Questions & Answers (2026)
Restrictive disease manifestations - correct answers- Increased RR
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- Decreased tidal volume (VT)
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- Normal to decreased PaO2
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- Shortness of Breath
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- Cough
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- Chest Pain/discomfort
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- Fatigue
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- History of weight loss
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The nurse should anticipate that the chest tube for a client recovering from a pneumothorax will be removed
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when:
A. Chest drainage decreases to 125 mL in 24 hours.
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B. Chest x-ray shows atelectasis has resolved.
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C. Water-seal chamber no longer fluctuates with breathing.
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D. Breath sounds are present bilaterally in apical lobes. - correct answersC.
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, Cessation of fluctuation in the water seal chamber when drainage system no longer attached to suction is an
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indication of re-expansion. A. is incorrect: there may have been little drainage if the chest tube was removing
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air, not blood; typically want less than 100 mL in 24 hours prior to removal. B. is incorrect - pneumothorax is a
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collapse of the lung: partial or complete not the alveoli; D. is incorrect: presence of breath sounds would
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need to be in all lobes
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Obstructive disease manifestations - correct answers- Mucus hypersecretion
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- Wheezes/rhonchi
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- Dyspnea
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- Diminished breath/heart sounds
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- Barrel chest (increased AP diameter)
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- Progressive hypercapnia/resp. acidosis
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- Use of accessory muscles
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- Increased expiratory time
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Physical respiratory assessment - correct answers- Observe/inspect
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- Auscultation
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- Palpation/symmetry
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- Percussion
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- Hemodynamics (BP, CVP, Pulmonary Artery Pressure, O2)
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Respiratory history assessment - correct answers- Current problem
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- History of respiratory disease
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- Lifestyle
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- Cough
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- Pain
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- Medications
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- Risk factors
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ARDS risk factors/causes - correct answers- Pneumonia
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