Chapter 14 Care of Patients with
Disorders of the Lower Respiratory
System Question and answers 100%
correct
You are caring for a patient with signs and symptoms of influenza. What home
care for this respiratory condition would be appropriate?
1. Schedule adequate periods of exercise and activity.
2. Provide warming measures.
3. Restrict fluid intake.
4. Consider analgesics and antipyretics. - correct answer ✔4. Consider
analgesics and antipyretics.
A 58-year-old man is admitted with bacterial pneumonia. He has high fever
accompanied by chills, a cough productive of rust-colored sputum, and a
general feeling of malaise. The medical diagnosis is confirmed by:
1. blood cultures.
2. chest radiographs.
3. white blood cell count.
4. bronchoscopy - correct answer ✔2. chest radiographs.
Which patient is at greatest risk for developing a pulmonary embolism? The
patient who:
1. has a central line that was started 2 days ago.
2. is 3 months pregnant with her first child.
3. has been immobile for 1 week and is mildly dehydrated.
,4. is ambulating 2 days after abdominal surgery. - correct answer ✔3. has
been immobile for 1 week and is mildly dehydrated.
A person having a tuberculosis (TB) blood test would need further teaching
about the test if they stated which of the following?
1. "I will only have to make one trip to have the test done."
2. "This test is okay even though I have had a BCG vaccination."
3. "This test evaluates my body's response to TB."
4. "This test will determine if I have active or inactive TB." - correct answer
✔4. "This test will determine if I have active or inactive TB."
A nursing student is reviewing signs and symptoms with a group of people
who are at risk for lung cancer. You would intervene if the student says which
of the following?
1. "Weight loss and fatigue are the first symptoms to manifest."
2. "An occasional cough or wheezing is typically the first sign."
3. "Hoarseness could occur if a tumor presses against the vocal cords."
4. "Deep bone pain could occur because the cancer may spread to the
bones." - correct answer ✔1. "Weight loss and fatigue are the first symptoms
to manifest."
Which action is appropriate in the care of a patient who is on mechanical
ventilation?
1. Instruct the respiratory therapist to check the ventilator settings and alarms.
2. Auscultate the lungs bilaterally to ensure that both lungs are being
ventilated.
3. Disconnect the alarms before suctioning or before turning the patient.
4. Perform endotracheal suctioning every 15 minutes, using sterile technique.
- correct answer ✔2. Auscultate the lungs bilaterally to ensure that both
lungs are being ventilated.
, A 55-year-old man was admitted for complaints of a recurring, irritating
"smoker's" cough with small amounts of sputum and was diagnosed with
chronic bronchitis. What is the most likely clinical finding?
1. Weight loss
2. Decreased white blood cells
3. Dry mucous membranes
4. Elevated hemoglobin and hematocrit - correct answer ✔4. Elevated
hemoglobin and hematocrit
A patient is immobilized and has been lying in bed for an extended period.
What nursing intervention(s) should be done to prevent hypostatic
pneumonia? (Select all that apply.)
1. Avoid immunizations because of weakened state.
2. Assist the patient to turn at least every 2 hours.
3. Instruct the patient to cough and deep-breathe.
4. Allow nothing by mouth to prevent aspiration.
5. Practice scrupulous hand hygiene - correct answer ✔2. Assist the patient
to turn at least every 2 hours.
3. Instruct the patient to cough and deep-breathe.
5. Practice scrupulous hand hygiene.
You admit a patient who was diagnosed with active pulmonary tuberculosis.
What nursing intervention(s) would help control the spread of the disease?
(Select all that apply.)
1. Implementing airborne isolation
2. Prohibiting visitors
3. Wearing a HEPA respirator mask when providing direct patient care
4. Explaining the importance of covering the mouth when smiling
Disorders of the Lower Respiratory
System Question and answers 100%
correct
You are caring for a patient with signs and symptoms of influenza. What home
care for this respiratory condition would be appropriate?
1. Schedule adequate periods of exercise and activity.
2. Provide warming measures.
3. Restrict fluid intake.
4. Consider analgesics and antipyretics. - correct answer ✔4. Consider
analgesics and antipyretics.
A 58-year-old man is admitted with bacterial pneumonia. He has high fever
accompanied by chills, a cough productive of rust-colored sputum, and a
general feeling of malaise. The medical diagnosis is confirmed by:
1. blood cultures.
2. chest radiographs.
3. white blood cell count.
4. bronchoscopy - correct answer ✔2. chest radiographs.
Which patient is at greatest risk for developing a pulmonary embolism? The
patient who:
1. has a central line that was started 2 days ago.
2. is 3 months pregnant with her first child.
3. has been immobile for 1 week and is mildly dehydrated.
,4. is ambulating 2 days after abdominal surgery. - correct answer ✔3. has
been immobile for 1 week and is mildly dehydrated.
A person having a tuberculosis (TB) blood test would need further teaching
about the test if they stated which of the following?
1. "I will only have to make one trip to have the test done."
2. "This test is okay even though I have had a BCG vaccination."
3. "This test evaluates my body's response to TB."
4. "This test will determine if I have active or inactive TB." - correct answer
✔4. "This test will determine if I have active or inactive TB."
A nursing student is reviewing signs and symptoms with a group of people
who are at risk for lung cancer. You would intervene if the student says which
of the following?
1. "Weight loss and fatigue are the first symptoms to manifest."
2. "An occasional cough or wheezing is typically the first sign."
3. "Hoarseness could occur if a tumor presses against the vocal cords."
4. "Deep bone pain could occur because the cancer may spread to the
bones." - correct answer ✔1. "Weight loss and fatigue are the first symptoms
to manifest."
Which action is appropriate in the care of a patient who is on mechanical
ventilation?
1. Instruct the respiratory therapist to check the ventilator settings and alarms.
2. Auscultate the lungs bilaterally to ensure that both lungs are being
ventilated.
3. Disconnect the alarms before suctioning or before turning the patient.
4. Perform endotracheal suctioning every 15 minutes, using sterile technique.
- correct answer ✔2. Auscultate the lungs bilaterally to ensure that both
lungs are being ventilated.
, A 55-year-old man was admitted for complaints of a recurring, irritating
"smoker's" cough with small amounts of sputum and was diagnosed with
chronic bronchitis. What is the most likely clinical finding?
1. Weight loss
2. Decreased white blood cells
3. Dry mucous membranes
4. Elevated hemoglobin and hematocrit - correct answer ✔4. Elevated
hemoglobin and hematocrit
A patient is immobilized and has been lying in bed for an extended period.
What nursing intervention(s) should be done to prevent hypostatic
pneumonia? (Select all that apply.)
1. Avoid immunizations because of weakened state.
2. Assist the patient to turn at least every 2 hours.
3. Instruct the patient to cough and deep-breathe.
4. Allow nothing by mouth to prevent aspiration.
5. Practice scrupulous hand hygiene - correct answer ✔2. Assist the patient
to turn at least every 2 hours.
3. Instruct the patient to cough and deep-breathe.
5. Practice scrupulous hand hygiene.
You admit a patient who was diagnosed with active pulmonary tuberculosis.
What nursing intervention(s) would help control the spread of the disease?
(Select all that apply.)
1. Implementing airborne isolation
2. Prohibiting visitors
3. Wearing a HEPA respirator mask when providing direct patient care
4. Explaining the importance of covering the mouth when smiling
