Lower Respiratory Problems- Exam Questions and Answers 100% Guaranteed Pass
In assessing a patient with pneumococcal pneumonia, the nurse recognizes that clinical manifestations
of this condition include (select all that apply): - Answers An abrupt onset of fever
Productive cough with rust-colored sputum
An appropriate nursing intervention for a patient with pneumonia with the nursing diagnosis of
ineffective airway clearance related to thick secretions and fatigue would be to: - Answers Teach the
patient how to cough effectively to bring secretions to the mouth
A patient with TB has been admitted to the hospital and is placed in an airborne infection isolation
room. Which of the following should the patient be taught (select all that apply)? - Answers Take all
medications for full length of time to prevent multidrug-resistant TB
Wear a standard isolation mask if leaving the airborne infection isolation room
Maintain precautions in airborne infection isolation room by coughing into a paper tissue
A patient has been receiving high-dose corticosteroids and broad-spectrum antibiotics for treatment
secondary to a traumatic injury and infection. The nurse plans care for the patient knowing that the
patient is most susceptible to: - Answers Candidiasis
Which statement best describes the treatment of lung abscess? - Answers Antibiotics given for a
prolonged period are the usual treatment of choice
A common complication of many types of environmental lung diseases is: - Answers Pulmonary fibrosis
The patient with lung cancer needs to receive influenza vaccine and pneumococcal vaccines. The nurse
will - Answers Administer both vaccines at the same time in different arms
The nurse identifies a flail chest in a trauma patient when: - Answers Paradoxic chest movement occurs
during respiration
The nurse notes tidaling of the water level in the tube submerged in the water-seal chamber in a patient
with closed chest tube drainage. The nurse should - Answers Continue to monitor this normal finding
A nursing measure that should be instituted after a pneumonectomy is: - Answers Range-of-motion
exercises on the affected upper extremity
Guillain-Barre syndrome causes respiratory problems primarily by: - Answers Interrupting nerve
transmission to respiratory muscles
A patient is on a continuous epoprostenol infusion pump. The alarm goes off indicating an obstruction in
the intravaneous line downstream. The nurse should: - Answers Assess the central line immediately for
any obstruction or accidental clamping of tubing
, Which of the following statements describe the management of a patient following lung transplantation
(select all that apply)? - Answers The lung is biopsied using a transtracheal method
The use of a home spirometer will help to monitor lung function
Immunosuppressant therapy usually involves a three-drug regimen
After the health care provider sees a patient hospitalized with a stroke who developed a fever and
adventitious lung sounds, the following orders are written. Which will the nurse implement first? -
Answers Sputum specimen for Gram stain and culture and sensitivity
A patient with pneumonia has a nursing diagnosis of ineffective airway clearance related to pain, fatigue
and thick secretions. An appropriate nursing intervention for the patient is to - Answers Encourage a
fluid intake of at least 3L/day
During an annual health assessment of a 65 year old clinic patient, the patient tells the nurse he had the
pneumonia vaccine when he was age 59. The nurse advises the patient that the best way for him to
prevent pneumonia now is to - Answers Obtain the pneumococcal vaccine this year with an annual
influenza vaccine
The resurgence in TB resulting from the emergence of multidrug-resistant strains of Mycobacterium
tuberculosis was primarily the result of - Answers Poor compliance with drug therapy in patients with TB
A patient diagnosed with active TB 1 week ago is admitted to the hospital with symptoms of chest pain.
Initially, the nurse gives the highest priority to - Answers Admitting the patient to an airborne-infection
isolation room
When obtaining a health history from a patient suspected of having early TB, the nurse asks the patient
about experiencing - Answers Fatigue, low grade fever and night sweats
A patient with active TB continues to have positive sputum cultures after 6 months of treatment
because she says she cannot remember to take the medication all the time. The best action by the nurse
is to - Answers Arrange for directly observed therapy by a responsible family member or a public health
nurse.
