Chapter 24 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 24 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• While reviewing the client’s medical record, the nurse learns the client has atelectasis, and 1) understands:

1. The lung has partially
2. A lobe of the lung has
3. Air sacs within the lung have
4. A complete collapse of the lung has

Answer: C

Explanation: A)       Atelectasis describes collapse of air sacs. A partial or complete collapse of the lung or a lobe of the lung would be pneumothorax.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Atelectasis describes collapse of air A partial or complete collapse of the lung or a lobe of the lung would be pneumothorax.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Atelectasis describes collapse of air A partial or complete collapse of the lung or a lobe of the lung would be pneumothorax.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Atelectasis describes collapse of air A partial or complete collapse of the lung or a lobe of the lung would be pneumothorax.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

Objective: Learning Outcome 24-1: Define the key terms used in the skills of breathing exercises.

 

• The nurse finds the client sitting upright and leaning on her arms or elbows, and documents: 2)

1. The client has assumed the orthopneic
2. The client has assumed the COPD
3. The client has assumed the tripod
4. The client is sitting

Answer: C

Explanation: A)      The position described is the tripod position, often seen in clients with COPD but not called the COPD position. The orthopneic position is an adaptation of the high-Fowler’s position with the client sitting upright.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The position described is the tripod position, often seen in clients with COPD but not called the COPD The orthopneic position is an adaptation of the high-Fowler’s position with the client sitting upright.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The position described is the tripod position, often seen in clients with COPD but not called the COPD The orthopneic position is an adaptation of the high-Fowler’s position with the client sitting upright.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The position described is the tripod position, often seen in clients with COPD but not called the COPD The orthopneic position is an adaptation of the high-Fowler’s position with the client sitting upright.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

Objective: Learning Outcome 24-1: Define the key terms used in the skills of breathing exercises.

• The nurse is caring for a client requiring mechanical ventilation who is deeply sedated and 3) receiving paralytic An important nursing intervention to assist the client to optimize oxygenation would be:

1. Hyperventilating the client once an
2. Hyperoxygenating the client once an
3. Encouraging coughing and deep
4. Frequent

Answer: D

Explanation: A)      An important nursing intervention to prevent atelectasis is frequent repositioning, and this client may be placed on a specialized bed to move him continuously. If he is not placed on a specialized bed, the nurse should reposition the client at least every two hours. Hyperoxygenating and hyperventilating the client would be important prior to suctioning, but would not be routine interventions or the most important interventions to improve oxygenation. Because the client is receiving a paralytic medication, coughing and deep breathing would not be possible.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. An important nursing intervention to prevent atelectasis is frequent repositioning, and this client may be placed on a specialized bed to move him If he is not placed on a specialized bed, the nurse should reposition the client at least every two hours. Hyperoxygenating and hyperventilating the client would be important prior to suctioning, but would not be routine interventions or the most important interventions to improve oxygenation. Because the client is receiving a paralytic medication, coughing and deep breathing would not be possible.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. An important nursing intervention to prevent atelectasis is frequent repositioning, and this client may be placed on a specialized bed to move him If he is not placed on a specialized bed, the nurse should reposition the client at least every two hours. Hyperoxygenating and hyperventilating the client would be important prior to suctioning, but would not be routine interventions or the most important interventions to improve oxygenation. Because the client is receiving a paralytic medication, coughing and deep breathing would not be possible.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. An important nursing intervention to prevent atelectasis is frequent repositioning, and this client may be placed on a specialized bed to move him If he is not placed on a specialized bed, the nurse should reposition the client at least every two hours. Hyperoxygenating and hyperventilating the client would be important prior to suctioning, but would not be routine interventions or the most important interventions to improve oxygenation. Because the client is receiving a paralytic medication, coughing and deep breathing would not be possible.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 24-2: State nursing interventions to maintain the normal respirations of a client.

• The nurse is caring for a client who had major abdominal surgery Which of the 4) following would indicate inadequate airway clearance that the nurse would anticipate might clear with coughing and deep breathing?

1. Tachypnea with rales heard in the upper lobes and over the trachea
2. Bradypnea with wheezing heard throughout all lung fields
3. Tachypnea with wheezing heard throughout all lung fields
4. Tachypnea with rhonchi heard in the lower lobes

Answer: A

Explanation: A)      The client with inadequate airway clearance would most likely be found tachypneic, with rales in the upper lobes and over the trachea indicating secretions are high enough in the airway to clear with coughing. Wheezing is heard with airway narrowing, while rhonchi would be heard if the airway was narrowed from secretion collection in the smaller airways.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The client with inadequate airway clearance would most likely be found tachypneic, with rales in the upper lobes and over the trachea indicating secretions are high enough in the airway to clear with Wheezing is heard with airway narrowing, while rhonchi would be heard if the airway was narrowed from secretion collection in the smaller airways.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The client with inadequate airway clearance would most likely be found tachypneic, with rales in the upper lobes and over the trachea indicating secretions are high enough in the airway to clear with Wheezing is heard with airway narrowing, while rhonchi would be heard if the airway was narrowed from secretion collection in the smaller airways.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Assessment

1. The client with inadequate airway clearance would most likely be found tachypneic, with rales in the upper lobes and over the trachea indicating secretions are high enough in the airway to clear with Wheezing is heard with airway narrowing, while rhonchi would be heard if the airway was narrowed from secretion collection in the smaller airways.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Assessment

Objective: Learning Outcome 24-3: Describe abnormal breathing patterns and sounds.