Brunner and Suddarth: Test Bank (Chapter 21)
Study online at https://quizlet.com/_ddzkru
1. 1. The nurse is caring for a pa- Ans: B
tient with chronic obstructive pul- Feedback:
monary disease (COPD). The pa- Oxygen toxicity can occur when patients receive too high
tient has been receiving high-flow a concentration of oxygen for an extended
oxygen therapy for an extend- period. Symptoms of oxygen toxicity include dyspnea,
ed time. What symptoms should substernal pain, restlessness, fatigue, and
the nurse anticipate if the patient progressive respiratory difficulty. Bradycardia, frontal
were experiencing oxygen toxici- headache, cyanosis, hypotension, and tachycardia
ty? are not symptoms of oxygen toxicity.
A) Bradycardia and frontal
headache
B) Dyspnea and substernal pain
C) Peripheral cyanosis and rest-
lessness
D) Hypotension and tachycardia
2. 2. The nurse caring for a patient Ans: D
with an endotracheal tube recog- Feedback:
nizes several disadvantages of an There are several disadvantages of an endotracheal tube.
endotracheal tube. What would Disadvantages include suppression of the
the nurse recognize as a disad- patients cough reflex, thickening of secretions, and de-
vantage of endotracheal tubes? pressed swallowing reflexes. Ulceration and
A) Cognition is decreased. stricture of the larynx or trachea may develop, but bleed-
B) Daily arterial blood gases ing is not an expected finding. The tube should
(ABGs) are necessary. not influence cognition and daily ABGs are not always
C) Slight tracheal bleeding is an- required.
ticipated.
D) The cough reflex is depressed.
3. 3. What would the critical care Ans: B
nurse recognize as a condition Feedback:
that may indicate a patient's need A tracheostomy permits long-term use of mechanical ven-
, Brunner and Suddarth: Test Bank (Chapter 21)
Study online at https://quizlet.com/_ddzkru
to have a tracheostomy? tilation to prevent aspiration of oral and gastric
A) A patient has a respiratory rate secretions in the unconscious or paralyzed patient. Indi-
of 10 breaths per minute. cations for a tracheostomy do not include a
B) A patient requires permanent respiratory rate of 10 breaths per minute, symptoms of
ventilation. dyspnea, or respiratory acidosis.
C) A patient exhibits symptoms of
dyspnea.
D) A patient has respiratory acido-
sis.
4. 4. The medical nurse is creating Ans: D
the care plan of an adult patient Feedback:
requiring mechanical ventilation. The cuff pressure should be monitored every 8 hours. It is
What nursing action is most ap- important to perform tracheostomy care at
propriate? least every 8 hours because of the risk of infection. The
A) Keep the patient in a low patient should be encouraged to ambulate, if
Fowler's position. possible, and a low Fowlers position is not indicated.
B) Perform tracheostomy care at
least once per day.
C) Maintain continuous bed rest.
D) Monitor cuff pressure every 8
hours.
5. 5. The nurse is caring for a patient Ans: B
who is scheduled to have a thora- Feedback:
cotomy. When planning preoper- Prior to thoracotomy, the nurse educates the patient about
ative teaching, what information how to splint the incision with the hands, a
should the nurse communicate to pillow, or a folded towel. The patient is not taught how to
the patient? milk the chest tubing because this is
A) How to milk the chest tubing performed by the nurse. Prophylactic antibiotics are not
B) How to splint the incision when normally used and fluid restriction is not
coughing indicated following thoracotomy.
, Brunner and Suddarth: Test Bank (Chapter 21)
Study online at https://quizlet.com/_ddzkru
C) How to take prophylactic antibi-
otics correctly
D) How to manage the need for
fluid restriction
6. 6. A nurse is educating a patient Ans: D
in anticipation of a procedure that Feedback:
will require a water-sealed chest Chest tubes and closed drainage systems are used to
drainage system. What should re-expand the lung involved and to remove excess
the nurse tell the patient and the air, fluid, and blood. They are not used to maintain positive
family that this drainage system is chest-wall pressure, monitor pleural fluid, or
used for? provide positive intrathoracic pressure.
A) Maintaining positive chest-wall
pressure
B) Monitoring pleural fluid osmo-
larity
C) Providing positive intrathoracic
pressure
D) Removing excess air and fluid
7. 7. A patient is exhibiting signs Ans: A
of a pneumothorax following tra- Feedback:
cheostomy. The surgeon inserts a Chest tubes and closed drainage systems are used to
chest tube into the anterior chest re-expand the lung involved and to remove excess
wall. What should the nurse tell air, fluid, and blood. The primary purpose of a chest tube
the family is the primary purpose is not to drain sputum secretions, monitor bleeding, or
of this chest tube? assist with mechanical ventilation.
