PCC4 - Exam 1 Oxygenation Practice Questions & Answers
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Course
PCC4
Institution
PCC4
The emergency department nurse is caring for patients exposed to a chlorine leak from
a local factory. The nurse would closely monitor these patients for
nary edema.
ylactic shock.
ratory alkalosis.
tubular necrosis. - Anary edema.
The nurse receives an order for a patient with lung cancer t...
PCC4 - Exam 1 Oxygenation Practice
Questions & Answers
The emergency department nurse is caring for patients exposed to a chlorine leak from
a local factory. The nurse would closely monitor these patients for
a.pulmonary edema.
b.anaphylactic shock.
c.respiratory alkalosis.
d.acute tubular necrosis. - Answer-a.pulmonary edema.
The nurse receives an order for a patient with lung cancer to receive influenza vaccine
and pneumococcal vaccines. The nurse will
a.call the health care provider to question the order.
b.administer both vaccines at the same time in different arms.
c.administer the flu shot and tell the patient to come back 1 week later to receive the
pneumococcal vaccine.
d.administer the pneumococcal vaccine and suggest FluMist (nasal vaccine) instead of
the influenza injection. - Answer-b.administer both vaccines at the same time in different
arms.
The nurse identifies a flail chest in a trauma patient when
a.multiple rib fractures are determined by x-ray.
b.a tracheal deviation to the unaffected side is present.
c.paradoxic chest movement occurs during respiration.
d.there is decreased movement of the involved chest wall. - Answer-c.paradoxic chest
movement occurs during respiration.
The nurse notes tidaling of the water level in the tube submerged in the water-seal
chamber in a patient with closed chest tube drainage. The nurse should
a.continue to monitor the patient.
b.check all connections for a leak in the system.
c.lower the drainage collector further from the chest.
d.clamp the tubing at progressively distal points away from the patient until the tidaling
stops. - Answer-a.continue to monitor the patient.
An appropriate nursing intervention for a patient postpneumonectomy is
a.monitoring chest tube drainage and functioning.
b.positioning the patient on the unaffected side or back.
c.doing range-of-motion exercises on the affected upper limb.
d.auscultating frequently for lung sounds on the affected side. - Answer-c.doing range-
of-motion exercises on the affected upper limb.
,Which statement(s) describe(s) the management of a patient following lung
transplantation (select all that apply)?
a.The lung is biopsied using a transtracheal method if rejection is suspected.
b.High doses of oxygen are administered around the clock.
c.The use of a home spirometer will help to monitor lung function.
d.Immunosuppressant therapy usually involves a three-drug regimen.
e.Most patients experience an acute rejection episode in the first 3 days. - Answer-
a.The lung is biopsied using a transtracheal method if rejection is suspected.
c.The use of a home spirometer will help to monitor lung function.
d.Immunosuppressant therapy usually involves a three-drug regimen.
The inner surface of the chest cavity is covered by ______ the outer surface of the
lungs is covered by _________. - Answer-parietal pleura, visceral pleura
A 17 yo male admitted post car accident. He is anxious, dyspneic, and in severe pain.
The left chest moves in during inspiration and balloons out when he exhales. The nurse
thinks this suggestions symptoms of: - Answer-flail chest
Caring for client with tension pneumothorax. The nurse knows that because of the
tension pneumothorax, air continues to accumulate and the intracellular pressure rise
which: - Answer-will cause the mediastinum to shift and decrease venous return
1. To promote airway clearance in a patient with pneumonia, what should the nurse
instruct the patient to do? (Select all that apply.)
A Maintain adequate fluid intake.
B. Splint the chest when coughing.
C. Maintain a 30-degree elevation.
D. Maintain a semi-Fowler's position.
E. Instruct patient to cough at end of exhalation. - Answer-A Maintain adequate fluid
intake.
B. Splint the chest when coughing.
E. Instruct patient to cough at end of exhalation.
Should be in high flowlers
Which physical assessment finding in a patient with a lower respiratory problem best
supports the nursing diagnosis of ineffective airway clearance?
, A. Basilar crackles
B. Respiratory rate of 28
C. Oxygen saturation of 85%
D. Presence of greenish sputum - Answer-A. Basilar crackles
The presence of adventitious breath sounds indicates that there is accumulation of
secretions in the lower airways.
What nursing intervention is most appropriate to enhance oxygenation in a patient with
unilateral malignant lung disease?
A. Positioning patient on right side
B. Maintaining adequate fluid intake
C. Positioning patient with "good lung" down
D. Performing postural drainage every 4 hours - Answer-C. Positioning patient with
"good lung" down
A 71-year-old patient is admitted with acute respiratory distress related to cor
pulmonale. Which nursing intervention is most appropriate during admission of this
patient?
A. Perform a comprehensive health history with the patient to review prior respiratory
problems.
B. Complete a full physical examination to determine the effect of the respiratory
distress on other body functions.
C. Delay any physical assessment of the patient and review with the family the patient's
history of respiratory problems.
D. Perform a physical assessment of the respiratory system and ask specific questions
related to this episode of respiratory distress. - Answer-D. Perform a physical
assessment of the respiratory system and ask specific questions related to this episode
of respiratory distress.
When planning appropriate nursing interventions for a patient with metastatic lung
cancer and a 60-pack-per-year history of cigarette smoking, the nurse recognizes that
the smoking has most likely decreased the patient's underlying respiratory defenses
because of impairment of
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