#1
What is a key nursing intervention for a patient with pulmonary tuberculosis (TB)?
Initiating airborne precautions immediately
ExplanationAirborne precautions help prevent transmission of TB.
#2
Which medication is often used as a bronchodilator in the management of chronic bronchitis?
Ipratropium bromide
ExplanationIpratropium bromide helps to relax airway muscles, improving airflow.
#3
Which nursing intervention is appropriate for a patient with acute respiratory distress syndrome (ARDS) related to sepsis?
Administering intravenous antibiotics as ordered
ExplanationSepsis-related ARDS often requires prompt antibiotic therapy.
#4
What is a priority nursing assessment for a patient with sarcoidosis?
Assessing for skin lesions and eye involvement
ExplanationSarcoidosis can affect multiple organs, so skin and eye assessments are crucial.
#5
Which nursing intervention is appropriate for a patient with pneumonia to prevent complications?
Initiating prophylactic antibiotics
ExplanationProphylactic antibiotics can prevent secondary bacterial infections.
#6
Which nursing intervention is appropriate for a patient with asthma experiencing an acute exacerbation?
Administering bronchodilators as ordered
ExplanationBronchodilators help to open airways, relieving asthma symptoms.
#7
What is a priority nursing intervention for a patient with chronic obstructive pulmonary disease (COPD) during an episode of respiratory distress?
Administering oxygen therapy as prescribed
ExplanationOxygen therapy improves oxygenation, essential during COPD exacerbations.
#8
What is a common nursing intervention for a patient with pneumonia to promote airway clearance?
Administering mucolytic medications as ordered
ExplanationMucolytics help to break down mucus, aiding in airway clearance.
#9
During chest physiotherapy for a patient with cystic fibrosis, what position is commonly used to facilitate drainage of respiratory secretions?
Left lateral
ExplanationLeft lateral position promotes drainage from the right lung, where secretions accumulate.
#10
What is a key nursing intervention for a patient undergoing pulmonary function tests?
Withholding oral corticosteroids for 24 hours before the test
ExplanationCorticosteroids can affect test results, so they're often withheld before testing.
#11
Which clinical manifestation is indicative of respiratory distress in a patient with a pulmonary disorder?
Accessory muscle use and retractions
ExplanationAccessory muscle use and retractions suggest increased work of breathing.
#12
Which of the following is a potential complication in a patient receiving mechanical ventilation for acute respiratory distress syndrome (ARDS)?
Barotrauma
ExplanationBarotrauma can occur due to increased pressure during mechanical ventilation.
#13
Which assessment finding indicates a potential complication in a patient receiving supplemental oxygen therapy?
Cyanosis of the lips and nail beds
ExplanationCyanosis indicates inadequate oxygenation despite supplemental oxygen.
#14
What is a primary nursing goal for a patient with pulmonary embolism?
Initiating anticoagulant therapy as prescribed
ExplanationAnticoagulant therapy prevents further clot formation and complications.
#15
What is a potential complication of prolonged mechanical ventilation in a patient with acute respiratory failure?
Ventilator-associated pneumonia
ExplanationVentilator-associated pneumonia can occur due to bacterial colonization.
#16
In caring for a patient with chronic respiratory failure, what is a priority nursing intervention related to oxygen therapy?
Ensuring oxygen saturation remains above 95%
ExplanationMaintaining adequate oxygenation is crucial to prevent complications.
#17
What is a potential side effect of long-term corticosteroid use in a patient with chronic obstructive pulmonary disease (COPD)?
Increased susceptibility to infections
ExplanationCorticosteroids can suppress the immune system, leading to increased infection risk.