Exam 30: Oxygenation

The family member of a 73-year-old patient with chronic obstructive pulmonary disease (COPD)is concerned about the patient's recent weight loss.When questioned by the nurse,the patient denies any change in diet or activity,but admits to losing 10 lb in the past 6 weeks.What is the nurse's best response to the family member's concern?

A patient with pulmonary congestion needs to cough to clear secretions.The nurse instructs the patient to inhale and perform a series of coughs during exhalation.What type of cough did the nurse teach the patient?

When giving CPR,compressions are causing the heart to pump blood into and out of the lungs to the body's organs.This movement of oxygenated blood is best described as which of the following?

The patient is experiencing shortness of breath.Which of the following lab tests indirectly indicates the oxygen level in the blood system?

The nurse is admitting a patient with chronic obstructive pulmonary disease (COPD).During the initial head-to-toe assessment the patient's pulse oximetry reading is 89% on room air.What is the nurse's first priority?

A 3-month-old infant is being seen for a well-child check at the pediatric clinic.The nurse is assessing the guardian's knowledge level about the infant's growth and development.One of the topics that the nurse has chosen to address in this session is the risk for airway obstruction.What is the main reason that the nurse has chosen this topic?

A student nurse caring for a patient with a chest tube has been asked what equipment should be at the bedside to assess for an air leak.Which information indicates the student nurse has a correct understanding of the equipment needed?

A patient was admitted to the surgical unit after surgical removal of an abdominal tumor.As the nurse performs a postsurgical assessment,the patient's blood pressure is 90/54,heart rate is 94,and respiratory rate is 22.Based on these values,the nurse should be most concerned with which of the following conditions?

A patient on the surgical unit is 1 day postoperative for surgery to remove stomach cancer.In addition to the physiological stress this patient has undergone,the nurse recognizes that this patient will have to deal with the psychological stress of finding out that the cancer has metastasized to the liver.Which physiological change would the nurse expect to see as a response to stress?

The exchange of oxygen and carbon dioxide during cellular metabolism is best described as which of the following?

The RN and nursing assistive personnel (NAP)are caring for six patients on the pulmonary unit.Which of the following tasks would be most appropriate for the nurse to delegate to the NAP?

Which term should the nurse use to best describe the movement of air in and out of the patient's lungs?

The nursing student is formulating a nursing care plan for a patient with pneumonia.The care plan is directed toward meeting the potential oxygenation needs of the patient.Which of the following examples would be the best way for the nursing student to write an expected outcome for the care plan?

A healthy 33-year-old mother of three children reports "having no energy." She asks the nurse,how she could increase her energy level.What is the best response for the nurse to give?

A patient has been admitted to the pulmonary unit of the hospital with right lower lobe pneumonia and history of chronic obstructive pulmonary disease (COPD).During the initial assessment the nurse notes that the patient has a respiration rate of 18 with retractions,tachycardia,and complains of dyspnea and dizziness.The nurse identifies that these are clinical signs of which condition?