EAQ Respiratory System 36 Quiz Questions Well Answered
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Course
EAQ Respiratory System
Institution
EAQ Respiratory System
A client comes to the clinic because of signs and symptoms of a respiratory infection. The client says to the nurse, "How can I prevent my roommate from getting my cold?" What is the nurse's best response?
1 "Cover your cough with your forearm."
2 "Dispose of used paper tissues in a paper bag."
...
A client comes to the clinic because of signs and symptoms of a respiratory infection. The client says to
the nurse, "How can I prevent my roommate from getting my cold?" What is the nurse's best response?
1 "Cover your cough with your forearm."
2 "Dispose of used paper tissues in a paper bag."
3 "Encourage your roommate to get the flu vaccine."
4 "Move out of your apartment until you are over the cold." - ✔ ✔ Correct = 1 "Cover your cough
with your forearm.". Covering the cough with your forearm limits the spread of respiratory droplets that
may be inhaled by another. Used paper tissues should be disposed of in a bag impervious to fluids.
Although encouraging the roommate to get the flu vaccine may be done, not all pathogenic
microorganisms are viruses; many pathogens are bacteria. Moving out of the apartment until the client
is over the cold is unrealistic; there are ways to limit the spread of microorganisms (e.g., washing the
hands, covering coughing and sneezing, not sharing utensils).
A client has a laryngectomy. The avoidance of which activity identified by the client indicates that the
nurse's teaching about activities and the stoma is understood?
1 Water sports
2 Strenuous exercises
3 Sleeping with pillows
4 High-humidity environment - ✔ ✔ Correct = 1 Water sports. Water sports pose a severe threat;
should water enter the stoma, the client will drown. Strenuous exercises are not harmful; as long as
there is no obstruction, adequate oxygen will be available because the respiratory rate will increase.
Pillows are not contraindicated, although care should be taken not to occlude the airway by any bedding
while asleep. Humidity is desirable and helpful in keeping secretions liquefied.
A client has a persistent productive cough that becomes blood tinged. A needle biopsy is scheduled. The
client tells the nurse, "During the procedure, a needle will be inserted into my back to collapse my lung."
Which is the most appropriate response by the nurse? - ✔ ✔ Correct3
, "Tell me more about the conversation you had with your health care provider."
Exploration and collection of data are important parts of the therapeutic process; anxiety, fear, and
depression can influence understanding. The response "Your perception of the diagnostic test is
incorrect" will put the client on the defensive. Instructing the client to ask the health care provider to
clarify the procedure is not the priority; at this point, the nurse should collect more data. The response
"The procedure will be fast so that you will experience minimal discomfort" is false reassurance.
A client has a total hip replacement for long-standing degenerative bone disease of the hip. When
assessing this client postoperatively, the nurse considers that the most common complication of hip
surgery is: - ✔ ✔ Correct4
Pulmonary embolism
A pulmonary embolism is the most common complication of hip surgery because of high vascularity and
the release of fat cells from the bone marrow. The occurrence of pneumonia is rare because of early
activity after surgery. In addition, the operative area is not in proximity to the diaphragm and lungs;
therefore, it does not impede deep breathing. Postoperative hemorrhage with hip surgery is rare
because bleeding at the operative site is not covert. The incidence of wound infection is no greater than
with other postoperative clients.
A client has chronic obstructive pulmonary disease (COPD). To decrease the risk of CO2 intoxication
(CO2 narcosis), the nurse should: - ✔ ✔ Correct3
Administer oxygen at a low concentration to maintain respiratory drive
With chronically high levels of carbon dioxide it is believed that decreased oxygen levels become the
stimulus to breathe; high oxygen administration negates this mechanism. However, the results of one
recent study of clients with stable COPD indicate that the hypercarbic drive is preserved. More research
is needed before this theory is applied clinically. Initiating pulmonary hygiene to clear air passages of
trapped mucus is an appropriate intervention, but is not directly related to CO2 intoxication (CO2
narcosis). Encouraging continuous rapid panting to promote respiratory exchange will not bring oxygen
into the alveoli for exchange nor will it adequately remove carbon dioxide because it will increase
bronchiolar obstruction. Inhalation should be of regular depth, and expiration should be prolonged to
prevent carbon dioxide trapping (air trapping).
A client is admitted for a rhinoplasty. To monitor for hemorrhage after the surgery, the nurse should
assess specifically for the presence of: - ✔ ✔ Correct2
Excessive swallowing
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