Question 1

Identify the purposes of chest drainage: (Select all that apply)

Accepted Answer

A chest tube or tubes may be inserted for continuous drainage of fluid, blood, or air from the pleural cavity and for medication instillation. To prevent the lung from collapsing, a closed drainage system is used, which maintains the lung cavity's normal negative pressure. The chest tubes are connected to a pleural drainage system with collection, water-seal, and suction control chambers to drain secretions and reestablish negative pressure in the pleural space.

Question 2

Interventions that contribute to comfort in patients experiencing dyspnea include: (Select all that apply)

Accepted Answer

Breathing exercises, acupuncture, visualization and massage help decrease the level of dyspnea by using distraction and relaxation methods to provide the patient with some control.

Question 3

What does a nurse teach an adult male who has had a tonsillectomy?

Accepted Answer

The nurse should teach the patient to avoid attempting to clear the throat immediately after surgery and to avoid coughing, sneezing, or vigorous nose blowing for 1 to 2 weeks. Maintain IV fluids until the nausea subsides, at which time the patient may begin drinking ice-cold clear liquids. The diet is advanced to custard and ice cream and then to a normal diet as soon as possible. Apply an ice collar to the neck for comfort and to reduce bleeding by vasoconstriction.

Question 4

The nurse is caring for a patient with a diagnosis of pleural effusion. The physician is most likely to order a ______________ to remove fluid from around the lungs so that the patient may breathe more easily.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 5

During discharge teaching of a pulmonary emphysema patient who is going home with oxygen, what does the nurse emphasize?

Accepted Answer

Low-flow oxygen therapy is required for patients with COPD, because higher oxygen concentrations depress the body's own respiratory regulatory centers.

Question 6

Which interventions are health promotions to prevent pneumonia? (Select all that apply.)

Accepted Answer

Older adults should receive pneumococcal and influenza vaccines. Good health habits are the basis for preventing disease. Aspiration can occur if the nasogastric tube is not correctly placed in the stomach. New stroke patients should be assisted with eating until the gag reflex is established.

Question 7

Prevention of acute respiratory complications in surgical patients is a nursing goal that involves which intervention?

Accepted Answer

Postoperatively, patients should be reminded to cough, deep breathe, and change positions every 1 to 2 hours.

Question 8

Which expected outcome(s) would indicate improvement in a patient with emphysema? (Select all that apply.)

Accepted Answer

Patient will maintain patent airway as evidenced by decreased rhonchi, wheezes, tachypnea, dyspnea, and arterial blood gas (ABG) values within limits (for this patient).

Question 9

Which are routes in which the anthrax bacterium may enter the body? (Select all that apply.)

Accepted Answer

In humans, anthrax gains a foothold when spores enter the body via the skin, intestines, or lungs.

Question 10

The _________ are the structures of the lung in which gas exchange occurs.

Accepted Answer

The answer of The _________ are the structures of the...

Question 11

Tuberculosis (TB) is treated with multiple drugs to which organisms are susceptible. How many drugs are usually preferred to increase the therapeutic effectiveness?

Accepted Answer

At least four drugs, in combination, are used to prevent the emergence of organisms resistant to the others, thus increasing the therapeutic effectiveness.

Question 12

Which are signs of respiratory distress?

Accepted Answer

Observe the patient's facial expressions and signs of respiratory distress such as flaring nostrils, substernal or clavicular retractions, asymmetrical chest wall expansion, and abdominal breathing.

Question 13

When a patient has experienced a pneumothorax, chest auscultation reveals

Accepted Answer

Findings on auscultation are bilaterally unequal breath sounds, with no breath sounds over the affected area. A larger pneumothorax causes respiratory distress, including rapid shallow respirations, air hunger, dyspnea, and oxygen desaturation.

Question 14

The nurse is caring for a patient with bronchiectasis. Based on an understanding of the pathologic changes that occur with this disease, which intervention to promote clearance of respiratory secretions does the nurse plan?

Accepted Answer

Encourage postural drainage. Suction the patient as needed and provide assistance in turning, coughing, and deep breathing every 2 hours. Assist with chest physiotherapy.

Question 15

Which test is a quick and reliable aid to diagnosis latent TB?

Accepted Answer

Sputum smears, cultures and PPD skin test are still done. However, QFT-G offers a quick and reliable diagnosis for the patient and health care provider. The results of QFT-G are greater specificity and results are available 24 hours after the blood is collected.

Question 16

The removal of fluid from the pleural space by thoracentesis presents a possible danger in removing fluid too rapidly. How much fluid removal is recommended at one time?

Accepted Answer

A possible danger from the thoracentesis procedure is removing fluid too rapidly; less than 1,300 to 1,500 mL at one time is recommended.

Quiz 9: Care of the Patient With a Respiratory Disorder