Quiz all mid Flashcards
A nurse is examining the nose of a client diagnosed with an upper respiratory tract infection. Which characteristics of the nasal mucosa should the nurse expect to find during assessment of a client with an upper respiratory tract infection?
a.Dark pink, moist, & free of discharge
b.Pale pink, swollen, with watery exudate
c.Bluish gray, swollen, with watery exudate
d.Red, swollen, with purulent discharge
d.Red, swollen, with purulent discharge
You are assigned to a patient with upper respiratory infection and the client is expected to be recovered what would you expect
a.chills
b.cough productive w/o chest dis
c.less nasal obstruction
d.maintain fluid intake
c.less nasal obstruction
Which intervention should Nurse John Joe discuss with Elena who has an allergic disorder and is requesting information for allergy symptom control? (Select all that apply.)
A.Instructing the client to refrain from using air conditioning or humidifiers in the house
B.Instructing the client to use curtains instead of pull shades over windows
C.Instructing the client to cover the mattress with a hypoallergenic cover
D.Instructing the client to wear a mask when cleaning
E.Instructing the client to avoid using sprays, powders, and perfumes
F.Instructing the client to change detergents frequently
C.Instructing the client to cover the mattress with a hypoallergenic cover
D.Instructing the client to wear a mask when cleaning
E.Instructing the client to avoid using sprays, powders, and perfumes
The following are the nursing intervention to client with allergic disorder and requesting information to allergy symptoms control: Except
A.Instruct to wear a mask
B.Cover the mattress
C.Refrain from using air conditioner
D.Avoid using spray
C.Refrain from using air conditioner
For Aubrey Anne who has allergies, which client statement indicates that the nurse’s teaching about her condition has been successful?
A.”I don’t need to wear any type of mask when I’m cleaning my house.”
B.”I should stay in the house when there’s a low pollen count outside.”
C.”I should avoid any types of spray, powders, and perfumes.”
D.”I can wear any type of clothing that I want to as long as I wash it first.”
C.”I should avoid any types of spray, powders, and perfumes.”
6.Patient has allergic rhinitis and he asked you the things he needs to do to lessen symptoms
a.increase activity
b.keep a diary if what you’re symptoms occur - eto tama
c.use your nasal decongestant spray
d.ask the doctor for prescription
b.keep a diary if what you’re symptoms occur - eto tama
medication used for stuffy nose a drug can decrease swollen
a.antibiotic
b.antihistamine
c.decongestant
c.decongestant
Mrs. K will give antihistamine before giving nasal spray, what is the first thing that you should do as a nurse?
a.position
b.ask take deep bresth
c.clear the nasal passages
d.side rails up
c.clear the nasal passages
You are developing plan to teach patient managing allergic rhinitis:
a.identification and avoidance of allergic trigger
b.handwashing is the best
c.Corticosteroids
d.use of antihistamines
a.identification and avoidance of allergic trigger
10.Patient is experiencing nasal congestion the ff are dependent except:
a.give decongestant
b.apply warm cloth
c.steam inhalation
d.drink water
a.give decongestant
11.Which part of the nose causes obstruction of mucus ciliary clearance of sinus outflow that lead to partial obstruction sinus:
a.mucosal lining
b.Septu
c.cilia
a.mucosal lining
Main regulator - Mast Cells
Main regulator - Mast Cells
Best position when administering inhaler
fowlers position tilt head
pharyngitis also called as SORE THROAT
pharyngitis also called as SORE THROAT
12.Patient has streptococcal pharyngitis has been placed on droplet precaution, best intervention:
a.Client can be placed with another clien
b.special mask n95
c.must maintain distance of 3 feet
d.gloves only worn
c.must maintain distance of 3 feet
14.Patient is experiencing sore throat, the preventive measure are except
a.maintain proper hygiene
b.Avoid sharing of utensils
b.Avoid sharing of utensils
14.Patient has pharyngitis, the following are independent interventions except;
a.rest advise
b.advise salt water gargle
c.use analgesics
d.compress
c.use analgesics
15.In teaching the client with asthma how to prevent asthma triggers which trigger should be include
a.smoker
b.mattress cover
c.indoor pest-
d.Stuffed animals
e.tiles
a.smoker
c.indoor pest-
d.Stuffed animals
Clinical manifestation should the nurse expect with asthma:
wheezing
dob
retraction
cough out
16.You are examining client with diagnosis of asthma which pathological characteristics that you expect during physical examination?
a.dead space
b.air trapping
c.expiratory wheezing
d.increase drug volume
c.expiratory wheezing
17.You are going to discharge asthmatic episodes, what information should you include to prevent recurrent episodes?
