Exam 29: Respiratory System Function, Assessment, and Therapeutic Measures

A client who is being mechanically ventilated is admitted to the care area.What should the nurse do to prevent this patient from developing ventilator-assisted complications? (Select all that apply.)

A patient's oxygen saturation value is 92% on room air.What does this value mean to the nurse?

A nurse is providing care for a patient who complains of difficulty breathing.Which assessment will best help the nurse determine the severity of the patient's dyspnea?

The LPN is assigned to monitor a patient with chronic lung disease who is receiving oxygen via a non-rebreathing mask.Which observation indicates to the nurse that the system is functioning as expected?

While providing care for a patient with asthma,the nurse notes the patient's shoulders are rising with each breath.What should the nurse realize this action represents?

The LPN is providing care for an 88-year-old patient.Which age-related assessment findings should the nurse expect? (Select all that apply.)

A patient with cancer in the left lung is acutely short of breath.Which position should the nurse suggest the patient assume?

The nurse places a patient who is experiencing dyspnea in the Fowler's position.What is the rationale for the nurse to use this position?

The nurse observes a patient who has periods of fast,deep respirations alternating with periods of apnea.What term should the nurse use to describe this pattern?

A patient has a low oxygen level.Which body structure should the nurse consider as being responsible for this low level?

A patient is diagnosed with respiratory acidosis.Which health problems should the nurse consider as causing this patient's diagnosis? (Select all that apply.)

The nurse is caring for a patient with myasthenia gravis who is on a ventilator.The high-pressure alarm sounds.What should the nurse consider as the cause for this alarm?

After providing chest physiotherapy,the nurse notes the patient has loose secretions and a slight rattle with expiration.Which action should the nurse take first?

The nurse hears a ventilator alarm from the hallway.Which action should the nurse take first?

A patient's arterial blood gas analysis shows a pH of 7.28.The PaCO₂ is high.Which acid-base imbalances is the patient experiencing?

The nurse is caring for an individual whose respiratory rate of 14 is even and easy; breath sounds are normal.Which terms should the nurse use in this patient's narrative note? (Select all that apply.)

A laboratory technician has just completed drawing arterial blood gases from a patient.What action should the nurse take first?

A patient with a chest drainage system is admitted to the respiratory unit.The nurse notes vigorous bubbling in the water seal chamber of the system.What should the nurse do?

A patient with a tracheostomy requires suctioning.How many seconds can the nurse suction safely with each pass of the catheter?

The nurse is providing care to a patient who experienced an ischemic stroke and now requires respiratory support with mechanical ventilation.The nurse realizes that the stroke most likely occurred in which part of the brain?