Question 1

The nurse is examining an African American client.When compared to Caucasians,which of the following conditions is this client at a higher risk for developing?

Accepted Answer

The answer of The nurse is examining an African American...

Question 2

The nurse is preparing an educational program regarding Healthy People 2020.Which of the following pieces of information is important to include for caregivers of infants and young children?

Accepted Answer

Each of these options is important for caregivers of infants and young children to know and aligns with the goals of promoting health and preventing illness, which are central to Healthy People 2020.

Question 3

A client with chronic bronchitis has been admitted to the hospital.The nurse inspects the client while assessing the client's respiratory system.Which of the following would be an expected finding?

Accepted Answer

Use of accessory muscles is an expected finding in clients with chronic bronchitis as they have difficulty breathing and may need to use additional muscles to help with inspiration and expiration. Fever and dry cough may or may not be present, while a decreased respiratory rate is not expected.

Question 4

The nurse is assessing a 1-month-old infant's respiratory system and sees that the infant is primarily using abdominal muscles to breathe and has an irregular breathing pattern.The nurse recognizes that this finding is:

Accepted Answer

It is normal for infants to primarily use their abdominal muscles to breathe and have an irregular breathing pattern. This is because their respiratory system is not fully developed yet and their diaphragm is still weak. As the infant grows, their respiratory system will mature and the breathing pattern will become more regular.

Question 5

A 4-year-old child's respiratory rate is 30 per minute.The mother states,"That seems like a really high number.My healthcare provider told me my respiratory rate is only 16 per minute." Which of the following is the nurse's best response?

Accepted Answer

The respiratory rate of 30 per minute is within the normal range for a 4-year-old child. Children have higher respiratory rates than adults, and this rate decreases as they grow older.

Question 6

The client is 36 weeks pregnant.The nurse is assessing the client's respiratory system and finds that her respiratory rate is 24 breaths per minute.The client states that she sometimes experiences shortness of breath.Which of the following is the nurse's best response?

Accepted Answer

During pregnancy, there is increased demand on the body and the respiratory system is impacted. It is normal for pregnant women to experience shortness of breath and have a faster respiratory rate during the third trimester due to the growing uterus putting pressure on the diaphragm and lungs. Option A is not a correct response as the nurse cannot diagnose asthma without proper assessment. Option C is not necessary at this time as the finding is a normal pregnancy change. Option D is not the correct response as tuberculosis is a serious respiratory infection that requires further investigation and testing.

Question 7

The nurse is percussing the anterior chest of an elderly client.Which of the following would the nurse expect to find in this client?

Accepted Answer

The answer of The nurse is percussing the anterior chest...

Question 8

As the nurse assesses the pregnant client she states that she sometimes feels like she has difficulty breathing.The client has reached the 36th week of her pregnancy.The nurse realizes that the client's difficulty is related to:

Accepted Answer

As the client has reached the 36th week of her pregnancy, it is likely that the fetus has grown quite large, pushing up on the diaphragm which results in difficulty breathing. This is a common symptom in late pregnancy due to the upward pressure of the growing uterus. Fatigue and anxiety may be potential causes of shortness of breath, but they are not the most likely cause in this scenario. Contractions may cause difficulty breathing, but the question does not suggest that the client is experiencing contractions.

Question 9

A client is demonstrating a diminished ability to exhale.The nurse realizes this client is at risk for developing:

Accepted Answer

Diminished ability to exhale puts the client at risk for increased carbon dioxide levels because the client may retain carbon dioxide in the body. This can lead to respiratory acidosis and other complications. Pleurisy is inflammation of the lining of the lungs and chest wall and is not related to diminished ability to exhale. Congestive heart failure is a condition where the heart cannot pump blood effectively and is not directly related to a diminished ability to exhale. Reduced oxygen capacity may occur if the client is not able to inhale sufficient amounts of oxygen, as seen in conditions such as asthma or chronic obstructive pulmonary disease (COPD).

Question 10

The nurse is caring for a teenager recently hospitalized with asthma.Several peers are preparing to visit the client and have brought gifts for the client.The nurse intervenes and prevents which of the following items from being brought into the patient's room?

Accepted Answer

Fresh flowers can harbor mold and other allergens that could exacerbate asthma symptoms, making them an inappropriate gift for someone hospitalized with asthma.

Question 11

The nurse is preparing to assess an elderly client with emphysema.Which of the following anatomical changes would the nurse expect to find in this client?

Accepted Answer

The nurse would expect to find a barrel chest in a client with emphysema. Emphysema, a type of chronic obstructive pulmonary disease, causes destruction of the alveoli and reduces the elasticity of the lungs. This results in air being trapped in the lungs and a characteristic barrel-shaped chest due to the increased volume of air in the lungs. Funnel chest, pigeon chest, and scoliosis are not specifically associated with emphysema.

Quiz 15: Respiratory System