TEST BANK FOR CLINICAL MANIFESTATIONS AND ASSESSMENT OF RESPIRATORY DISEASE 8TH EDITION JARDINS EXAM WITH ACTUAL QUESTIONS AND COMPLETE 100% CORRECT ANSWERS WITH VRFIED AND WELL EXPLAINED RATIONALES GRADED A+ LATEST 2024 UPDATED NEW VERSION ALREADY PASSED

TEST BANK FOR CLINICAL MANIFESTATIONS AND ASSESSMENT OF RESPIRATORY DISEASE 8TH EDITION JARDINS EXAM WITH ACTUAL QUESTIONS AND COMPLETE 100% CORRECT ANSWERS WITH VRFIED AND WELL EXPLAINED RATIONALES GRADED A+ LATEST 2024 UPDATED NEW VERSION ALREADY PASSED WITH 100% GUARANTEED SUCCESS ( ALL YOU NEED TO EXCEL IN YOUR EXAMS) Because of hyperinflation, a patient with COPD would have a hyperresonant percussion note. All of the other listed options would result in a dull percussion note. Coarse crackles are associated with: inspiration typically. air passing through an airway intermittently occluded by mucus. bronchial asthma. expiration typically. 2, 4 3, 4 2, 3, 4 1, 2, 3 NURSINGTB.COM ANS: A Coarse crackles are associated with air passing through an airway intermittently occluded by mucus; they are more typically heard during inspiration, not expiration. Wheezes are an expiratory sound associated with bronchial asthma. While assessing an unconscious patient, the respiratory therapist observes that the patient’s breathing becomes progressively faster and deeper and then progressively becomes slower and shallower. After that, there is a period of apnea before the cycle begins again. This breathing pattern would be identified as: a. Cheyne-Stokes. b. Tachypnea. Kussmaul. d. Hyperventilation. ANS: A The abnormal breathing pattern called Cheyne-Stokes is identified by progressively faster and deeper breathing that then progressively becomes slower and shallower. After that there is a period of apnea before the cycle begins again. Tachypnea is rapid breathing. Kussmaul breathing is consistently fast and deep breathing. Hyperventilation is confirmed by a low carbon dioxide level. Benefits of pursed-lip breathing include that it: stabilizes airways. offsets air trapping on exhalation. generates a better gas mixing breathing pattern. increases the respiratory rate. 1 2, 3 1, 2, 3 2, 3, 4 ANS: C All of the listed options are benefits of pursed-lip breathing in a patient with an airway obstruction problem such as asthma or COPD. A patient comes into the emergency department with a complaint of centrally located, constant chest pain. What is his most likely problem? a. Pleurisy Myocardial ischemia Pneumothorax Fractured rib ANS: B Often a patient with myocardial ischemia will complain of centrally located, constant chest pain. The pain may also radiate down an arm or up the neck. A patient with bronchiectasis has a productive cough. Which of the following should the respiratory therapist be evaluating about the patient’s sputum? Color Odor NURSINGTB.COM Frequency of cough 4. Consistency 3 1, 2 3, 4 1, 2, 4 ANS: D The respiratory therapist should evaluate a patient’s sputum for color, odor, amount, consistency, and any other significant factors. This could include time of greater or smaller amounts or a change in consistency after inhaling a mucolytic medication. The respiratory therapist is monitoring the blood pressure of a patient in the emergency department and notes that the blood pressure is 15 mm Hg less on inspiration than on expiration. Which of the following would most likely result in this finding? a. The patient is hypovolemic. The patient has a pulmonary embolism. The patient is having a myocardial infarction. The patient is having a severe exacerbation of asthma. ANS: D A change in blood pressure that is more than 10 mm Hg lower on inspiration than on expiration is known as pulsus paradoxus. This exaggerated waxing and waning of arterial blood pressure can be detected with a sphygmomanometer or, in severe cases, by palpating the pulse at the wrist or neck. Commonly associated with severe asthmatic episodes, pulsus paradoxus is believed to be caused by the major intrapleural pressure swings that occur during inspiration and expiration. 12. The respiratory therapist is examining a patient in the medical ward and notes that the trachea is deviated to the right. Which of the following may be causing the tracheal deviation to the right? A right-sided tension pneumothorax. A right-sided pleural effusion. A tumor mass on the right. Atelectasis of the right upper lobe. ANS: D A number of abnormal pulmonary conditions can cause the trachea to deviate from its normal position. For example, a tension pneumothorax, pleural effusion, or tumor mass may push the trachea to the unaffected side (in this case to the left), whereas atelectasis pulls the trachea to the affected side (in this case to the right).