Nursing Care of Patients With Lower Respiratory Tract Disorders

UNDERSTANDINGnMEDICALnSURGICALnNURSINGn6THnEDITIONnWILLIAMSnTESTnBANK
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Chapter 31. Nursing Care n n n n




of Patients With Lower Re
n n n n




spiratory TractDisorders n n




.
Multiple Choice n




Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.



n

1.nAnpatientnisnadmittedntonanrespiratorynunitnwithnandiagnosisnofnleftnlowernlobenpneumonia.nThennursingn
assessmentnrevealsnthenpatientntonbenfebrilenandnexperiencingnanweak,ncongested-
soundingncough.nThenpatientnhasnmoistncracklesnthroughoutnthenlungnfields.nBasednonnthendatanprovided,nwhi
chnnursingndiagnosisnisnmostnappropriate?



a. Anxiety



b. ImpairednGasnExchange



c. IneffectivenBreathingnPattern


d.nIneffectivenAirwaynClearance



n

2.nThennursenisncaringnfornanpatientnwithnpneumonia.nWhichnlaboratoryntestnwouldnbestnhelpnthennursenton
monitornthenconditionnofnthisnpatient?



a. Electrolytes,n serumn creatinine



b. Completenbloodncountn(CBC),nurinalysis


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c. Partialnthromboplastinntimen(PTT),nserumnpotassium

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d.nWhitenbloodncelln(WBC)ncount,narterialnbloodngasesn(ABGs)


n

3.nAnpatientnisnunablentonmaintainnanclearnairwayneffectivelynwithncoughingnandnhasnanrespiratorynratenofn
22/minnwithncoarsencracklesnbilaterally.nWhichninterventionnshouldnthennursenprovidenfirst?



a. Encouragenfluids.



b. Encouragenbedrest.



c. Performntrachealnsuctioning.


d.nAssessnthenpatientsncoughingntechnique.



n

4.nThennursenisnreviewingndatancollectednonnanpatientnwithnanrespiratoryndisorder.nWhichnfactornshouldnthen
nursenidentifynthatnplacesnthenpatientnatnrisknfornlungncancer?



a. Smokingnandnexposurentonradonngas



b. Livingninnancoldnclimatenandnhavingnpets



c. Eatingnfoodsnhighninnbetancarotenenandnfiber



d. Livingninncrowdednconditionsnandnlacknofnsunlight


n

5.nAnpatientnwithnlungncancernwhonisnscheduledntonbeginnancoursenofnradiationntherapynasksnthennurse,nHown
willntheynknownifnImncured?nThennursesnbestnresponsenisnbasednonnwhichnunderstandingnofnthendiseasenprocess?



a. Lungncancernisnnevernancurablendisease;nprolongednlifenisnthengoal.




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b. Eightynpercentnofnlungncancersnarencurablenwithnradiationntherapy.



c. Radiationninnlungncancernisnmostnoftennusedntonincreasencomfort,nnotncurendisease.



d. Radiationntherapynreducesninflammation;nchemotherapynisnusedntonshrinknthentumor.


n

6.nAnpatientnwithnlungncancerndevelopsnpleuralneffusion.nWhichnexplanationnbynthennursenwouldnhelpnthen
patientnunderstandnthisnproblem?



a. Pusnhasndevelopedninnyournalveolinthatnmustnbenremovedntonimprovenyournbreathing.



b. Younhavenlargenamountsnofnfluidncollectingninnyournairwaysnbecausenofnthenlungncancer.



c. Fluidnhasncollectedninnthenspacenbetweennyournlungsnandnthensacnsurroundingnyournlungs.



d. Fluidninnyournpericardialnsacnplacesnpressurenonnyournlungs,nmakingnitndifficultntonbreathe.


n

7.nAnpatientndiagnosednwithnanpleuralneffusionnisnveryndyspneic.nWithnwhichnprocedurenshouldnthennursen
anticipatenassisting?



a. Tracheostomy



b. Thoracentesis



c. Bronchoscopy



d. Pericardiocentesis
n


8.nThennursenisnprovidingndischargenteachNiU
ngRS
foIN
rnaGpTaBti.C
enOtM
withnnewlyndiagnosednasthma.nWhatnshouldnbeni
ncludedninnthendischargenteaching?



a. Fluidnfillsnthentinynsacsninnthenlungsnandnmakesnbreathingndifficult.

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b. Symptomsnarencausednbyninflammationninnthenliningnofnyournairways.



c. Younmaynnoticenlargenamountsnofnpus-likensputumnthatnhasnanfoulnodor.



d. Thenchestnwallnbecomesnstiffnandnairnmovementnisnrestrictedninnindividualsnwithnasthma.



n 9.nThennursenisnprovidingnroutinenfollow-upncarenfornanyoungnadultnwithnasthmanwhonhasnbeennonnan3-
nmonthncoursenofnmaintenancentherapy.nWhichnactivitynwouldnbestnhelpnthennursentondeterminenifnthenpatientsn
treatmentnplannwasneffective?



a. ObtainnannABGnanalysis.



b. Determinenthenpatientsnpulsenoximeternreading.



c. Evaluatenthenpatientsnusenofnannincentivenspirometer.



d. Examinendailyntrackingnrecordsnofnthenpeaknexpiratorynflownrate.


n

10.nAnsummerncampnworkernreportsntonthencampnnursenwithncomplaintsnofnshortnessnofnbreathnandnaudiblen
wheezing.nWhichninhalednmedicationnshouldnthennursenprovide?



a. Albuteroln(Proventil)



b. Cromolynnsodiumn(Intal)





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