NUR 235 - Week 3 Respiratory System Review Questions and Correct Answers
1 view 0 purchase
Course
NUR 235
Institution
NUR 235
A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? briefly ask specific questions about this episode of respiratory distress
On auscultation of a patient's lungs, the nurse hears low-pitched, bubbli...
NUR 235 - Week 3 Respiratory System
Review Questions and Correct Answers
A patient with acute shortness of breath is admitted to the hospital. Which action should
the nurse take during the initial assessment of the patient? ✅briefly ask specific
questions about this episode of respiratory distress
On auscultation of a patient's lungs, the nurse hears low-pitched, bubbling sounds
during inhalation in the lower third of both lungs. How should the nurse document this
finding? ✅inspiratory crackles at the bases
nasal cannula oxygen delivery rate ✅2-4 litres per minute
hudson mask oxygen delivery rate ✅5-8 litres per minute
non - rebreather mask oxygen delivery rate ✅10-15 litres per minute
venturi mask oxygen delivery rate ✅2-14 litres per minute
"People who suffer from Gastro-Oesophageal Reflux Disease (GORD) are at increased
risk of developing asthma." ✅true
A delivery system for inhaled medications that turns a liquid solution into a vapour.
✅nebulisation
The nurse observes that a patient with respiratory disease experiences a sudden
decrease in SpO2 from 94% to 88%. What is the first priority action of the nurse?
✅administer supplemental oxygen vis the hudson mask at a rate between 5-8 litres per
minute
The nurse observes a student who is listening to a patient's lungs. Which action by the
student indicates a need to review respiratory assessment skills? ✅the student listens
during the inspiratory phase, then moves the stethoscope
A patient with acute dyspnoea is scheduled for a spiral computed tomography (CT)
scan. Which information obtained by the nurse is a priority to communicate to the health
care team before the CT? ✅allergy to shellfish
Which respiratory assessment finding indicates that the nurse should take immediate
action for an older patient? ✅bilateral basilar crackles
, what stimulates the larger bronchi, causing smooth muscle spasms, inflammation and
oedema ✅histamine
what stimulated to release inflammatory mediators ✅mast cells
what causes bronchoconstriction and increased mucous secretion ✅leukotrienes
what is produced in response to environmental allergens ✅IgE antibodies
what class of medication used in the treatment of asthma, inhibit the production of COX
enzymes and suppress the release of inflammatory mediators from past cells
✅cortiosteroids
A patient with bacterial lung infection has coarse crackles and thick sputum. Which
action should the nurse plan to promote airway clearance? ✅assist the patient to splint
the chest when coughing
Three methods can be used to assess the efficiency of gas transfer in the lungs:
analysis of arterial blood gases (ABGs), mixed venous blood gases, and ✅oximetry
Which action should the nurse plan to prevent aspiration in a high-risk patient? ✅place
a patient with altered consciousness in a side-lying position
An occupational health nurse works at a manufacturing plant where there is potential
exposure to inhaled dust. Which action recommended by the nurse is intended to
prevent lung disease? ✅require the use of personal protective equipment
A patient who was admitted the previous day with bronchiectasis complains of a sharp
pain of 7 (on 0 to 10 scale) "whenever I take a deep breath." Which action will the nurse
take next? ✅auscultate for breath sounds
An experienced nurse instructs a new nurse about how to care for a patient with
dyspnoea caused by a pulmonary fungal infection. Which action by the new nurse
indicates a need for further teaching? ✅placing the patient in a supine position
changes to the respiratory system with ageing include the ✅calcification of costal
cartilage
The nurse notes new onset confusion in an older patient who is normally alert and
oriented. In which order should the nurse take the following actions?
1) Obtain the O2 saturation
2) Check the patient's pulse rate
3) Document the change in status
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
