CH29 respiratory system function

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The nurse is evaluating the function residual capacity(FRC) of a patient's lung. What does this represent?

It is the air inspired and expired in one breath

It is the maximum amount of air beyond tidal volume

It is the air remaining in the lungs after normal expiration (correct)

It is the amount of air expired forcefully after maximum inspiration

The nurse is caring for an older adult patient with dyspnea from a decreased oxygen-carrying capacity. What data should the nurse collect to confirm this?

Pulse oximetry level

White blood cell(WBC)

Red blood cell(RBC)count and hemoglobin level (correct)

Respiratory rate and depth

The nurse is caring for a patient who becomes dyspneic, which the patient states is a "6 out of 10" on the dyspnea scale. Which action should the nurse do first?

Contact the health-care provider(HCP) for an order for supplemental oxygen

Assist the patient to sit at the edge of the bed to lean over the bedside table (correct)

Apply nasopharyngeal suction intermittently until the airway is cleared

Apply supplemental oxygen and notify the HCP of this action

The nurse is auscultating a patient's chest and hears an adventitious sound in the left lower lobe. What is the first step in determining whether this is an abnormality?

Listen to the corresponding area in the patient's right lower lobe Signup and view all the answers

The nurse is listening to the lung sounds of a patient and hears a moist bubbling sound on inspiration and expiration. How should the nurse document these findings

Coarse crackles Signup and view all the answers

A patient's arterial blood gas analysis shows a PaO2 of 69 mmHg. What action should the nurse take first?

Place the patient in a Fowler position Signup and view all the answers

The patient begins to demonstrate symptoms of a pulmonary embolism. What test should the nurse anticipate will be completed

Pulmonary angiography Signup and view all the answers

The nurse places a patient who is experiencing dyspnea in the Fowler position. What does the nurse hope to accomplish?

Fowler position allows maximum lung expansion Signup and view all the answers

The nurse is caring for a patient with chronic lung disease who is receiving oxygen via a nonrebreather mask. Which finding indicates proper functioning?

Both side vents closed on inspiration, reservoir bag inflated Signup and view all the answers

The nurse is providing discharge instructions for a patient who is to use an adrenergic bronchodilator. Which statement indicates understanding?

Using the MDI more often than prescribed can result in worsening symptoms Signup and view all the answers

The patient arrives to the emergency department with a stab wound to the chest. The HCP places two chest tubes to drain air and blood from the patient's thoracic cavity. The nurse sets up the chest tube drainage system, Where should the nurse place the system?

Below the level of the patient's chest Signup and view all the answers

A patient with a chest drainage system is admitted to the medical-surgical unit. The nurse notes vigorous bubbling in the water seal chamber of the system. What action should the nurse take?

Examine the entire system and tubing for air leaks Signup and view all the answers

The nurse is caring for a patient with a tracheostomy. What determines if the patient requires suctioning?

audible crackles or wheezes without a stethoscope Signup and view all the answers

The nurse is caring for a patient who is on a ventilator and the high-pressure alarm sounds. What should the nurse consider as the cause for this alarm?

The tubing is obstructed Signup and view all the answers

The nurse is caring for patients in a respiratory unit and hears a ventilator alarm from the hallway. Which action should the nurse take first?

Assess the patient Signup and view all the answers

The nurse is reviewing the results of a patient's pulmonary function studies. Which finding are most concerning?

Tidal volume of 350 mL Signup and view all the answers

The nurse instructs the patient with chronic obstructive pulmonary disease(COPD) on methods to lower the risk of lung complication. Why would the nurse recommend this?

Helps to open and clear smaller airways Signup and view all the answers

The patient has a loud, crowing noise heard without a stethoscope. What could this indicate?

Foreign body obstruction Signup and view all the answers

The nurse is caring for a patient who has a low pH and high CO2 on the arterial blood gas result. Which medical condition is the contributing factor?

COPD Signup and view all the answers

The nurse is caring for the patient who is experiencing uncontrolled diabetes mellitus. The patient is exhibiting Kussmaul respirations. What best described the compensatory action for the respirations?