A) To remove air from the pleural
space
B) To drain copious sputum secre-
tions
C) To monitor bleeding around
Study online at https://quizlet.com/_ddzkru
1. 1. The nurse is caring for a pa- Ans: B
tient with chronic obstructive pul- Feedback:
monary disease (COPD). The pa- Oxygen toxicity can occur when patients receive too high
tient has been receiving high-flow a concentration of oxygen for an extended
oxygen therapy for an extend- period. Symptoms of oxygen toxicity include dyspnea,
ed time. What symptoms should substernal pain, restlessness, fatigue, and
the nurse anticipate if the patient progressive respiratory difficulty. Bradycardia, frontal
were experiencing oxygen toxici- headache, cyanosis, hypotension, and tachycardia
ty? are not symptoms of oxygen toxicity.
A) Bradycardia and frontal
headache
B) Dyspnea and substernal pain
C) Peripheral cyanosis and rest-
lessness
D) Hypotension and tachycardia
2. 2. The nurse caring for a patient Ans: D
with an endotracheal tube recog- Feedback:
nizes several disadvantages of an There are several disadvantages of an endotracheal tube.
endotracheal tube. What would Disadvantages include suppression of the
the nurse recognize as a disad- patients cough reflex, thickening of secretions, and de-
vantage of endotracheal tubes? pressed swallowing reflexes. Ulceration and
A) Cognition is decreased. stricture of the larynx or trachea may develop, but bleed-
B) Daily arterial blood gases ing is not an expected finding. The tube should
(ABGs) are necessary. not influence cognition and daily ABGs are not always
C) Slight tracheal bleeding is an- required.
ticipated.
D) The cough reflex is depressed.
3. 3. What would the critical care Ans: B
nurse recognize as a condition Feedback:
that may indicate a patient's need A tracheostomy permits long-term use of mechanical ven-
, Brunner and Suddarth: Test Bank (Chapter 21)
Study online at https://quizlet.com/_ddzkru
to have a tracheostomy? tilation to prevent aspiration of oral and gastric
A) A patient has a respiratory rate secretions in the unconscious or paralyzed patient. Indi-
of 10 breaths per minute. cations for a tracheostomy do not include a
B) A patient requires permanent respiratory rate of 10 breaths per minute, symptoms of
ventilation. dyspnea, or respiratory acidosis.
C) A patient exhibits symptoms of
dyspnea.
D) A patient has respiratory acido-
sis.
4. 4. The medical nurse is creating Ans: D
the care plan of an adult patient Feedback:
requiring mechanical ventilation. The cuff pressure should be monitored every 8 hours. It is
What nursing action is most ap- important to perform tracheostomy care at
propriate? least every 8 hours because of the risk of infection. The
A) Keep the patient in a low patient should be encouraged to ambulate, if
Fowler's position. possible, and a low Fowlers position is not indicated.
B) Perform tracheostomy care at
least once per day.
C) Maintain continuous bed rest.
D) Monitor cuff pressure every 8
hours.
5. 5. The nurse is caring for a patient Ans: B
who is scheduled to have a thora- Feedback:
cotomy. When planning preoper- Prior to thoracotomy, the nurse educates the patient about
ative teaching, what information how to splint the incision with the hands, a
should the nurse communicate to pillow, or a folded towel. The patient is not taught how to
the patient? milk the chest tubing because this is
A) How to milk the chest tubing performed by the nurse. Prophylactic antibiotics are not
B) How to splint the incision when normally used and fluid restriction is not
coughing indicated following thoracotomy.
, Brunner and Suddarth: Test Bank (Chapter 21)
Study online at https://quizlet.com/_ddzkru
C) How to take prophylactic antibi-
otics correctly
D) How to manage the need for
fluid restriction
6. 6. A nurse is educating a patient Ans: D
in anticipation of a procedure that Feedback:
will require a water-sealed chest Chest tubes and closed drainage systems are used to
drainage system. What should re-expand the lung involved and to remove excess
the nurse tell the patient and the air, fluid, and blood. They are not used to maintain positive
family that this drainage system is chest-wall pressure, monitor pleural fluid, or
used for? provide positive intrathoracic pressure.
A) Maintaining positive chest-wall
pressure
B) Monitoring pleural fluid osmo-
larity
C) Providing positive intrathoracic
pressure
D) Removing excess air and fluid
7. 7. A patient is exhibiting signs Ans: A
of a pneumothorax following tra- Feedback:
cheostomy. The surgeon inserts a Chest tubes and closed drainage systems are used to
chest tube into the anterior chest re-expand the lung involved and to remove excess
wall. What should the nurse tell air, fluid, and blood. The primary purpose of a chest tube
the family is the primary purpose is not to drain sputum secretions, monitor bleeding, or
of this chest tube? assist with mechanical ventilation.
A) To remove air from the pleural
space
B) To drain copious sputum secre-
tions
C) To monitor bleeding around
