Tiêu đề Care of Clients with Problems with Oxygenation - Respiratory.pdf ✅

NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 13. The nurse is assessing an adult patient following a motor vehicle accident. The nurse observes that the patient has an increased use of accessory muscles and is complaining of chest pain and shortness of breath. The nurse should recognize the possibility of what condition? A. Pneumothorax C. Acute bronchitis B. Anxiety D. Aspiration 14. The nurse is caring for a patient at risk for atelectasis. The nurse implements a first-line measure to prevent atelectasis development in the patient. What is an example of a first-line measure to minimize atelectasis? A. Incentive spirometry B. Intermittent positive-pressure breathing (IPPB) C. Positive end-expiratory pressure (PEEP) D. Bronchoscopy 15. Patients with COPD are given low oxygen concentration using high flow oxygen device to prevent which of the following? A. To prevent the patient from becoming dependent to oxygen B. To lessen hospital bill from utilizing oxygen C. To prevent airway collapse D. To prevent lung collapse 16. Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of death worldwide and is a preventable disease. The primary cause of COPD is: A. Tobacco hack B. Bronchitis C. Asthma D. Cigarette smoking 17. A patient presents to the ED stating she was in a boating accident about 3 hours ago. Now the patient has complaints of headache, fatigue, and the feeling that he just cannot breathe enough. The nurse notes that the patient is restless and tachycardic with an elevated blood pressure. This patient may be in the EARLY stages of what respiratory problem? A. Pneumoconiosis B. Pleural effusion C. Acute respiratory failure D. Pneumonia 18. A patient is receiving thrombolytic therapy for the treatment of pulmonary emboli. What is the BEST way for the nurse to assess the patient’s oxygenation status at the bedside? A. Obtain serial ABG samples. B. Monitor pulse oximetry readings. C. Test pulmonary function. D. Monitor incentive spirometry volumes. 19. A patient with thoracic trauma is admitted to the ICU. The nurse notes the patient’s chest and neck are swollen and there is a crackling sensation when palpated. The nurse consequently identifies the presence of subcutaneous emphysema. If this condition becomes severe and threatens airway patency, what intervention is indicated? A. A chest tube B. A tracheostomy C. An endotracheal tube D. A feeding tube 20. The nurse is caring for a patient in the ICU admitted with ARDS after exposure to toxic fumes from a hazardous spill at work. The patient has become hypotensive. What is the cause of this complication to the ARDS treatment? A. Pulmonary hypotension due to decreased cardiac output B. Severe and progressive pulmonary hypertension C. Hypovolemia secondary to leakage of fluid into the interstitial spaces D. Increased cardiac output from high levels of PEEP therapy 21. A patient who involved in a workplace accident suffered a penetrating wound of the chest that led to acute respiratory failure. What goal of treatment should the care team PRIORITIZE when planning this patient’s care? A. Facilitation of long-term intubation B. Restoration of adequate gas exchange C. Attainment of effective coping D. Self-management of oxygen therapy 22. A firefighter was trapped in a fire and is admitted to the ICU for smoke inhalation. After 12 hours, the firefighter is exhibiting signs of ARDS and is intubated. What other supportive measures are initiated in a patient with ARDS? A. Psychological counseling B. Nutritional support C. High-protein oral diet D. Occupational therapy 23. A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD). What should the nurse identify as a complication of COPD? A. Lung cancer C. Respiratory failure B. Cystic fibrosis D. Hemothorax 24. A school nurse is caring for a 10-year-old girl who is having an asthma attack. What is the preferred intervention to alleviate this client’s airflow obstruction? A. Administer corticosteroids by metered dose inhaler B. Administer inhaled anticholinergics C. Administer an inhaled beta-adrenergic agonist D. Utilize a peak flow monitoring device 25. A student nurse is developing a teaching plan for an adult patient with asthma. Which teaching point should have the HIGHEST priority in the plan of care that the student is developing? A. Gradually increase levels of physical exertion. B. Change filters on heaters and air conditioners frequently. C. Take prescribed medications as scheduled. D. Avoid goose-down pillows. 26. A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is MOST closely associated with the characteristic signs and symptoms of asthma? A. Shallow respirations B. Increased anterior-posterior (A-P) diameter C. Bilateral wheezes D. Bradypnea
NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 27. A nursing is planning the care of a patient with emphysema who will soon be discharged. What teaching should the nurse PRIORITIZE in the plan of care? A. Taking prophylactic antibiotics as ordered B. Adhering to the treatment regimen in order to cure the disease C. Avoiding airplanes, buses, and other crowded public places D. Setting realistic short-term and long-range goals 28. A nurse has been asked to give a workshop on COPD for a local community group. The nurse emphasizes the importance of smoking cessation because smoking has what pathophysiologic effect? A. Increases the amount of mucus production B. Destabilizes hemoglobin C. Shrinks the alveoli in the lungs D. Collapses the alveoli in the lungs 29. A pediatric nurse practitioner is caring for a child who has just been diagnosed with asthma. The nurse has provided the parents with information that includes potential causative agents for an asthmatic reaction. What potential causative agent should the nurse describe? A. Pets C. Psychosocial stress B. Lack of sleep D. Bacteria C. 30. An admitting nurse is assessing a patient with COPD. The nurse auscultates diminished breath sounds, which signify changes in the airway. These changes indicate to the nurse to monitor the patient for what? A. Kyphosis and clubbing of the fingers B. Dyspnea and hypoxemia C. Sepsis and pneumothorax D. Bradypnea and pursed lip breathing “If you want to fly, give up everything that weighs you down.” -Buddha-