Gas Exchange and Oxygenation Practice Exam With Solved Solutions.
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Module
Gas exchange and oxygenation
Institution
Gas Exchange And Oxygenation
A nurse is caring for a client who has a history of asthma and is wheezing. Which of the following actions should the nurse take first?
·Auscultate the lung sounds.
·Document the respiratory rate.
·Obtain the oxygen saturation.
·Check the capillary refill. - Answer √Obtain the oxygen...
Gas Exchange and Oxygenation Practice
Exam With Solved Solutions.
A nurse is caring for a client who has a history of asthma and is wheezing. Which of the following actions
should the nurse take first?
·Auscultate the lung sounds.
·Document the respiratory rate.
·Obtain the oxygen saturation.
·Check the capillary refill. - Answer √Obtain the oxygen saturation.
The greatest risk to this client is injury from hypoxia; therefore, the first action the nurse should take is to
obtain the client's oxygen saturation. Obtaining the client's oxygen saturation will assist the nurse in
determining the next intervention.
A nurse is caring for a client who requires 7L of oxygen to maintain oxygen saturation. Which of the
following oxygen delivery devices should the nurse expect to use?
·Nasal cannula
·Nonrebreather mask
·Partial rebreather mask
·Simple face mask - Answer √Simple face mask
The nurse should expect to use a simple face mask because it can deliver oxygen at medium
concentrations of 5 to 8 L/min.
A nurse is reinforcing teaching with a client who has an abdominal incision about coughing and deep
breathing. In which order should the nurse instruct the client to perform the following steps?
·"Hold your breath for several second"
, ·"Take a deep breath"
·"Brace the incision with a pillow and try to cough deeply"
·"Exhale slowly" - Answer √"Take a deep breath" is the first step. The client should take a deep breath
to promote lung expansion.
"Hold your breath for several seconds" is the second step. The client should hold their breath for several
seconds to promote lung expansion.
"Exhale slowly" is the third step. The client should exhale slowly to promote alveolar inflation.
"Brace the incision with a pillow and try to cough deeply" is the fourth step. The client should brace the
incision for comfort and support and try to cough to clear secretions.
A nurse is collecting data from a client who has COPD. The nurse should identify that which of the
following is an expected finding?
·Jugular vein distension
·Clubbing of the fingers
·Heart murmur
·Paradoxical breathing - Answer √Clubbing of the fingers
The nurse should identify that clubbing of the fingers is an expected finding for a client who has a
chronic pulmonary disease, such as COPD.
A nurse is performing chest percussion therapy on a client. Which of the following actions should the
nurse take?
·Perform chest percussion therapy six times per day.
·Listen for a hollow sound when performing chest percussion therapy.
·Use flat hands to perform chest percussion therapy.
·Apply chest percussion therapy over the client's ribs. - Answer √Listen for a hollow sound when
performing chest percussion therapy.
The nurse should hear a hollow sound when performing chest percussion therapy. This indicates proper
technique is being used to loosen the secretions.
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