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CH.25, 26, 27, & 28 LEWIS RESPIRATORY QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CH.25, 26, 27, & 28 LEWIS RESPIRATORY QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CH.25, 26, 27, & 28 LEWIS RESPIRATORYQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
To promote the release of surfactant, the nurse encourages the patient to
a. take deep breaths
b. cough five times per hour to prevent alveolar collapse
c. decrease fluid intake to reduce fluid accumulation in the alveoli
d. sit with head of bed elevated to promote air movement through the pores of Kohn - ANSWER a. take
deep breaths
A patient with a respiratory condition asks, "How does air get into my lungs?" The nurse bases her
answer on knowledge that air moves into the lungs because of
a. increased CO2 and decreased O2 in the blood
b. contraction of the accessory muscles
c. stimulation of the respiratory muscles by the chemoreceptors
d. decrease in intrathoracic pressure relative to pressure at the airway - ANSWER d. decrease in
intrathoracic pressure relative to pressure at the airway
The nurse can best determine adequate arterial oxygenation of the blood by assessing
a. heart rate
b. hemoglobin level
c. arterial oxygen partial pressure
d. arterial carbon dioxide partial pressure - ANSWER c. arterial oxygen partial pressure
When teaching a patient about the most important respiratory defense mechanism distal to the
respiratory bronchioles, which topic would the nurse discuss
,a. alveolar macrophages
b. impaction of particles
c. reflex bronchoconstriction
d. mucociliary clearance mechanism - ANSWER a. alveolar macrophages
A student nurse asks the RN what can be measured by ABG. The RN tells the student that the ABG can
measure: select all that apply
a. acid-base balance
b. oxygenation status
c. acidity of blood
d. bicarbonate in arterial blood
e. overall balance of electrolytes in arterial blood - ANSWER a. acid-base balance
b. oxygenation status
c. acidity of blood
d. bicarbonate in arterial blood
To detect early s/s of inadequate oxygenation, the nurse would examine the patient for:
a. dyspnea and hypotension
b. apprehension and restlessness
c. cyanosis and cool, clammy skin
d. increased urine output and diaphoresis - ANSWER b. apprehension and restlessness
During the respiratory assessment of an older adult, the nurse would expect to find: Select all that apply
a. a vigorous reflex cough
b. increased chest expansion
c. increased residual volume
,d. diminished lung sounds at base of lungs
e. increased anteroposterior chest diameter - ANSWER c. increased residual volume
d. diminished lung sounds at base of lungs
e. increased anteroposterior chest diameter
When assessing activity-exercise patterns related to respiratory health, the nurse inquires about
a. dyspnea during rest or exercise
b. recent weight loss or weight gain
c. ability to sleep through the entire night
d. willingness to wear O2 equipment in public - ANSWER a. dyspnea during rest or exercise
When auscultating the chest of an older patient in respiratory distress, it is best to
a. begin listening at the apices
b. begin listening at the lung bases
c. begin listening on the anterior chest
d. ask the patient to breath through the nose with the mouth closed - ANSWER b. begin listening at the
lung bases
Which assessment finding of the respiratory system does the nurse interpret as abnormal?
a. inspiratory chest expansion of 1 inch
b. symmetric chest expansion and contraction
c. resonance over the lung bases
d. bronchial breath sounds in the lower lung fields - ANSWER d. bronchial breath sounds in the lower
lung fields
The nurse is preparing the patient for a diagnostic procedure to remove pleural fluid for analysis. The
nurse would prepare the patient for what test?
, a. thoracentesis
b. bronchoscopy
c. pulmonary angiography
d. sputum culture and sensitivity - ANSWER a. thoracentesis
When assessing a patient's sleep-rest pattern related to respiratory health, what should the nurse ask
the patient (select all that apply.)?
Select all that apply.
Do you awaken abruptly during the night?
Do you sleep more than 8 hours per night?
Do you need to sleep with the head elevated?
Do you often need to urinate during the night?
Do you toss and turn when trying to fall asleep? - ANSWER Do you awaken abruptly during the night?
Do you need to sleep with the head elevated?
Do you toss and turn when trying to fall asleep?
The nurse is obtaining a focused respiratory assessment of a 44-yr-old female patient who is in severe
respiratory distress 2 days after abdominal surgery. What is most important for the nurse to assess?
Auscultation of bilateral breath sounds
Percussion of anterior and posterior chest wall
Palpation of the chest bilaterally for tactile fremitus
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