Quiz 6

1. A 9-year-old child named Liam has been admitted to the pediatric unit for treatment of cystic fibrosis (CF). The nurse is performing a respiratory assessment to monitor for complications and confirm the child's condition. Which of the following findings is consistent with cystic fibrosis? *
2. Mr. Benoît, a 68-year-old client with chronic obstructive pulmonary disease (COPD), is being discharged from the hospital with home care instructions. During discharge teaching, the nurse demonstrates pursed-lip breathing. Mr. Benoît asks, “Why do I need to breathe like that?” The nurse responds, knowing that the primary purpose of pursed-lip breathing is: *
3. Mme. Lefevre, a 54-year-old woman, has just returned to the nursing unit following a diagnostic bronchoscopyperformed earlier in the day. As the LPN assigned to her care, you are responsible for monitoring her immediate post-procedure recovery. Which of the following nursing interventions is the priority after bronchoscopy? *
4. M. Bouchard, a 62-year-old male, is recovering from a left thoracotomy and has a portable water seal chest drainage system in place. On the first postoperative day, the nurse notices that the fluid in the water seal chamber has stopped fluctuating. What is the most likely cause of the absence of fluctuation in the water seal chamber? *
5. Nurse Amélie is performing tracheal suctioning for Monsieur Dufresne, a 68-year-old client with chronic obstructive pulmonary disease (COPD) who has increased secretions and audible gurgling breath sounds. As she prepares to suction the tracheostomy, she knows it is essential to prevent complications. Which action is essential to prevent hypoxemia during suctioning? *
6. You are providing care to a patient with a chest tube following surgery for a collapsed lung. On assessment of the chest drainage system, you observe continuous bubbling in the water seal chamber along with normal oscillation (tidaling) during respiration. Which of the following is the most appropriate nursing intervention? *
7. The patient in room 2569 activates the call bell and says something is wrong with his chest tube. When you enter the room, you observe that the chest drainage system has fallen over and is cracked, leaking drainage onto the floor. The integrity of the system is compromised. What is your next priority action? *
8. While assisting Monsieur Dupont, a patient with a chest tube, to reposition in bed, the chest tube becomes dislodged unexpectedly. What is your immediate nursing intervention? *
9. Monsieur Moreau, a 56-year-old man admitted with chronic obstructive pulmonary disease (COPD), requires a venous blood gas (VBG) analysis to assess his acid-base balance and oxygenation status. The LPN has been asked to draw the venous blood gas sample from his antecubital vein. Is the LPN allowed to perform venous blood gas sampling in this situation? *
10. Madame Lefebvre, a 23-year-old woman, presents to the emergency department with abdominal pain that started around her navel and has now shifted to the lower right side of her abdomen. She also reports feeling nauseous and has vomited once. Which clinical manifestation does the nurse expect with acute appendicitis? *
11. Monsieur Dufresne, a 30-year-old man, arrives at the emergency department complaining of increasing abdominal pain that started around his umbilicus and is now localized in the right lower quadrant. He has mild nausea but no fever. The physician suspects appendicitis. The nurse should prepare the client for which collaborative intervention? *
12. Madame Lefevre, a 26-year-old woman, is admitted with a diagnosis of acute appendicitis. While waiting for surgery, she asks the LPN, “Why don’t you give me a heating pad? I think that will help with my pain.” The nurse's response should be based on which reason? *