Respiratory

The 7-year-old child who has been diagnosed with which respiratory condition will have normal breath sounds?

Which respiratory assessment in the infant prompts the nurse to alert the provider immediately?

The anxious 5-year-old child is found to have tachypnea, stridor on inspiration, and a “barking” cough. The nurse suspects which condition?

A school nurse is caring for an elementary school student who is gasping for breath after being stung by a bee. The child's airway is currently patent and heart rate is 100 bpm. No epinephrine or advanced airway is available. Which intervention is appropriate?

While reviewing the patient’s chart in preparation for admission to the intensive care unit, the nurse learns the patient is exhibiting ataxic breathing. Which pattern does the nurse expect to observe in the patient?

The patient with a central venous catheter develops substernal chest pain, hypotension, and cough. There is evidence of air in the line. Which action does the nurse take first​?

The patient is being evaluated for obstructive sleep apnea. For which test does the nurse prepare the patient?

Which patient with dyspnea is seen first in the emergency department?

Following an industrial accident, the patient is immobile. The student nurse is creating a care plan for the patient to prevent respiratory decompensation. Which intervention, if included in the care plan for this nursing diagnosis, would prompt the nurse to provide additional education to the student nurse?

The nurse is evaluating the patient with amyotrophic lateral sclerosis. Which symptom is most concerning?

The nurse is helping the patient with amyotrophic lateral sclerosis to select food for a meal. Which meal choice is appropriate?

The nurse is exiting the room after providing care for the patient diagnosed with tuberculosis. In which order does the nurse remove the personal protective equipment?

The nurse intervenes if the provider attempts to remove which article of personal protective equipment first after contact with the patient with active tuberculosis?

The resident of a large, long-term care facility has reactivated tuberculosis and is infectious. Which action does the nurse take?

Mechanical ventilation increases the risk for pneumothorax by which mechanism?

Which respiratory assessment in the patient who has an oxygen saturation of 96% on room air is most concerning?

Following an infection with rhinovirus, the patient reports initial improvement followed by significant congestion and upper teeth pain. The nurse anticipates which diagnosis?

Which radiologic finding indicates frontal sinusitis?

The patient presents to the emergency department (ED) with green sputum and severe pain over the top teeth, cheeks, and forehead following a respiratory viral infection. The provider requests the nurse use the transilluminator to assess for sinusitis. Which assessment indicates maxillary sinusitis?

The patient has been prescribed amoxicillin for the treatment of sinusitis. The patient states, “I thought I just had a cold. I don’t want to take antibiotics for a cold.” Which response by the nurse is most appropriate?

The nurse assesses the patient with acute ethmoid sinusitis for which symptom that indicates the patient is experiencing a severe complication of the condition?

The nurse anticipates which alteration in heart sounds in the patient with chronic obstructive pulmonary disease?

The 1.5-kg preterm neonate in the neonatal intensive care unit is intubated and mechanically ventilated. The ventilator is set to deliver a tidal volume of 6 mL with each breath. On day of life 1, the patient’s peak inspiratory pressure was 15 mm Hg. On day of life 3, the patient’s peak inspiratory pressure is 22 mm Hg. How does the nurse interpret this information?

The nurse is assigned to care for a large for gestational age neonate with respiratory distress and significant tachypnea that is requiring continuous positive airway pressure at 12 hours of life. The nurse notes the patient has good muscle tone with flexed bilateral legs and a flexed right arm. The left arm is extended and adducted. The nurse is MOST concerned about which condition?

Following abdominal surgery, the patient remains intubated in the postanesthesia care unit (PACU). Which assessment indicates the patient is ready to be extubated?

Which breath sound is the most concerning after endotracheal extubation?

The elderly patient with moderate Alzheimer’s disease was brought to the emergency department (ED) for rapidly worsening mental status, fever, and anorexia over the last 24 hours. Portable chest x-ray shows a consolidation in the left lower lobe.Which diagnosis is most accurate?

The nurse provides which instruction to the patient prescribed incentive spirometry following lower limb orthopedic surgery? 

The patient receiving mechanical ventilation opens the eyes, attempts to talk, and appears to be in distress. Which action does the nurse take first?

The nurse in the intensive care unit (ICU) hears repeated high pressure alarms from the mechanical ventilator of the intubated patient and suspects which condition?

The nurse in the intensive care unit (ICU) hears repeated low pressure alarms from the ventilator of the intubated patient and suspects which condition?

The parents of an 18-month-old with cystic fibrosis (CF) are in the office for a well-child visit and ask the nurse about immunization against influenza. Which response from the nurse is correct?

The patient with significant respiratory distress is diagnosed with a tension pneumothorax on portable chest x-ray. Which intervention is most appropriate for this patient? 

The patient has been receiving sildenafil 5 mg by mouth, three times daily. Which assessment finding indicates the drug has had the intended effect?

The nurse is reviewing the chart of a patient recently admitted to the hospital. The patient’s medication review includes bosentan, glyburide, praziquantel, and ergotamine. The nurse expects to observe which symptom in the patient?

The patient receiving bosentan therapy for pulmonary arterial hypertension presents to the emergency department (ED) complaining of dyspnea. Which nursing assessment is most important for this patient?

The patient is prescribed bosentan. Which statement does the nurse include in teaching about this medication?

The patient presents to the emergency department (ED) and states, “I don’t know what happened! I was walking and ran into a door with my right shoulder. I closed my right eye and my vision was normal, but when I closed my left eye, I couldn’t see anything at all!” The patient’s assessment is otherwise normal. The nurse reports this to the provider immediately for assessment. Which question is most important for the nurse to ask the patient while waiting for the provider to write orders for treatment?

The patient has right ventricular hypertrophy on echocardiogram. The nurse plans care to focus interventions for which effect?

The patient newly diagnosed with Cor pulmonale is found to have a hematocrit of 55%. Which statement is true regarding this information?

The patient with chronic obstructive pulmonary disorder has an oxygen saturation of 89% on room air. Which order does the nurse clarify with the provider?

The 58-year-old patient with chronic obstructive pulmonary disorder (COPD) presents to the clinic requesting the pneumococcal vaccine. Which response by the nurse is appropriate?

The patient in heart failure exhibits the following respiratory pattern. The nurse uses which term to document the patient’s respiratory effort?

The nurse is evaluating the arterial blood gas results of the patient on hospice with the following respiratory pattern: The patient’s PaCO₂ is 62 mm Hg, which is 20 mm Hg higher than the previous ABG. The nurse understands the patient’s blood gas was drawn at which period in the patient’s respiratory cycle?

Which is the drug of choice for treatment of Raynaud syndrome?

A mass casualty incident has occurred and the charge nurse must make beds available in the intensive care unit for incoming victims. Which patients can be safely downgraded to the floor? Select all that apply.

Following a major natural disaster, the charge nurse receives instruction from superiors to pair patients as roommates to increase the number of available rooms. The first patient to be paired is a 42-year-old patient with cellulitis who has a 103°C fever and tachycardia. The charge nurse places her in a room with which patient?

The nurse receives report on 4 patients by 0800. Which patient does the nurse assess first?

The nurse is reviewing the arterial blood gases of 4 patients. The patient with which arterial blood gas result should be assessed first?

Which alarm does the nurse attend to first?