Med Surg Respiratory Practice Final Exam Questions with Correct Answers

The nurse is caring for a client hospitalized with acute exacerbation of COPD. Which findings would the nurse expect to note on assessment of this client? SATA: a. A low arterial PCO2 level b. A hyperinflated chest noted on the CXR c. Decreased O2 sat with mild exercise d. A widened diaphragm noted on the CXR e. Pulmonary function tests that demonstrate increased vital capacity Correct Answer b. A hyperinflated chest noted on the CXR c. Decreased O2 sat with mild exercise The nurse instructs a client to use the pursed-lip breathing method of breathing and evaluate the teaching by asking the client about the purpose of this type of breathing. The nurse determines that the client understands if the client states that the primary purpose of pursed lip breathing is to promote which outcome? a. Promote oxygen intake b. Strengthen the diaphragm c. Strengthen the intercostal muscles d. Promote CO2 elimination Correct Answer d. Promote CO2 elimination The nurse is preparing a list of home care instructions for a client who has been hospitalized and treated for TB. Which instructions should the nurse include on the list? SATA: a. Activities should be resumed gradually b. Avoid contact with other individuals except family members for at least 6 months c. A sputum culture is needed every 2-4 weeks once medication therapy is initiated d. Resp. isolation is not necessary because family members already have been exposed e. Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags f. When 1 sputum culture is negative, the client is no longer considered infectious and usually can return to former employment. Correct Answer a. Activities should be resumed gradually c. A sputum culture is needed every 2-4 weeks once medication therapy is initiated d. Resp. isolation is not necessary because family members already have been exposed e. Cover the mouth and nose when coughing or sneezing and put used tissues in plastic bags The nurse is caring for a client after a bronchoscopy and biopsy. Which finding if noted in the client, should be reported immediately to the HCP? a. Dry cough