For a male client with an endotracheal (ET) tube, which nursing action is most essential? A. Auscultating the lungs for bilateral breath sounds. B. Turning the client from side to side every 2 hours. C. Monitoring serial blood gas values every 4 hours. D. Providing frequent oral hygiene. Correct… Read More »
A fifty-year-old client has a tracheostomy and requires tracheal suctioning. The first intervention in completing this procedure would be to: A. Change the tracheostomy dressing. B. Provide humidity with a trach mask. C. Apply oral or nasal suction. D. Deflate the tracheal cuff. Correct Answer: C. Apply oral or… Read More »
The nurse assesses a male client’s respiratory status. Which observation indicates that the client is experiencing difficulty breathing? A. Diaphragmatic breathing B. Use of accessory muscles C. Pursed-lip breathing D. Controlled breathing Correct Answer: B. Use of accessory muscles The use of accessory muscles for respiration indicates… Read More »
A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. The nurse explains that the tidal volume is the amount of air: A. Exhaled forcibly after a normal expiration. B. Exhaled after there is a normal inspiration. C. Trapped in the alveoli… Read More »
A female client is undergoing a complete physical examination as a requirement for college. When checking the client’s respiratory status, the nurse observes respiratory excursion to help assess: A. Lung vibrations B. Vocal sounds C. Breath sounds D. Chest movements. Correct Answer: D. Chest movements The nurse… Read More »
An acceleration in oxygen dissociation from hemoglobin, and thus oxygen delivery to the tissues, is caused by: A. A decreasing oxygen pressure in the blood. B. An increasing carbon dioxide pressure in the blood. C. A decreasing oxygen pressure and/or an increasing carbon dioxide pressure in the blood. D. An increasing… Read More »
A male client comes to the emergency department complaining of sudden onset of diarrhea, anorexia, malaise, cough, headache, and recurrent chills. Based on the client’s history and physical findings, the physician suspects Legionnaires’ disease. While awaiting diagnostic test results, the client is admitted to the facility and started on antibiotic therapy. What is the drug… Read More »
A client has just returned to a nursing unit following bronchoscopy. A nurse would implement which of the following nursing interventions for this client? A. Encouraging additional fluids for the next 24 hours B. Ensuring the return of the gag reflex before offering foods or fluids C. Administering atropine intravenously D.… Read More »
A female patient suffers acute respiratory distress syndrome as a consequence of shock. The patient’s condition deteriorates rapidly, and endotracheal intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator, alarm sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm? A. Kinking of the… Read More »
The best method of oxygen administration for client with COPD uses: A. Cannula B. Simple Face mask C. Non-rebreather mask D. Venturi mask Correct Answer: D. Venturi mask Venturi delivers controlled oxygen. An air-entrainment (also known as venturi) mask can provide a pre-set oxygen to the patient using jet… Read More »