Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 19, Introduction to the Respiratory System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 19. | You are caring for a client who is in respiratory distress. The physician orders arterial blood gases (ABGs) to determine various factors related to blood oxygenation. What site can ABGs be obtained from? |
| A) | A puncture at the radial artery |
| B) | The trachea and bronchi |
| C) | The pleural surfaces |
| D) | A catheter in the arm vein |
| Ans: | A |
| Feedback: | |
| ABGs determine the blood’s pH; oxygen-carrying capacity; and levels of oxygen, CO2, and bicarbonate ion. Blood gas samples are obtained through an arterial puncture at the radial, brachial, or femoral artery. A client also may have an indwelling arterial catheter from which arterial samples are obtained. Blood gas samples are not obtained from the pleural surfaces or trachea and bronchi. |
| 2. | The nurse working in the radiology clinic is assisting with a pulmonary angiography. The nurse knows that when monitoring clients after a pulmonary angiography, what should the physician be notified about? |
| A) | Raised temperature in the affected limb |
| B) | Excessive capillary refill |
| C) | Absent distal pulses |
| D) | Flushed feeling in the client |
| Ans: | C |
| Feedback: | |
| When monitoring clients after a pulmonary angiography, nurses must notify the physician about diminished or absent distal pulses, cool skin temperature in the affected limb, and poor capillary refill. Absent distal pulses may indicate damage to the artery or a clot. When the contrast medium is infused, the client will sense a warm, flushed feeling. |
| 3. | You are a nurse in the radiology unit of your hospital. You are caring for a client who is scheduled for a lung scan. You know that lung scans need the use of radioisotopes and a scanning machine. Before the perfusion scan, what must the client be assessed for? |
| A) | Bleeding |
| B) | Iodine allergy |
| C) | Dysrhythmias |
| D) | Inflammation |
| Ans: | B |
| Feedback: | |
| During lung scans, a radioactive contrast medium is administered intravenously for the perfusion scan. Before the perfusion scan, nurses must assess the client to check for allergies to iodine. Laryngoscopy determines inflammation. Dysrhythmias and bleeding are possible complications of mediastinoscopy. |
| 4. | The nursing instructor is talking with senior nursing students about diagnostic procedures used in respiratory diseases. The instructor discusses thoracentesis, defining it as a procedure performed for diagnostic purposes or to aspirate accumulated excess fluid or air from the pleural space. What would the instructor tell the students purulent fluid indicates? |
| A) | Cancer |
| B) | Infection |
| C) | Inflammation |
| D) | Heart failure |
| Ans: | B |
| Feedback: | |
| Purulent fluid is the recommended diagnosis for infection. Serous fluid may be associated with cancer, inflammatory conditions, or heart failure. |
| 5. | Your client has just had an invasive procedure to assess the respiratory system. What do you know should be assessed on this client? |
| A) | Watery sputum |
| B) | Loss of consciousness |
| C) | Respiratory distress |
| D) | Masses in pleural space |
| Ans: | C |
| Feedback: | |
| After invasive procedures, the nurse must carefully check for signs of respiratory distress and blood-streaked sputum. Masses in the pleural space affect fremitus. General examination of overall health and condition includes assessing the consciousness of a client. |
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