Order Respiratory System Assessment Help

Order Respiratory System Assessment Help
Order Respiratory System Assessment Help
1. An unconscious patient has excessive oral secretions.
In which position should the nurse place the patient
to help prevent aspiration?
1. Sims’
2. Supine
3. Fowler
4. Contour
2. A nurse is to perform a purified protein derivative (PPD)
test on a patient who was exposed to a person with the
diagnosis of tuberculosis. What are essential nursing
interventions related to this test? Select all that apply.
1,_______ Encircle the injection site with an indelible pen.
2_________ Identify if the patient is taking an immunosuppressant.
3, __________ Determine if the patient had a previous positive reaction.
4,____________ Inject the purified protein derivative
via an intradermal injection.
Order Respiratory System Assessment Help
5. _______—_ Explain that the results must be evaluated within twenty-four hours.
3. A patient is scheduled to have pulmonary function
tests. What should the nurse instruct the patient to do
before the test?
1. Avoid smoking for 6 hours before the test.
2. Take a bronchodilator 1 hour before the test.
3. Abstain from food for 2 hours before the test.
4. Drink 8 oz of water immediately before the test.
_4. A nurse documents that a patient is experiencing
Kussmaul respirations. What observations about the
patient’s respirations did the nurse make to come to
this conclusion?
1. More than twenty breaths/minute
_ 2. Increased rate and depth of respirations
3. Varying depths of respirations, generally shallow,
alternating with periods of apnea
4. Gradual increase in depth of inhalations, followed
by a gradual decrease, and then a period of apnea
5. An older adult patient asks a nurse, “Why am I experiencing more frequent respiratory tract infections
now that I am older?” Which information about the
aging process should the nurse include in a response
to the patient’s question? Select all that apply.
1.____ ‘<= ___ Thoracic and expiratory muscles are
weaker.
2,__________ There is an increase in the cough and
laryngeal reflexes.
3, Vital capacity increases as the residual
. volume decreases.
4,‘ The rib cage becomes more rigid due to
calcification of costal cartilage.
5, Decreased mobility associated with
aging causes less effective gas exchange.
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