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36. Which of the following findings should be reported to the physician?
a) vesicular breath sounds at the peripheral areas of the lungs
b) bronchovesicular breath sounds heard over the mainstem bronchi
c) bronchial breath sounds heard over the trachea
d) adventitious breath sounds heard all over the lungs
37. The client with chronic obstructive pulmonary disease (COPD) is receiving Aminophylline. Which of the following manifestations indicate that the client is experiencing an adverse effect of the drug?
a) elevated temperature
b) bradycardia
c) restlessness
d) tachycardia
38. The client has closed chest drainage. Which of the following observations need prompt reporting to the physician?
a) the water in the water-seal drainage is constantly bubbling
b) there is continuous bubbling in the suction control chamber
c) fluctuation of fluids is noted in the water seal chamber if suction is not applied
d) the suction control chamber is filled with 20 cm of sterile NSS
39. The client is diagnosed to have COPD (Chronic Obstructive Pulmonary Disease). Which of the following signs and symptoms needs priority intervention by the nurse?
a) temperature of 37.5 C
b) tachycardia
c) cough
d) 91% oxygen saturation
40. A client who had vehicular accident was admitted to the emergency department. His trachea is deviated to the left. What does the nurse anticipate to be done to the client?
a) the client will have endotracheal intubation
b) the client will have emergency tracheotomy
c) the client will have oxygen by mask
d) the client will have thoracentesis
ANSWERS AND RATIONALE
36) D
- adventitious breath sounds are abnormal breath sounds and should be reported to the physician. Vesicular, bronchovesicular, and bronchial breath sounds are normal breath sounds.
37) D
- aminophylline causes tachycardia, restlessness, insomnia, diuresis, hypotension, and diarrhea. Tachycardia is the most common adverse effect of bronchodilators.
38) A
constant bubbling in the water-seal drainage indicates air leak. This should be reported to the physician. All the other findings are normal.
39) C
- cough in COPD is caused by copious, tenacious mucous secretions. Problems with airway should be given highest priority. In COPD, 91% oxygen saturation is considered normal, because the client is breathing due to low oxygen levels in the blood.
40) D
- this situation indicates pneumothorax. Therefore, there is a need to aspirate the air from he pleural space to prevent lung collapse.
Related Topics:
- Online Nursing Practice Test about Respiratory Diseases (41-45)
- Go back to Online Nursing Practice Test about Respiratory Diseases (1-6) to start the test from the beginning.
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