Respiratory Exam

What is a surfactant?

During inspiration, air enters the thoracic cavity because of

The ability of the lungs to adequately oxygenate the arterial blood is determined by examination of the

The most important respiratory defense mechanism distal to the respiratory bronchioles is the

A rightward shift of the oxygen-hemoblogin dissociation curve

Signs and symptoms of inadequate oxygenation include all of the following EXCEPT

When assessing activity, exercise patterns related to respiratory health, you should inquire about

When percussing the chest, you should compare sounds heard

The left mainstem bronchus is

Respiration is most affected by

Which of the following shift the oxyhemoglobin dissociation curve to the left?

During normal, quiet, relaxed, breathing, what will the intrapleural pressure be

Adventitious breath sounds include all of the following EXCEPT

Your patient's tidal volume is 1000cc's.  He is breathing 15 times a minute.  Calculate his minute volume

Oxygen toxicity can occur when a patient receives O2

What range of O2 concentration does a nasal cannula provide?

Early signs of O2 toxicity include

A healthy person's respiratory drive depends on

The blood's O2-carrying capacity can be limited to

Lower than normal O2 saturation in arterial blood is called

Which of the following is a high-flow O2 delivery device

Percentage normal for Ambient air?

Your client has had GI surgery with a large abdominal incision. When you assess your client, you note that she has a respiratory rate of 26.  Which breath sounds would lead you to call the physician immediately?

If acidosis results from a slow, shallow respiratory rate, you'd expect the following change in acid/base balance

After assisting the client to properly use her incentive spirometer, you note an increase in the percentage of her pulse oximetry.  To what anatomical/physiologic change is this related?

When a patient hyperentilates, you would base your interventions on the knowledge that he is likely to experience

What recommendations would you give a patient to maximize the therapeutic effect of pseudoephedrine, a nasal decongestant?

You are caring for a 14-year-old patient who came to the clinic with her mother.  Privately, the mother tells you that she is concerned that her child might be smoking because she is constantly asking her to buy Robitussin (dextromethorphan) for a cough.  With your knowledge of this drug, what further information would you need from the mother?

You are the nurse working a telephone hot line to answer questions about health problems.  A patient calls and tells you he has been taking Fexofenadine, an antihistamine, for seasonal allergies.  The drug is effective, but the patient reports having an upset stomach after taking it and wonders if he must stop taking the drug. What advice should you give?

Pseudoephedrine (Sudafed) works by:

Pseudoephedrine (Sudafed) is indicated for the treatment of which of the following?

How does oxymetazoline (afrin) differ from pseudoephedrine (Sudafed)?

Which of the following adverse effects may occur during pseudoephedrine (Sudafed) therapy?

Cromolyn sodium (NasalCrom) works by

Which of the following statements concerning drug-drug interactions of Guaifenesin (Robitussin) is accurate?

Which of the following nasal sprays is a steroidal anti-inflammatory drug?

An expectorant drug, such as Guaifenesin (Robitussin), is used to relieve?

Which of the following statements concerning the adverse effects of Dextromethorphan (Benylin) is correct?

Antihistamines, such as Fexofenadine (Allegra), are the treatment of choice for?

Dextromethorphan (Benylin) works by

Fexofenadine (Allegra), a second-generation antihistamine, differs from first-generation antihistmaines such as diphenhydramine (Benadryl) by?

Your 46-year-old patient calls the clinic to speak with the advice nurse.  The patient reports having a cough for the past 4 weeks and says she has been self-treating with Guaifenesin (Robitussin) from the local drug store.  The patient states, "This is barely helping me.  I need something else."  Which of the following statements is the most appropriate?

Which of the following patients should refrain from pseudoephedrine (Sudafed) therapy?

Which of the following statements would be appropriate for patient teaching regarding pseudoephedrine (Sudafed) therapy?

Patient teaching for the patient receiving dextromethorphan (Benylin) should include

Patient teaching for the patient taking Fexofenadine (Allegra) should include

For the hospitalized patient, a priority nursing diagnosis for the patient receiving hydrocodone bitartrate is

Patient teaching for the patient receiving pseudoephedrine (Sudafed) should include

Your patient has a viral upper respiratory infection, and dextromethorphan (Benylin) is prescribed every 4 hours.  You note that the patient is taking fluoxetine, a selective serotonin reuptake inhibitor (SSRI).  You would advise this patient to:

Your 5-year-old patient has allergic rhinitis.  Which of the following drugs would be best for this?

Which of the following patients should refrain from Fexofenadine (Allegra) therapy?

A client is being discharged with nasal packing in place.  He should be told to implement which of the following activities into his home care?

The nurse is planning to give preoperative instructions to a client who will be undergoing rhinoplasty.  Which of the following instructions should be included?

The nurse is teaching a client how to manage a nosebleed.  Which of the following instructions would be appropriate to give the client?

Which of the following assessments would be a priority immediately after nasal surgery?

After nasal surgery, the client expresses concern about how to decrease facial pain and swelling while recovering at home.  Which of the following discharge instructions would be most effective for decreasing pain and edema?

An elderly client had posterior packing inserted to control a severe nosebleed.  After insertion of the packing, the client should be closely monitored for which of the following complications?

Which of the following activities should the nurse teach the client to implement after the removal of nasal packing on the second postoperative day?

Which of the following statements would indicate to the nurse that a client has understood the discharge instructions provided after her nasal surgery?

A client who has undergone outpatient nasal surgery is ready for discharge and the nasal packing in place.  Which of the following discharge instructions would be apropriate for the client?

A 27-year-old woman has had elective nasal surgery for a deviated septum.  Which of the following would be an important initial clue that bleeding was occurring even if the nasal drip pad remained dry and intact?

If your client had a pulmonary contusion, for what complication will you watch?

Which complication are fractures of the left lower ribs associated with?

Which physical assessment finding is most frequently associated with a traumatic diaphragmatic rupture?

What action is most appropriate when an object is impaled in a patient's chest?

Signs of a tension pneumothorax on the right side include a tracheal shift toward which side?

The most common chest wall injuries are:

To prepare for chest tube removal,  you would:

A small volume of air enters the pleural space from the lung and is absorbed in a few days.Indicate whether the explanation refers to an:

A semi-Fowler's position, turning toward the side of the chest tube, coughing, and exhaling help to

After chest tube removal, your most important patient assessment is for

Bubbling in the water seal when the patient exhales or coughs tells you that:

Fluctuations of 5-10 mm in the water seal of a gravity drainage system occur

The definitive indicator of lung reexpansion after pleural drainage is

A few days after surgery, your patient's drainage diminishes to little or nothing and the water-seal solution fluctuates with each breath, what does this probably indicate?

Air from the lungs and a chest wound moves in and out of the pleural space as the patient breathes

When a flutter valve is used instead of a traditional chest drainage system, it:

Your patient has a gunshot wound and has been treated for an open pneumothorax.  Two hours after placement of her chest tube, you find that she has dislodged it.  What is an appropriate nursing intervention?

When an attached suction pump is turned off and gravity drainage is begun,  you should

Intra pleural pressure collapses the affected lung and pushes mediastinal structures toward the opposite side of the chest:

In a one-bottle system that serves as both a water seal and a collection chamber, which additional feature must be present?