Pleural Disorders Practice Exam
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Questions and Answers

What is the primary function of the pleural space?

  • To promote gas exchange
  • To maintain a positive pressure for lung expansion
  • To protect the lungs from infection
  • To reduce friction between the lungs and chest wall during respiration (correct)

    • Which of the following is a hallmark sign of a tension pneumothorax?

  • Tracheal deviation away from the affected side (correct)
  • Hyperresonance on percussion
  • Increased fremitus on the affected side
  • Symmetrical chest expansion

    • What is the most likely cause of a transudative pleural effusion?

  • Tuberculosis
  • Pneumonia
  • Congestive heart failure (correct)
  • Lung cancer

    • What is the first priority intervention for a patient with a tension pneumothorax?

    <p>Prepare for needle decompression (A)</p> Signup and view all the answers

    Which patient is most at risk for developing a primary spontaneous pneumothorax (PSP)?

    <p>A 25-year-old tall, thin male who smokes (D)</p> Signup and view all the answers

    What is the expected percussion finding in a patient with a pneumothorax?

    <p>Hyperresonance (A)</p> Signup and view all the answers

    What is the primary purpose of a chest tube in pleural disorders?

    <p>To restore negative pressure in the pleural space (B)</p> Signup and view all the answers

    Which of the following findings indicates a chest tube complication?

    <p>Continuous bubbling in the water seal chamber (D)</p> Signup and view all the answers

    What is a priority nursing action after a thoracotomy?

    <p>Manage pain effectively (B)</p> Signup and view all the answers

    Which type of pleural effusion is associated with local inflammation?

    <p>Exudative (B)</p> Signup and view all the answers

    A patient with pleurisy is most likely to report which symptom?

    <p>Sharp, stabbing chest pain worsened by deep breaths (D)</p> Signup and view all the answers

    What diagnostic test confirms the presence of a pleural effusion?

    <p>Chest X-ray (D)</p> Signup and view all the answers

    Which condition can lead to empyema?

    <p>Bacterial pneumonia (A)</p> Signup and view all the answers

    What intervention is indicated for a patient with a hemothorax and unstable vital signs?

    <p>Chest tube placement (C)</p> Signup and view all the answers

    What clinical sign is expected in a patient with a tension pneumothorax?

    <p>Sudden onset of hypotension (D)</p> Signup and view all the answers

    A patient presents with absent fremitus and diminished breath sounds on one side. What condition is most likely?

    <p>Pleural effusion (B)</p> Signup and view all the answers

    What is the primary nursing consideration for a patient undergoing thoracentesis?

    <p>Monitor for signs of pneumothorax post-procedure (A)</p> Signup and view all the answers

    Which of the following is a key assessment finding in pleurisy?

    <p>Friction rub on auscultation (C)</p> Signup and view all the answers

    A patient with a spontaneous pneumothorax asks why air is removed from the pleural space. What is the nurse's best response?

    <p>To restore negative pressure and allow your lung to re-expand. (C)</p> Signup and view all the answers

    Which intervention is most appropriate for managing a patient with pleural pain from pleurisy?

    <p>Administer anti-inflammatory medications and encourage splinting during coughing (D)</p> Signup and view all the answers

    A patient is suspected of having a hemothorax. Which diagnostic test would most likely confirm the condition?

    <p>Chest X-ray (D)</p> Signup and view all the answers

    What is the primary clinical manifestation of a tension pneumothorax?

    <p>Rapid respiratory distress and hypotension (A)</p> Signup and view all the answers

    Which of the following findings indicates successful chest tube therapy for a patient with a pneumothorax?

    <p>Clear breath sounds and symmetrical chest expansion (B)</p> Signup and view all the answers

    A nurse observes bubbling in the water seal chamber of a chest tube system. What is the most appropriate action?

    <p>Check for air leaks in the system (A)</p> Signup and view all the answers

    A patient with an empyema reports worsening dyspnea. What complication should the nurse suspect?

    <p>Pleural thickening (C)</p> Signup and view all the answers

    Which condition is most likely to cause exudative pleural effusion?

    <p>Pulmonary tuberculosis (C)</p> Signup and view all the answers

    A patient with a chest tube accidentally disconnects the system. What is the immediate nursing action?

    <p>Immerse the tube in sterile water (B)</p> Signup and view all the answers

    Which nursing action is appropriate during patient transport with a chest tube?

    <p>Ensure the collection device remains upright and below chest level (A)</p> Signup and view all the answers

    Which symptom is most concerning in a patient with a pneumothorax?

    <p>Decreased SpO2 and hypotension (A)</p> Signup and view all the answers

    What is the primary nursing goal for a patient with a chest tube?

    <p>Promote lung re-expansion and monitor drainage (D)</p> Signup and view all the answers

    Flashcards

    String

    A sequence of characters, like letters, numbers, spaces, symbols, etc.

    Integer

    A data type for storing whole numbers without decimal points.

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    Dictionary

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    For Loop

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    While Loop

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    Function

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    Decomposition

    The process of breaking down a problem into smaller, manageable sub-problems.

