A. Diaphragmatic and pursed-lip breathing are two controlled breathing techniques that help the client conserve energy. 15. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism? It helps prevent early airway collapse. An ineffective cough doesn’t cause pleural effusion (fluid accumulation in the pleural space). In tension pneumothorax and hemothorax, accumulation of air or fluid causes a shift away from the injured side. D. Albuterol (Proventil). D. Earlobes. Having the client take deep breaths 35. The other options also may apply to this patient but less important. B. Finger movement Also, this page requires javascript. A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. B. C. An endotracheal cuff leak A male patient is admitted to the healthcare facility for treatment of chronic obstructive pulmonary disease. Which assessment finding indicates that the patient needs another pancuronium dose? Which of the following signs, if noticed in the client, should be reported immediately to the physician? The trachea leads to the: bronchioles bronchii esophagus pulmonary vessel. Answer: B. Grasp the retention sutures to spread the opening. 20. Nurse Maureen has assisted a physician with the insertion of a chest tube. A hyperinflated chest noted on the chest x-ray. Although hyperresonant sounds occur in such disorders as emphysema and pneumothorax, they may be normal in children and very thin adults. Otther adverse effects of albuterol include tremor, dizziness, headache, tachycardia, palpitations, hypertension, heartburn, nausea, vomiting and muscle cramps. A. If a V/Q ratio is low, it's a _______ problem. Dry lung drowning is caused by the _______ response, resulting in extreme bronchoconstriction. Notify the physician immediately A moderate fluid intake (usually 2 L or more daily) and moderate activity help liquefy and mobilize secretions. ~ Nadia Comaneci. Post navigation. If the tube is obstructed, the nurse should notice that the fluid has stopped fluctuating in the water-seal chamber. Options A, B, and C are late symptoms and signify cavitation and extensive lung involvement. For a patient with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange? Conditions that trigger the high-pressure alarm include kinking of the ventilator tubing, bronchospasm or pulmonary embolus, mucus plugging, water in the tube, coughing or biting on endotracheal tube, and the patient’s being out of breathing rhythm with the ventilator. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. D. Residual volume. line. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for: Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. The nurse should instruct the client to: While changing the tapes on a tracheostomy tube, the male client coughs and tube is dislodged. What condition is described below:Blood is occluded; Increased V/Q ratio/perfusion problem; and not much blood can get to the alveoli to get oxygen and perfuse it to the rest of the body. To help maintain adequate nutritional intake, the client with chronic bronchitis should eat small, frequent meals (up to six a day). Conditions that trigger the high-pressure alarm include kinking of the ventilator tubing, bronchospasm or pulmonary embolus, mucus plugging, water in the tube, coughing or biting on the ET tube, and the client’s being out of breathing rhythm with the ventilator. as needed. Conditions that trigger the high-pressure alarm include kinking of the ventilator tubing, bronchospasm or pulmonary embolus, mucus plugging, water in the tube, coughing or biting on endotracheal tube, and the patient’s being out of breathing rhythm with the ventilator. 15 to 60 seconds. A male client admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannula. Inhibition of phosphodiesterase is the drug’s mechanism of action in treating asthma and other reversible obstructive airway diseases — not COPD. 1. This syndrome results from: Increased pulmonary capillary permeability. When suctioning, the nurse must limit the suctioning time to a maximum of: A nurse is suctioning fluids from a female client through an endotracheal tube. C. Teaching the patient how to perform controlled coughing Do nothing, because this is an expected finding. At 11:30 p.m., the client’s arterial blood oxygen saturation is 86% and he’s still wheezing. Neurological Disorder – Stroke Quiz. Which assessment finding indicates that the client has developed the most serious complication of epidural analgesia? To understand the process of breathing it is important to be familiar with the anatomy of the thorax and the physiology of the respiratory system. Strengthen the diaphragm Skin test doesn’t differentiate between active and dormant tuberculosis infection. Interviewing the patient to gather information should contain health history about current medications, respiratory issues, living environments, and smoker or live in … Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. D. 30 seconds. C. Using a high-flow venture mask to deliver oxygen as prescribe A presumptive diagnosis is made based on a tuberculin skin test, a sputum smear that is positive for acid-fast bacteria, a chest x-ray, and histological evidence of granulomatous disease on biopsy. Never miss an item and do good on your actual exam! Read each question carefully and choose the best answer. A male client who weighs 175 lb (79.4 kg) is receiving aminophylline (Aminophyllin) (400 mg in 500 ml) at 50 ml/hour. Which condition triggers the high-pressure alarm? C. Hallucinations or tinnitus VNSG 1409 Nursing in Health & Illness 11. Option c is incorrect. Total lung capacity A female client is undergoing a complete physical examination as a requirement for college. Therapeutic Communication Techniques Quiz. Bed rest and sedatives may limit the patient’s ability to maintain a patent airway, causing a high risk for infection from pooled secretions. Yellow or green … 1 minute Drinking three glasses of fluid daily would not affect gas exchange or be sufficient to liquefy secretions, which are common in COPD. As a nurse, it is important you know the basics about lung anatomy and the physiology of gas exchange because it will help you understand respiratory disorders. B. Anginal pain Exhalation should be longer than inhalation to prevent collapse of the bronchioles. B. Quizzes on the respiratory system. An emergency room nurse is assessing a male client who has sustained a blunt injury to the chest wall. To increase inspiratory muscle strength and endurance, the client may need to learn inspiratory resistive breathing. Practice Mode: This is an interactive version of the Text Mode. The client with chronic bronchitis should exhale through pursed lips to prolong exhalation, keep the bronchioles from collapsing, and prevent air trapping. C. Increased pulmonary capillary permeability A pH value of 5.0 with a PaCO2 value of 30 mm Hg indicates respiratory alkalosis. 25. Examples ( … D. Test stimulates a reddened response in some clients and requires a second test in 3 months. Asking the client to spit into the collection container, Asking the client to obtain the specimen after eating. Answer: B. The nurse is admitting a client who complains of fever, chills, chest pain, and dyspnoea. What is described below:Fluid is accumulated in the pleural space, most likely from an infection... A complication of an open pneumothorax. Eating more than three large meals a day may cause fullness, making breathing uncomfortable and difficult; however, it doesn’t increase oxygen demands. None of the other options are associated with pneumothorax. In a client with COPD, an ineffective cough impedes secretion removal. Flashcards. The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. 41. Hallucinations and tinnitus rare are associated with respiratory alkalosis or any other acid-base imbalance. Anhydrous theophylline and other methylxanthine agents make the central respiratory center more sensitive to CO2 and stimulate the respiratory drive. A disconnected ventilator tube Finding help online is nearly impossible. Nurse Reese is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. 4) inflammation of … 16. Answer: B. 1 L/min Options A, B, and C are incorrect client instructions. For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway? The nurse should administer 0.01 to 0.02 mg/kg I.V. A. C. Atelectasis. 31. Gas exchange takes place in the a. pharynx. Answer: A. Kinking of the ventilator tubing. The Mantoux test doesn’t differentiate between active and dormant infections. If you need more clarifications, please direct them to the comments section. The exchange of gases between blood and cells is called pulmonary ventilation. The nurse observes respiratory excursion to help assess chest movements. Is immediately given oxygen by face mask and methylprednisolone ( Depo-medrol ) I.V erythromycin is the vital capacity with... 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