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) paranasal sinuses.
Thefirst respiratory structures without cartilage as a supporting tissue thatinspired air passes through are
B) primary bronchi
C) alveolar ducts
D) secondary bronchi
Avoid coughing and clearing the throat during the first weekpostoperatively.
a membrane that lines most of the tubes of the air distribution system
Identify the purposes of chest drainage: (Select all that apply)
A) Restores positive pressure in chest cavity
B) Allows lung to collapse and rest
C) Restores negative intrapleuralpressure
D) Drains air, blood and fluid from pleural space
E) Allows route for medication administration
Oxygen enters blood from the alveolar air because of
A) carbonic acid.
Bronchioles do not contain cartilage.
To ensure all of the birthday candles would be blown out, aperson would use the abdominal muscle and the internal intercostals.
Chemoreceptors that help regulate breathing can be found in the
B) medulla oblongata
C) carotid artery
D) both b and c
Bronchioles are the smallest of the air distribution tubes.
Which interventions are health promotions to prevent pneumonia?(Select all that apply.)
A) Check for placement before administering tube feedings.
B) Provide for good health habits(nutrition, hygiene, exercise).
C) Encourage elder patients to receiveinfluenza and pneumococcal vaccines.
D) Allow new stroke patients to feedthemselves to encourage self-care.
E) Position patient on the back toprevent aspiration.
For normal, quiet breathing, only the abdominal muscles areneeded for respiration.
The mucous blanket covers all of the structures of therespiratory system except the epiglottis.
Your patient informs you that she cannot breathe while lyingflat and must sleep with two pillows. You would describe this condition as:
A) Adventitious lung sounds
A deviated septum results from the nasal septum beingsignificantly "deviated" from the midsagittal plane.
The amount of air that can be forcibly taken in after normallyinhaling is called _____ volume.
A) inspiratory reserve
D) expiratory reserve
The two major functions of the respiratory system are gasexchange and air distribution.
This organ consists largely of cartilages that are attached toone another and to surrounding structures by muscles or fibrous tissuecomponents.
Because the bones of the paranasal sinuses are so thin, it ispossible for a sinus infection to erode the bone and infect the brain.
The vocal cords are found in the
The outer surface of the lungs that lines the inner surface ofthe rib cage is called the
D) alveolar duct.
Tuberculosis (TB) is treated with multiple drugs to whichorganisms are susceptible. How many drugs are usually preferred to increase thetherapeutic effectiveness?
Croup is a type ofA) pharyngitis
The nurse is caring for a patient with adiagnosis of pleural effusion. The physician is most likely to order a ______________to remove fluid from around the lungs so that the patient may breathe moreeasily.
Which instruction by the nurse is inappropriate for teaching theproper technique for collection a sputum specimen?
A) Collect specimens after meals.
B) Bring the sputum up from the lungs.
C) Notify the staff as soon as thespecimen is collected so it can be sent to the laboratory without delay.
D) Maintain adequate fluid intake.
Croup is the most serious form of laryngitis and is frequentlylife threatening.
When a patient has experienced a pneumothorax, chestauscultation reveals
A) bilateral unequal breath sounds, with no breath sounds over theaffected area.
B) equal breath sounds with rhonchi overthe affected area.
C) deep slowed respirations with equalchest movement.
D) respiratory rate less than 16 breathsper minute.
Pulmonary ventilation has two parts; they are
A) external respiration and cellularrespiration
B) external respiration and internalrespiration
C) inspiration and expiration
D) internal respiration and cellularrespiration
The movement of air into and out of the lung is called
A) cellular respiration
B) pulmonary ventilation
C) internal respiration
D) external respiration
A 62-year-old patient is seen in the emergency department withan epistaxis. When a patient has an epistaxis, the correct nursinginterventions would be
A) place the patient in Fowler’s position with the headforward.
B) place the patient in low-Fowler’sposition with the head hyperextended.
C) place hot compresses over the nose.
D) compress the nostrils tightly belowthe bone and hold for 1 minute.
Which are signs of respiratory distress?
A) Symmetrical chest wall expansion,substernal retraction
B) Substernal retracting, SaO2 97%
C) Nasal flaring, symmetrical chest wallexpansion
D) Abdominal breathing, SaO2 89%
Abdominal breathing, SaO2 89%
External nares is another name for nostrils.
Which of the following does not directly assist in the exchangeof gases between blood and the air?
A) thin walls of the alveoli
B) respiratory mucosa
C) respiratory membrane
D) thin walls of the capillaries in thelung
Ifinternal respiration is working properly, the blood leaving the tissues willhave less oxyhemoglobin and more carbaminohemoglobin than the blood enteringthe tissues.
