Exam (elaborations)
GNRS 554_ Respiratory Exam Practice Questions (1).
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GNRS 554_ Respiratory Exam Practice Questions (1).
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The nurse reviews staff documentation for a client diagnosed with a left pleuraleffusion. The nurse expects to find which notation in the clients record?
a. "decreased breath sounds noted in lower lobe"
b. "lungs clear with breath sounds heard in all areas"
✅✅
c. "crackles heard in left thoracic area"
d. "rhonchi heard on expiration" - -a. "decreased breath sounds noted in lower
lobe"
Explanation: there would be absent or decreased breath sounds and a dull, flat
sound when percussed. A pleural effusion is the collection of fluid in the pleural
space and is a complication of heart failure, TB, pneumonia, or cancer.
The nurse suctions a client's tracheostomy. The nurse lubricates the catheter with
which material?
a. sterile water
b. mineral oil
✅✅-a. sterile water
c. hydrogen peroxide
d. water-soluble lubricant -
Explanation: the nurse suctions the tracheostomy to remove the client's secretions
because of the client's decreased ability to cough. Sterile water is the preferred
lubricant because it will not irritate the tissues. The nurse may also use sterile saline.
The nurse teaches pursed lip breathing to a client diagnosed with chronic obstructive
pulmonary disease (COPD). The nurse understands which is the best description of
the underlying purpose of this type of breathing?
a. prevent air trapping
b. strengthen oral musculature
✅✅-a. prevent air trapping
c. promote deep relaxation
d. enhance inspiratory capacity -
Explanation: in pursed lip breathing, the client breathes deeply through the nose,
holds it for a moment, and then exhales slowly through the lips that are almost
closed or pursed as if the client were going to whistle. the exhalation should be at
least twice as long as inhalation. This technique helps to keep airways open longer
so the client can remove the air that is trapped in the lungs by slowing down the
breathing rate and relieving SOB
To facilitate communication with a client who has a tracheostomy, which nursing
approach is best?
, a. tell the client to nod the head to indicate "yes" and shake the head to indicate "no."
b. tell the client to mouth words so the nurse can lip read
✅✅
c. have someone who knows the client stay at the bedside to act as an interpreter
d. ask the client to anticipate needs and write then down - -a. tell the client to
nod the head to indicate "yes" and shake the head to indicate "no."
Explanation: it is important for the nurse to establish a way the client can
communicate. Asking yes/no questions and instructing client to nod the head to
indicate yes and shake head to indicate no is a practical way for the client to
communicate with the nurse.
The nurse teaches a client diagnosed with asthma. The nurse determines further
teaching is necessary if the client makes which statement?
a. "My guests are not allowed to smoke in the house."
b. "I can no longer take the leaves or garden like I used to."
✅✅
c. "We are going to have to dust and vacuum more frequently."
d. "Stress does not cause an asthma attack." - -d. "Stress does not cause an
asthma attack."
Explanation: stress has a direct correlation to the symptoms of an asthma attack.
Periods of stress can increase severity, frequency, and duration of asthma
symptoms. Stress can cause the client to become more sensitive to asthma triggers.
A client undergoes nasal surgery. The nurse instructs the client not to blow the nose.
What is the reason for this instruction?
a. blowing increases ICP
b. blowing decreased the clients O2 supply
✅✅-c. blowing encourages bruising and
c. blowing encourages bruising and edema
d. blowing may cause a nasal fracture -
edema
Explanation: clients undergoing nasal surgery are instructed to not blow their noses
in the postoperative period because it can cause bruising and edema
The nurse understands which is the cause of respiratory alkalosis?
a. hyperglycemia
b. hyperventilation
✅✅-b. hyperventilation
c. fluid loss
d. airway compromise -
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