To decrease the patient's sense of panic during an acute asthma attack, the best action of the nurse is to
- Answers Stay with the patient and encourage slow, pursed-lip breathing
When a patient with asthma is admitted to the emergency department in severe respiratory distress,
the nurse anticipates that initial drug treatment will most likely include administration of - Answers
Aerosolized albuterol
A dietary modification that helps meet the nutritional needs of patients with COPD is - Answers Avoiding
foods that require a lot of chewing
In assessing a patient with pneumococcal pneumonia, the nurse recognizes that clinical manifestations
of this condition include (select all that apply): - Answers An abrupt onset of fever
Productive cough with rust-colored sputum
An appropriate nursing intervention for a patient with pneumonia with the nursing diagnosis of
ineffective airway clearance related to thick secretions and fatigue would be to: - Answers Teach the
patient how to cough effectively to bring secretions to the mouth
A patient with TB has been admitted to the hospital and is placed in an airborne infection isolation
room. Which of the following should the patient be taught (select all that apply)? - Answers Take all
medications for full length of time to prevent multidrug-resistant TB
Wear a standard isolation mask if leaving the airborne infection isolation room
Maintain precautions in airborne infection isolation room by coughing into a paper tissue
A patient has been receiving high-dose corticosteroids and broad-spectrum antibiotics for treatment
secondary to a traumatic injury and infection. The nurse plans care for the patient knowing that the
patient is most susceptible to: - Answers Candidiasis
Which statement best describes the treatment of lung abscess? - Answers Antibiotics given for a
prolonged period are the usual treatment of choice
A common complication of many types of environmental lung diseases is: - Answers Pulmonary fibrosis
The patient with lung cancer needs to receive influenza vaccine and pneumococcal vaccines. The nurse
will - Answers Administer both vaccines at the same time in different arms
The nurse identifies a flail chest in a trauma patient when: - Answers Paradoxic chest movement occurs
during respiration
The nurse notes tidaling of the water level in the tube submerged in the water-seal chamber in a patient
with closed chest tube drainage. The nurse should - Answers Continue to monitor this normal finding
A nursing measure that should be instituted after a pneumonectomy is: - Answers Range-of-motion
exercises on the affected upper extremity
Guillain-Barre syndrome causes respiratory problems primarily by: - Answers Interrupting nerve
transmission to respiratory muscles
A patient is on a continuous epoprostenol infusion pump. The alarm goes off indicating an obstruction in
the intravaneous line downstream. The nurse should: - Answers Assess the central line immediately for
any obstruction or accidental clamping of tubing
, Which of the following statements describe the management of a patient following lung transplantation
(select all that apply)? - Answers The lung is biopsied using a transtracheal method
The use of a home spirometer will help to monitor lung function
Immunosuppressant therapy usually involves a three-drug regimen
After the health care provider sees a patient hospitalized with a stroke who developed a fever and
adventitious lung sounds, the following orders are written. Which will the nurse implement first? -
Answers Sputum specimen for Gram stain and culture and sensitivity
A patient with pneumonia has a nursing diagnosis of ineffective airway clearance related to pain, fatigue
and thick secretions. An appropriate nursing intervention for the patient is to - Answers Encourage a
fluid intake of at least 3L/day
During an annual health assessment of a 65 year old clinic patient, the patient tells the nurse he had the
pneumonia vaccine when he was age 59. The nurse advises the patient that the best way for him to
prevent pneumonia now is to - Answers Obtain the pneumococcal vaccine this year with an annual
influenza vaccine
The resurgence in TB resulting from the emergence of multidrug-resistant strains of Mycobacterium
tuberculosis was primarily the result of - Answers Poor compliance with drug therapy in patients with TB
A patient diagnosed with active TB 1 week ago is admitted to the hospital with symptoms of chest pain.
Initially, the nurse gives the highest priority to - Answers Admitting the patient to an airborne-infection
isolation room
When obtaining a health history from a patient suspected of having early TB, the nurse asks the patient
about experiencing - Answers Fatigue, low grade fever and night sweats
A patient with active TB continues to have positive sputum cultures after 6 months of treatment
because she says she cannot remember to take the medication all the time. The best action by the nurse
is to - Answers Arrange for directly observed therapy by a responsible family member or a public health
nurse.
To decrease the patient's sense of panic during an acute asthma attack, the best action of the nurse is to
- Answers Stay with the patient and encourage slow, pursed-lip breathing
When a patient with asthma is admitted to the emergency department in severe respiratory distress,
the nurse anticipates that initial drug treatment will most likely include administration of - Answers
Aerosolized albuterol
A dietary modification that helps meet the nutritional needs of patients with COPD is - Answers Avoiding
foods that require a lot of chewing
