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MSN Exam for Bronchitis Acute & Chronic (PM)
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Question 1
A 67-year-old client develops acute shortness of breath and progressive hypoxia requiring right femur. The hypoxia was probably caused by which of the following conditions?
A
Bronchitis
B
Asthma attack
C
Fat embolism
D
Atelectasis
Question 1 Explanation:
Long bone fractures are correlated with fat emboli, whichcause shortness of breath and hypoxia. It’s unlikely the client has developed asthma or bronchitis without a previous history. He could develop atelectasis but it typically doesn’t produce progressive hypoxia.
Question 2
Johnny a firefighter was involved in extinguishing a house fire and is being treated to smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. He most likely has developed which of the following conditions?
A
Pneumonia
B
Bronchitis
C
Adult respiratory distress syndrome (ARDS)
D
Atelectasis
Question 2 Explanation:
Severe hypoxia after smoke inhalation is typically related to ARDS. The other conditions listed aren’t typically associated with smoke inhalation and severe hypoxia.
Question 3
Which of the following statements are true about chronic bronchitis?
A
It requires regular medical treatment
B
Cigarette smoke, including long-term exposure to second-hand smoke, is the main cause of chronic bronchitis
C
Chronic bronchitis is a long-term condition
D
All of the above
Question 4
The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching?
A
Use chest breathing.
B
Make inhalation longer than exhalation.
C
Exhale through an open mouth.
D
Use diaphragmatic breathing.
Question 4 Explanation:
In chronic bronchitis the diaphragm is flat and weak. Diaphragmatic breathing helps to strengthen the diaphragm and maximizes ventilation. Exhalation should be longer than inhalation to prevent collapse of the bronchioles. The client with chronic bronchitis should exhale through pursed lips to prolong exhalation, keep the bronchioles from collapsing, and prevent air trapping. Diaphragmatic breathing — not chest breathing — increases lung expansion.
Question 5
The term “pink puffer” refers to the female client with which of the following conditions?
A
Asthma
B
Adult respiratory distress syndrome (ARDS)
C
Emphysema
D
Chronic obstructive bronchitis
Question 5 Explanation:
Because of the large amount of energy it takes to breathe, clients with emphysema are usually cachectic. They’re pink and usually breathe through pursed lips, hence the term “puffer.” Clients with ARDS are usually acutely short of breath. Clients with asthma don’t have any particular characteristics, and clients with chronic obstructive bronchitis are bloated and cyanotic in appearance.
Question 6
It is unusual to have a dry, nagging cough that lingers for several weeks even after acute bronchitis has cleared.
A
False
B
True
Question 7
A 62-year-old male client was in a motor vehicle accident as an unrestrained driver. He’s now in the emergency department complaining of difficulty of breathing and chest pain. On auscultation of his lung field, no breath sounds are present in the upper lobe. This client may have which of the following conditions?
A
Tuberculosis (TB)
B
Pneumothorax
C
Pneumonia
D
Bronchitis
Question 7 Explanation:
From the trauma the client experienced, it’s unlikely he has bronchitis, pneumonia, or TB; rhonchi with bronchitis, bronchial breath sounds with TB would be heard.
Question 8
A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. Which of the following conditions would best explain this?
A
Acute asthma
B
Spontaneous pneumothorax
C
Chronic bronchitis
D
Pneumonia
Question 8 Explanation:
A spontaneous pneumothorax occurs when the client’s lung collapses, causing an acute decreased in the amount of functional lung used in oxygenation. The sudden collapse was the cause of his chest pain and shortness of breath. An asthma attack would show wheezing breath sounds, and bronchitis would have rhonchi. Pneumonia would have bronchial breath sounds over the area of consolidation.
Question 9
Continued forceful coughing may cause chest and abdominal muscles to ache.
A
False
B
True
Question 10
The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:
A
Drinking more than 1,500 ml of fluid daily.
B
Eating more than three large meals a day.
C
Eating a high-protein snack at bedtime.
D
Being overweight.
