Davis Advantage unit 2 Flashcards
The nurse is talking with a friend who is experiencing allergic rhinitis. What could the nurse share as possible causes?
Cow’s milk
Angiotensin-converting enzyme (ACE) inhibitors
Animal dander
The nurse is asking family health history information of a young adult. The patient’s father has obstructive sleep apnea (OSA). Which statement by the client requires additional education?
“I enjoy drinking with my friends; we usually have a few beers each evening.”
“I’m at a higher risk of OSA because I’m a man.”
“I enjoy drinking with my friends; we usually have a few beers each evening.”
Which respiratory disorder can be diagnosed with the help of polysomnography?
Obstructive sleep apnea (OSA)
The provider is sending the patient for polysomnography testing. What symptoms support the need for this? Select all that apply.
Hoarseness of voice Daytime sleepiness Loud snoring Rhinorrhea Insomnia
Daytime sleepiness
Loud snoring
Insomnia
The nurse is caring for a patient who experienced a laryngeal trauma from a self-aborted suicide attempt by hanging. What is a priority action?
Confirm that emergency tracheostomy or intubation equipment is kept nearby.
The nurse is caring for a patient being discharged from the urgent care with the diagnosis of bacterial rhinosinusitis. What should the nurse include in the instructions?
notify the service provider of any neck stiffness, severe head ache, or light sensitivity.
The client with COPD exacerbation has a pulse oximetry reading of 89% on 2L per nasal cannula. What concern does the nurse feel is causing the problem?
Hypoventilation
Oxygenation problems
Airway obstruction
Secondary infection
Airway obstruction
The client with COPD exacerbation has a pulse oximetry reading of 89% on 2L per nasal cannula. What concern does the nurse feel is causing the problem?
Hypoventilation
Oxygenation problems
Airway obstruction
Secondary infection
Airway obstruction
The nurse is instructing a client newly diagnosed with chronic bronchitis about his disease. He says a friend has this disease and he calls himself a “blue bloater.” The client asks the nurse why. How should the nurse reply?
“That’s a term used for someone who smokes a lot.”
“It has to do with the color of the phlegm.”
“That’s from the ‘puffing’ breathing pattern.”
“The lack of oxygen in the blood gives the skins a blue appearance.”
“The lack of oxygen in the blood gives the skins a blue appearance.”
The client with emphysema comes to the emergency department with difficulty breathing. What assessment finding should the nurse anticipate?
Excess mucous production
Barrel shaped chest
Hypoventilation
Blueish skin tones
Barrel shaped chest
A client comes to the clinic with a 5-year history of COPD. The nurse provides a focused assessment. What should be included? Select all that apply.
Cough Sputum Confusion Use of accessory muscles Bowel sounds
Cough
Sputum
Confusion
Use of accessory muscles
The nurse is caring for a client admitted with COPD who is having difficulty breathing. Which actions can the nurse take to provide support? Select all that apply.
Place client in semi-Fowler’s position Provide bronchodilators, if ordered Offer small, frequent meals Encourage smoking cessation Wean from oxygen
Place client in semi-Fowler’s position
Provide bronchodilators, if ordered
Offer small, frequent meals
Encourage smoking cessation
A client comes to the clinic with a 5-year history of COPD. The nurse provides a focused assessment. What should be included? Select all that apply.
Cough Sputum Confusion Use of accessory muscles Bowel sounds
This is wrong
Cough
Sputum
Confusion
Use of accessory muscles
The nurse is caring for a patient with COPD who is on ventilator therapy. Which test is most beneficial to evaluate the patient’s response to ventilator therapy?
Arterial blood gases (ABG)
Which is true regarding emphysema
It is associated with chronic respiratory acidosis.
