Which condition triggers the high-pressure alarm? C. Numbness and tingling of the extremities What Do You Know About Gluconeogenesis? A. In cardiogenic pulmonary edema, pulmonary congestion occurs secondary to heart failure. Upon auscultation of the left lower lobe, the nurse documents which of the following breath sounds? Because of the long-standing hypercapnia that occurs in emphysema, the respiratory drive is triggered by low oxygen levels rather than increased carbon dioxide levels, as is the case in a normal respiratory system. Without adequate oxygen supply organ function may be seriously compromised. line. Blessy, a community health nurse is conducting an educational session with community members regarding tuberculosis. A chest x-ray confirms a diagnosis of left lower lobe pneumonia. Which explanation should the nurse provide? Nurse Reese is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which observation indicates that the client is experiencing difficulty breathing? Erythromycin is the drug of choice for treating legionnaires’ disease. Option d is incorrect because bubbling should be gentle. B. B. A vasovagal response may occur, causing bradycardia. Like Us on Facebook. Drawing blood for a hematocrit and hemoglobin level Because the client is extremely weak and can’t produce an effective cough, the nurse should monitor closely for: A. Pleural effusion. D. Asking the client to obtain the specimen after eating. When percussing the client’s chest wall, the nurse expects to elicit: A. Resonant sounds. The nurse tells the group that one of the first symptoms associated with tuberculosis is: A cough with the expectoration of mucoid sputum. While awaiting diagnostic test results, the client is admitted to the facility and started on antibiotic therapy. Basic symptoms of a closed pneumothorax are shortness of breath and chest pain. B. Mucous membranes. D. Residual volume. C. Increased oxygen saturation with exercise leads to the breakdown of elastin in the septa which leads to the loss of recoil (can't push air out) which leads to hyperinflation of the lungs which leads to increased RV. The system is replaced if it breaks or cracks or if the collection chamber is full. Dull sounds are thudlike and of medium pitch. A male adult client is suspected of having a pulmonary embolus. When the chest tube is removed, the client is asked to perform the Valsalva maneuver (take a deep breath, exhale, and bear down). As a nurse, it is important you know the basics about lung anatomy and the physiology of gas exchange because it will help you understand respiratory disorders. The nurse should inform the client to expect which of the following adverse effects while taking this drug? 42. You have not finished your quiz. Inform the physician C. Bradycardia 1) Pain in the lungs. Notify the physician immediately A male client admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannula. 28. D. A change in the oxygen concentration without resetting the oxygen level alarm. A complication of an open pneumothorax. Respiratory System - Science Quiz: Seterra is a free online quiz game that will teach you about science, biology, chemistry and the anatomy of the human body. Rhea, confused and short breath, is brought to the emergency department by a family member. cellular respiration. Instead run toward it because the only way to escape fear is to trample it beneath your feet. Placing a sterile dressing over the disconnection site will not prevent complications resulting from the disconnection. What is the mechanism of action of anhydrous theophylline in treating a nonreversible obstructive airway disease such as COPD? Promote oxygen intake To decrease edema, the nurse should place the patient in semi-Fowler’s position. The optimal time to obtain a specimen is on arising in the morning. B. Learn quiz nursing assessment respiratory system with free interactive flashcards. Scenario: If a patient comes into the ER presenting signs and symptoms of respiratory affectation, how would you know what type of lung illness it is? Blessy, a community health nurse is conducting an educational session with community members regarding tuberculosis. C. A bloody, productive cough B. Grasp the retention sutures to spread the opening A nurse performs an admission assessment on a female client with a diagnosis of tuberculosis. A nurse is suctioning fluids from a male client via a tracheostomy tube. A male adult client is suspected of having a pulmonary embolus. Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the: Contralateral side in a simple pneumothorax. The client should notify the physician immediately if it occurs so that streptomycin can be discontinued and an alternative drug can be prescribed. B. The nurse should base her response on the fact that the: A. Pulmonary emboli commonly arise from the deep veins in the _______ and _______ . Hallucinations and tinnitus rare are associated with respiratory alkalosis or any other acid-base imbalance. When caring for a patient who is recovering from a pneumonectomy, the nurse should encourage coughing and deep breathing to prevent pneumonia in the unaffected lung. The patient with COPD retains carbon dioxide, which inhibits stimulation of breathing by the medullary center in the brain. 38. The client is hypoxemic because of bronchoconstriction as evidenced by wheezes and a subnormal arterial oxygen saturation level. If a positive reaction occurs, a sputum smear and culture as well as a chest X-ray are necessary to provide more information. A. pH, 5.0; PaCO2 30 mm Hg 15. 