Exam 36: Oxygenation

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When providing safety education to the mother of a toddler,you would inform the mother that,based on the child's developmental stage,he is at high risk for which of the following factors that influence oxygenation? Select all that apply.

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B,C

Obesity is associated with higher risk for which of the following conditions that affect the pulmonary and cardiovascular systems? Select all that apply.

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B,C,D

The nurse admits a patient to the surgical unit from the postanesthesia care unit.The patient has an oral airway in place and awakens only to painful stimuli.What is the priority nursing action?

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B

Which procedure can the nurse safely delegate to the certified nursing assistant who is knowledgeable and experienced in the procedure?

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The nurse administers an antitussive/expectorant cough preparation to a patient with bronchitis.Which of the following responses indicates to the nurse that the medication is effective?

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Of the following interventions,which is/are likely to reduce the risk of postoperative atelectasis? Select all that apply.

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Which of the following blood levels normally provides the primary stimulus for breathing?

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You are caring for a young adult patient with an intracranial hemorrhage secondary to a closed head injury.During your assessment,you notice that the patient's respirations follow a cycle progressively increasing in depth,then progressively decreasing in depth,followed by a period of apnea.Which of the following appropriately describes this respiratory pattern?

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The nurse is caring for a patient admitted with a diagnosis of muscular dystrophy resulting in inadequate muscle strength to draw enough air into the lungs.What nursing diagnosis would be most appropriate for this patient?

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The nurse is planning care for a 70-year-old patient newly admitted with a medical diagnosis of pneumonia and a nursing diagnosis of Ineffective Airway Clearance.Which is the nurse's priority intervention?

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When using sterile technique to perform tracheostomy care of a new tracheostomy,which of the following is correct?

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The nurse is providing care to a pregnant woman in preterm labor.The patient is 32 weeks pregnant.Initially,the patient states,"I've gained 30 pounds.That should be enough for the baby.Everything will be okay if I deliver now." After teaching the patient about fetal development,the nurse will know her teaching is effective if the patient makes which of the following statements?

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The nurse,working in the postanesthesia care unit inserts an oral airway into the semiconscious patient to prevent airway obstruction.When should the airway be removed?

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A patient has just had a chest tube inserted to dry-seal suction drainage.Which of the following is a correct nursing intervention for maintenance?

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The patient was admitted to the ICU in respiratory acidosis secondary to smoke inhalation and exposure to caustic gases.After placement of an endotracheal tube and connection to a mechanical ventilator,the arterial blood gas results are pH = 7.28,PaO2 = 85,PaCO2 = 60.What changes to care does the nurse anticipate?

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A nurse is preparing to obtain a sputum specimen from a male client.Which of the following nursing actions will facilitate obtaining the specimen?

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The nurse is caring for a patient diagnosed with pneumonia,teaching him or her how to cough and deep-breathe.The patient asks,"Why is drinking fluids so important?" What is the nurse's best response?

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Which of the following is/are accurate about nasotracheal suctioning? Select all that apply.

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The student nurse observes the staff nurse providing care to a patient with a chest tube.Which of the nurse's actions should the student recognize as incorrect and report to the nursing instructor?

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While a patient is receiving hygiene care,her chest tube becomes disconnected from the water-seal chest drainage unit (CDU).Which action should the nurse take immediately?

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