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Week 5 EAQ
Week 5 Concepts of Nursing
| Question | Answer |
|---|---|
| Which diagnostic procedure is used to remove pleural fluid for analysis? | thoracentesis |
| Which respiratory problem has a strong genetic link? | cystic fibrosis |
| Which diagnostic test is used to measure the efficiency of gas transfer in the lung and tissue oxygenation? | arterial blood gases |
| Which term is used to describe abnormal breath sounds? | Adventitious |
| Which anatomic feature is evidence of long-standing hypoxemia? | Fingernails and their base |
| The nose serves which primary function? | Filter small particles from entering the lower lungs. |
| Which condition is associated with wheezing? | Chronic Obstructive Pulmonary Disease |
| The epiglottis serves which respiratory function? | Prevents the entry of solids and liquids into the lungs |
| Which interconnected structure allows the movement of air between the alveoli? | Pores of Kohn |
| Where are the central chemoreceptors located? | Medulla oblongata |
| Deficiency of which substance causes atelectasis? | Surfactant |
| Which order do the structures of the lower respiratory system follow from larger to smaller structure? | - Trachea - Bronchi - Bronchioles - Alveoli |
| Which instructions would the nurse provide to the patient in preparation for a chest x-ray? | To remove any metal between neck and waist |
| Which cognitive changes are characteristics of a patient experiencing hypoxia? | - restlessness - apprehension - memory change |
| Which question should the nurse ask when assessing a patient's sleep/rest pattern related to respiratory health? Select all that apply. | - 'Do you have trouble falling asleep?" - "Do you awaken abruptly during the night?" - " Do you need to sleep with the head elevated?" |
| Which receptors cause an increase in reception rate related to an increased partial pressure of arterial carbon dioxide (PaCO2) level and a decreased pH level? | Central chemoreceptors |
| Which sized airborne particle is too large to move past the nasal hairs and reach the alveoli? | Greater than 5 UM |
| The nurse expects which test will be prescribed for a patient following a transthoracic needle aspiration (TTNA)? | chest x-ray |
| Which chest palpation finding is a medical emergency? | Trachea moved to the left |
| A patient diagnosed with asthma who is experiencing airway irritation may present with with assessment finding? | Dry, hacking cough |
| Which assessment finding of the respiratory system is considered normal? | Symmetric chest expansion and contraction |
| Which nursing interventions are appropriate for a patient scheduled for a biopsy through bronchoscopy? Select all that apply. | - Administer sedative, if prescribed. - Ensure that an informed consent has been signed. - Instruct the patient to be on NPO status for 6 to 12 hours before the test. |
| A patient with pulmonary edema will likely present with which mucous characteristics? | Large amounts of frothy, pink-tinged sputum |
| In which order will the nurse place the stethoscope on the anterior chest to auscultate breath sounds? | - Above the clavicles - Below the clavicles - Above the nipple line - At the nipple line - Below the nipple line |
| For at least how long will the nurse plan to hold pressure on a site used to dSPinalraw arterial blood gases (ABGs)? | 5 minutes |
| Taking deep breaths provides which benefit for the postoperative patient? | It stretches the alveoli and promotes surfactant secretion |
| Which respiratory manifestation indicates inadequate oxygenation? | Dyspnea on exertion |
| In which order will the nurse hear these sounds from percussion of the anterior chest over the clavicle, then the lung field, then the liver, and finally over the stomach? | - Flatness - Resonance - Dullness - Tympany |
| A blood sample for arterial blood gas (ABG) analysis may be obtained from which blood vessels ? Select all that apply. | - Radial artery - Femoral artery |
| Which actions would the nurse perform when preparing a patient for a thoracentesis? | - Ensure that informed consent has been signed - Have the patient upright with elbows placed on an over bed table |
| Which noninvasive method will the nurse use to assess oxygenation status of a patient with asthma? | Pulse oximetry |
| Which condition may cause diaphragm paralysis and a need to be mechanically ventilated? | Spinal Cord Injury |
| Which assessment findings would the nurse expect in a patient in acute respiratory distress? | - Tripod position - Accessory muscle use |
| The nurse will monitor a postoperative patient for which complication? | Atelectasis |
| A patient with a suspected pulmonary embolism should be evaluated with which radiology study? | CT |
| Which statements by the student nurse indicate a need of further teaching about arterial blood gas (ABG) analysis? Select all that apply. | - "The ABG is used to monitor white blood cells in the blood." - "The ABG is used to monitor the oxygenated hemoglobin in the blood." |
| The nurse would perform which assessment prior to a patient undergoing a CT scan? | - Serum creatinine - Blood urea nitrogen (BUN) - Hypersensitivity to shellfish |
| An arterial oxygen saturation by pulse oximetry (SpO2) of 70% is indicative of which condition? | Tissue Hypoxia |
| Which respiratory defense mechanism functions just below the larynx and is responsible for protection against bacteria and viruses? | Mucociliary clearance system |
| Which test can determine the efficiency of air transfer in lung and tissue oxygenation in a patient in respiratory distress? | Pulse oximetry |
| The nurse assists a patient into which position in preparation for a diagnostic thoracentesis? | Sitting upright with elbows on an over-bed table and feet supported. |
| With which common conditions might a nurse auscultate a pleural friction rub? Select all the apply. | - Pleurisy - Pneumonia - Pulmonary infarct |
| Which nursing action is the priority for a patient immediately following a bronchoscopy? | Monitor the patient for laryngeal edema. |
| Which physiologic response is expected for a patient experiencing metabolic acidosis secondary to type 1 diabetes mellitus? | Rapid Respiratory rate |
| Which function allows for expiration of air from the lungs? | Increase in intrathoracic pressure as elastic recoil of the lungs occurs |
| Following a bedside thoracentesis, the nurse will continue to assess the patient for signs and symptoms of which condition? | Pneumothorax |
| Which complications may be found in a patient whose partial pressure of oxygen (PaO2) is 39% and peripheral capillary oxygen saturation (SpO2) is 72%? Select all that apply. | - Tissue hypoxia - Cardiac arrhythmia |
| Which finding would indicate a need for asthma testing in a patient experiencing chest tightness and acute dyspnea after an afternoon of gardening? | Wheezes |
| The nurse understands an arterial oxygen saturation (Sa o2) reading of 94 % on room air indicates which condition is true? | 94 % of the hemoglobulin attachments for oxygen bound to them. |
| Following a bronchoscopy, a patient must present with which assessment finding before beginning oral intake of food and fluids? | Return of gag reflex |
Created by:
Brandi Sizemore
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