NSG 241 Nursing Assessment and Respiratory Function
Questions With Complete Solutions
60-65% of lung function occurs... Correct Answers in the right
lung
ABGs Use Correct Answers aid in assessing the ability of the
lungs to provide adequate oxygen and remove carbon dioxide
and the ability of the kidneys to reabsorb or excrete bicarb ions
to maintain normal body pH
Acute Correct Answers less than 3 weeks
Additional Accessory Muscles Correct Answers may be called
upon to assist with inspiration during periods of respiratory
difficulty
Air Trapping Correct Answers decreased vibration; common
with emphysema
Airway Resistance Correct Answers with increased resistance,
greater than normal effort is required to achieve normal levels of
ventilation
Alveoli Correct Answers lungs contain 290-300 million which
are surrounded by lung capillaries
Any disorder of the bony structure of the thorax affects...
Correct Answers the ability of the lungs to function
,Assessment of Dyspnea Correct Answers determine the
circumstances that produce dyspnea, type of onset, duration,
relieving factors, any associated wheezing or stridor
Assessment of Nose and Sinuses Correct Answers tilt the head
back and use a penlight, assess for color, swelling, exudate, or
bleeding, nasal flaring, mouth breathing
Assessment of the Respiratory System Correct Answers
describe the onset, how long it lasts, location, how often it
occurs, has it become worse over time, any other s/s, what
provides relief, what makes it worse, what treatments have been
used
Auscultation Correct Answers assesses the flow of air through
the lungs and aids in evaluating the presence of fluid or solid
obstruction in the lung; note the location, quality, and intensity
Blood Tinged Sputum Correct Answers inflammatory issues
within the nose, larynx, airway, from coughing such as in
chronic bronchitits
Bronchoscopy Correct Answers direct inspection of the larynx,
trachea, and bronchi
Bronchoscopy Nursing Care Prior Correct Answers NPO 4-8
hours, remove dentures, moderate sedation with a topical
anesthetic to suppress the cough reflex
, Bronchoscopy Post Procedure Care Correct Answers NPO
until cough reflex returns to prevent aspiration; spit rather than
swallow
Bruising of Thorax Correct Answers may indicate cardiac
contusion within chest wall
Capnometry Correct Answers measure the amount of carbon
dioxide in exhaled air
Central Cyanosis Correct Answers indicates inadequate
oxygenation of blood (tongue, lips); true indicator, CRITICAL
Chemoreceptors in the Medulla Correct Answers respond to
changes in PCO2 and pH levels and alter the depth and rate of
ventilation to correct the imbalance
Chest pain may be associated with... Correct Answers
pulmonary or cardiac disease
Chest Xray Correct Answers look for densities produced by
fluid, tumors, foreign bodies r/o PNA or atelectasis
Chronic Correct Answers greater than 8 weeks
Clinical Manifestations of Pneumothorax Correct Answers
pain, increase in heart rate, rapid & shallow respirations, feeling
of air hunger, asymmetrical chest movement, tracheal deviation,
cough or cyanosis
Questions With Complete Solutions
60-65% of lung function occurs... Correct Answers in the right
lung
ABGs Use Correct Answers aid in assessing the ability of the
lungs to provide adequate oxygen and remove carbon dioxide
and the ability of the kidneys to reabsorb or excrete bicarb ions
to maintain normal body pH
Acute Correct Answers less than 3 weeks
Additional Accessory Muscles Correct Answers may be called
upon to assist with inspiration during periods of respiratory
difficulty
Air Trapping Correct Answers decreased vibration; common
with emphysema
Airway Resistance Correct Answers with increased resistance,
greater than normal effort is required to achieve normal levels of
ventilation
Alveoli Correct Answers lungs contain 290-300 million which
are surrounded by lung capillaries
Any disorder of the bony structure of the thorax affects...
Correct Answers the ability of the lungs to function
,Assessment of Dyspnea Correct Answers determine the
circumstances that produce dyspnea, type of onset, duration,
relieving factors, any associated wheezing or stridor
Assessment of Nose and Sinuses Correct Answers tilt the head
back and use a penlight, assess for color, swelling, exudate, or
bleeding, nasal flaring, mouth breathing
Assessment of the Respiratory System Correct Answers
describe the onset, how long it lasts, location, how often it
occurs, has it become worse over time, any other s/s, what
provides relief, what makes it worse, what treatments have been
used
Auscultation Correct Answers assesses the flow of air through
the lungs and aids in evaluating the presence of fluid or solid
obstruction in the lung; note the location, quality, and intensity
Blood Tinged Sputum Correct Answers inflammatory issues
within the nose, larynx, airway, from coughing such as in
chronic bronchitits
Bronchoscopy Correct Answers direct inspection of the larynx,
trachea, and bronchi
Bronchoscopy Nursing Care Prior Correct Answers NPO 4-8
hours, remove dentures, moderate sedation with a topical
anesthetic to suppress the cough reflex
, Bronchoscopy Post Procedure Care Correct Answers NPO
until cough reflex returns to prevent aspiration; spit rather than
swallow
Bruising of Thorax Correct Answers may indicate cardiac
contusion within chest wall
Capnometry Correct Answers measure the amount of carbon
dioxide in exhaled air
Central Cyanosis Correct Answers indicates inadequate
oxygenation of blood (tongue, lips); true indicator, CRITICAL
Chemoreceptors in the Medulla Correct Answers respond to
changes in PCO2 and pH levels and alter the depth and rate of
ventilation to correct the imbalance
Chest pain may be associated with... Correct Answers
pulmonary or cardiac disease
Chest Xray Correct Answers look for densities produced by
fluid, tumors, foreign bodies r/o PNA or atelectasis
Chronic Correct Answers greater than 8 weeks
Clinical Manifestations of Pneumothorax Correct Answers
pain, increase in heart rate, rapid & shallow respirations, feeling
of air hunger, asymmetrical chest movement, tracheal deviation,
cough or cyanosis