A patient with chronic obstructive pulmonary disorder (COPD) is reporting shortness of breath. On assessment, the nurse finds a pulse rate of 115 beats/min, a blood pressure of 152/94 mm Hg, a temperature of 101°F, and a respiratory rate of 28. Which respiratory test is priority?
oxygen saturation
A patient with COPD reporting chest tightness arrives at the hospital. On assessment, the nurse notes wheezing, cough, elevated blood pressure, and pulse rate. The primary health-care provider prescribes corticosteroids. Which is the most likely outcome of the prescribed therapy?
Decreases the inflammation of airway
A patient with a severe cough and decreased appetite arrives at the hospital. On assessment, the nurse finds the anterior-posterior diameter as 2:2. After reviewing the assessment findings, what action should the nurse take first?
Encourage pursed-lip breathing.
The nurse is evaluating the effectiveness of a small volume nebulizer bronchodilator treatment for a patient with emphysema. Which assessment change indicates an effective outcome of the therapy? Select all that apply.
Pulse oximetry reading goes from 92% to 94%.
Audible wheezes are diminished.
A patient with end-stage chronic obstructive pulmonary disorder (COPD) develops sudden dyspnea and chest pain. A spontaneous pneumothorax is suspected. What is the nurse’s priority action?
Maintain oxygenation.
A patient with exacerbation of chronic obstructive pulmonary disorder (COPD) has a respiratory rate of 28 breaths per minute. What action should the nurse take?
Provide comfortable positioning.
Which medications are prescribed for patients with chronic obstructive pulmonary disorder (COPD) because of relaxation of the smooth muscles of the respiratory tract? Select all that apply.
Long acting beta2-agonists
Short acting beta2-agonists
Anticholinergics
The nurse is providing care to William Parish, who presents in the emergency department with symptoms indicative of tuberculosis (TB).
Which action should the nurse take when triaging William upon his arrival to the emergency department?
Ask William to place a face mask over his mouth and nose.
Which type of room should the William be placed in when transferred from the waiting room to an ED room?
A client room with negative airflow capability.
Which type of precautions should be used when providing care for William? Select all that apply.
Standard precautions
Airborne precautions
Which personal protective equipment (PPE) should the nurse don prior to entering the room to assist William after he has vomited?
N95 respirator
Gloves
William’s family arrives for a visit. Which personal protective equipment (PPE) should the nurse educate the family to wear
Surgical mask
William is admitted to the medical-surgical unit. Which action is appropriate when transporting him from the ED to the unit?
Placing a surgical mask on the client for transport
The nurse is preparing to conduct the admission assessment now that William is settled into the room after transport. Which findings should the nurse anticipate when conducting the client’s respiratory assessment?
rales
ronchi
weezeing
What should the nurse recommend for the client’s family members based on the current information?
TB test
The current plan of care includes discharge of William to home once the criteria to decrease the risk of disease transmission have been obtained. Which should the nurse assess to determine if he is likely to have successful adherence to treatment after discharge?
Support system
Which discharge teaching should the nurse include in the teaching plan for a client who was treated for tuberculosis?
“Persons living with you should have skin testing.”
“Maintain adequate nutrition.”
Which nursing actions are appropriate when caring for a client diagnosed with tuberculosis
Humidify oxygen when administered.
Request dietary consult.
Medication teaching.
The nurse should include which priority preventive measure when teaching a group of adults about preventing the spread of tuberculosis
Isolation
The nurse is caring for a client with a diagnosis of active tuberculosis. Which symptoms does the nurse expect this client to exhibit?
Fever
Abnormal breathing sounds
Decreased oxygen saturation
Which instruction should the nurse provide to a client who has just received a PPD (purified protein derivative)?
Return to the clinic in 48-72 hours to have the test read.
The nurse is teaching about the epidemiology of tuberculosis (TB). Which statements indicated the need for further teaching? Select all that apply.
“Tuberculosis (TB) is present in foreign-born individuals.”
“Low socioeconomic groups are the most affected.”
“The most affected age groups vary from 40 to 60 years old.”
“About half of the HIV-infected population in the United States is affected by Mycobacterium tuberculosis.”
“Individuals with AIDS are the most prone to TB.”
