Chapter 15: Care of Patients with Disorders of the Lower Respiratory System

Chapter 15: Care of Patients with Disorders of the Lower Respiratory System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The patient with acute bronchitis asks if antibiotics will be ordered for the condition. The best response by the nurse would be:

a.	“Yes. Antibiotics are the best treatment option.”
b.	“No. Antibiotics will not help a viral condition.”
c.	“Antibiotics will be given if the sputum culture indicates your bronchitis is caused by bacteria.”
d.	“I don’t think so because antibiotics will inhibit the inflammatory response of your body to the invasion of this infection.”

 

 

ANS:  C

Bronchitis is treated symptomatically with humidification and cough medications. Antibiotics are only given if the sputum culture suggests it.

 

DIF:    Cognitive Level: Comprehension     REF:   293-294         OBJ:   1 (theory)

TOP:   Bronchitis: Treatment                      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

2. The nurse is assessing the patient with influenza and notes general malaise and aching muscles, which have continued for 2 weeks. The nurse is aware that the patient may have developed which complication of influenza?

a.	Bronchitis
b.	Bacterial pneumonia
c.	Urinary infection
d.	Encephalitis

 

 

ANS:  B

Bacterial pneumonia is a common complication of influenza and may present with atypical symptoms of only general malaise and muscle aches, making it difficult to recognize the symptoms of pneumonia. Bronchitis, urinary infections, and encephalitis are not commonly complications of influenza.

 

DIF:    Cognitive Level: Application           REF:   296                OBJ:   1 (theory)

TOP:   Complications of Influenza: Pneumonia

KEY:  Nursing Process Step: Planning        MSC:  NCLEX: Health Promotion and Maintenance

 

3. The nurse explains that treatment with amantadine (Symmetrel) will:

a.	prevent viral pneumonia if taken regularly.
b.	stop viral spread of avian flu if taken at the first signs and symptoms of disease.
c.	lessen the severity of type A flu symptoms if taken within 48 hours of exposure.
d.	reduce irritation of bronchitis if taken weekly.

 

 

ANS:  C

Amantadine (Symmetrel) is an antiviral medication that may be given within 48 hours of exposure or within 48 hours of the onset of influenza symptoms. It is not a drug that is taken regularly and will not stop the spread of the avian flu.

 

DIF:    Cognitive Level: Application           REF:   295                OBJ:   1 (theory)

TOP:   Treatment: Amantadine                   KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

4. The nurse differentiates viral from bacterial pneumonia in that viral pneumonia causes:

a.	elevation in white count.
b.	consolidation of lung tissue.
c.	interstitial inflammation.
d.	copious exudate.

 

 

ANS:  C

Viral pneumonia causes interstitial inflammation with attendant edema. White count will not be elevated, and no exudate is consolidating the lung as with bacterial pneumonia.

 

DIF:    Cognitive Level: Application           REF:   296                OBJ:   1 (theory)

TOP:   Pneumonia: Viral                            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance