NSG 3280-Pathophysiology for Nurses Exam 3 Questions and Answers
Correct
Incorrect
1 of 41
Term
A client has edema of the feet and ankles, along with crackles in the
lower lobes and a frothy, productive cough. The client is suffering from:
pulmonary embolism.
myocardial infarction.
congestive heart failure.
lung cancer.
Give this one a try later!
, face tent
A face tent is used without a mask; it is open and loose around the face and is often
used for clients with facial trauma or burns. A simple mask or nasal cannula would
irritate the facial skin. The client does not have a tracheostomy.
Apply oxygen as prescribed
The nurse should first apply oxygen, which will help to improve oxygen saturation
and health status. The client may not require intubation, once oxygen is provided.
Although the client may require education on incentive spirometry, the immediate
priority intervention is to stabilize the client's oxygen saturation. Similarly, raising the
head of the bed may help with the client's comfort but may not have sufficient
effect on oxygen saturation.
congestive heart failure
A client who has edema and a cough that is productive with frothy sputum is
manifesting heart failure.
"You should never smoke when oxygen is in use."
The nurse will educate the client about the dangers of smoking when oxygen is in
use. Oxygen is not flammable, but it oxidizes other materials. Other answers are
inappropriate.
Don't know?
2 of 41
Term
,An emergency department nurse is using a manual resuscitation bag
(Ambu bag) to assist
ventilation in a patient with lung cancer who has stopped breathing on
his own. What is an
appropriate step in this procedure?
A. Tilt the patient's head forward.
B. Hold the mask tightly over the patient's nose and mouth.
C. Pull the patient's jaw backward.
D. Compress the bag twice the normal respiratory rate for the patient.
Give this one a try later!
A.The client's available hemoglobin is adequately saturated with oxygen.
Pulse oximetry is a noninvasive technique that measures the arterial oxyhemoglobin
saturation (SaO2 or SpO2) of arterial blood. This test measures only the percentage
of oxygen carried by the available hemoglobin. Thus, even a client with a low
hemoglobin level could appear to have a normal SpO2 because most of that
hemoglobin is saturated. However, the client may not have enough oxygen to meet
body needs. A normal pulse oximetry reading does not necessarily indicate a
normal RBC count or heart rate.
D. Put on gloves and insert the chest tube in a bottle of sterile saline.
When a chest tube becomes separated from the drainage device, the nurse should
submerge the end in water, creating a water seal, but allowing air to escape, until a
new drainage unit can be attached. This is done instead of clamping to prevent
another pneumothorax. Then the nurse should assess vital signs and notify the
health care provider.
, C. Maintain the client's oxygenation and alert the health care provider immediately.
If the tracheostomy becomes dislodged and is not easily replaced, the nurse should
notify the primary care provider immediately, cover the tracheostomy stoma, and
assess client's respiratory status.
B. Hold the mask tightly over the patient's nose and mouth.
With the patient's head tilted back, jaw pulled forward, and airway cleared, the
mask is held tightly over the patient's nose and mouth. The bag also fits easily
over tracheostomy and endotracheal tubes. The operator's other hand
compresses the bag at a rate that approximates normal respiratory rate (e.g.,
16 to 20 breaths/min in adults).
Don't know?
3 of 41
Term
A nurse is reading a journal article about pollutants and their effect on
an individual's respiratory function. Which problem would the nurse
most likely identify as an effect of exposure to automobile pollutants?
Croup
Bronchitis
Bronchiectasis
Atelectasis
Give this one a try later!
Correct
Incorrect
1 of 41
Term
A client has edema of the feet and ankles, along with crackles in the
lower lobes and a frothy, productive cough. The client is suffering from:
pulmonary embolism.
myocardial infarction.
congestive heart failure.
lung cancer.
Give this one a try later!
, face tent
A face tent is used without a mask; it is open and loose around the face and is often
used for clients with facial trauma or burns. A simple mask or nasal cannula would
irritate the facial skin. The client does not have a tracheostomy.
Apply oxygen as prescribed
The nurse should first apply oxygen, which will help to improve oxygen saturation
and health status. The client may not require intubation, once oxygen is provided.
Although the client may require education on incentive spirometry, the immediate
priority intervention is to stabilize the client's oxygen saturation. Similarly, raising the
head of the bed may help with the client's comfort but may not have sufficient
effect on oxygen saturation.
congestive heart failure
A client who has edema and a cough that is productive with frothy sputum is
manifesting heart failure.
"You should never smoke when oxygen is in use."
The nurse will educate the client about the dangers of smoking when oxygen is in
use. Oxygen is not flammable, but it oxidizes other materials. Other answers are
inappropriate.
Don't know?
2 of 41
Term
,An emergency department nurse is using a manual resuscitation bag
(Ambu bag) to assist
ventilation in a patient with lung cancer who has stopped breathing on
his own. What is an
appropriate step in this procedure?
A. Tilt the patient's head forward.
B. Hold the mask tightly over the patient's nose and mouth.
C. Pull the patient's jaw backward.
D. Compress the bag twice the normal respiratory rate for the patient.
Give this one a try later!
A.The client's available hemoglobin is adequately saturated with oxygen.
Pulse oximetry is a noninvasive technique that measures the arterial oxyhemoglobin
saturation (SaO2 or SpO2) of arterial blood. This test measures only the percentage
of oxygen carried by the available hemoglobin. Thus, even a client with a low
hemoglobin level could appear to have a normal SpO2 because most of that
hemoglobin is saturated. However, the client may not have enough oxygen to meet
body needs. A normal pulse oximetry reading does not necessarily indicate a
normal RBC count or heart rate.
D. Put on gloves and insert the chest tube in a bottle of sterile saline.
When a chest tube becomes separated from the drainage device, the nurse should
submerge the end in water, creating a water seal, but allowing air to escape, until a
new drainage unit can be attached. This is done instead of clamping to prevent
another pneumothorax. Then the nurse should assess vital signs and notify the
health care provider.
, C. Maintain the client's oxygenation and alert the health care provider immediately.
If the tracheostomy becomes dislodged and is not easily replaced, the nurse should
notify the primary care provider immediately, cover the tracheostomy stoma, and
assess client's respiratory status.
B. Hold the mask tightly over the patient's nose and mouth.
With the patient's head tilted back, jaw pulled forward, and airway cleared, the
mask is held tightly over the patient's nose and mouth. The bag also fits easily
over tracheostomy and endotracheal tubes. The operator's other hand
compresses the bag at a rate that approximates normal respiratory rate (e.g.,
16 to 20 breaths/min in adults).
Don't know?
3 of 41
Term
A nurse is reading a journal article about pollutants and their effect on
an individual's respiratory function. Which problem would the nurse
most likely identify as an effect of exposure to automobile pollutants?
Croup
Bronchitis
Bronchiectasis
Atelectasis
Give this one a try later!
