NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 05: Assessing the Respiratory System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which respiratory disorders may be genetically linked?
| 1) | Emphysema |
| 2) | Tuberculosis |
| 3) | Cor pulmonale |
| 4) | Pneumonia |
____ 2. Which is the best position to place the patient in to assess the lungs?
| 1) | Supine |
| 2) | Prone |
| 3) | Fowler’s |
| 4) | Side-lying |
____ 3. A respiratory rate of 20 for an adult patient is documented using which term?
| 1) | Eupnea |
| 2) | Dyspnea |
| 3) | Bradypnea |
| 4) | Tachypnea |
____ 4. Which definition best describes Kussmaul breathing, seen in diabetic ketoacidosis or lactic acidosis?
| 1) | Progressively increasing, rapid, deep respiration that peaks and then gradually decreases |
| 2) | Rapid and deep respirations |
| 3) | Irregular rate and depth that alternates with periods of apnea |
| 4) | Regular breathing pattern followed by brief periods of apnea |
____ 5. Pursed-lip breathing is most often seen in patients with which disease process?
| 1) | Asthma |
| 2) | Pneumonia |
| 3) | COPD |
| 4) | Cor pulmonale |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 5, Assessing the Respiratory System
Chapter learning objective: N/A
Chapter page reference: 153
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Knowledge [Remembering]
Concept: Diversity, Assessment
Difficulty: Easy
| Feedback | |
| 1 | Alpha antitrypsin deficiency may lead to genetically linked emphysema. |
| 2 | Tuberculosis is caused by the Mycobacterium. |
| 3 | Cor pulmonale is acute right-sided heart failure. |
| 4 | Pneumonia may be viral or bacterial in origin. |
PTS: 1 CON: Diversity | Assessment
Chapter number and title: 5, Assessing the Respiratory System
Chapter learning objective: N/A
Chapter page reference: 164
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Assessment, Oxygenation
Difficulty: Easy
| Feedback | |
| 1 | A supine position is not appropriate for a respiratory assessment. |
| 2 | A prone position is not appropriate for a respiratory assessment. |
| 3 | The best position for the exam is with the patient sitting. |
| 4 | A side-lying position is not appropriate for a respiratory assessment. |
PTS: 1 CON: Assessment | Oxygenation
Chapter number and title: 5, Assessing the Respiratory System
Chapter learning objective: N/A
Chapter page reference: 164
Integrated Processes: Communication and Documentation
Client Need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Oxygenation, Communication, Assessment
Difficulty: Easy
| Feedback | |
| 1 | Eupnea refers to normal rate, depth, and rhythm of respirations. Normal adult rate is 14 to 20 breaths/min. |
| 2 | Dyspnea is difficulty breathing. |
| 3 | Bradypnea is a respiratory rate below normal. |
| 4 | Tachypnea is an increase in rate above normal. |
PTS: 1 CON: Oxygenation | Communication | Assessment
Chapter number and title: 5, Assessing the Respiratory System
Chapter learning objective: N/A
Chapter page reference: 165
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Comprehension [Understanding]
Concept: Oxygenation, Assessment
Difficulty: Easy
| Feedback | |
| 1 | This is not an accurate description of Kussmaul respiration. |
| 2 | Kussmaul respiration is characterized by rapid, deep respiration associated with metabolic acidosis. |
| 3 | This is not an accurate description of Kussmaul respiration. |
| 4 | This is not an accurate description of Kussmaul respiration. |
PTS: 1 CON: Oxygenation | Assessment
Chapter number and title: 5, Assessing the Respiratory System
Chapter learning objective: N/A
Chapter page reference: 159
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Comprehension [Understanding]
Concept: Oxygenation, Assessment
Difficulty: Easy
| Feedback | |
| 1 | Pursed-lip breathing is not most often seen in patients diagnosed with asthma. |
| 2 | Pursed-lip breathing is not most often seen in patients diagnosed with pneumonia. |
| 3 | Pursed-lip breathing, or physiological positive end-expiratory pressure, is a compensatory mechanism used by people with COPD to prolong expiration, help expel trapped air, and keep alveoli open longer for maximum oxygenation of pulmonary blood. |
| 4 | Pursed-lip breathing is not most often seen in patients diagnosed with cor pulmonale. |
PTS: 1 CON: Oxygenation | Assessment
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