Chapter 30: Respiratory Function
1. Which of the following dietary guidelines would be appropriate for the
elderl y homebound patient with advanced respiratory disease who informs
the nurse that she has no energy to eat?
a. Snack on high-carbohydrate foods frequentl y
b. Eat smaller meals that are high in protein
c. Contact the physician for Ensure
d. Eat one large meal at noon
CORRECT ANSWER: B
Feedback:
The patient should consume a diet in which the body can produce
plasma proteins. The patient should have sufficient caloric and protein
intake for respiratory muscle strength.
2. A nurse is volunteering at a day camp. A child is stung by a bee and
develops wheezing in the upper airways. The child is experiencing
a. A bronchospasm
b. Bronchitis
c. Bronchiectasis
d. Bronchiolitis
CORRECT ANSWER: A
Feedback:
, When allergic responses take place in the lungs, breathin g difficulties
are far more severe. Small airways become edematous, mucous
production increases, and inflammatory chemical mediators cause
bronchospasm.
3. Which one of the following problems occurs among individuals exposed to
automobile pollutants
a. Atelectasis
b. Bronchitis
c. Bronchiectasis
d. Croup
CORRECT ANSWER: B
Feedback:
Air pollution and high humidit y are respiratory irritants. Pollutants
cause increased mucous production and contribute to bronchitis and
asthma.
4. It is a red air -qualit y day in your cit y. This means the air is stagnant, with
high pollution levels and high humidit y. Which patient is most likel y to
experience shortness of breath?
a. Child with asthma
b. Middle-aged adult with hypertension
c. Teenager with contact dermatitis
d. Young adult with out disease
CORRECT ANSWER: A
, Feedback:
Air pollution and high humidit y are respiratory irritants. Pollutants
cause increased mucous production and contribute to bronchitis and
asthma. While pollution is not good for any group of individuals it
would be less of an impact on the person with hypertension or
dermatitis.
5. A patient with chronic obstructive pulmonary disease complains of severe
shortness of breath when it is raining. The nurse instructs the patient
a. The airway becomes occluded during perio ds of rain.
b. The air is thicker or more viscous with humidit y, thus it is harder
for you to breathe.
c. You should use your inhaler during this time to help your breathing.
d. Have you had a stress test to determine if your airway is obstructed?
CORRECT ANSWER: B
Feedback:
People with chronic respiratory diseases often find breathing more
difficult when the weather is hot and humid because humidity
contributes to air viscosit y.
6. During a routine prenatal care visit, a pregnant woman in her last
trimester of pregnancy complains of shortness of breath. The nurse
instructs her that:
a. Her breathing is normal but if it continues to call her physician.
b. If she has pneumonia she should have a chest X -ray.
c. The nurse will assess her lung sounds and determine prese nce of
congestion.
1. Which of the following dietary guidelines would be appropriate for the
elderl y homebound patient with advanced respiratory disease who informs
the nurse that she has no energy to eat?
a. Snack on high-carbohydrate foods frequentl y
b. Eat smaller meals that are high in protein
c. Contact the physician for Ensure
d. Eat one large meal at noon
CORRECT ANSWER: B
Feedback:
The patient should consume a diet in which the body can produce
plasma proteins. The patient should have sufficient caloric and protein
intake for respiratory muscle strength.
2. A nurse is volunteering at a day camp. A child is stung by a bee and
develops wheezing in the upper airways. The child is experiencing
a. A bronchospasm
b. Bronchitis
c. Bronchiectasis
d. Bronchiolitis
CORRECT ANSWER: A
Feedback:
, When allergic responses take place in the lungs, breathin g difficulties
are far more severe. Small airways become edematous, mucous
production increases, and inflammatory chemical mediators cause
bronchospasm.
3. Which one of the following problems occurs among individuals exposed to
automobile pollutants
a. Atelectasis
b. Bronchitis
c. Bronchiectasis
d. Croup
CORRECT ANSWER: B
Feedback:
Air pollution and high humidit y are respiratory irritants. Pollutants
cause increased mucous production and contribute to bronchitis and
asthma.
4. It is a red air -qualit y day in your cit y. This means the air is stagnant, with
high pollution levels and high humidit y. Which patient is most likel y to
experience shortness of breath?
a. Child with asthma
b. Middle-aged adult with hypertension
c. Teenager with contact dermatitis
d. Young adult with out disease
CORRECT ANSWER: A
, Feedback:
Air pollution and high humidit y are respiratory irritants. Pollutants
cause increased mucous production and contribute to bronchitis and
asthma. While pollution is not good for any group of individuals it
would be less of an impact on the person with hypertension or
dermatitis.
5. A patient with chronic obstructive pulmonary disease complains of severe
shortness of breath when it is raining. The nurse instructs the patient
a. The airway becomes occluded during perio ds of rain.
b. The air is thicker or more viscous with humidit y, thus it is harder
for you to breathe.
c. You should use your inhaler during this time to help your breathing.
d. Have you had a stress test to determine if your airway is obstructed?
CORRECT ANSWER: B
Feedback:
People with chronic respiratory diseases often find breathing more
difficult when the weather is hot and humid because humidity
contributes to air viscosit y.
6. During a routine prenatal care visit, a pregnant woman in her last
trimester of pregnancy complains of shortness of breath. The nurse
instructs her that:
a. Her breathing is normal but if it continues to call her physician.
b. If she has pneumonia she should have a chest X -ray.
c. The nurse will assess her lung sounds and determine prese nce of
congestion.