21. All the best and keep reading up on it and its functions! D. Blood-streaked sputum. Constant bubbling in the chamber indicates an air leak and requires immediate intervention. ARDS results from increased pulmonary capillary permeability, which leads to noncardiogenic pulmonary edema. The client’s greatest need is bronchodilation, which can be accomplished by administering bronchodilators. D. Metabolic acidosis. C. 30 to 40 minutes. Such conditions include: A. Tuberculosis is definitively diagnosed through culture and isolation of Mycobacterium tuberculosis. Simple mask When caring for a male patient who has just had a total laryngectomy, the nurse should plan to: Encourage oral feeding as soon as possible, Develop an alternative communication method, Keep the tracheostomy cuff fully inflated. Gravity. Post navigation. A black client with asthma seeks emergency care for acute respiratory distress. D. Amphotericin B (Fungizone). It is the best oxygen delivery system for the client with chronic airflow limitation because it delivers a precise oxygen concentration. B. Applying a dressing over the wound and taping it on three sides shelby__chinen. The client in the next room is being treated for mycoplasmal pneumonia. Which clinical findings commonly accompany respiratory alkalosis? A. 44. Multiple Choice . To obtain a sputum specimen, the client should rinse the mouth to reduce contamination, breathe deeply, and then cough into a sputum specimen container. The nurse assesses breath sounds during auscultation. 50. Alprazolam is an anxiolytic and central nervous system depressant, which could suppress the client’s breathing. To promote adequate gas exchange, the nurse should use a Venturi mask to deliver a specified, controlled amount of oxygen consistently and accurately. Antibiotic therapy is the primary treatment for most types of pneumonia; however, the antibiotic must be specific for the causative agent, which may not be responsive to penicillin. A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. 1. Any items you have not completed will be marked incorrect. Respiratory depression is the most serious complication of epidural analgesia. D. 10 L/min. Patients with narcolepsy Renal failure does not cause ARDS, either. Which of the following nursing actions will facilitate obtaining the specimen? 29. This quiz will test your knowledge on the virus, other types of coronaviruses, how they’re spread, and preventive measures to take in preventing the spread of COVID-19. 36. B. Before therapy begins, the nurse should instruct the client to notify the physician if which health concern occurs? D. Preparing to start an I.V. A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. Which assessment finding indicates that the patient needs another pancuronium dose? A disconnected ventilator tube or an endotracheal cuff leak would trigger the low-pressure alarm. Hyperresonance also may occur on the affected side. A male client with pneumococcal pneumonia is admitted to an acute care facility. A. Stridor This syndrome results from: A. Cardiogenic pulmonary edema C. Lethargy Nausea, vomiting, abdominal pain, and diarrhea may accompany respiratory acidosis. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. The medical history reveals chronic bronchitis and hypertension. Encouraging the patient to drink three glasses of fluid daily Occasional pink-tinged sputum Dull sounds, normally heard only over the liver and heart, may occur over dense lung tissue, such as from consolidation or a tumor. 44. Answer: B. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. B. 46. When suctioning, the nurse must limit the suctioning time to a maximum of: A nurse is suctioning fluids from a female client through an endotracheal tube. Normally, thoracic expansion is symmetrical; unequal expansion may indicate pleural effusion, atelectasis, pulmonary embolus, or a rib or sternum fracture. Answer: A. Erythromycin (Erythrocin). B. Anxiety related to actual threat to health status A. Kinking of the ventilator tubing B. Eating more than three large meals a day may cause fullness, making breathing uncomfortable and difficult; however, it doesn’t increase oxygen demands. B. D. Cover the tracheostomy site with a sterile dressing to prevent infection. A. The client asks the nurse to explain the purpose of this breathing technique. C. Face tent D. 45 to 60 minutes. Arterial blood gas analysis reveals increasing hypoxemia, with a PaO2 lower than 60 mm Hg. A patient airway and an adequate breathing pattern are the top priority for any patient, making “impaired gas exchange related to airflow obstruction” the most important nursing diagnosis. Answer: C. Use diaphragmatic breathing. Place the tube in bottle of sterile water C. Set the pump at 45 ml/hour. 37. Are you ready for the NCLEX? 