffuse more oxygen into the blood The chemoreceptors in the carotid bodies and the aortic bodies send a message to the respiratory centers to modify respirations. Question 11 1 / 1 pts Which instruction by the nurse is inappropriate for teaching the proper technique for collection of a sputum specimen? Collect specimens after meals. Bring the sputum up from the lungs. Maintain adequate fluid intake. Notify the staff as soon as the specimen is collected so it can be sent to the laboratory without delay. Collecting specimens before meals will avoid possible emesis from coughing after eating. Question 12 1 / 1 pts A 55-year-old man comes to the health nurse at his place of work with epistaxis. He reports he has frequent nosebleeds that he can usually control himself. What would be the most helpful assessment after the nurse has stopped the bleeding? Record the last episode of epistaxis Obtain or check the blood pressure Inquire about a diarrhea Record the approximate amount of blood lost Check the blood pressure for hypotension to assess for hypovolemic shock. Adults can lose as much as 1 L of blood in an hour with heavy epistaxis. Question 13 1 / 1 pts A nurse is assisting in the care of a client who had an ileostomy created a few days ago. Owing to the normally high output of drainage from this type of ostomy, the nurse monitors the client for signs of what acid-base imbalance? Metabolic alkalosis Metabolic acidosis Respiratory alkalosis Respiratory acidosis Rationale: Intestinal secretions are high in bicarbonate because of the effects of pancreatic secretions. These fluids may be lost from the body before they can be reabsorbed in conditions such as diarrhea or creation of ileostomy. The decreased bicarbonate level creates the actual base deficit of metabolic acidosis. Question 14 1 / 1 pts A nurse is assisting in planning care for a client scheduled for insertion of a tracheostomy. What would the nurse plan to have at the bedside when the client returns from surgery? Obturator Oral airway Epinephrine Tracheostomy with the next larger size Rationale: A replacement tracheostomy tube of the same size and an obturator is kept at the bedside at all times in case the tracheostomy tube is dislodged. Additionally, a curved hemostat that could be used to hold the trachea open if dislodgement occurs should also be kept at the bedside. An oral airway and epinephrine would not be needed. Question 15 1 / 1 pts The nurse providing instructions to the client using an incentive spirometer tells the client to sustain the inhaled breath for 3 seconds. When the client asks the nurse about the rationale for this action, the nurse explains that the primary benefit is to: Maintain and promotes inflation of the alveoli. Dilate the major bronchi. Increase surfactant production. Enhance ciliary action in the tracheobronchial tree. Rationale: Sustained inhalation helps maintain inflation of terminal bronchioles and alveoli, thereby promoting better gas exchange. Routine use of such devices such an incentive spirometer can help prevent atelectasis and pneumonia in clients at risk. “Dilate the major bronchi,” “increase surfactant production,” and “enhance ciliary action in the tracheobronchial tree” are not reasons for sustaining inflation.