Question 10 Explanation:
Conditions that increase oxygen demands include obesity, smoking, exposure to temperature extremes, and stress. A client with chronic bronchitis should drink at least 2,000 ml of fluid daily to thin mucus secretions; restricting fluid intake may be harmful. The nurse should encourage the client to eat a high-protein snack at bedtime because protein digestion produces an amino acid with sedating effects that may ease the insomnia associated with chronic bronchitis. Eating more than three large meals a day may cause fullness, making breathing uncomfortable and difficult; however, it doesn’t increase oxygen demands. To help maintain adequate nutritional intake, the client with chronic bronchitis should eat small, frequent meals (up to six a day).
Question 11
The nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds, the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?
A
Recheck the O2 saturation level in 15 minutes
B
Assess the child’s pulse
C
Notify the physician
D
Apply oxygen by mask
Question 11 Explanation:
Remember the ABCs (airway, breathing, circulation) when answering this question. Before notifying the physician or assessing the pulse, oxygen should be applied to increase the oxygen saturation, so answers A and D are incorrect. The normal oxygen saturation for a child is 92%–100%, making answer B incorrect.
Question 12
Which is the most common symptom of bronchitis?
A
Shortness of breath worsened by exertion or mild activity
B
All of the above
C
Wheezing, fatigue, fever and chest discomfort
D
Cough
Question 13
What are some of the initial symptoms of bronchitis?
A
Shortness of breath worsened by exertion or mild activity
B
All of the above
C
Fatigue, fever with chills and chest discomfort
D
Cough that produces mucus
Question 14
Which of the following statements describe cough that is the most common symptom of bronchitis?
A
The cough may hang on more than 2 weeks
B
The cough may be dry or may produce phlegm
C
Cough can be severe enough at times to injure the chest wall
D
All of the above
Question 15
The term “blue bloater” refers to a male client which of the following conditions?
A
Adult respiratory distress syndrome (ARDS)
B
Emphysema
C
Chronic obstructive bronchitis
D
Asthma
Question 15 Explanation:
Clients with chronic obstructive bronchitis appear bloated; they have large barrel chest and peripheral edema, cyanotic nail beds, and at times, circumoral cyanosis. Clients with ARDS are acutely short of breath and frequently need intubation for mechanical ventilation and large amount of oxygen. Clients with asthma don’t exhibit characteristics of chronic disease, and clients with emphysema appear pink and cachectic.
Question 16
Nurse Eve formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:
A
drinking more than 1,500 ml of fluid daily.
B
being overweight.
C
eating a high-protein snack at bedtime.
D
eating more than three large meals a day.
Question 16 Explanation:
Conditions that increase oxygen demands include obesity, smoking, exposure to temperature extremes, and stress. A client with chronic bronchitis should drink at least 2,000 ml of fluid daily to thin mucus secretions; restricting fluid intake may be harmful. The nurse should encourage the client to eat a high-protein snack at bedtime because protein digestion produces an amino acid with sedating effects that may ease the insomnia associated with chronic bronchitis. Eating more than three large meals a day may cause fullness, making breathing uncomfortable and difficult; however, it doesn’t increase oxygen demands. To help maintain adequate nutritional intake, the client with chronic bronchitis should eat small, frequent meals (up to six a day).
Question 17
A client with acute bronchitis is admitted in the hospital. The nurse assigned to the client is making a plan of care regarding expectoration of thick sputum. Which nursing action is most effective?
A
Splint the patient’s chest with pillows when coughing
B
Place the client in a lateral position every 2 hour
C
Offer fluids at regular intervals
D
Use humified oxygen
Question 17 Explanation:
Fluids liquefy secretions and therefore make it easier to expectorate
Question 18
Which of the following statements are true about acute bronchitis?
A
It affects nose, sinuses, and throat and then spreads to the lungs
B
Acute bronchitis generally follows a viral respiratory infection
C
All of the above
D
Smokers and people with heart or lung disease at a higher risk of contracting the disease
Question 19
Cigarette smoking is the main cause of chronic bronchitis
A
False
B
True
Question 20
What are the additional symptoms of chronic bronchitis?