“Tuberculosis (TB) is present in foreign-born individuals.”
“About half of the HIV-infected population in the United States is affected by Mycobacterium tuberculosis.”
The nurse is teaching about the epidemiology of tuberculosis (TB). Which statements indicated the need for further teaching? Select all that apply.
“Tuberculosis (TB) is present in foreign-born individuals.”
“Low socioeconomic groups are the most affected.”
“The most affected age groups vary from 40 to 60 years old.”
“About half of the HIV-infected population in the United States is affected by Mycobacterium tuberculosis.”
“Individuals with AIDS are the most prone to TB.”
“The most affected age groups vary from 40 to 60 years old.”
“About half of the HIV-infected population in the United States is affected by Mycobacterium tuberculosis.”
The nurse is assessing a patient with tuberculosis (TB). Which best describes the gas exchange in the patient?
Alteration in gas exchange related to necrosis of lung tissue
Alteration in comfort: pain related to pleurisy
Risk for fluid volume deficit related to insensible losses from fever and tachypnea
Alteration in gas exchange: decreased related to impaired alveolar-capillary interface
Alteration in gas exchange related to necrosis of lung tissue
Which is the main cause of blood tinged, rust-colored sputum in a patient suffering from tuberculosis (TB)?
The destruction of lung parenchyma tissue
The inflammatory process of the lungs
Decreased pH and increased carbon dioxide (CO2)
Tachypnea and tachycardia
The destruction of lung parenchyma tissue
The nurse is teaching about the pathophysiology of tuberculosis (TB). Which statement made is correct?
“Destruction of the lung tissue occurs in the patient during granuloma formation.”
Pleuritic chest pain is the result of the sputum present.”
“The unexplained weight loss is due to the destruction of lung tissue.”
“Micro bleeds are the result of the collection of white blood cells in an attempt to wall off the infection.”
“The unexplained weight loss is due to the destruction of lung tissue.”
Which safety measures followed by the nurse when caring for a patient with suspected tuberculosis (TB) infection can cause the spread of pathogens to other individuals?
Ensuring that the patient leaves the negative pressure room connected to a SPO2 probe
Which classification of tuberculosis (TB) infection can be caused by primary or secondary spread?
Multidrug-resistant TB
The nurse is assessing a patient who has developed orthopnea and rales. On further investigation, the nurse finds that the patient often coughs up rust-colored sputum. The patient also has night sweats and weight loss. Which kind of tuberculosis (TB) does the nurse expect the patient to be diagnosed with in this situation?
primary progressive TB infection
Which is true regarding primary progressive TB infection (PPTBI)?
It may develop in individuals who are exposed to bacterium.
Which nursing intervention should be considered a priority when caring for a patient with tuberculosis (TB) infection?
Isolating the patient in a private room with negative airflow
A client has diminished breath sounds after receiving an albuterol nebulizer treatment for asthma. What are the nurse’s priority actions? Select all that apply.
Obtain a 12-lead ECG. Request a beta blocker. Document the finding. Notify the healthcare provider. Provide mechanical ventilation, if ordered.
Document the finding.
Notify the healthcare provider.
Provide mechanical ventilation, if ordered.
During an acute asthma attack, the nurse should expect which finding?
Increased peak flow reading
Increased incentive spirometer reading
Client able to breathe comfortably
Wheezing on auscultation
Wheezing on auscultation
Which type of medication is used to maintain daily control of asthma?
Anti-inflammatories
Anticholinergics
Bronchodilators
Vasodilators
Anti-inflammatories
A client, newly diagnosed with asthma, has recovered from an acute attack. The nurse analyzes possible triggers in the environment. Which triggers could have caused the exacerbation? Select all that apply.
Client walking in hallway two times today
Gift basket in room containing boxed food items
Fellow staff nurse in hallway wearing perfume
Flower arrangement on client’s bedside table
Visitor who smells of cigarette smoke
Fellow staff nurse in hallway wearing perfume
Flower arrangement on client’s bedside table
Visitor who smells of cigarette smoke
Which topics should the nurse include in the discharge teaching plan of a client newly diagnosed with asthma? Select all that apply.
