Adult Health Care 7th edition By Cooper
Adult Health Care 7th edition By Cooper
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Chapter 9: Care of the Patient with a Respiratory Disorder
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Warm and moisturize inhaled air |
| b. | Sweep debris toward nasal cavity |
| c. | Stimulate cough reflex |
| d. | Produce mucus |
ANS: B
The cilia are fine hairlike processes on the outer surfaces of small cells that produce a motion that sweeps the debris toward the nasal cavity. Large particles that are swept away stimulate the cough reflex, but not the cilia themselves.
DIF: Cognitive Level: Knowledge REF: Page 384 OBJ: 2
TOP: Secretions KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
| a. | Pituitary stimulates the respiratory system to increase respiratory rate |
| b. | The alveoli diffuse more oxygen into the blood |
| c. | Chemoreceptors in the carotid body and aortic body stimulate the respiratory centers to modify respiratory rates |
| d. | The parietal pleura increases the negative pressure |
ANS: C
The chemoreceptors in the carotid bodies and the aortic bodies send a message to the respiratory centers to modify respirations.
DIF: Cognitive Level: Application REF: Page 386 OBJ: 1
TOP: Respiratory rate modification KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
| a. | Complete care quickly |
| b. | Provide a pad and pencil or magic slate |
| c. | Refrain from conversations with the patient to reduce stress level |
| d. | Offer books or jigsaw puzzles for entertainment |
ANS: B
Provide patient with implements for communication. Rapidly completing care and provision of solitary activities does not reduce social isolation.
DIF: Cognitive Level: Application REF: Page 309 OBJ: 10
TOP: Laryngectomy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| a. | Obtain a blood pressure |
| b. | Record the approximate amount of blood lost |
| c. | Inquire about a headache |
| d. | Record the last episode of epistaxis |
ANS: A
Check the blood pressure for hypotension to assess for hypovolemic shock. Adults can lose as much as 1 L of blood in an hour with heavy epistaxis.
DIF: Cognitive Level: Application REF: Page 393 OBJ: 9
TOP: Epistaxis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| a. | friction rub. |
| b. | sibilant wheezes. |
| c. | crackles. |
| d. | sonorous wheezes. |
ANS: B
The narrowed bronchioles characteristic of an asthma attack would produce sibilant wheezes, which are high-pitched whistling sounds.
DIF: Cognitive Level: Application REF: Page 387 OBJ: 16
TOP: Asthma KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
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