A
All of the above
B
Frequent respiratory infections (such as colds or the flu)
C
Blue-tinged lips from low levels of oxygen
D
Ankle, feet, and leg swelling
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MSN Exam for Bronchitis Acute & Chronic (EM)
Choose the letter of the correct answer. You got 20 minutes to finish the exam .Good luck!
Start
Congratulations - you have completed MSN Exam for Bronchitis Acute & Chronic (EM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
The term “pink puffer” refers to the female client with which of the following conditions?
A
Asthma
B
Emphysema
C
Chronic obstructive bronchitis
D
Adult respiratory distress syndrome (ARDS)
Question 1 Explanation:
Because of the large amount of energy it takes to breathe, clients with emphysema are usually cachectic. They’re pink and usually breathe through pursed lips, hence the term “puffer.” Clients with ARDS are usually acutely short of breath. Clients with asthma don’t have any particular characteristics, and clients with chronic obstructive bronchitis are bloated and cyanotic in appearance.
Question 2
It is unusual to have a dry, nagging cough that lingers for several weeks even after acute bronchitis has cleared.
A
False
B
True
Question 3
Which of the following statements describe cough that is the most common symptom of bronchitis?
A
All of the above
B
The cough may be dry or may produce phlegm
C
Cough can be severe enough at times to injure the chest wall
D
The cough may hang on more than 2 weeks
Question 4
The nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds, the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?
A
Assess the child’s pulse
B
Recheck the O2 saturation level in 15 minutes
C
Notify the physician
D
Apply oxygen by mask
Question 4 Explanation:
Remember the ABCs (airway, breathing, circulation) when answering this question. Before notifying the physician or assessing the pulse, oxygen should be applied to increase the oxygen saturation, so answers A and D are incorrect. The normal oxygen saturation for a child is 92%–100%, making answer B incorrect.
Question 5
Johnny a firefighter was involved in extinguishing a house fire and is being treated to smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. He most likely has developed which of the following conditions?
A
Bronchitis
B
Adult respiratory distress syndrome (ARDS)
C
Atelectasis
D
Pneumonia
Question 5 Explanation:
Severe hypoxia after smoke inhalation is typically related to ARDS. The other conditions listed aren’t typically associated with smoke inhalation and severe hypoxia.
Question 6
Which of the following statements are true about chronic bronchitis?
A
Cigarette smoke, including long-term exposure to second-hand smoke, is the main cause of chronic bronchitis
B
All of the above
C
It requires regular medical treatment
D
Chronic bronchitis is a long-term condition
Question 7
Which of the following statements are true about acute bronchitis?
A
All of the above
B
It affects nose, sinuses, and throat and then spreads to the lungs
C
Smokers and people with heart or lung disease at a higher risk of contracting the disease
D
Acute bronchitis generally follows a viral respiratory infection
Question 8
Nurse Eve formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:
A
eating more than three large meals a day.
B
being overweight.
C
eating a high-protein snack at bedtime.
D
drinking more than 1,500 ml of fluid daily.
Question 8 Explanation:
Conditions that increase oxygen demands include obesity, smoking, exposure to temperature extremes, and stress. A client with chronic bronchitis should drink at least 2,000 ml of fluid daily to thin mucus secretions; restricting fluid intake may be harmful. The nurse should encourage the client to eat a high-protein snack at bedtime because protein digestion produces an amino acid with sedating effects that may ease the insomnia associated with chronic bronchitis. Eating more than three large meals a day may cause fullness, making breathing uncomfortable and difficult; however, it doesn’t increase oxygen demands. To help maintain adequate nutritional intake, the client with chronic bronchitis should eat small, frequent meals (up to six a day).
Question 9
Which is the most common symptom of bronchitis?
A
Cough
B
Shortness of breath worsened by exertion or mild activity
C
All of the above
D
Wheezing, fatigue, fever and chest discomfort
Question 10
Cigarette smoking is the main cause of chronic bronchitis
A
True
B
False
Question 11
What are some of the initial symptoms of bronchitis?
A
Cough that produces mucus
B
Shortness of breath worsened by exertion or mild activity
C
All of the above
D
Fatigue, fever with chills and chest discomfort
Question 12
The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching?
A
Use diaphragmatic breathing.
