RESPIRATØRY CØNDITIØNS Flashcards
The nurse is preparing to administer an antibiotic that has been newly prescribed. The nurse plans to administer the antibiotic via a secondary line into the primary infusion of 0.9% sodium chloride. Shortly after initiation of the antibiotic piggyback, the client becomes restless and flushed, and the client begins to wheeze. The nurse determines that appropriate first actions will be to stop the antibiotic infusion and:
1/ Notify the physician immediately about the client’s condition.
2 Take the client’s blood pressure.
3/ Obtain the client’s pulse oximetry.
4/ Assess the client’s respiratory status.
4/ Assess Resp. functioning
Assessing and maintaining the client’s airway is the priority over all the other choices. In most facilities, the Rapid Response Team will be called to assist the client. Another staff member can notify the physician of the client’s condition while the nurse assesses the client. Vital signs, including pulse oximetry, are obtained after airway patency is ensured and maintained.
A client with chronic obstructive pulmonary disease (COPD) has a blood pH of 7.25 and Pco2 of 60. These blood gases require nursing attention because they indicate _______.
Respiratory Acidosis
A client returns from a bronchoscopy, and the nurse provides the client with instructions to not consume any food or drink any fluids for several hours. The nurse explains that these measures are taken to prevent: 1/ Aspiration 2/ Dysphasia 3/ Projectile vomiting 4/ Abdominal distention
1/ Aspiration
To allow for the insertion of the bronchoscope, throat muscles are anesthetized, diminishing the protective gag reflex.
A client with a pulmonary embolus is intubated and placed on mechanical ventilation. When suctioning the endotracheal tube, the nurse should:
1/ Apply suction for no more than 10 seconds while inserting the catheter
2/ Hyperoxygenate with 100% oxygen before and after suctioning
3/ Use the technique of short, pushing movements when applying suction
4/ Suction two or three times in quick succession to remove secretions
2/ Hyperoxygenate
Suctioning removes not only secretions but also oxygen, which can cause cardiac dysrhythmias; the nurse should try to prevent this by hyperoxygenating the client before and after suctioning.
A client that is postoperative hip replacement is receiving morphine by patient-controlled analgesia and has a respiratory rate of 6 breaths/min. What intervention should the nurse anticipate? 1/ Nasotracheal suction 2/ Mechanical ventilation 3/ Naloxone administration 4/ Cardiopulmonary resuscitation
3/ Naloxone Administration
Naloxone is an opioid (narcotic) antagonist and will reverse respiratory depression caused by opioids.
A client is experiencing severe respiratory distress. What response should the nurse expect the client to exhibit? 1/ Tremors 2/ Anasarca 3/ Bradypnea 4/ Tachycardia
4/ Tachycardia
The heart rate increases in an attempt to compensate for the lack of oxygen to body cells. Tremors are not associated with respiratory distress; tremors are associated with neurologic problems. Severe generalized edema (anasarca) is not associated with respiratory distress; anasarca is associated with renal failure. An increased respiratory rate (tachypnea), not a decreased respiratory rate (bradypnea), is associated with respiratory distress.
A nurse teaches a client how to perform diaphragmatic breathing. The nurse advises the client to:
1/ Take rapid, deep breaths
2/ Breathe with hands on the hips
3/ Expand the abdomen on inhalation
4/ Perform exercises leaning forward while in a sitting position
3/ Expand abdomen on inhalation
Expanding the abdomen on inhalation aids descent of the diaphragm so that more air can enter and fill the lungs
A nurse is caring for a client who is admitted to the hospital with severe dyspnea and a diagnosis of cancer of the lung. The nurse concludes that the severe dyspnea probably is caused by:
1/ Abdominal distention or pressure
2/ Bronchial obstruction or pleural effusion
3/ Fluid retention as a result of renal failure
4/ Anxiety associated with pain on inspiration
2/ bronchial or effusion
Proliferation of malignant cells may obstruct the bronchial tree or foster development of exudate in the pleural space, decreasing the availability of oxygen and increasing retention of carbon dioxide.
While conducting an initial assessment on a client, which classic sign would alert the nurse that the client has chronic obstructive pulmonary disease (COPD)? 1/ Barrel chest 2/ Cyanosis 3/ Hyperventilation 4/ Lordosis
1/ Barrel Chest
（。 ㅅ 。）
lol
A nurse provides smoking cessation education to a client with chronic obstructive pulmonary disease (COPD). The nurse concludes that the client is ready to quit smoking when the client states:
1/ “I think you should go to hell.”
2/ “I’ll cut back to a half pack a day.”
3/ “I find that smoking is the only way I can relax.”
4/ “I’m going to cut it out cold turkey, along with my drinking too.”
2/
The response “I’ll cut back to a half pack a day” is a positive step in reducing smoking; it is the first step toward stopping. IT IS REALISTIC.
The nurse who is teaching the client with chronic obstructive pulmonary disease (COPD) to use pursed-lip breathing (PLB) is aware that this is beneficial for the client through which mechanism?
1/ Increased respiratory rate to improve arterial oxygenation
2/ Prolonged exhalation to decrease air trapping
3/ Shortened inhalation to reduce bronchial swelling
4/ Use of the diaphragm to increase the amount of inspired air
2/
