Respiratory System and Advanced Pulmonology Unit of a
Medical-Surgical Nursing curriculum
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1. Pathophysiology & Complications
A patient with clear pleural fluid and cirrhosis has a serum albumin level of
1.5g/dL. Which abnormal factor for pleural fluid balance would the nurse
suspect in this patient?
Decreased oncotic pressure
A patient is hospitalized with symptoms of tuberculosis (TB). At which time of
the day does at least one of the sputum specimens for acid-fast bacilli (AFB)
need to be obtained?
6 a.m.
Which food will the nurse suggest for a patient with oral mucositis?
Cherry yogurt
When a patient has a prescription for albuterol 5mg via nebulizer and the
albuterol is available as a solution containing 2.5mg/3mL, how many mL will
the nurse use for the correct dose?
6mL
Which intervention by the nurse would provide stabilization for a patient with
cor pulmonale who has an enlarged liver, distended neck veins, and clear fluid
accumulated in the pleural space?
Restricting dietary sodium
Which condition is a late complication of cystic fibrosis (CF) caused by
pulmonary hypertension?
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Cor pulmonale and respiratory failure
The nurse assesses a patient with right ventricular hypertrophy and notes an
increase in S2 upon auscultation. Laboratory datum reveals a hematocrit of
70%. Which treatment would the nurse anticipate the healthcare provider to
prescribe?
Phlebotomy
Which diagnostic finding will the nurse expect when caring for a patient who is
experiencing worsening of asthma symptoms?
Positive skin test for allergens, serum and sputum eosinophilia, and chest x-ray
indicating hyperinflation
How will the nurse interpret arterial blood gas results including pH 7.36,
PaCO2 49 mmHg, HCO3 27 mEq/L, and PaO2 61 mmHg for a patient with
chronic obstructive pulmonary disease (COPD)?
Compensated respiratory acidosis
The nurse caring for a patient with a diagnosis of active tuberculosis (TB).
Which item would the nurse anticipate will be included in the patient's
treatment plan?
Avoid alcohol because it increases the hepatotoxicity associated with isoniazid (INH)
Which subcutaneous medication will be included in the treatment plan for a
patient with an acute pulmonary embolism?
Enoxaparin
Which factor on this patient's health history is a known trigger for asthma
attacks?
Demographics: 49-year-old African American male