Chapter 25 Book - Assessment Of Respiratory System Flashcards
To promote the release of surfactant, the nurse encourages the patient to:
A. Take deep breaths
B. Cough five times per hour or prevent alveolar collapse
C. Decrease fluid intake to reduce fluid accumulation in the alveoli
D. Sit with head of bed elevated to promote air movement through the pores of Kohn
A. Take deep breaths
A patient with a respiratory condition asks, “How does sit get into my lungs?”. The nurse bases her answer on knowledge that air moves into the lungs because of:
A. Increased CO2 and decreased O2 in the blood
B. contraction of the accessor abdominal muscles
C. Stimulation of the respiratory muscles by the chemoreceptors
D. Decrease in intrathoracic pressure relative to pressure at the airway
D. Decrease in intrathoracic pressure relative to pressure at the airway
The nurse can best detriment adequate arterial oxygenation of the blood by assessing:
A. Heart rate
B. Hemoglobin level
C. Arterial oxygen partial pressure
D. Arterial carbon dioxide partial pressure
C.Arterial oxygen partial pressure
When teaching a patient about the most important respiratory defense mechanism distal to the respiratory bronchioles, which topic would the nurse discuss? A. Alveolar macrophages B. Impaction of particles C. Reflux bronchoconstriction D. Mucociliary clearance mechanism
A. Alveolar macrophages
A student nurse asks the RN what can be measured by arterial blood gas (ABG). The RN tells the student that the ABG can measure (Select all that apply)
A. Acid-base balance
B. Oxygenation status
C. Acidity of the blood
D. Bicarbonate (HCO3) in arterial blood
E. Overall balance of electrolytes in arterial blood
A. Acid-base balance
B. Oxygenation status
C. Acidity of the blood
D. Bicarbonate (HCO3) in arterial blood
To detect early signs or symptoms of inadequate oxygenation, the nurse would examine the patient for: A. Dyspnea and hypotension B. Apprehension and restlessness C. Cyanosis and cool, clammy skin D. Increase urine output and diaphoresis
B. Apprehension and restlessness
During the respiratory assessment of an older adult, the nurse would expect to find: (Select all that apply)
A a vigorous reflex cough
B. Increased chest expansion
C. Increase residual volume
D Diminished lung sounds at base of lungs
E. Increased anteroposterior (AP) chest diameter
C. Increase residual volume
D Diminished lung sounds at base of lungs
E. Increased anteroposterior (AP) chest diameter
When assessing activity-exercise patterns related to respiratory health, the nurse inquires about:
A. Dyspnea during rest or exercise
B. Recent weight loss or weight gain
C. Ability to sleep through the entire night
D. Willingness to wear O2 equipment in public
A. Dyspnea during rest or exercise
When auscultation the chest of an older patient in respiratory distress, it is best to
A. Begin listening at the spices
B. Begin listening at the lung bases
C. Begin listening on the anterior chest
D. Ask the patient to breathe brought the nose with the mouth closed
B. Begin listening at the lung bases
Which assessment finding of the respiratory system does the nurse interpret as abnormal?
A. Inspiratory chest expansion of 1 inch
B. Symmetric chest expansion and contraction
C. Resonance (to percussion over the lunch bases
D. Bronchial breath sounds in the lower lung fields
D. Bronchial breath sounds in the lower lung fields
The nurse is preparing the patient for a diagnostic procedure to remove pleural fluid for analysis. The nurse would prepare the patient for which test? A. Thoracentesis B. Bronchoscopy C. Pulmonary angiography D. Sputum culture and sensitivity
A. Thoracentesis