The body is compensating for the metabolic acidosis by releasing CO2 via the lungs Signup and view all the answers

The nurse is caring for a patient who has recently recovered form a spontaneous pneumothorax. The nurse palates the patient's left shoulder area and feels a "Rice Krispies" presence under the skin How should the nurse document this finding?

Subcutaneous emphysema Signup and view all the answers

The nurse is making cultural considerations in the care of a patient with respiratory conditions. Which consideration is correct?

Pulse oximeter readings may not be accurate in darker-skinned individuals Signup and view all the answers

The licensed practical nurse/Licensed vocational nurse(LPN/LVN) is caring for a patient with COPD who is using oxygen therapy at 2L/min. The patient becomes short of breath and requests that the oxygen flow rate be increased. What is the LPN/LVN's next step?

Contact the respiratory therapist(RT) for guidance Signup and view all the answers

The nurse is caring for the patient receiving oxygen therapy. Which statement is correct when delivering oxygen via a simple face mask?

It can deliver oxygen at a concentration form 40% to 60% Signup and view all the answers

The nurse is coaching a patient who is using a transtracheal catheter. The nurse recognizes that the patient understands the care for the catheter by which of the following statements?

I will be able cover the site with a loose scarf or collar Signup and view all the answers

The LPN/LVN is caring for a a patient with a chest tube. The nurse notes that the dressing over the insertion site is saturated with serous drainage. What action should the nurse take?

Reinforce the dressing and contact the HCP and assist with the changing of the dressing Signup and view all the answers

The LPN/LVN is caring for a patient with a chest tube and notices that the tubing appears to be occluded with clots and not draining. What is the LPN/ LVN's next step with this issue?

If tubing appears to be occluded, consult with the HCP for specific orders Signup and view all the answers

The nurse is assessing a patient's respiratory system and notices upon auscultation the the lung sounds are faint and difficult to hear in both lung bases. How should the nurse document this finding?

Diminished lung sounds in bilateral bases Signup and view all the answers

The nurse is preparing to perform a routine cleaning of the patient's cuffed tracheostomy. The nurse notes that the cuff has been deflated since the patient's weaning off of the mechanical ventilator. What is the nursing intervention at this time?

Continue with the cleaning of the tracheostomy Signup and view all the answers

The nurse is caring for a patient with a tracheostomy who has a large amount of secretions. What actions should the nurse take to improve patient outcomes?

Turn the patient every 2 hours Signup and view all the answers

The nurse is concerned about the older adult and their ability to fight a respiratory infection. Which effect of aging will impact the patient's recovery?

Weakened force of cough Signup and view all the answers

The nurse is teaching a patient about pursed-lip breathing. Which patient statement indicates understanding?

I'll use this technique whenever I feel like I am having trouble breathing, Signup and view all the answers

A patient is diagnosed with respiratory acidosis. Which health problems should the nurse consider as causing this patient's diagnosis? Select all that apply

Shallow respirations Signup and view all the answers

The nurse is providing care to patient who has been receiving high oxygen concentration therapy for 36 hours. Which of the following symptoms, if exhibited by the patient, should the nurse contact the HCP for suspected lung damage from this therapy?(Select all that apply)

Numbness in the extremities Signup and view all the answers

Which are effects of aging on the respiratory system?(Select all that apply)

Decrease in peak airflow and gas exchange Signup and view all the answers

The nurse is assessing a patient who has a history of COPD. What are some of the expected finding during the assessment?(Select all that apply)

Barrel chest Signup and view all the answers

The nurse is caring for a patient who is heavily sedated from pain medication and breathing 12 shallow breaths /minute on room air. What findings should the nurse anticipate?(Select all that apply)

PaO2 of 65 mmHg Signup and view all the answers

During inhalation, which of the following muscle contractions takes place to enlarge the chest cavity from top to bottom?

Diaphragm moves up Signup and view all the answers