NCLEX Review Respiratory Questions (61-65)

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61. A client scheduled for pneumonectomy tells the nurse that a friend of his had lung surgery and had chest tubes. The client asks the nurse about how long his chest tubes will be in place after surgery. The nurse responds that:

a) they will be removed after 3 to 4 days
b) they will be in place for 24 to 48 hours
c) they usually remain in place for a full week after surgery
d) most likely, there will be no chest tubes in place after surgery

62. A nurse is caring for a client with active tuberculosis who has started medication therapy that includes rifampin (Rifadin). The nurse instructs the client to expect which side effect of this medication?

a) bilious urine
b) yellow sclera
c) orange secretions
d) clay-colored stools

63. The nurse sends a sputum specimen to the laboratory for culture from a client with suspected active tuberculosis (TB). The results report that Mycobacterium tuberculosis is cultured. How would the nurse correctly analyze these results?

a) results are positive for active tuberculosis
b) results indicate a less virulent  strain of tuberculosis
c) results are inconclusive until a repeat sputum is sent
d) results are unreliable unless the client has also had positive Mantoux test

64. A client with a history of respiratory disease is ambulating with the nurse to the doorway of the hospital room. The client becomes pale and dyspneic. The nurse has the client sit and takes the client's vital signs. The client's respiratory rate is 32 breaths per minute, oxygen saturation is 90%, and the heart rate has increased from 76 to 98 beats per minute. The nurse interprets that this client is experiencing:

a) activity intolerance
b) impaired physical mobility
c) ineffective airway clearance
d) ineffective breathing pattern

65. The ambulatory care nurse is assessing a client with chronic sinusitis. The nurse determines that which manifestation reported by the client is unrelated to this problem?

a) anosmia
b) chronic cough
c) purulent nasal discharge
d) headache more pronounced in the evening

NCLEX Review Respiratory Questions
Answers and Rationale

61) D
- Pneumonectomy involves removal of the entire lung, usually caused by extensive disease such as bronchogenic carcinoma, unilateral tuberculosis, or lung abscess. Chest tubes are not inserted because the cavity is left to fill with serosanguineous fluid, which later solidifies. Therefore, options A,B, and C are incorrect.

62) C
- Secretions will become orange in color as a result of the rifampin. The client should be instructed that this side effect will likely occur and should be told that soft contact lenses, if used by the client, will become permanently discolored. Options A, B, and D are not expected effects.

63) A
- Culture of Mycobacterium tuberculosis from sputum or other body secretions or tissue is the only method of confirming the diagnosis. Options B and C are incorrect statements. The Mantoux test is performed to assist in diagnosing TB but does not confirm active disease.

64) A
- Activity intolerance is characterized by exertional dyspnea, adverse changes in blood pressure or heart rate with activity, and fatigue. Ineffective breathing pattern occurs when the rate, timing, depth, or rhythm of breathing is insufficient to maintain optimal ventilation. Ineffective airway clearance occurs when the client is unable to clear his or her own secretions from the airway. Impaired physical mobility occurs when the client is limited in physical movement and has limited muscle strength, range of motion, or coordination.

65) D
- Chronic sinusitis is characterized by persistent purulent nasal discharge, a chronic cough resulting from nasal discharge, anosmia (loss of smell), nasal stuffiness, and headache that is worse upon arising after sleep.

After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:

NCLEX Review Respiratory Questions (1-6)

Or proceed to the next set of questions:

NCLEX Review Respiratory Questions (66-70)