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 21, Caring for Clients With Lower Respiratory Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 21. | You are a clinic nurse caring for a client with acute bronchitis. The client asks what may have caused the infection. What may induce acute bronchitis? |
| A) | Aspiration |
| B) | Drug ingestion |
| C) | Chemical irritation |
| D) | Direct lung damage |
| Ans: | C |
| Feedback: | |
| Chemical irritation from noxious fumes, gases, and air contaminants induces acute bronchitis. Aspiration related to near drowning or vomiting, drug ingestion or overdose, and direct damage to the lungs are factors associated with the development of acute respiratory distress syndrome. |
| 2. | You are an occupational nurse completing routine assessments on the employees where you work. What might be revealed by a chest radiograph for a client with occupational lung diseases? |
| A) | Fibrotic changes in lungs |
| B) | Hemorrhage |
| C) | Lung contusion |
| D) | Damage to surrounding tissues |
| Ans: | A |
| Feedback: | |
| For a client with occupational lung diseases, a chest radiograph may reveal fibrotic changes in the lungs. Hemorrhage, lung contusion, and damage to surrounding tissues are possibly caused by trauma due to chest injuries. |
| 3. | You are assessing a client’s potential for pulmonary emboli. What finding indicates possible deep vein thrombosis? |
| A) | Pain in the feet |
| B) | Inability to dorsiflex |
| C) | Negative Homan’s sign |
| D) | Pain in the calf |
| Ans: | D |
| Feedback: | |
| When assessing the client’s potential for pulmonary emboli, the nurse tests for a positive Homan’s sign. The client lies on his or her back and lifts his or her leg and his or her foot. If the client reports calf pain (positive Homan’s sign) during this maneuver, he or she may have a deep vein thrombosis. |
| 4. | You are caring for a client who has just been diagnosed with lung cancer. What is a cardinal sign of lung cancer? |
| A) | Mucopurulent sputum |
| B) | Pain on inspiration |
| C) | Obvious trauma |
| D) | Shortness of breath |
| Ans: | A |
| Feedback: | |
| For a client with lung cancer, a cough productive of mucopurulent or blood-streaked sputum is a cardinal sign of lung cancer. Symptoms of fractured ribs consist primarily of severe pain on inspiration and expiration, obvious trauma, and shortness of breath. These symptoms may also be caused by other disorders but are not considered indicative of lung cancer. |
| 5. | The local public health department is holding a flu vaccine clinic. The health department recommends flu vaccinations for healthcare workers and people at high risk for complications or for those exposed daily to many different people. When using FluMist (live, attenuated influenza vaccine), what group is not approved? |
| A) | Children between 6 and 12 years of age |
| B) | People with hypersensitivity to milk products |
| C) | Adolescents who regularly take aspirin |
| D) | Adults 30 to 40 years of age |
| Ans: | C |
| Feedback: | |
| FluMist is a live and attenuated influenza vaccine administered intranasally. It is not approved for various categories of people, including adolescents who regularly take aspirin, children younger than 5 years of age, adults above 50 years of age, and people with a hypersensitivity to eggs. |
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