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    Study Notes

    Pleural Disorders Practice Exam

    • Question 1: The primary function of the pleural space is to reduce friction between the lungs and chest wall during respiration. This smooths lung movement.

    • Question 2: A hallmark sign of tension pneumothorax is tracheal deviation away from the affected side. Air buildup in the pleural space causes this shift.

    • Question 3: Congestive heart failure is the most likely cause of a transudative pleural effusion. Fluid imbalances in conditions like congestive heart failure often lead to this type of effusion.

    • Question 4: The first priority intervention for a patient with tension pneumothorax is needle decompression. This relieves the life-threatening pressure buildup from air in the pleural cavity.

    • Question 5: A 25-year-old tall, thin male who smokes is at the highest risk for developing primary spontaneous pneumothorax (PSP). This condition commonly occurs in this demographic group.

    • Question 6: Hyperresonance is the expected percussion finding in a patient with a pneumothorax. Air accumulation causes this sound.

    • Question 7: The primary purpose of a chest tube in pleural disorders is to restore negative pressure in the pleural space, allowing the lung to re-expand and preventing fluid or air reaccumulation.

    • Question 8: Continuous bubbling in the water-seal chamber of a chest tube indicates a chest tube complication, possibly an air leak.

    • Question 9: Managing pain effectively after a thoracotomy is a priority nursing action. Effective pain management lets the patient breathe and expand their lungs properly after surgery.

    • Question 10: Exudative effusions are associated with local inflammation, often arising from infections or cancer.

    • Question 11: A patient with pleurisy will most likely report sharp, stabbing chest pain worsened by deep breaths. This is a characteristic symptom of pleurisy.

    • Question 12: A chest X-ray is the diagnostic test used to confirm the presence of a pleural effusion. This is the most common and reliable way to visually identify pleural fluid.

    • Question 13: Bacterial pneumonia is the most likely condition that can lead to empyema. This infection can cause fluid buildup in the pleural cavity, creating potentially life-threatening conditions.

    • Question 14: In a patient with a hemothorax and unstable vital signs, the indicated intervention is chest tube placement. This helps drain the blood and restore normal intrapleural pressure.

    • Question 15: A sudden onset of hypotension is a clinical sign expected in a patient with tension pneumothorax. This is caused by decreased cardiac output due to increased intrathoracic pressure.

    • Question 16: Pleural effusion is the most likely diagnosis for a patient presenting with absent fremitus and diminished breath sounds on one side. This is due to fluid accumulation in the pleural space.

    • Question 17: Monitoring for signs of pneumothorax post-procedure is a priority nursing consideration for a thoracocentesis procedure. Thoracentesis poses a risk of this complication, so observation is vital.

    • Question 18: A friction rub on auscultation is a key assessment finding in pleurisy. Inflamed pleural layers rubbing together during breathing produces this sound.

    • Question 19: Restoring negative pressure and allowing the collapsed lung to re-expand is the nurse's best response to a patient with spontaneous pneumothorax.

    • Question 20: Administering anti-inflammatory medications and encouraging splinting during coughing is the best intervention for managing pleural pain from pleurisy. This minimizes pain and maintains respiratory function.

    • Question 21: A chest X-ray is the most likely diagnostic test used to confirm hemothorax. This is a quick and effective method to locate the blood in the pleural cavity.

    • Question 22: Rapid respiratory distress and hypotension are the primary clinical manifestations of tension pneumothorax. This condition leads to decreased cardiac output, making hypotension a significant indicator.

    • Question 23: Clear breath sounds and symmetrical chest expansion are signs of successful chest tube therapy following a pneumothorax. This indicates the lung has re-expanded appropriately.

    • Question 24: Checking for air leaks in a chest tube system and addressing them, not clamping the tube immediately, is the appropriate action if bubbling is noted in the water seal chamber.

    • Question 25: Pleural thickening is a potential complication of an empyema that can hinder lung function and cause worsening dyspnea and reduced lung compliance.

    • Question 26: Pulmonary tuberculosis most commonly causes exudative pleural effusions. This is due to the local inflammation stemming from the infection.

    • Question 27: Immersing the disconnected chest tube in sterile water is the immediate nursing action. This creates a water seal, preventing air from re-entering the pleural space.

    • Question 28: Ensuring the collection device remains upright and below chest level is crucial during patient transportation with a chest tube to prevent backflow and maintain drainage.

    • Question 29: Acute decreased oxygen saturation (SpO2) and hypotension are the most concerning symptoms in a patient with a pneumothorax and require immediate attention because hypotension from decreased cardiac output is a significant indicator of decreased ventilation.

    • Question 30: The primary nursing goal with a chest tube is to promote lung re-expansion and monitor drainage for any complications. This is crucial for ensuring effective recovery and preventing complications.

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    Pleural Disorders Practice Exam PDF

    Description

    Test your knowledge on pleural disorders with this practice exam. The quiz covers key concepts such as pneumothorax, pleural effusion, and related interventions. Assess your understanding of symptoms and treatments related to pleural conditions.

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