Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
H&I ch19
H&I III
| The nurse is caring for a client who is in respiratory distress. The physician orders arterial blood gases (ABGs) to determine various factors related to blood oxygenation. What site can ABGs be obtained from? | A puncture at the radial artery |
| The nurse is caring for a client who is scheduled for a lung scan. The nurse knows that lung scans need the use of radioisotopes and a scanning machine. Before the perfusion scan, what must the client be assessed for? | Iodine allergy |
| What would the instructor tell the students purulent fluid indicates? | Infection |
| The client has just had an invasive procedure to assess the respiratory system. What does the nurse know should be assessed on this client? | Respiratory distress |
| The nurse working in the radiology clinic is assisting with a pulmonary angiography. The nurse knows that when monitoring clients after a pulmonary angiography, what should the physician be notified about? | Absent distal pulses |
| Radiologic studies show that the battery is in the lungs. Which area of lung is the battery most likely to be in? | Right upper lung |
| What happens to the diaphragm during inspiration? | It contracts and flattens. |
| The nurse is studying for a physiology test over the respiratory system. What should the nurse know about central chemoreceptors in the medulla? | They respond to changes in CO2 levels and hydrogen ion concentrations (pH) in the cerebrospinal fluid. |
| What is the difference between respiration and ventilation? | Ventilation is the movement of air in and out of the respiratory tract |
| Perfusion refers to blood supply to the lungs, through which the lungs receive nutrients and oxygen. What are the two methods of perfusion? | The two methods of perfusion are the bronchial and pulmonary circulation. |
| A nurse is caring for a client who has frequent upper respiratory infections. Which structure is most helpful in protecting against infection? | Tonsils |
| The nurse is suctioning a client who is unable to expectorate respiratory secretions. At which point does the nurse expect the client to experience coughing? | When the catheter reaches the point of the carina |
| A client arrived in the emergency department with a sharp object penetrating the diaphragm. When planning nursing care, which client need would the nurse identify as a priority? | Impaired gas exchange |
| The client has a blood pressure of 142/88 mm Hg, pulse of 102 beats/minute, and respirations of 26 breaths/minute. Which laboratory test best provides data on a potential impairment in ventilation? | Blood gases |
| The nurse is analyzing a client's blood pH of 7.1. Which symptom would indicate that the client's body is working to stabilize? | Respirations are increasing. |
| The nurse is providing health education on the body's ability to exchange oxygen and carbon dioxide through the alveolar capillary membrane. Which statement, provided by the nurse, is most correct when asked about diffusion during inspiration? | During inspiration, oxygen is greater in the alveoli than in the capillaries. |
| The nurse is caring for clients on the neurological unit. Which triad of neurological mechanisms does the nurse identify as most responsible when there is abnormality in ventilation control? | Aortic arch, pons, and CO2 receptor sites |
| The nurse is caring for a client with a decrease in airway diameter causing airway resistance. The client experiences coughing and mucus production. On lung assessment, which adventitious breath sounds are anticipated? | Sibilant wheezes |
| The client is returning from the operating room following a bronchoscopy. Which action, performed by the nursing assistant, would the nurse stop if began prior to nursing assessment? | The nursing assistant is pouring a glass of water to wet the client's mouth. |
| The air movement is noted equally on inspiration andexpiration. Which breath sounds would the nurse document? | Normal bronchovesicular sounds |
| The nurse is caring for a client whose respiratory status has declined since shift report. The client has tachypnea, is restless, and displays cyanosis. Which diagnostic test should the nurse perform first? | Pulse oximetry |
| The nurse is caring for a client with an exacerbation of COPD and scheduled for pulmonary function studies using a spirometer. Which client statement would the nurse clarify? | “I will breathe in through my mouth and out through my nose.” |
| The physician orders medications including antibiotics, antipyretics, nebulizer treatments, and IV fluids. A chest x-ray and sputum culture are to be completed. Which physician order would the nurse complete before beginning antibiotic therapy? | Sputum culture |
| A nurse is obtaining a health history from a client who reports hemoptysis for the past 2 months. The client reports occasional dyspnea. Which imaging study, ordered by the physician, will view the thoracic cavity while in motion? | Fluoroscopy |
| A nurse is instructing the client on the normal sensations that can occur when contrast medium is infused during pulmonary angiography. Which client statement demonstrates an understanding of the teaching? | "I will feel warm and may have chest pain" |
| The nurse is caring for a client who states, "I am really worried about the thoracentesis. I know I won't be able to sleep tonight." Which statement is most helpful to the client at this time? | “Tell me what you are worried about.” |
| The nurse is caring for a client in the immediate post–thoracentesis period. In which position is the client placed? | Lying on the unaffected side |
| When advising the client of the physician's order, the client states not being able to produce sputum. Which suggestion, offered by the nurse, is helpful in producing the sputum sample? | Take deep breaths and cough forcefully. |
| Crackles are noted in the bases of the lung fields. Based on inspection, which will the nurse document? | The client has a funnel chest |
| The nurse suspects a right middle lobe pneumonia. To be consistent with this anticipated diagnosis, which sound, heard over the chest wall when percussing, is anticipated? | Dull |
| When monitoring a client's respiratory status, which area of the brain would the nurse realize is responsible for the rate and depth? | The pons |
| The nurse is caring for a client with hypoxemia of unknown cause. Which oxygen transport consideration(s) does the nurse identify as crucial to circulate oxygen in the body system? | Oxygen is dissolved. Oxyhemoglobin circulates to the body tissue. Adequate red blood cells are needed for oxygen transport. |
| A nurse is performing a physical assessment on a client who has a history of a respiratory infection. Which documentation, completed by the nurse, indicates the resolution of the infection? | Lung fields documented as clear. Palpable vibrations over the chest wall when the client speaks. Decreased fremitus when the client speaks "99." Bronchovesicular sounds heard over the upper lung fields |
| The nurse is working on a busy respiratory unit. In caring for a variety of clients, the nurse must be knowledgeable of diagnostic studies. With which diagnostic stud(ies) would the nurse screen the client for an allergy to iodine? | Lung scan Pulmonary angiography |
Created by:
AlijahG7
Popular Science sets