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Which diagnostic test may be used to distinguish vascular from nonvascular structures?
Chest X-ray
Pulmonary angiogram
Computed tomography
Magnetic resonance imaging
Which part of the respiratory system is referred to as Angle of Louis?
Hilum
Carina
Alveoli
Epiglottis
The nurse instructs the client admitted for an acute exacerbation of chronic obstructive
pulmonary disease (COPD) about the importance of assessing for right-sided heart failure after
discharge. What does the nurse instruct the client to assess for?
Increased appetite
Clubbing of the nail beds
Hypertension
Weight gain
A client reports left-sided chest pain after playing racquetball. The client is hospitalized and
diagnosed with left pneumothorax. When assessing the client's left chest area, the nurse expects
to identify which finding?
Dull sound on percussion
Vocal fremitus on palpation
Rales with rhonchi on auscultation
Absence of breath sounds on auscultation
During the first 36 hours after the insertion of chest tubes, when assessing the function of a three-
chamber, closed-chest drainage system, the nurse identifies that the water in the underwater seal
tube is not fluctuating. What initial action should the nurse take?
Take the client's vital signs.
Inform the healthcare provider.
Turn the client to the unaffected side.
Check the tube to ensure that it is not kinked.
Thick mucous gland secretions, elevated sweat electrolytes, meconium ileus, and difficulty
maintaining and gaining weight are associated with which autosomal recessive disorder?
Cerebral palsy
Cystic fibrosis
Muscular dystrophy
Multiple sclerosis
,Which surgical procedure is appropriate for the removal of a vocal cord due to laryngeal cancer?
Cordectomy
Tracheotomy
Total laryngectomy
Oropharyngeal resections
A nurse teaches a client with a diagnosis of emphysema about the importance of preventing
infections. What information is mostsignificant to include?
Purpose of bronchodilators
Importance of meticulous oral hygiene
Technique used in pursed-lip breathing
Methods used to maintain a dust-free environment
Which statement is true regarding the Hering-Breuer reflex?
Increases tidal volume
Decreases respiratory rate
Prevents overdistension of the lungs
Reduces the number of functional alveoli
A client with chronic obstructive pulmonary disease (COPD) has a blood pH of 7.25 and a
PCO 2 of 60 mm Hg. What complication does the nurse conclude the client is experiencing?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
What is the normal value of functional residual capacity?
2.5 L
3.5 L
4.5 L
6.0 L
What is the normal value of inspiratory reserve volume?
0.5 L
1.0 L
1.5 L
3.0 L
Which disorder would the nurse state is related to the tonsils?
Rhinitis
Sinusitis
Pharyngitis
, Pneumonia
Which would the nurse consider to be a potential respiratory system-related complication of
surgery?
Atelectasis
Hyperthermia
Wound dehiscence
Hypovolemic shock
Which condition may lead to collapse of the walls of the bronchioles and alveolar air sacs?
Asthma
Emphysema
Chronic bronchitis
Centrilobular emphysema
Which diagnostic test would the nurse consider to be the gold standard for diagnosis of
pulmonary embolism?
Pulmonary angiography
Helical computed tomography (CT)
Ventilation-perfusion (V/Q) scans
Computed tomography pulmonary angiography (CT-PA)
client is hospitalized with a diagnosis of emphysema. The nurse provides teaching and should
begin with which aspect of care?
The disease process and breathing exercises
How to control or prevent respiratory infections
Using aerosol therapy, especially nebulizers
Priorities in carrying out everyday activities
While preparing the client for a diagnostic procedure, the nurse positions the client upright with
elbows on an overbed table and the feet supported. The nurse also instructs the client not to talk
or cough during the procedure. Which diagnostic test is the client undergoing?
Lung biopsy
Thoracentesis
Mediastinoscopy
Ventilation-perfusion scan
Which parameter describes the maximum volume of air that the lungs can contain?
Vital capacity
Total lung capacity
Inspiratory capacity
Functional residual capacity
, Besides providing reassurance, what should nursing interventions for a client who is
hyperventilating be focused on?
Administering oxygen
Using an incentive spirometer
Having the client breathe into a paper bag
Administering an IV containing bicarbonate ions
Which statement appropriately describes tidal volume?
It is the volume of air inhaled and exhaled with each breath.
It is the amount of air remaining in the lungs after forced expiration.
It is the additional air that can be forcefully inhaled after normal inhalation.
It is the additional air that can be forcefully exhaled after normal exhalation.
The nurse places a pulse oximetry probe on the finger and toe of a client with a respiratory
disorder to determine the oxygen saturation of hemoglobin (SpO 2) . Which other parameter can
be determined using this technique?
Arterial oxygen saturation
Partial pressure of oxygen in arterial blood
Partial pressure of arterial carbon dioxide
Partial pressure of oxygen in venous blood
A client with chronic obstructive pulmonary disease (COPD) has a blood pH of 7.25 and
PCO 2 of 60 mm Hg. These blood gases require nursing attention because they indicate which
condition?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Which cartilage is also known as the Adam’s apple?
Costal
Cricoid
Thyroid
Arytenoid
Which client would have relatively smaller tidal volumes due to limited chest wall movement?
A client with asthma
A client with pneumonia
A client with pulmonary fibrosis
A client with phrenic nerve paralysis
Before discharge, the nurse is planning to teach the client with emphysema pursed-lip breathing.
What should the nurse instruct the client about the purpose of pursed-lip breathing?
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