Exam 4 Term 7 201908E NNHS NUR 168 Concepts of Nursing III P. Emerson
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NUR 168
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10/2/2019 Exam 4 Term 7: 201908E NNHS NUR168 N M Concepts of Nursing III P. Emerson
Exam 4 Term 7
Due No due date Points 100 Questions 100
Available Sep 24 at 8:36pm - Sep 24 at 10pm about 1 hour Time Limit None
This quiz was locked Sep 24 at 10pm.
Attempt History
Attempt Time Score
LATEST Attempt 1 49 minutes 96.58 out of 100
Score for this quiz: 96.58 out of 100
Submitted Sep 24 at 9:27pm
This attempt took 49 minutes.
Question 1 pts
A client has had a head injury affecting the brain stem. What is located in the
brain stem that may affect respiratory function?
Chemoreceptors
Stretch receptors
Correct!
Respiratory center
Oxygen center
The medulla in the brain stem, immediately above the spinal cord, is
the respiratory center. Stretch receptors are located in muscles.
Chemoreceptors that affect respirations are located in the aortic arch
and the carotid bodies.
,10/2/2019 Exam 4 Term 7: 201908E NNHS NUR168 N M Concepts of Nursing III P. Emerson
Question 2 pts
A client is experiencing hypoxia. Which nursing diagnosis would be
appropriate?
Correct! Anxiety
Nausea
Pain
Hypothermia
Clients who are hypoxic commonly experience anxiety and
restlessness related to feelings of suffocation.
Question 3 pts
A client visits the health care facility for a scheduled physical assessment.
What should the nurse do when physically assessing the quality of the
client's oxygenation? Select all that apply.
Correct! Monitor the client's respiratory rate.
Note the amount of oxygen administered.
Correct! Check the symmetry of the client's chest.
Correct! Observe the breathing pattern and effort.
,10/2/2019 Exam 4 Term 7: 201908E NNHS NUR168 N M Concepts of Nursing III P. Emerson
When physically assessing the quality of the client's oxygenation, the
nurse should monitor the client's respiratory rate, check the symmetry
of the client's chest, and observe the breathing pattern and effort of
the client. The nurse should also auscultate for lung sounds.
Additional assessments include recording the heart rate and blood
pressure, determining the client's level of consciousness, and
observing the color of the skin, mucous membranes, lips, and nail
beds. During the physical assessment the nurse does not note the
amount of oxygen administered to the client, or check the device that
is used to deliver oxygen to the client.
Question 4 pts
A father of a preschool-age child tells the nurse that his child "has had a
constant cold since going to daycare." How would the nurse respond?
"Your child must have a health problem that needs medical care."
Correct!
"Children in daycare have more exposure to colds."
"Are you washing your hands before you touch the child?"
"Be sure and have your child wear a protective mask at school."
The preschool-age child's eustachian tubes, bronchi, and bronchioles
are elongated and less angular. Thus, the average number of routine
colds and infections increases when the child enters daycare or
school and is exposed more frequently to pathogens. The child does
not need additional protective masks for school nor needs medical
care. Hand hygiene should be encouraged but the nurse should not
question the father about this.
, 10/2/2019 Exam 4 Term 7: 201908E NNHS NUR168 N M Concepts of Nursing III P. Emerson
Question 5 pts
An emergency room nurse is auscultating the chest of a child who is having
an asthmatic attack. Auscultation reveals the presence of wheezes. During
what part of respirations do wheezes occur?
Correct! inspiration and expiration
only on inspiration
only on expiration
when coughing
Wheezes are continuous sounds heard on expiration and sometimes
on inspiration. They originate as air passes through airways
constricted by swelling (as in asthma), secretions, or tumors.
Question 6 pts
A nurse assesses the vital signs of a healthy newborn infant. What
respiratory rate could be expected based on the developmental level of this
client?
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