STUVIA 2024/2025
1. Science
2. Medicine
3. Surgery
Respiratory 25,26,27 w/rationales
PaO2 58mmHg
Rat.: nurse should expect to find a low partial pressures of oxygen for a patient who has acute resp.
failure - ✔✔A nurse is caring for a client who has acute respiratory failure. What lab findings should
the nurse expect?
Elevated temp.
Rat.: clients who have emphysema are at risk for the development of pneumonia and other resp.
infections. A nurse should report this as it indicates a possible resp. infection. - ✔✔A nurse is
assessing a client who has emphysema. Which of the following findings should the nurse report to the
provider?
pH 7.30, PO2 80mmHg, PaCO2 55mmHg, HCO3 22mEq/L
%
Rat.: The pH is less than 7.35 and PaCO2 is greater than 45mmHg, which indicates resp. acidosis. -
✔✔A nurse is caring for a client who is postop and has a respiratory rate of 9/min secondary to
general anesthesia effects and incisional pain. What ABG values support the nurses suspicion of
respiratory acidosis?
High fowlers position with arms supported on the overbed table.
Rat.: The nurse should place the client in a position that allows for greater expansion of the chest. -
✔✔A nurse is positioning a client who has emphysema to promote effective breathing. The nurse
should place the client in what position?
"Expect your urine and other secretions to be orange while taking this medication." - ✔✔A nurse is
providing discharge teaching to a client who has pulmonary TB and a new prescription for rifampin.
Which of the following instructions should the nurse include?
Tracheal deviation to the unaffected side.
Rat.: a tension pneumothorax results from free air filling the chest cavity, causing the lung to collapse
and forcing the trachea to deviate to the unaffected side - ✔✔A nurse working in th ER is caring for a
stuvia
, STUVIA 2024/2025
client following an acute chest trauma. Which of the following findings indicates tot he nurse the client
is possibly experiencing a tension pneumothorax?
Productive cough with green sputum
Rat.: A nurse should report this as it indicates an infection - ✔✔A nurse is caring for a client who has
COPD. What findings should the nurse report to the provider?
-Wear goggles and mask during the procedure: should wear this to reduce the risk of exposure to
pleural fluid.
-Cleanse the area with an antiseptic solution: this decreases the risk of infection, which is increased
due to the invasive procedure.
-Apply pressure to the site after the needle is withdrawn: this decreases the risk of bleeding at the
needle insertion site - ✔✔A nurse is assisting with a thoracentesis. What actions is appropriate for
the nurse to take when assisting with this procedure?
Administer heparin via continuous IV infusion.
Rat.: using the airway, breathing, circulation approach to client care, the nurse should place priority
on stabilizing circulation to the lungs by admin. heparin to prevent further clot formation. Therefore,
%
this is the priority intervention. - ✔✔A nurse is caring for a client who has pulmonary embolism.
Which of the following interventions is the priority?
container of sterile water.
Rat.: the nurse should plan to place the open end of the tubing if it becomes disconnected into the
sterile water to prevent a pneumothroax. The tubing and sterile water are then placed below the
clients chest. - ✔✔A nurse is caring for a client who has a chest tube following a lobectomy. Which of
the following items should the nurse keep easily accessible for the client?
Nonrebreather mask
Rat.: this mask is made up of a reservoir bag from which the client obtains the oxygen, a one way
valve to prevent exhaled air from entering the reservoir bag, and exhalation ports with flaps that
prevent room air from entering the mask. This delivers greater than 90% FlO2 which provides the
highest level of oxygen. - ✔✔A nurse is caring for a client who is in respiratory distress. What device
should the nurse use to provide the highest level of oxygen via a low-flow system?
A client who is 12hr postop following a total hip arthroplasty
stuvia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACTUALSTUDY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