a.carrying a rapid acting bronchodilator
b.getting already influenza vaccine
c.inhaled corticosteroids
d.recommend not be vaccinated
e.avoid breathing in strong odor
a.carrying a rapid acting bronchodilator
b.getting already influenza vaccine
e.avoid breathing in strong odor
18.Completing admission hx with hypertension and possible asthma experiencing new onset of wheezing shortness of breath which information may identify cause of asthma attack
a.client visited zoo
b.took two acetaminophen
c.two weeks had influenza
d.started nsaid drug one hour prior consultation
d.started nsaid drug one hour prior consultation
19.You are discharging a client with asthma which topic should the nurse include in discharge teaching:
a.side effect of theophylline
b.complication of oxygen therapy
c.self administration of inhaled corticosteroid
d.contact provider
e.How to use peak flow meter
c.self administration of inhaled corticosteroid
d.contact provider
e.How to use peak flow meter
20.A patient is admitted for asthma which diagnostics which diagnostic and lab test result should be observed:
a.allergy testing
b.abg
c.Spirometry
d.pulse ox
e.peak flow
a.allergy testing
b.abg
d.pulse ox
e.peak flow
21.Acute asthma attack and dinala sa emergency ano ang unang gagawin
a.administer inhaled corticosteroids
b.peak flow
c.auscultate the lungs
d.determine when the shortness began
c.auscultate the lungs
22.The nurse is evaluating the oxygen status of client with asthma which diagnostic is useful in gathering:
a.cardiac monitor
b.x-ray
c.pulse oxi
d.peak flow meter
c.pulse oxi
23.asthma di makapagsalita with dob diminished breath sounds which type of exacerbation
a.minimal- shortness on exertion, speak sentences, and upon auscultation there is positive wheezing
b.mild - may shortness of breath with mild exertion, and ability to speak phrases, may audible wheezing
c.moderate- Shortness of breath, rest and the ability to speak single words at mayrong byfastic wheezing
d.severe- tama
d.severe- tama
24.Patient with shortness of breath ano gagawin ng nurse
a.monitor skin color and temp
b.place in prone
c.monitor level of consciousness
d.endotracheal suction
e.administer oxygen
a.monitor skin color and temp
c.monitor level of consciousness
d.endotracheal suction
e.administer oxygen
25.You are evaluating the effectiveness following treatment of asthma what best indicator
a.no wheezing
b.2 seconds cappillary
c.18 rr
d.oxygen saturation 96
d.oxygen saturation 96
26.You are auscultating lungs asthmatic clients during acute attack. What is the correct technique to do during assessment?
a.listen the client exhale and move the next site during exhalation
b.auscultate for atleast 1 full respiration
c.slow deep breathe
d.auscultate the anterior and posterior
e.ask the client in out rapidly
b.auscultate for atleast 1 full respiration
27.Client has acute shortness of breath ano action during assessment:
a.complete pulmonary function
b.supine to complete assessment
c.assess allergies
d.ask specific question current respiratory conditions
d.ask specific question current respiratory conditions
28.A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient?
a.Ask the patient to lie down to complete a full physical assessment.
b.Briefly ask specific questions about this episode of respiratory distress.
c.Complete the admission database to check for allergies before treatment.
d.Delay the physical assessment to first complete pulmonary function tests.
b.Briefly ask specific questions about this episode of respiratory distress.
29.You are providing teaching for inhaled corticosteroids which information should be discussed?
a.inhale cort as quickly and deep when taking a puff
b.spacers are not necessary
c.press the canister down breath slowly and deeply and slowly
c.press the canister down breath slowly and deeply and slowly
30.A health care provider is evaluating the management of a child with a history of asthma. Which of the following statements from the child’s mother would be most concerning to the health care provider?
A.”My child uses her inhaler about once or twice a week.”
B.”When my child has an attack, she usually has to use her rescue inhaler 4 times before her breathing improves.”
C.”My child’s peak flow reading is usually about 90 percent of her personal best.”
D.”My child sometimes has to take breaks during gym class to catch her breath.”
B.”When my child has an attack, she usually has to use her rescue inhaler 4 times before her breathing improves.
31.A clinician is developing the plan of care for a patient with a history of asthma. Which of the following is the priority problem for this patient during an acute exacerbation?
a.risk for ineffective airway clearance
b.ineffective breathing pattern
c.activity intolerance
d.altered coping
b.ineffective breathing pattern
31.Which of the following should be included in peak flow measurement teaching?
A. “ inhale deeply, put your mouth over mouthpiece, then exhales slow and steady”
b.”Exhale deeply, put your mouth over the mouthpiece, then inhale slowly and steady.”
c.”Exhale deeply, put your mouth over the mouthpiece, then inhale hard and fast.”
D.”Inhale deeply, put your mouth over the mouthpiece, then exhale hard and fast.”
D.”Inhale deeply, put your mouth over the mouthpiece, then exhale hard and fast.”