B
Use chest breathing.
C
Make inhalation longer than exhalation.
D
Exhale through an open mouth.
Question 12 Explanation:
In chronic bronchitis the diaphragm is flat and weak. Diaphragmatic breathing helps to strengthen the diaphragm and maximizes ventilation. Exhalation should be longer than inhalation to prevent collapse of the bronchioles. The client with chronic bronchitis should exhale through pursed lips to prolong exhalation, keep the bronchioles from collapsing, and prevent air trapping. Diaphragmatic breathing — not chest breathing — increases lung expansion.
Question 13
A client with acute bronchitis is admitted in the hospital. The nurse assigned to the client is making a plan of care regarding expectoration of thick sputum. Which nursing action is most effective?
A
Use humified oxygen
B
Splint the patient’s chest with pillows when coughing
C
Place the client in a lateral position every 2 hour
D
Offer fluids at regular intervals
Question 13 Explanation:
Fluids liquefy secretions and therefore make it easier to expectorate
Question 14
A 62-year-old male client was in a motor vehicle accident as an unrestrained driver. He’s now in the emergency department complaining of difficulty of breathing and chest pain. On auscultation of his lung field, no breath sounds are present in the upper lobe. This client may have which of the following conditions?
A
Pneumonia
B
Pneumothorax
C
Bronchitis
D
Tuberculosis (TB)
Question 14 Explanation:
From the trauma the client experienced, it’s unlikely he has bronchitis, pneumonia, or TB; rhonchi with bronchitis, bronchial breath sounds with TB would be heard.
Question 15
A 67-year-old client develops acute shortness of breath and progressive hypoxia requiring right femur. The hypoxia was probably caused by which of the following conditions?
A
Asthma attack
B
Bronchitis
C
Atelectasis
D
Fat embolism
Question 15 Explanation:
Long bone fractures are correlated with fat emboli, whichcause shortness of breath and hypoxia. It’s unlikely the client has developed asthma or bronchitis without a previous history. He could develop atelectasis but it typically doesn’t produce progressive hypoxia.
Question 16
A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. Which of the following conditions would best explain this?
A
Spontaneous pneumothorax
B
Acute asthma
C
Pneumonia
D
Chronic bronchitis
Question 16 Explanation:
A spontaneous pneumothorax occurs when the client’s lung collapses, causing an acute decreased in the amount of functional lung used in oxygenation. The sudden collapse was the cause of his chest pain and shortness of breath. An asthma attack would show wheezing breath sounds, and bronchitis would have rhonchi. Pneumonia would have bronchial breath sounds over the area of consolidation.
Question 17
The term “blue bloater” refers to a male client which of the following conditions?
A
Asthma
B
Chronic obstructive bronchitis
C
Adult respiratory distress syndrome (ARDS)
D
Emphysema
Question 17 Explanation:
Clients with chronic obstructive bronchitis appear bloated; they have large barrel chest and peripheral edema, cyanotic nail beds, and at times, circumoral cyanosis. Clients with ARDS are acutely short of breath and frequently need intubation for mechanical ventilation and large amount of oxygen. Clients with asthma don’t exhibit characteristics of chronic disease, and clients with emphysema appear pink and cachectic.
Question 18
What are the additional symptoms of chronic bronchitis?
A
Frequent respiratory infections (such as colds or the flu)
B
Blue-tinged lips from low levels of oxygen
C
All of the above
D
Ankle, feet, and leg swelling
Question 19
The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:
A
Eating a high-protein snack at bedtime.
B
Drinking more than 1,500 ml of fluid daily.
C
Eating more than three large meals a day.
D
Being overweight.
Question 19 Explanation:
Conditions that increase oxygen demands include obesity, smoking, exposure to temperature extremes, and stress. A client with chronic bronchitis should drink at least 2,000 ml of fluid daily to thin mucus secretions; restricting fluid intake may be harmful. The nurse should encourage the client to eat a high-protein snack at bedtime because protein digestion produces an amino acid with sedating effects that may ease the insomnia associated with chronic bronchitis. Eating more than three large meals a day may cause fullness, making breathing uncomfortable and difficult; however, it doesn’t increase oxygen demands. To help maintain adequate nutritional intake, the client with chronic bronchitis should eat small, frequent meals (up to six a day).
