HCR:240 Mod12

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A nurse will document Cheyne-Stokes respirations on the chart when the patients breathing is characterized by:

rapid respirations alternating with periods of apnea.

Which term will the nurse use to describe hypertrophy of the nailbeds due to chronic hypoxemia?

Clubbing

Which of the following conditions should the nurse monitor for in a patient with hypoventilation?

Hypercapnia

While checking arterial blood gas results, a nurse finds respiratory acidosis. What does the nurse suspect is occurring in the patient?

Reduced tidal volumes

A patient has a decreased drive to breathe. Which condition should the nurse monitor for in this patient?

Hyperventilation

A patient has dyspnea upon lying down. What term should the nurse use to document this finding?

Orthopnea

A patient has dyspnea. Which of the following typical findings will the nurse observe during the assessment?

Difficulty breathing

A patient has experienced collapse of a previously inflated area of lung tissue. Which condition will the nurse observe documented on the chart?

Atelectasis

A coal miner working in the mines for over 20 years is admitted to the hospital after prolonged exposure tocoal dust. Which diagnosis will the nurse observe documented on the chart?

Pneumoconiosis

A nurse is describing the pathophysiology of acute respiratory distress syndrome (ARDS). Which information should the nurse include? All disorders causing ARDS cause massive pulmonary:

inflammation

A patient with acute respiratory distress syndrome (ARDS) does not respond to supplemental oxygen therapy. Which term should the nurse use to describe this process?

Refractory hypoxemia

A nurse is describing hygiene hypothesis. Which information should the nurse include? When exposed to inhaled allergens, a child with asthma produces large quantities of:

IgE.

If a patient with asthma is exposed to an allergen, which of the following pathophysiological events should the nurse monitor for in this patient?

Bronchoconstriction and airway edema

When conducting a physical assessment of a patient during an acute asthma episode, the nurse would expect to observe:

pulsus paradoxus

A nurse is describing the pathophysiology of emphysema. Which information should the nurse include? Emphysema results in:

the destruction of alveolar septa and air trapping.

A patient has chronic bronchitis. Which frequent complication of chronic bronchitis should the nurse monitor for in this patient?

Recurrent infections

When a nurse is asked what causes hypoxemia in a patient with pneumonia, how should the nurse respond? Pneumonia leads to hypoxemia due to:

the accumulation of exudates.

A patient has pneumonia. Which assessment finding is typical of this disease?

Egophony

Staff at an inner-city homeless shelter send a 46-year-old male by ambulance to a local hospital after he begins coughing up blood. On arrival at the emergency room, he is feverish and says that he has felt very fatigued for several weeks. He also reports experiencing night sweats. Which medical condition does the nurse suspect the patient is experiencing?

Tuberculosis

A nurse is asked what are risk factors for tuberculosis (TB). What is the nurses best response? One risk factor for TB includes:

immunosuppression

A patient has central cyanosis. Which area should the nurse assess?

Lips

A patient has well-ventilated alveoli, but the alveoli are not perfused because of a thrombus. Which term should the nurse use to describe this process?

Alveolar dead space

Which of the following patients is at highest risk for developing a pulmonary embolism?

A 67-year-old male hospitalized with a deep vein thrombosis in the femoral vein

When a nurse is describing the pathophysiology of cor pulmonale, which information should the nurse include?

Consolidation of the lung that results from a bacterial infection

Which organ should the nurse monitor as a common site of metastasis for lung cancer?

Brain

A patient asks the nurse what causes lung cancer. How should the nurse respond?

Cigarette smoking

Which assessment finding indicates the patient is experiencing dyspnea?

Feeling short of breath

A nurse recalls a high ventilation/perfusion (V/Q) ratio can be caused by:

obstruction to pulmonary blood flow.

Which laboratory alteration will alert the nurse that a patient is experiencing respiratory failure?

High PaCO2

If a patient has a lung injury that results in diffuse pulmonary inflammation and infiltrates that is followed by development of a hyaline membrane at the alveolocapillary interface, which condition will the nurse observe documented on the chart?

Acute respiratory distress syndrome (ARDS)

A nurse is asked what is another name for non-cardiogenic pulmonary edema. What is the nurses best response?

Acute respiratory distress syndrome

A nurse is discussing pulmonary problems. Which information should the nurse include? Pulmonary edema and atelectasis are examples of ______ pulmonary disease.

restrictive

When air enters the pleural space during inspiration and is unable to exit during expiration, what term should the nurse use to describe this process?

Tension pneumothorax

Which of the following statements indicates the patient needs more teaching about asthma?

Asthma causes destruction of alveolar walls

A nurse is describing the pathophysiology of chronic bronchitis. Which information should the nurse include? Airway obstruction in chronic bronchitis is generally the result of:

goblet cell hyperplasia.

A patient has recently developed chronic bronchitis. Which assessment finding is typical for this patient?

Productive cough

A patient has pleuritic chest pain, shortness of breath, and hemoptysis. The primary care provider suspects a pulmonary embolus. Which lab test should the nurse check to help confirm this diagnosis?

D-dimer levels

Which assessment finding will indicate the patient is experiencing primary pulmonary hypertension?

Mean pulmonary artery pressure 28 mm Hg

Which term should the nurse use to signify right-sided heart failure secondary to pulmonary hypertension?

Cor pulmonale

During the assessment, a patient with pneumonia reports sharp, localized chest pain that is worse upon inspiration. Which type of pain is the patient experiencing?

Pleural/pleuritic pain

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