Pursed-lip breathing Possible triggers Signs and symptoms Using the incentive spirometer Using a peak flow meter
Pursed-lip breathing
Possible triggers
Using a peak flow meter
A client has diminished breath sounds after receiving an albuterol nebulizer treatment for asthma. What are the nurse’s priority actions? Select all that apply.
Obtain a 12-lead ECG. Request a beta blocker. Document the finding. Notify the healthcare provider. Provide mechanical ventilation, if ordered.
Notify the healthcare provider.
Provide mechanical ventilation, if ordered.
Which topics should the nurse include in the discharge teaching plan of a client newly diagnosed with asthma? Select all that apply.
Pursed-lip breathing Possible triggers Signs and symptoms Using the incentive spirometer Using a peak flow meter
Signs and symptoms
Pursed-lip breathing
Possible triggers
Using a peak flow meter
The nurse is evaluating the effectiveness of therapy in a patient with asthma. Which statement made by the patient indicates an effective outcome of the therapy? Select all that apply.
“I stopped smoking 3 months ago.”
“I keep my pets in a separate room.”
“I can speak in complete sentences without shortness of breath.”
“I can breathe easier through pursed-lip breathing.”
“I monitor my peak flow reading every other day.”
“I stopped smoking 3 months ago.”
“I can speak in complete sentences without shortness of breath.”
“I can breathe easier through pursed-lip breathing.”
Which patient with asthma requires immediate treatment?
A patient with a pulse rate of 65 beats/min
A patient with oxygen saturation of 90%
A patient with blood pressure 120/90 mm Hg
A patient with respiratory rate 12 breaths/min
A patient with oxygen saturation of 90%
The patient is experiencing a decreased pulse oximetry reading with obvious respiratory distress. Auscultation reveals wheezing, especially on expiration. The peak flow reading is lower than normal. Which medication should the nurse administer?
Mucolytics
Antibiotics
Corticosteroids
Bronchodilators
Bronchodilators
A patient with asthma is reporting shortness of breath. On assessment, the nurse finds a pulse rate of 110 beats/min, a blood pressure of 130/90 mm Hg, and a temperature of 101°F (37.8°C). Which diagnostic test is most beneficial in determining the treatment plan?
Spirometry
Pulse oximetry
Forced expiratory volume
Peak expiratory flow readings
Peak expiratory flow readings
The nurse is evaluating the outcome of therapy in a patient with asthma. Which statement made by the patient indicates the effective outcome of the therapy? Select all that apply.
“I stopped smoking 3 months ago.”
“I keep my pets in a separate room.”
“I can speak in complete sentences without shortness of breath.”
“I can breathe easier through pursed-lip breathing.”
“I monitor my peak flow reading every other day.”
“I stopped smoking 3 months ago.”
“I can speak in complete sentences without shortness of breath.”
“I can breathe easier through pursed-lip breathing.”
A patient reporting chest tightness arrives at the hospital. On assessment, the nurse notes wheezing, cough, elevated blood pressure, and pulse rate. The primary healthcare provider prescribes corticosteroids. Which is the most likely outcome of the prescribed therapy?
Increases the hydration of airway
Decreases the inflammation of the airway
Aids in bronchial smooth muscle relaxation
Aids in muscle relaxation around the alveoli
Decreases the inflammation of the airway
The nurse is caring for a patient with asthma. Which assessment finding noted by the nurse indicates poor oxygenation?
Temperature of 101°F
Pulse rate of 110 beats/min
Blood pressure of 120/80 mm Hg
Respiratory rate of 35 breaths/min
Respiratory rate of 35 breaths/min
Which patient is at highest risk of developing asthma?
15-year-old African American male
55-year-old Hispanic male
35-year-old Caucasian male
45-year-old native Alaskan male
15- year-old African American male