Question 20
Continued forceful coughing may cause chest and abdominal muscles to ache.
A
False
B
True
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1) What are some of the initial symptoms of bronchitis?
Shortness of breath worsened by exertion or mild activity
Fatigue, fever with chills and chest discomfort
Cough that produces mucus
All of the above
2) What are the additional symptoms of chronic bronchitis?
Frequent respiratory infections (such as colds or the flu)
Ankle, feet, and leg swelling
Blue-tinged lips from low levels of oxygen
All of the above
3) Which of the following statements are true about acute bronchitis?
Acute bronchitis generally follows a viral respiratory infection
Smokers and people with heart or lung disease at a higher risk of contracting the disease
It affects nose, sinuses, and throat and then spreads to the lungs
All of the above
4) A 67-year-old client develops acute shortness of breath and progressive hypoxia requiring right femur. The hypoxia was probably caused by which of the following conditions?
Asthma attack
Atelectasis
Bronchitis
Fat embolism
5) The term “pink puffer” refers to the female client with which of the following conditions?
Adult respiratory distress syndrome (ARDS)
Asthma
Chronic obstructive bronchitis
Emphysema
6) A 62-year-old male client was in a motor vehicle accident as an unrestrained driver. He’s now in the emergency department complaining of difficulty of breathing and chest pain. On auscultation of his lung field, no breath sounds are present in the upper lobe. This client may have which of the following conditions?
Bronchitis
Pneumonia
Pneumothorax
Tuberculosis (TB)
7) The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching?
Make inhalation longer than exhalation.
Exhale through an open mouth.
Use diaphragmatic breathing.
Use chest breathing.
8) A client with acute bronchitis is admitted in the hospital. The nurse assigned to the client is making a plan of care regarding expectoration of thick sputum. Which nursing action is most effective?
Place the client in a lateral position every 2 hour
Splint the patient’s chest with pillows when coughing
Use humified oxygen
Offer fluids at regular intervals
9) The term “blue bloater” refers to a male client which of the following conditions?
Adult respiratory distress syndrome (ARDS)
Asthma
Chronic obstructive bronchitis
Emphysema
10) Johnny a firefighter was involved in extinguishing a house fire and is being treated to smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. He most likely has developed which of the following conditions?
Adult respiratory distress syndrome (ARDS)
Atelectasis
Bronchitis
Pneumonia
11) It is unusual to have a dry, nagging cough that lingers for several weeks even after acute bronchitis has cleared.
True
False
12) Which of the following statements describe cough that is the most common symptom of bronchitis?
The cough may be dry or may produce phlegm
The cough may hang on more than 2 weeks
Cough can be severe enough at times to injure the chest wall
All of the above
13) A client with shortness of breath has decreased to absent breath sounds on the right side, from the apex to the base. Which of the following conditions would best explain this?
Acute asthma
Chronic bronchitis
Pneumonia
Spontaneous pneumothorax
14) The nurse in charge formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:
Drinking more than 1,500 ml of fluid daily.
Being overweight.
Eating a high-protein snack at bedtime.
Eating more than three large meals a day.
15) The nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds, the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?
Notify the physician
Recheck the O2 saturation level in 15 minutes
Apply oxygen by mask
Assess the child’s pulse
16) Continued forceful coughing may cause chest and abdominal muscles to ache.
True
False
17) Cigarette smoking is the main cause of chronic bronchitis
True
False
18) Nurse Eve formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs the client to avoid conditions that increase oxygen demands. Such conditions include:
drinking more than 1,500 ml of fluid daily.
being overweight.
eating a high-protein snack at bedtime.
eating more than three large meals a day.
19) Which is the most common symptom of bronchitis?
Shortness of breath worsened by exertion or mild activity
Wheezing, fatigue, fever and chest discomfort
Cough
All of the above
20) Which of the following statements are true about chronic bronchitis?
