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FUNDAMENTALS OF NURSING III (CHAP 38 OXYGENATION & PERFUSION PREP U) GRADED A+
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FUNDAMENTALS OF NURSING III (CHAP 38 OXYGENATION & PERFUSION PREP U) GRADED A+
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FUNDAMENTALS OF NURSING III (CHAP 38 OXYGENATION &PERFUSION PREP U) GRADED A+
Which dietary guideline would be appropriate for the older adult homebound client
with advanced respiratory disease who informs the nurse that she has no energy to
eat?
Answers Eat smaller meals that are high in protein. The client should consume a
diet in which the body can produce plasma proteins. The client should have
sufficient caloric and protein intake for respiratory muscle strength.
A nurse assessing a patient's respiratory effort notes that the client's breaths are
shallow and 8 per minute. Shortly after, the client's respirations cease. What should
the nurse use for this patient?
Answers If the patient is not breathing with an adequate rate and depth, or if the
patient has lost the respiratory drive, a manual rescucitation bag (Ambu bag)may
be used to deliver oxygen until the patient is resuscitated or can be intubated with
an endotracheal tube.
The nurse is caring for a postoperative client who has a prescription for meperidine
(Demerol) 7 5mg intramuscularly (IM) every 4 hours as needed for pain. Before
and after administering Demerol, the nurse would assess which most important
sign?
Answers Respiratory rate and depth. The client receiving narcotics/opioids needs
monitoring of the respiratory rate and depth to ensure that respiratory depression
does not result in progressive respiratory issues, physiological damage from
respiratory depression, or loss of consciousness.
The nurse assesses a client and detects the following findings: difficulty breathing,
increased respiratory and pulse rates, and pale skin with regions of cyanosis. What
condition would the nurse suspect as causing these respiratory alterations?
, Answers Hypoxia is a condition in which an inadequate amount of oxygen is
available to cells. Difficulty breathing, increased respiratory and pulse rates, and
pale skin with regions of cyanosis are all signs of hypoxia.
The nurse is caring for a 3-year-old client who experienced smoke inhalation
during a house fire, and now requires oxygen. What delivery device will the nurse
select that is most appropriate for this client?
Answers An oxygen tent is often used when caring for active toddlers who require
oxygen, since they are less likely to keep a mask on.
What is the action of codeine when used to treat a cough?
Answers Codeine, which is an ingredient in many cough preparations, is generally
considered to be the preferred cough suppressant ingredient.
To determine the quality of oxygenation, the nurse performs the physical
assessment, the arterial blood gas test, and pulse oximetry. What is the purpose of
the pulse oximetry test?
Answers The pulse oximetry test is a noninvasive transcutaneous technique for
periodically or continuously monitoring the oxygen saturation of blood.
The nurse is auscultating the lungs of a client and detects normal vesicular breath
sounds. What is a characteristic of vesicular breath sounds?
Answers Normal breath sounds include vesicular (low-pitched, soft sounds heard
over peripheral lung fields)
The nurse is educating an adolescent with asthma on how to use a metered-dose
inhaler. Which education point follows recommended guidelines?
Answers A metered-dose inhaler (MDI) delivers a controlled dose of medication
with each compression of the canister. The canister must be shaken to mix the
medication properly.
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