Appropriate nursing care for a patient with pneumonia includeswhich of the following interventions? Select all that apply.
A) Assist the patient to conserve energy.
B) Position the patient with the side ofthe "good" lung up.
C) Implement interventions to foster the patient's abilityto move secretions.
D) Educate the patient about theimportance of handwashing
Implement interventionsto foster the patient's ability to move secretions.
Educate the patient about theimportance of handwashing
Which of the following bones does not contain a paranasal sinus?
The exact amount of oxygen in blood depends mainly on the amountof
D) white blood cells.
The volume of air exhaled normally after a typical inspirationis termedA) tidal volume.
Conchae and turbinates are the same structures.
Both infant and adult respiratory distress syndrome have asimilar cause: the loss of surfactant.
The primary and secondary bronchi have similar structures.
A person with severe respiratory problems may be put on aventilator and have oxygen supplied through a tube in the trachea. The oxygenmust be "bubbled" through water to replace one of the functions ofthe upper respiratory tract.
The palatine tonsils are also called adenoids.
Appropriate nursing interventions for a patient with chronicobstructive pulmonary disease (COPD) include which of the following?
A) Encouraging a low-calorie,low-protein diet
B) Encouraging the patient to get the flu vaccination eachyear and pneumococcal revaccination every 5 years
C) Administering high-flow oxygen,usually 40% or greater
D) Performing physical therapyimmediately before meals to stimulate appetite
Which of the following infections is usually bacterialin origin?
B) Acute rhinitis
D) Acute follicular tonsillitis
) Acutefollicular tonsillitis
The trachea divides at its lower end into twoA) bronchi.
Which structure is not a part of the larynx?
A) vocal cords
B) thyroid cartilage
D) eustachian tube
Tears drain into the nasal cavity.
What is the name of the barrier that is found between the bloodin the capillaries and the air in the alveolus?
A) respiratory membrane
B) alveoli membrane
C) alveoli barrier
D) capillary membrane
Pharyngitis is another name for a sore throat.
For inspiration to occur, the interior of the chest cavity mustbe below atmospheric pressure.
A patient is on postoperative day 4 after undergoing a total hipreplacement. He is diagnosed as having a pulmonary embolism. Pulmonary embolismmay occur as a postoperative complication ofA) arterial thrombosis.
The most definitive method of diagnosing apulmonary embolism is by performing:
A) Helical/spinal CT scan
B) A ventilation-perfusion (V/Q scan)
D) A pulmonary angiogram
The function of the cilia of the lower part of the respiratorysystem is to push contaminated mucus up to the pharynx.
Both a pneumothorax and a hemothorax can cause a portion of thelung to collapse.
Interventions that contribute to comfort in patientsexperiencing dyspnea include: (Select all that apply)
C) Breathing exercises
D) Bed rest
E) Limiting the amount of oxygen usage
Most of theoxygen in the blood is carried as oxyhemoglobin and most of the carbon dioxidein the blood is carried as carbaminohemoglobin.A) True
The lastpart of the respiratory tree is the
B) alveolar sacs
D) alveolar ducts
Fromsuperior to inferior, the parts of the pharynx are oropharynx, nasopharynx, andlaryngopharynx.
The amountof air moved into and out of the lungs during normal, quiet breathing is calledtidal volume.
Inorder to keep the trachea open in any position, the trachea is made of O-shapedcartilage stacked one on top of the other.
If theauditory tubes were blocked, it could make an airplane flight veryuncomfortable.
Labored ordifficult breathing is referred to as
B) Cheyne-Stokes respiration
Irritantssuch as cigarette smoke cause more mucus to be produced and the cilia to workmore rapidly to clear the respiratory tract.
Residualvolume is considered part of expiratory reserve volume.
The nurse iscaring for a patient with bronchiectasis. Based on an understanding of thepathologic changes that occur with this disease, which intervention to promoteclearance of respiratory secretions does the nurse plan?
A) Postural drainage
B) Intermittent positive pressure breathing
C) Diaphragmatic breathing
D) Pursed-lip breathing
Internalrespiration requires a higher oxygen concentration in the _____ than in the_____.
B) cells; blood
C) lungs; blood
D) blood; cells
Apatient, age 54, is on postoperative day 2 after undergoing an opencholecystectomy. Immediately after the surgery, she vomited and may haveaspirated some emesis. The nurse is concerned that the patient will developpneumonia. In planning for her care, the nurse suspects the patient may have
B) aspiration pneumonia.
C) atypical pneumonia.
D) viral pneumonia.
The auditorytubes connect the middle ear and the oropharynx.