Chronic bronchitis is a long-term condition
Cigarette smoke, including long-term exposure to second-hand smoke, is the main cause of chronic bronchitis
It requires regular medical treatment
All of the above
Answers and Rationales
D. All of the above
D. All of the above
D. All of the above
D. Fat embolism. Long bone fractures are correlated with fat emboli, whichcause shortness of breath and hypoxia. It’s unlikely the client has developed asthma or bronchitis without a previous history. He could develop atelectasis but it typically doesn’t produce progressive hypoxia.
D. Emphysema. Because of the large amount of energy it takes to breathe, clients with emphysema are usually cachectic. They’re pink and usually breathe through pursed lips, hence the term “puffer.” Clients with ARDS are usually acutely short of breath. Clients with asthma don’t have any particular characteristics, and clients with chronic obstructive bronchitis are bloated and cyanotic in appearance.
C. Pneumothorax . From the trauma the client experienced, it’s unlikely he has bronchitis, pneumonia, or TB; rhonchi with bronchitis, bronchial breath sounds with TB would be heard.
C. Use diaphragmatic breathing. In chronic bronchitis the diaphragm is flat and weak. Diaphragmatic breathing helps to strengthen the diaphragm and maximizes ventilation. Exhalation should be longer than inhalation to prevent collapse of the bronchioles. The client with chronic bronchitis should exhale through pursed lips to prolong exhalation, keep the bronchioles from collapsing, and prevent air trapping. Diaphragmatic breathing — not chest breathing — increases lung expansion.
D. Offer fluids at regular intervals. Fluids liquefy secretions and therefore make it easier to expectorate
C. Chronic obstructive bronchitis. Clients with chronic obstructive bronchitis appear bloated; they have large barrel chest and peripheral edema, cyanotic nail beds, and at times, circumoral cyanosis. Clients with ARDS are acutely short of breath and frequently need intubation for mechanical ventilation and large amount of oxygen. Clients with asthma don’t exhibit characteristics of chronic disease, and clients with emphysema appear pink and cachectic.
A. Adult respiratory distress syndrome (ARDS). Severe hypoxia after smoke inhalation is typically related to ARDS. The other conditions listed aren’t typically associated with smoke inhalation and severe hypoxia.
B. False
D. All of the above
D. Spontaneous pneumothorax. A spontaneous pneumothorax occurs when the client’s lung collapses, causing an acute decreased in the amount of functional lung used in oxygenation. The sudden collapse was the cause of his chest pain and shortness of breath. An asthma attack would show wheezing breath sounds, and bronchitis would have rhonchi. Pneumonia would have bronchial breath sounds over the area of consolidation.
B. Being overweight. Conditions that increase oxygen demands include obesity, smoking, exposure to temperature extremes, and stress. A client with chronic bronchitis should drink at least 2,000 ml of fluid daily to thin mucus secretions; restricting fluid intake may be harmful. The nurse should encourage the client to eat a high-protein snack at bedtime because protein digestion produces an amino acid with sedating effects that may ease the insomnia associated with chronic bronchitis. Eating more than three large meals a day may cause fullness, making breathing uncomfortable and difficult; however, it doesn’t increase oxygen demands. To help maintain adequate nutritional intake, the client with chronic bronchitis should eat small, frequent meals (up to six a day).
C. Apply oxygen by mask. Remember the ABCs (airway, breathing, circulation) when answering this question. Before notifying the physician or assessing the pulse, oxygen should be applied to increase the oxygen saturation. The normal oxygen saturation for a child is 92%–100%.
A. True
A. True
B. being overweight. Conditions that increase oxygen demands include obesity, smoking, exposure to temperature extremes, and stress. A client with chronic bronchitis should drink at least 2,000 ml of fluid daily to thin mucus secretions; restricting fluid intake may be harmful. The nurse should encourage the client to eat a high-protein snack at bedtime because protein digestion produces an amino acid with sedating effects that may ease the insomnia associated with chronic bronchitis. Eating more than three large meals a day may cause fullness, making breathing uncomfortable and difficult; however, it doesn’t increase oxygen demands. To help maintain adequate nutritional intake, the client with chronic bronchitis should eat small, frequent meals (up to six a day).