Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 36- Airway Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client at a health care facility has been diagnosed with an upper respiratory disorder. The nurse understands that which of the following structures forms a part of the upper airway? | |
| A) | Pharynx | |
| B) | Bronchi | |
| C) | Alveoli | |
| D) | Trachea | |
| Ans: | A | |
| Feedback: | ||
| The pharynx forms a part of the upper airway. The upper airway consists of the nose and pharynx, which is subdivided into the nasopharynx, oropharynx, and laryngopharynx. The lower airway consists of the trachea, bronchi, bronchioles, and alveoli. | ||
| 2. | A nurse is caring for a client with a sinus infection. The client’s physician has prescribed aerosol therapy to keep the mucous membranes moist and the mucus thin. Which of the following is a benefit of using aerosol therapy? | |
| A) | It promotes gravity drainage of secretions. | |
| B) | It regulates the production of mucus. | |
| C) | It encourages spontaneous coughing. | |
| D) | It resolves infections of the lungs. | |
| Ans: | C | |
| Feedback: | ||
| Aerosol therapy encourages spontaneous coughing. It also improves breathing and helps to raise sputum for diagnostic purposes by loosening secretions. Postural drainage is a positioning technique that promotes gravity drainage of secretions from various lobes or segments of the lungs. Aerosol therapy does not prevent lung infections. Aerosol therapy also does not produce mucus; the body continuously produces mucus. | ||
| 3. | The nurse plans to collect a sputum specimen from a client for laboratory diagnosis after the client awakens. Which of the following reasons explains the nurse’s choice of an early morning collection? | |
| A) | Prevents contamination of specimen | |
| B) | Ensures more mucus is available | |
| C) | Removes food residue and microorganisms | |
| D) | Mobilizes secretions from the lower airway | |
| Ans: | B | |
| Feedback: | ||
| The nurse should plan to collect a sputum specimen just after a client awakens or after an aerosol treatment as this timing ensures that more mucus is available or is in a thin state. Encouraging the client to rinse his mouth with tap water removes some microorganisms and food residue. Collecting sputum in a sterile sputum specimen cup prevents contamination of the specimen. Instructing the client to take deep breaths, attempt a forceful cough, and expectorate into the specimen container helps to mobilize secretions from the lower airway. | ||
| 4. | A nurse is teaching a client’s family member the proper technique for performing postural drainage for a client. Which of the following suggestions should the nurse give? | |
| A) | The client should perform postural drainage once a day before lunch time. | |
| B) | The client must avoid remaining in prescribed positions for more than 5 minutes. | |
| C) | The nurse should administer prescribed inhalant medications before performing postural drainage. | |
| D) | The client should remain in prescribed position even if tired or feeling lightheaded. | |
| Ans: | C | |
| Feedback: | ||
| When teaching the client and family to perform postural drainage, the nurse should tell the family member to administer prescribed inhalant medications before performing postural drainage. The nurse should also recommend postural drainage two to four times daily before meals and at bedtime. The nurse should remind the client to stay in each prescribed position for 15 to 30 minutes and to change to a comfortable position if the client is tired or feels lightheaded. | ||
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