A68-year-old male patient has chronic obstructive pulmonary disease (COPD). Hehas a markedly increased need for protein and calories to maintain an adequatenutritional status. To help him get the nutrition he needs, the nurse wouldencourage him to
A)perform bronchial drainage 30 minutes after eating.
B) drink fluids only with meals.
C) eat three meals a day.
D) rest 30 minutes beforeeating
When carbondioxide dissolves in water, some of the carbon dioxide molecules associate withwater to formA) amino acid.
Anincomplete expansion or collapse of a lung for any reason is called
Which is abroad term to describe conditions of progressive, irreversible obstruction ofexpiratory airflow?
B) chronic obstructivepulmonary disease
so lungs do not become over inflated
Thepatient, age 91, has COPD and complains of dyspnea and fatigue. Activityintolerance, related to an imbalance between the oxygen supply and demand, is anursing diagnosis for COPD. Which nursing intervention would be appropriate?
A)Provide a cool shower.
B) Take the patient outside for fresh air.
C) Provide the patient with a sedative.
D) Plan care to provideoptimum rest.
Apatient, age 69, has emphysema. On assessing him, the nurse notes the presenceof a “barrel chest.” This pathology results from a(n)
increased anteroposterior diametercaused by overinflation of the alveoli.
If youhave exercised very vigorously and are breathing very hard, your tidal volumehas increased, but your inspiratory and expiratory reserve volume hasdecreased.
Thereare two primary bronchi, one entering each lung.
Thevisceral pleura is deep to the parietal pleura.A) True
Theportion of the pharynx that is behind the mouth is called the
Thebody responds in two ways if the cells need more oxygen: the rate and depth ofbreathing increases and the heart rate increases.
Thefunctions of the conchae include warming and humidifying inspired air.
Whichof the following is not a respiratory organ?
Whichstructure does not drain into the nasal cavity?
B) frontal sinus
C) eustachian tube
D) lacrimal sacs
A) atemporary cessation of breathing for a brief time.
B) an increase in breathing.
C) normal respiratory rate.
D) labored or difficultbreathing
labored or difficult breathing
Thereare four lobes of the lung: two on the right lung and two on the left lung.
One ofthe reasons for the efficiency of the respiratory system is the thin layer oftissue between the alveoli and the blood capillary. This layer is called therespiratory mucosa.
Neitherinternal respiration nor cellular respiration occurs in the lung.
Thetotal surface area of all the alveoli in the lungs would be about _____ squaremeters.
The twomost important respiratory control centers are located in which part of thebrain?
A) medulla oblongata
D) cerebral cortex
Whichposition is the most beneficial for a patient after surgery for creation of atracheostomy?
D) Dorsal recumbent
Theshelflike structures that protrude into the nasal cavity on each side arecalled
A) both b and c
D) nasal septa
a broadterm used to describe conditions of progressive, irreversible obstruction ofexpiratory airflow
achronic inflammation of the bronchi and bronchioles
Theexchange of gases between the lung and the blood is called
B) cellular respiration
C) external respiration
D) internal respiration
Thecompound formed when carbon dioxide combines with hemoglobin is
B) bicarbonate ion.
D) carboamino compound
Apatient, age 22, is admitted with acute asthma. It is important to monitor hisoxygen saturation levels. The quickest way to assess his saturation of oxygenis to
A) getarterial blood gases.
B) do a pulse pressure assessment.
C) use pulse oximetry.
D) do a pulmonary function test.
Anotherterm for nostrils is
B) nasal cavities
C) external nares
D) internal nares
The useof oxygen for cell metabolism is calledA) internal respiration
Eupnearefers to a normal respiratory rate.A) True
Pleurisyis a condition in which part of the lung cannot completely expand or hascollapsed.
An83-year-old patient is admitted with a temperature of 102° F (38.8° C), chestpain, and fatigue. The chest radiograph reveals an accumulation of fluid in thepleural space, which the physician removes by performing a thoracentesis. Thenurse correctly records the purulent exudate as:
Thebrainstem has the most important role in the control of the respiration.
Duringdischarge teaching of a pulmonary emphysema patient who is going home withoxygen, what does the nurse emphasize?
A) “Usethe maximum amount of oxygen that this unit will deliver.”
B) “Keep low flow oxygen at 1to 2 L by nasal cannula.”
C) “Use the oxygen only when you experience shortness of breath.”
D) “Use the oxygen only when exercising.”
Anatopic allergic reaction caused by an antigen-antibody reaction that occurs inthe conjunctiva, usually resulting from a contact allergen is called:
C) Allergic conjunctivitis
D) Deviated septum
Infectiousrhinitis and allergic rhinitis have the same symptoms.
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