Med Surg 2 Respiratory Exam Study {100%Success}
Med Surg 2 Respiratory Exam Study
Study online at https://quizlet.com/_al4nub
1. A nurse is caring for a client who has a tracheosto- B. A leak within the ventila-
my and is receiving mechanical ventilation. When the tors circuitry
low-pressure alarm on the ventilator sounds, it indi-
cates which of the following to the nurse? Rational: low pressure
A. Excessive airway secretions alarms are often the result
B. A leak within the ventilators circuitry of a malfunction or dis-
C. Decreased lung compliance placement of connections
D. The client coughing or attempting to talk somewhere between ET/
Trach and the vent
2. A nurse is caring for a client who is postoperative fol- D. Frequent swallowing
lowing a rhinoplasty. Which of the following findings
should the nurse report to the surgeon? rational: frequent swal-
A. Nasal Edema lowing indicated posterior
B. Mouth breathing drainage, could be possi-
C. Periorbital Ecchymosis ble hemorrhage
D. Frequent Swallowing
3. A nurse is providing discharge instructions to a client A. Aspiration of water
who has a new laryngectomy. The nurse should tell the
client to be careful while bathing to prevent which of Rational: The client should
the following complications? use a shower shield over
A. Aspiration of water the stoma when shower-
B. Infection of the stoma ing or bathing
C. Bleeding around the stoma
D. Skin breakdown around the stoma
4. A nurse is providing instructions about pursed-lip B. Promotes carbon diox-
breathing for a client who has chronic obstructive pul- ide elimination
monary disease (COPD) with emphysema. The breath-
ing technique accomplishes which of the following?
A. Increases oxygen intake
, Med Surg 2 Respiratory Exam Study {100%Success}
Med Surg 2 Respiratory Exam Study
Study online at https://quizlet.com/_al4nub
B. Promotes carbon dioxide elimination
C. Use the intercostal muscles
D. Strengthens the diaphragm
5. Beck's triad. What is is used for? hypotension, JVD, muffled
heart sounds
Cardiac tamponade
6. The nurse is caring for a client status post adenoidec- A. Edema of the upper air-
tomy. The nurse finds the client in severe respiratory way
distress when entering the room. What does the nurse
suspect?
A. Edema of the upper airway
B. Plugged Tracheostomy tube
C. Infection
D. Postoperative bleeding
7. Which nursing diagnosis is most likely for a client who A. Impaired verbal com-
has just undergone a total laryngectomy? munication
A. Impaired verbal communication
B. Risk for chronic low self esteem
C. Risk for infection
D. Deficient knowledge
8. A nurse is providing instructions for the client with A. Sleep with the head of
chronic rhinosinusitis. The nurse accurately tells the the bed elevated
client:
A. Sleep with the head of the bed elevated
B. You may drink 1 glass of alcohol daily
C. Do not perform saline irrigations to the nares
D. Caffeinated beverages are allowed
Med Surg 2 Respiratory Exam Study
Study online at https://quizlet.com/_al4nub
1. A nurse is caring for a client who has a tracheosto- B. A leak within the ventila-
my and is receiving mechanical ventilation. When the tors circuitry
low-pressure alarm on the ventilator sounds, it indi-
cates which of the following to the nurse? Rational: low pressure
A. Excessive airway secretions alarms are often the result
B. A leak within the ventilators circuitry of a malfunction or dis-
C. Decreased lung compliance placement of connections
D. The client coughing or attempting to talk somewhere between ET/
Trach and the vent
2. A nurse is caring for a client who is postoperative fol- D. Frequent swallowing
lowing a rhinoplasty. Which of the following findings
should the nurse report to the surgeon? rational: frequent swal-
A. Nasal Edema lowing indicated posterior
B. Mouth breathing drainage, could be possi-
C. Periorbital Ecchymosis ble hemorrhage
D. Frequent Swallowing
3. A nurse is providing discharge instructions to a client A. Aspiration of water
who has a new laryngectomy. The nurse should tell the
client to be careful while bathing to prevent which of Rational: The client should
the following complications? use a shower shield over
A. Aspiration of water the stoma when shower-
B. Infection of the stoma ing or bathing
C. Bleeding around the stoma
D. Skin breakdown around the stoma
4. A nurse is providing instructions about pursed-lip B. Promotes carbon diox-
breathing for a client who has chronic obstructive pul- ide elimination
monary disease (COPD) with emphysema. The breath-
ing technique accomplishes which of the following?
A. Increases oxygen intake
, Med Surg 2 Respiratory Exam Study {100%Success}
Med Surg 2 Respiratory Exam Study
Study online at https://quizlet.com/_al4nub
B. Promotes carbon dioxide elimination
C. Use the intercostal muscles
D. Strengthens the diaphragm
5. Beck's triad. What is is used for? hypotension, JVD, muffled
heart sounds
Cardiac tamponade
6. The nurse is caring for a client status post adenoidec- A. Edema of the upper air-
tomy. The nurse finds the client in severe respiratory way
distress when entering the room. What does the nurse
suspect?
A. Edema of the upper airway
B. Plugged Tracheostomy tube
C. Infection
D. Postoperative bleeding
7. Which nursing diagnosis is most likely for a client who A. Impaired verbal com-
has just undergone a total laryngectomy? munication
A. Impaired verbal communication
B. Risk for chronic low self esteem
C. Risk for infection
D. Deficient knowledge
8. A nurse is providing instructions for the client with A. Sleep with the head of
chronic rhinosinusitis. The nurse accurately tells the the bed elevated
client:
A. Sleep with the head of the bed elevated
B. You may drink 1 glass of alcohol daily
C. Do not perform saline irrigations to the nares
D. Caffeinated beverages are allowed
