Chapter twenty eight Nursing Administration Lower Respiratory Problems

 Chapter twenty-eight Nursing Managing Lower Respiratory Problems Research Newspaper

Section 28: Medical Management: Reduce Respiratory Problems

Test Bank

MULTIPLE CHOICE

1 ) Following assessment of a individual with pneumonia, the nurse identifies a nursing associated with

ineffective respiratory tract clearance. Which will assessment info best supports this medical diagnosis? a. Weak, nonproductive coughing effort

b. Large amounts of greenish sputum

c. Respiratory system rate of 28 breaths/minute

d. Regenerating pulse oximetry (SpO2) of 85%

ANS: A

The weak, nonproductive cough indicates that the sufferer is unable to crystal clear the air passage effectively. The other data would be used to support diagnoses such as disadvantaged gas exchange and unproductive breathing design.

DIF: Cognitive Level: Apply (application)

REF:

eNCP 28-1

TOP: Breastfeeding Process: Medical diagnosis

MSC: NCLEX: Physiological Integrity

2 . The nurse analyzes the torso of a individual with pneumococcal pneumonia. Which finding could

the doctor expect?

a. Increased tactile fremitus

n. Dry, nonproductive cough

c. Hyperresonance to percussion

deb. A grating sound on auscultation

ANS: A

Elevated tactile fremitus over the part of pulmonary loan consolidation is expected with bacterial pneumonias. Fatigue to choc would be expected. Pneumococcal pneumonia typically presents with a loose, productive coughing. Adventitious breath sounds including crackles and wheezes will be typical. A grating audio is more associated with a pleural friction apply rather than pneumonia.

DIF: Intellectual Level: Apply (application)

REF:

527

TOP RATED: Nursing Procedure: Assessment

MSC: NCLEX: Physiological Integrity

3. A patient with bacterial pneumonia has rhonchi and solid sputum. Precisely what is the nurse's most

ideal action in promoting airway distance?

a. Help the patient to splint the chest when ever coughing.

n. Teach the sufferer about the need for fluid limitations.

c. Inspire the patient put on the nose oxygen cannula.

d. Teach the patient within the pursed lips breathing strategy. ANS: A

Coughing is much less painful and more likely to be powerful when the sufferer splints the chest during coughing. Essential fluids should be motivated to help liquefy secretions. Sinus oxygen will improve gas exchange, but will not improve air passage clearance. Pursed lip inhaling is used to boost gas exchange in patients with COPD, but will not really improve respiratory tract clearance.

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DIF: Cognitive Level: Apply (application)

REF:

527

TOP: Medical Process: Setup

MSC: NCLEX: Physiological Integrity

4. The nurse delivers discharge recommendations to a patient who was hospitalized for pneumonia.

Which assertion, if of the patient, shows a good knowledge of the instructions? a. " I will phone the doctor if I still think tired after having a week. ” b. " I will always do the breathing and coughing exercises at your home. ” c. " I will schedule two appointments intended for the pneumonia and autorit? vaccines. ” d. " I'll cancel my torso x-ray appointment if I'm feeling better in a few weeks. ” ANS: B

Sufferers should continue to cough and deep breathe after discharge. Fatigue is definitely expected for several weeks. The Pneumovax and influenza vaccines can be presented at the same time in various arms. Explain that a girl chest x-ray needs to be required for 6 to 8 weeks to gauge resolution of pneumonia.

DIF: Cognitive Level: Apply (application)

REF:

528

TOP: Breastfeeding Process: Evaluation

MSC: NCLEX: Physiological Honesty

5. The nurse builds up a plan of care to avoid aspiration in a high-risk sufferer. Which nursing

action will probably be most effective?

a. Turn and reposition immobile patients in least every single 2 hours. w. Place individuals with altered consciousness in side-lying positions. c. Keep an eye on for respiratory system symptoms in patients who also are immunosuppressed. d. Insert nasogastric pipe for feedings for people with ingesting problems. ANS: B

The chance for desire is reduced when individuals with a lowered level of awareness are placed within a side-lying or upright position. Frequent turning prevents gathering of...

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