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#therespiratorysystem #nclex_rn #nclexquestions #philippineeditionnclexbook #nirsingexamquestion #nursing #nursingsamplequestion A male client is admitted following an automobile accident. He is very anxious, dyspneic, and in severe pain. The left chest wall moves in during inspiration and balloons out when he exhales. What condition are these symptoms most suggestive of? 1. Hemothorax 2. Flail Chest 3. Atelectasis 4.Pleural Effusion answer:✅2. Flail Chest ----------------------- A young man is admitted with a flail chest following a car accident. He is intubated with an endotracheal tube and is placed on a mechanical ventilator (control mode, positive pressure). Which physical finding alerts the nurse to an additional problem in respiratory function? 1. Dullness to percussion in the 3rd to 5th intercostal space, midclavicular line. 2. Decreased paradoxical motion 3.Louder breath sound on the right chest 4. pH of 7.36 in arterial blood gases answer:✅ 3.Louder breath sounds on the right chest ----------------------- The nurse is caring for a client who has had a chest tube inserted and connected to portable water-seal drainage.The nurse determines the drainage system is functioning correctly when which of the following is observed? 1. Continuous bubbling in the water-seal chamber 2. Fluctuation in the water -seal (U -tube )chamber 3. Suction tubing attached to a wall unit 4. Vesicular breath sounds throughout the lung fields answer:✅ 2. Fluctuation in the water -seal (U -tube )chamber ----------------------- An adult is ordered oxygen via nasal prongs. What is true about administering oxygen this way? 1. Mixes room air with oxygen 2.Delivers a precise concentration of oxygen 3. Requires humidity during delivery 4. Is less traumatic to the respiratory tract answer:✅1. Mixes room air with oxygen ----------------------- An adult is receiving oxygen via nasal prongs. Which statement by the client indicates that client teaching regarding oxygen therapy has been effective? 1. "I was feeling fine so I removed my nasal prongs". 2."It will be good to rest from taking a deep breath now that my oxygen is on" 3. "Don't forget to come back quickly when you get me out of bed; I don't like to be without my oxygen for too long" 4. "My family was angry when I told them they could not smoke in my room" answer:✅4. "My family was angry when I told them they could not smoke in my room" ----------------------- The client diagnosed with tuberculosis is taught prevention of disease transmission. Which correct answer will the client state is a means of transmission? 1. Hands 2.Droplet nuclei 3. Milk products 4. Eating utensils answer:✅2.Droplet nuclei ------------------------' A 64-year old has been smoking since he was 11 years old.He has a long history of emphysema and is admitted to the hospital because of a respiratory infection that has not improved with outpatient therapy. Which finding would the nurse expect to observe during the client's nursing assessment? 1. Electrocardiogram changes 2. Increased anrterior-posterior chest diameter 3. Slow, labored respiratory pattern 4. Weight-height relationship indicating obesity answer:✅2. Increased anrterior-posterior chest diameter ------------------------