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Exam 36: Oxygenation

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Question 21

Multiple Choice

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The nurse admits a patient diagnosed with pneumonia.Which data findings indicate that the patient is not oxygenating adequately? Select all that apply.

A) Oxygen saturation 87%
B) Arterial blood gas pH 7.33
C) Respiratory rate 52 breaths/min
D) Fine rales in the left lower lobe
E) Cyanosis of the nailbeds and lips

F) A) and B)
G) C) and D)

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Question 22

Multiple Choice

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A 62-year-old man with emphysema says,"My doctor wants me to quit smoking.It's too late now,though; I already have lung problems." Which of the following would be the best response to his statement?

A) "You should quit so your family does not get sick from exposure to secondhand smoke."
B) "You will need to use oxygen, but remember it is a fire hazard to smoke with oxygen in your home."
C) "Once you stop smoking, your body will begin to repair some of the damage to your lungs."
D) "You should ask your primary care provider for a prescription for a nicotine patch to help you quit."

E) A) and B)
F) C) and D)

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Question 23

Multiple Choice

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The nurse is administering a purified protein derivative (PPD) test to a homeless client.Which of the following statements concerning PPD testing is true?

The nurse is caring for a patient requiring a mechanical ventilator.When checking the inline thermometer,the nurse finds what temperature acceptable?

The nurse is admitting to the medical-surgical unit an older adult woman with a diagnosis of pulmonary hypertension and right-sided heart failure.The patient is complaining of shortness of breath,and the nurse observes conversational dyspnea.What is the first action the nurse should take?

A nurse is suctioning a male client via a tracheostomy tube.When suctioning,the nurse must limit the suctioning time to a maximum of:

The nurse administers intravenous morphine sulfate to a patient for pain control.She will need to monitor her patient for which of the following adverse effects?

For which patient could the nurse collect a sputum specimen without using a suction catheter?

The nurse is teaching a patient about her chest drainage system.Which of the following should the nurse include in the teaching? Select all that apply.

The nurse is caring for a patient with an acute asthma event.What classification of medications would the nurse anticipate administering to this patient? Select all that apply.

Which of the following factors influence normal lung volumes and capacities? Select all that apply.

You are caring for an adult patient with a tracheostomy who is being mechanically ventilated.His pulse oximetry reading is 85%,heart rate is 113 beats/min,and respiratory rate is 30 breaths/min.The patient is very restless.His respirations are labored,and you hear gurgling sounds.You auscultate crackles and rhonchi in both lungs.What is the most appropriate action to take?

The nurse is counseling a 17-year-old girl on smoking cessation.The nurse should include which of the following helpful tips in her education? Select all that apply.

The nurse is caring for a patient with a chest tube.What outcome would indicate the chest tube can be discontinued?

A patient has a history of COPD.His pulse oximetry reading is 97%.What other findings would indicate adequate tissue and organ oxygenation? Select all that apply.

The nurse is caring for a 6-month-old infant diagnosed with RSV,a viral infection causing copious airway secretions.What consideration will influence the nurse's plan of care most?