NUR 443 Chapter 36 & 38 Exam Review Questions and Answers
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Course
NUR 443
Institution
NUR 443
A client at a health care facility has been diagnosed with an upper respiratory disorder. The nurse understands that which of the following structures forms a part of the upper airway?
a) Alveoli
b) Bronchi
c) Trachea
d) Pharynx - Answer-pharynx
A nurse is caring for a client with a sinus in...
NUR 443 Chapter 36 & 38 Exam Review
Questions and Answers
A client at a health care facility has been diagnosed with an upper respiratory disorder.
The nurse understands that which of the following structures forms a part of the upper
airway?
a) Alveoli
b) Bronchi
c) Trachea
d) Pharynx - Answer-pharynx
A nurse is caring for a client with a sinus infection at a health care facility. The physician
has prescribed aerosol therapy to keep the mucous membranes moist and the mucus
thin. What is a benefit of using aerosol therapy?
a) encourages spontaneous coughing
b) prevents infection of the lungs
c) Prevents contamination of specimen
d) helps to produce mucus continuously - Answer-encourages spontaneous coughing
The nurse plans to collect a sputum specimen from a client for laboratory diagnosis
after the client awakens. Which of the following reasons explains the nurse's choice of
an early morning collection?
a) Mobilizes secretions from the lower airway
b) Prevents contamination of specimen
c) Removes food residue and microorganisms
d) Ensures more mucus is available - Answer-ensures more mucus is available
A nurse is teaching a client in a long-term care facility the proper technique for
performing postural drainage. Which of the following suggestions should the nurse give
to the client?
a) Perform postural drainage once a day before lunchtime
b) Administer prescribed inhalant medications before performing postural drainage.
c) Remain in prescribed position when tired or feeling lightheaded
d) Avoid remaining in prescribed positions for more than 5 minutes. - Answer-administer
prescribed inhalant medications before performing postural drainage.
A nurse needs to use a wall suction machine on an adult client with breathing difficulties
due to chest congestion, as per the order from the client's physician. What amount of
negative pressure should the nurse apply for this client?
a) 145 to 150 mm Hg
b) 100 to 140 mm Hg
c) 95 to 100 mm Hg
d) 50 to 95 mm Hg - Answer-100 to 140 mm Hg
, A nurse uses suction to remove liquid secretions from a client's chest. How far should
the nurse advance the catheter in the client's nose so that the distal tip is placed in the
client's pharynx?
a) 7 to 8 inches
b) 3 to 4 inches
c) 8 to 9 inches
d) 5 to 6 inches - Answer-5 to 6 inches
A nurse at a health care facility uses a tonsil-tip catheter to remove the secretions from
the mouth of a client with chest congestion. Which suctioning technique is the nurse
using in this case?
a) Nasopharyngeal suctioning
b) Oropharyngeal suctioning
c) Nasotracheal suctioning
d) Oral suctioning - Answer-oral suctioning
A nurse at a health care facility is caring for a client who requires an artificial airway.
The nurse could use an oral airway for which client?
a) client who has an upper airway obstruction
b) client with a nose deformity and difficulty breathing
c) client who requires prolonged mechanical ventilation
d) client who is recovering from general anesthesia - Answer-client who is recovering
from general anesthesia
A nurse is performing an admission assessment of a client who has multiple health
problems, including a history of respiratory disease. The nurse is aware of the priority of
airway management in this client. How is airway management best defined?
a) The maintenance of natural or artificial airways for compromised clients
b) The systematic application of nursing interventions that address the neck and thorax
c) The prevention and treatment of infections in the upper and lower airway
d) The assessment of gas exchange and the mobilization of secretions - Answer-the
maintenance of natural or artificial airways for compromised clients
A client suffered a spinal cord injury during a motor vehicle accident which necessitated
the creation of a tracheostomy. What nursing diagnosis should the nurse recognize as a
likely consequence of this intervention?
a) Impaired verbal communication
b) Unilateral neglect
c) Decisional conflict
d) Risk for deficient fluid volume - Answer-impaired verbal communication
An 81-year-old client is being rehabilitated in an inpatient setting following her recovery
from the acute stages of a stroke. The stroke resulted in dysphagia, which creates a risk
of what respiratory problem?
a) Aspiration of food or fluid
b) Laryngeal atrophy
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