The nurse is caring for a client with asthma. The client asks the nurse what structures make up the upper respiratory tract. Which response by the num the most appropriate?
The nose, nasal cavity, pharynx, and paranasal sinuses
The nose and paranasal sinuses
The lungs and associated structures
The nose, nasal cavity, pharynx, and the lungs
The Correct Answer is A
A) The nose, nasal cavity, pharynx, and paranasal sinuses.
The upper respiratory tract consists of the structures located above the larynx (voice box). These include the nose, nasal cavity, pharynx (throat), and paranasal sinuses. These structures play vital roles in filtering, warming, and humidifying the air we breathe, as well as in olfaction (sense of smell) and speech resonance.
B) The nose and paranasal sinuses:
While the nose and paranasal sinuses are indeed part of the upper respiratory tract, this response does not include the entirety of the upper respiratory structures, such as the pharynx, which is also crucial.
C) The lungs and associated structures:
This choice is incorrect because the lungs are part of the lower respiratory tract, not the upper respiratory tract. The lower respiratory tract includes the trachea (windpipe), bronchi, bronchioles, and alveoli.
D) The nose, nasal cavity, pharynx, and the lungs:
This response includes structures from both the upper and lower respiratory tracts. While the nose, nasal cavity, and pharynx belong to the upper respiratory tract, the lungs are part of the lower respiratory tract. Therefore, this option is not accurate for describing the components of the upper respiratory tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Respiratory rate and pulse: Albuterol is a bronchodilator medication commonly used to relieve bronchospasm in conditions like asthma and chronic obstructive pulmonary disease (COPD). Monitoring the patient's respiratory rate and pulse is essential to assess the response to the medication and any potential adverse effects.
B. Pulse oximetry: Albuterol helps to open the airways and improve oxygenation in patients with bronchospasm. Monitoring oxygen saturation using pulse oximetry provides valuable information about the patient's respiratory status and response to treatment.
C. Capillary refill: Capillary refill is typically assessed to evaluate peripheral perfusion and circulation. While it is an important assessment in certain clinical situations, it is not directly related to monitoring the response to albuterol administration.
D. Glucose: Glucose monitoring is not typically indicated after administering albuterol nebulizer unless the patient has a history of diabetes or there are specific concerns regarding glucose levels.
E. Lung sounds: Assessing lung sounds before and after administering albuterol helps to evaluate the effectiveness of the medication in relieving bronchospasm. Improvement in lung sounds, such as decreased wheezing or clearer breath sounds, indicates a positive response to treatment.
Correct Answer is ["B","D"]
Explanation
A. Diabetes: Diabetes is not typically a contraindication for decongestant use. However, patients with diabetes should be cautious with decongestants that contain sugar or other ingredients that may affect blood glucose levels.
B. Hypertension: Decongestants can cause vasoconstriction and increase blood pressure, which may exacerbate hypertension. Patients with hypertension should use decongestants cautiously and under the guidance of a healthcare provider.
C. Hyperthyroidism: While decongestants can stimulate the sympathetic nervous system and may exacerbate symptoms of hyperthyroidism such as tachycardia and palpitations, hyperthyroidism is not typically considered a contraindication for decongestant use. However, patients with hyperthyroidism should use decongestants cautiously and consult with their healthcare provider.
D. Heart disease: Decongestants can increase heart rate and blood pressure, potentially worsening symptoms in patients with heart disease such as coronary artery disease, heart failure, or arrhythmias. Patients with heart disease should use decongestants cautiously and consult with their healthcare provider before use.
E. Allergic rhinitis: Decongestants are often used to relieve nasal congestion associated with allergic rhinitis. While patients with allergic rhinitis may use decongestants, they should still use them cautiously and follow the recommended dosage instructions.
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