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NURS 309 Quiz 7 (Chap 28, 29, 32) RESP 1 Questions With Complete Solutions
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NURS 309 Quiz 7 (Chap 28, 29, 32) RESP 1 Questions With Complete Solutions
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NURS 309 Quiz 7 (Chap 28, 29, 32) RESP 1 Questions WithComplete Solutions
A client is admitted to the hospital with a diagnosis of
pneumonia. List the following nursing actions in the order they
should be accomplished.
1. Check peak and trough levels of the antibiotic
2. Insert IV catheter to establish venous access.
3. Collect a sputum sample for culture and sensitivity
4. Administer prescribed antibiotic IV piggyback.
5. Obtain data about the client's history and physical status.
Correct Answers 5, 2, 3, 4, 1
A client is admitted with suspected atelectasis. Which clinical
manifestation does the nurse expect to identify when assessing
this client?
1. slow, deep respirations
2. normal oral temp
3. dry, unproductive cough
4. diminished breath sounds Correct Answers 4. because
atelectasis involves collapsing of alveoli distal to bronchioles,
breath sounds are diminished in lower lobes
A client is scheduled for a pulmonary function test. The nurse
explains that during the test one of the instructions the
respiratory therapist will give the client is to breathe normally.
What should the nurse teach is being measured when the client
follows these directions?
1. Tidal volume
2. vital capacity
3. expiratory reserve
,4. inspiratory reserve Correct Answers 1. TV is amount of air
inhaled and exhaled while breathing normally
A client states that the health care provider said the tidal volume
is slightly diminished and asks the nurse what this means.
Which explanation should the nurse provide about the volume of
air being measured to determine tidal volume?
1. Exhaled after there is normal inspiration
2. Exhaled forcibly after a regular expiration
3. Inspired forcibly above a typical inspiration
4. Trapped in the alveoli after a maximum expiration Correct
Answers 1. TV is amount of air exhaled after normal inspiration
A nurse assesses that several clients have low oxygen saturation
levels. Which client would benefit the MOST from receiving
oxygen via a nasal cannula?
1. Has an upper respiratory infection
2. Receives many visitors while sitting in a chair
3. Has a nasogastric tube for gastric decompression
4. Exhibits dry oral mucous membranes from mouth breathing
Correct Answers 2. client is more mobile and will benefit from
a less restrictive form of O2 administration. client will be able to
talk w/o impediment of mask
A nurse identifies that a client's hemoglobin level is decreasing
and is concerned about tissue hypoxia. An increase in what
diagnostic test result indicates an acceleration in oxygen
dissociation from hemoglobin?
1. pH
2. Po2
3. Pco2
, 4. HCO3 Correct Answers 3. The lower the Po2 and higher the
Pco2 the more rapidly O2 dissociates from the oxyhemoglobin
molecule.
A nurse is caring for a client in respiratory distress. The health
care provider orders oxygen via a nonrebreather mask. Which
mask should the nurse obtain to implement the oxygen order?
1
2
3
4
(all are pictures on pg 777 in mosby's) Correct Answers 4.
nonrebreather mask can accurately deliver high concentrations
of oxygen (>90%). cannot be used with a high degree of
humidity
1 is a face mask, delivers low to medium concentrations of O2
(40-60%) flow rate 6-12 L/min
2 is Venturi mask, delivers precise high-flow rates of O2
3 is a face tent, delivers imprecise amount of O2
A nurse is caring for a group of clients on a med-surg unit.
Which client has the highest risk for developing a pulmonary
embolism?
1. Obese client with leg trauma
2. Pregnant client with acute asthma
3. Client with diabetes who has cholecystitis
4. Client with pneumonia who is immunodeficient Correct
Answers 1. client has 2 risk factors for development of PE:
obesity and trauma
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