46. Auscultating the lungs for bilateral breath sounds, Turning the client from side to side every 2 hours, Monitoring serial blood gas values every 4 hours. C. Breath sounds. The initial nursing action is to: Place the tube in bottle of sterile water, Immediately replace the chest tube system, Place a sterile dressing over the disconnection site. 2 - the brain: can you name the main anatomical areas of the brain?. You can also copy this exam and make a printout. Answer: B. A nurse is caring for a male client with acute respiratory distress syndrome. A. 2 L/min 60. Answer: C. Encourage coughing and deep breathing. A low respiratory rate Are You A Twilight Vampire Or Werewolf Quiz. The nurse tells the group that one of the first symptoms associated with tuberculosis is: A. Dyspnea When checking the client’s respiratory status, the nurse observes respiratory excursion to help assess: A. Answer: C. Clear. Which of the following would the nurse expect to note in the client? Which of the following signs, if noticed in the client, should be reported immediately to the physician? B. Propranolol (Inderal) Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted notes continues gentle bubbling in the suction control chamber. What is described below:Fluid is accumulated in the pleural space, most likely from an infection... A complication of an open pneumothorax. In the initial stage of ARDS, respiratory alkalosis may arise secondary to hyperventilation; however, it does not cause ARDS. B. Venturi mask Because the client is extremely weak and can’t produce an effective cough, the nurse should monitor closely for: The nurse in charge is teaching a client with emphysema how to perform pursed-lip breathing. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? D. pH, 7.25; PaCO2 50 mm Hg. 20. Although hyperresonant sounds occur in such disorders as emphysema and pneumothorax, they may be normal in children and very thin adults. The nurse is admitting a client who complains of fever, chills, chest pain, and dyspnoea. A black client with asthma seeks emergency care for acute respiratory distress. B. 21. It makes the central respiratory center more sensitive to carbon dioxide and stimulates the respiratory drive. A nurse is suctioning fluids from a male client via a tracheostomy tube. C. 10 seconds The Respiratory System ATI Pharmacology Made Easy 4.0. Chest pain When reviewing the ABG report, the nurses sees many abbreviations. 42. Which complication may arise if the client receives a high oxygen concentration? Options B, C, and D are not signs that require immediate notification of the physician. Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. A. It assists mechanical ventilation by promoting encdotracheal intubation and paralyzing the patient so that the mechanical ventilator can do its work. D. Nasal cannula. The other options also may apply to this patient but less important. Question 41. D. Bilateral pleural friction rub. In acute rhinitis, nasal drainage normally is: 3. At 11 p.m., a male client is admitted to the emergency department. Match. Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. A male client comes to the emergency department complaining of sudden onset of diarrhea, anorexia, malaise, cough, headache, and recurrent chills. B. Applying a dressing over the wound and taping it on three sides. A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. In 1 hour 51. B. 4. Acute respiratory distress syndrome (ARDS) is the sudden failure of the lungs to move sufficient oxygen into the blood. Spend your time wisely! D. 30 seconds. Respiratory alkalosis An ineffective cough doesn’t cause pleural effusion (fluid accumulation in the pleural space). A male patient’s X-ray result reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). 15. Increased urinary frequency Does it is helpful for me to pass Nclex RN exam.. Great place to learn with good rational to each option. When percussing the client’s chest wall, the nurse expects to elicit: A male client who weighs 175 lb (79.4 kg) is receiving aminophylline (Aminophyllin) (400 mg in 500 ml) at 50 ml/hour. D. Earlobes. Expand your knowledge with this 60-item NCLEX style examination all about Respiratory Disorders. Call the physician to reinsert the tube He’s anxious, and wheezes are audible. The lips, nail beds, and earlobes are less reliable indicators of cyanosis because they’re affected by skin color. The system is functioning normally Develop an alternative communication method. D. Tracheostomy collar. 1 L/min When suctioning, the nurse must limit the suctioning time to a maximum of: A. Other modes — simple mask, face tent, and nasal cannula — deliver lower levels of FIO2. What condition are signs and symptoms indicative of:Chronic hypoxemia; hypercapnea; increased work to breath; bronchospasm; mucus plugging; and pulmonary HTN leads to RHF. We will be pointing out the manifestations that make one condition different from the other. When teaching the patient about this drug, the nurse should explain that it may cause: Albuterol may cause nervousness. A nurse checks a client’s oxygen saturation by using a bedside sensory probe. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism? Patients who have a respiratory complaint may have a history of respiratory conditions. Tidal volume refers to the volume of air inspired and expired with a normal breath. Its peak concentration occurs in about 1 hour; its half-life, in 2.5 hours; and its duration of action is 4 to 6 hours. Don’t run from a challenge. The other options aren’t associated with streptomycin. The nurse immediately should apply a dressing over the stab wound and tape it on three sides to allow air to escape and to prevent tension pneumothorax (which is more life-threatening than an open chest wound). In a client with COPD, an ineffective cough impedes secretion removal. Quiz Human Respiratory System Previous Human Respiratory System. Diaphragmatic breathing — not chest breathing — increases lung expansion. learning nurse respiratory system quizlet provides a comprehensive and comprehensive pathway for students to see progress after the end of each module. A male patient has a sucking stab wound to the chest. Next Mechanisms for Gas Exchange. 