32.Which of the following statements from a patient with environmental allergies indicates the need for further education?
a.” I should keep my home clean and tidy”
b.” I should wash my bedding at least weekly”
c.carpet helps reduce allergens”
d.” I should monitor daily pollen counts”
c.carpet helps reduce allergens”
33.Which of the following would the patient most likely report as triggers for asthma attack? Select all that apply.
a.exercise
b.warm air
c.cold air
d.inhaled corticosteroids
e.pollen
a.exercise
c.cold air
e.pollen
34.You’re assisting your patient who has asthma to bed. The patient is experiencing a frequent cough and chest tightness. You auscultate the patient’s lung fields and note expiratory wheezes. The patient’s peak flow rate is 78% less than their best peak flow reading. Which medication will provide the patientwith the fastest relief from these signs and symptoms of an asthma attack?
A.Theophylline
B.Tiotropium
C.Albuterol
D.Cromolyn
C.Albuterol
35.A patient with asthma is receiving a nebulizer of Cromolyn. The patient reports a burning sensation in the nose along with a horrible taste in their mouth. As the nurse you will?*
A.Immediately stop the nebulizer
B.Re-adjust the nebulizer
C.Call a rapid response because the patient is having a potential anaphylactic reaction to the medication.
D.Reassure the patient this is a temporary side effect of this medication.
D.Reassure the patient this is a temporary side effect of this medication.
35.A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications?
A.The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone.
B.The patient inhales the Fluticasone first and then waits 5 minutes before inhaling the Salmeterol.
C.The patient inhales the Salmeterol first and then waits 1 minute before inhaling the Fluticasone.
D.The patient inhales the Fluticasone and immediately inhales the Salmeterol.
A.The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone.
36.A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching?
a. Removes the cap and shakes the inhaler well before use.
b.Presses the canister down with finger as he breathes in.
c.Inhales the mist and quickly exhales.
d.Waits 1 to 2 minutes between puffs if more than one puff has been prescribed.
c.Inhales the mist and quickly exhales
37.Select all the correct options that represent the pathophysiology of an asthma attack.*
A.The smooth muscle surrounding the alveoli constricts, limiting oxygenation.
B.The mucosa lining experiences severe inflammation.
C.The goblet cells within the mucosa lining produce excessive amounts of mucous.
D.Too much carbon dioxide is exhaled due to hyperventilation and the patient experiences respiratory alkalosis.
B.The mucosa lining experiences severe inflammation.
C.The goblet cells within the mucosa lining produce excessive amounts of mucous.
38.A Client has ordered arterial blood gas, how many seconds should the blood return in Allen’s Test:
6 seconds
6 seconds
39.During an assessment of a 45-yr-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change?
a.Laryngospasm
b.Pulmonary edema
c.Narrowing of the airway
d.Overdistention of the alveoli
c.Narrowing of the airway
What is the best position for patient having asthma -
HIGH FOWLERS
HIGH FOWLERS
What does smoking do to our body?
-cellular hyperplasia
-decrease ciliary activity due to increase ciliary mucus
-decrease hemoglobin
compound problems in coronary artery
-cellular hyperplasia
-decrease ciliary activity due to increase ciliary mucus
-decrease hemoglobin
compound problems in coronary artery
Clinical Manifestation of Emphysema:
-barrel chest
-Dyspnea
-small amount of sputum
-flattened of diameter
-chest breather
-Underwieught
-minimal cyanosis
-shortness of breath
-Tachypnea
-use accessory muscles
-barrel chest
-Dyspnea
-small amount of sputum
-flattened of diameter
-chest breather
-Underwieught
-minimal cyanosis
-shortness of breath
-Tachypnea
-use accessory muscles
Clinical Manifestations of chronic bronchitis:
-hyperplasia of secreting glands
-hyperplasia in trachea
-increase goblet
-disappearance of cilia
-Bronchospasm
-exacerbated by irritants
-Hypoxemia
-Hypercapnia
-blue bloaters
-pursed lips
-Cyanosis
-signs of three months ng attack over two years
-high clubbing of fingers
-increased co2 and hemoglobin
-hyperplasia of secreting glands
-hyperplasia in trachea
-increase goblet
-disappearance of cilia
-Bronchospasm
-exacerbated by irritants
-Hypoxemia
-Hypercapnia
-blue bloaters
-pursed lips
-Cyanosis
-signs of three months ng attack over two years
-high clubbing of fingers
-increased co2 and hemoglobin
BEST POSITION FOR EMPHYSEMA UNDER
NORMAL CIRCUMSTANCES- semi fowler’s position
Semi fowler’s position
WHAT FLOWRATE OF OXYGEN SHOULD BE GIVEN IN PATIENT WITH EMPHYSEMA -
not
exceed to 2.5 L/m
Not
exceed to 2.5 L/m
What is the best position for patient with emphysema experiencing severely dyspneic episode - tripod
Tripod
What would you expect to the hands of a patient with severe emphysema - clubbing
Clubbing
Emphysema is most associated with SMOKING
SMOKING
The appetite decreases, weight decreases, and anterior posterior diameter increases with emphysema
pag nag increase ang diameter un ang BARREL CHEST
pag nag increase ang diameter un ang BARREL CHEST