34. Options A, B, and C are incorrect client instructions. A. Apnea What action is appropriate? Respiratory System Assessment for Nurses Cheat Sheet Your Ultimate Guide to the Nursing Respiratory Assessment + a FREE Cheat Sheet! B. The presence of fluctuation of the fluid level in the water seal chamber indicates a patent drainage system. 27. What condition does the factors listed below cause:Premature birth; immature lungs; Increased inspired oxygen; (+) pressure ventilation; and infections, What condition is described below:An instability of a portion of the chest that occurs from serious trauma like an accident, ribs are broken, etc. B. The nurse asks the patient about the color of the drainage. Which phrase is used to describe the volume of air inspired and expired with a normal breath? Hypoxemia can be caused by prolonged suctioning, which stimulates the pacemaker cells in the heart. Total lung capacity is the maximal amount of air the lungs and respiratory passages can hold after a forced inspiration. The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. A male client is asking the nurse a question regarding the Mantoux test for tuberculosis. Which condition triggers the high-pressure alarm? Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. If there is no significant air or fluid accumulation, the trachea will not shift. The Venturi mask delivers the most accurate oxygen concentration. Forced vital capacity Only after covering and taping the wound should the nurse draw blood for laboratory tests, assist with chest tube insertion, and start an I.V. Quiz: Want To Find Out What Type Of Guy Is Right For You? A client with COPD may have anginal pain from generalized vasoconstriction secondary to hypoxia; however, administering oxygen at any concentration dilates blood vessels, easing anginal pain. A. Flat sounds, soft and high-pitched, are heard over airless tissue and can be replicated by percussing the thigh or a bony structure. 25. 43. Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. To decrease accessory muscle use and thus reduce the work of breathing, the client may need to learn diaphragmatic (abdominal) breathing. A dry cough may be expected. Typically, epidural analgesia causes central nervous system depression (indicated by drowsiness) as well as a decreased heart rate and blood pressure. B. Exhale through an open mouth. A. Nurse Salary 2020: How Much Do Registered Nurses Make? Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. Quiz: Which Anime Character Are You Most Like? The trachea leads to the: bronchioles bronchii esophagus pulmonary vessel. Which assessment finding indicates that the client has developed the most serious complication of epidural analgesia? C. It stimulates adenosine receptors, causing bronchodilation. Initially, the nurse should plug the opening in the tracheostomy tube for 5 to 20 minutes, then gradually lengthen this interval according to the client’s respiratory status. B. First, we will be focusing our discussion on the main signs and symptoms or quick pathophysiology of every illness. D. Increased appetite. Oxygen is used cautiously and should not exceed 2 L/min. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. Low arterial PaO2 Which assessment finding indicates that the client has developed the most serious complication of epidural analgesia? Created by. A slightly obese female client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. Which action should the nurse take first? Movement of the legs, or lips has no effect on the ventilator and therefore is not used to determine the need for another dose. D. Perform the Valsalva maneuver. The nurse is teaching a male client with chronic bronchitis about breathing exercises. A moderate fluid intake (usually 2 L or more daily) and moderate activity help liquefy and mobilize secretions. Fluctuation stops if the tube is obstructed, if a dependent loop exists, if the suction is not working properly, or if the lung has reexpanded. C. Decreased hearing acuity Absence of breaths sound in the right thorax Answer: B. Quiz, Respiratory System (Practice Mode)- Rnpedia, The Respiratory System: Anatomy And Physiology Questions. The nurse assesses a male client’s respiratory status. He has a respiratory rate of 44 breaths/minute. A. Nausea or vomiting The pH value reflects the acid-base balance in arterial blood. A. Dyspnea Stay very still The trachea will shift according to the pressure gradients within the thoracic cavity. If side effects develop, especially cardiac irregularities, the procedure is stopped and the client is reoxygenated. The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the: For a male client with an endotracheal (ET) tube, which nursing action is most essential? Total lung capacity So these are things like the nose, throat, tonsils, and includes the voice box or the larynx, and all the sinuses. It helps prevent early airway collapse. Yellow or green … C. Patients under age 6 B. Enforcing absolute bed rest Answer: C. Teaching the patient how to perform controlled coughing. 24. Answers and rationales are given below. 39. Place the tube in bottle of sterile water. 2) excessive pleural fluid. 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