PN Critical Alterations in Gas Exchange Assessment Gurnick Academy of
Medical Arts VN 100 Questions with 100% Verified Answers Latest
Update
Question: Answer:
A nurse is assisting in caring for a client on a medical-surgical Tension- Respiratory rate; Respiratory exam; pain
unit. For each assessment finding, click to specify if the Pulmonary- Respiratory rate; Respiratory exam; pain
assessment finding is consistent with tension pneumothorax, Plural- all
pulmonary thromboembolism, or pleural effusion. Each finding When analyzing cues, the nurse should recognize that manifestations
may support more than 1 disease process. of a tension
pneumothorax include tachypnea and sharp pleuritic pain.
Manifestations of pulmonary
embolism include tachypnea and chest pain. Manifestations of a
pleural effusion include
the need for thoracentesis, tachypnea, blunted costophrenic angle on
chest x-ray, pain,
dullness to percussion and pleural friction rub.
Question: Answer:
A nurse is assisting in caring for a client on a medical-surgical When taking actions for the client with a chest tube in place the
unit. Complete the following sentence by using the lists of nurse will monitor and
options. measure drainage output, the presence of tidaling, the presence of
The nurse should suspect the client may have developed a an air leak, and any
Select... indication that the chest tube is not functioning properly. Tidaling,
as evidenced by the client's the movement of fluid
Select... within the chest tube drainage device or in the tubing, indicates that
the chest tube is
patent and is functioning properly. The absence of tidaling indicates
an occlusion in the
tube. Continuous bubbling within the water seal chamber indicates
that there is an air leak
within the thoracic cavity that is exiting through the tube or there is
an air leak within the
circuit itself. The nurse should check the circuit for air leaks starting
at the insertion site of
the chest tube. The nurse should also monitor the tube for the
presence of any clots. Any
obstruction of the chest tube can cause a tension pneumothorax and
displace the chest
contents to the unaffected side of the chest.
, Question: Answer:
A nurse is assisting in caring for an older adult client. The nurse Decreased chest wall compliance
should identify which of the following age-related changes
places the client at increased risk for respiratory-associated
infection?
Question: Answer:
A nurse is assisting in caring for a client who has a chronic receiving peritoneal dialysis
condition. The nurse should identify which of the following TB
factors as placing the client at higher risk of developing a malignancy
pleural effusion?
Question: Answer:
A nurse is assisting in caring for a client who has a chronic Decreased lung recoil
condition. The nurse should identify which of the following
factors as placing the client at higher risk of developing a
pleural effusion?
Question: Answer:
When analyzing cues, the nurse should recognize that Cirrhosis
manifestations of a tension pneumothorax include tachypnea
and sharp pleuritic pain. Manifestations of pulmonary
embolism include tachypnea and chest pain. Manifestations of
a pleural effusion include the need for thoracentesis,
tachypnea, blunted costophrenic angle on chest x-ray, pain,
dullness to percussion and pleural friction rub.
Question: Answer:
A nurse is assisting in caring for a client who has a low Interstitial Lung Disease
ventilation-perfusion ratio (V/Q ratio). The nurse should
identify that this pathologic change may be the result of which
of the following conditions?
Question: Answer:
A nurse is reinforcing eduation to a client who has a pleural "I should avoid exercise for a few weeks."
effusion about ways to prevent a recurrence. Which of the
following statements indicates a need for further teaching?
Medical Arts VN 100 Questions with 100% Verified Answers Latest
Update
Question: Answer:
A nurse is assisting in caring for a client on a medical-surgical Tension- Respiratory rate; Respiratory exam; pain
unit. For each assessment finding, click to specify if the Pulmonary- Respiratory rate; Respiratory exam; pain
assessment finding is consistent with tension pneumothorax, Plural- all
pulmonary thromboembolism, or pleural effusion. Each finding When analyzing cues, the nurse should recognize that manifestations
may support more than 1 disease process. of a tension
pneumothorax include tachypnea and sharp pleuritic pain.
Manifestations of pulmonary
embolism include tachypnea and chest pain. Manifestations of a
pleural effusion include
the need for thoracentesis, tachypnea, blunted costophrenic angle on
chest x-ray, pain,
dullness to percussion and pleural friction rub.
Question: Answer:
A nurse is assisting in caring for a client on a medical-surgical When taking actions for the client with a chest tube in place the
unit. Complete the following sentence by using the lists of nurse will monitor and
options. measure drainage output, the presence of tidaling, the presence of
The nurse should suspect the client may have developed a an air leak, and any
Select... indication that the chest tube is not functioning properly. Tidaling,
as evidenced by the client's the movement of fluid
Select... within the chest tube drainage device or in the tubing, indicates that
the chest tube is
patent and is functioning properly. The absence of tidaling indicates
an occlusion in the
tube. Continuous bubbling within the water seal chamber indicates
that there is an air leak
within the thoracic cavity that is exiting through the tube or there is
an air leak within the
circuit itself. The nurse should check the circuit for air leaks starting
at the insertion site of
the chest tube. The nurse should also monitor the tube for the
presence of any clots. Any
obstruction of the chest tube can cause a tension pneumothorax and
displace the chest
contents to the unaffected side of the chest.
, Question: Answer:
A nurse is assisting in caring for an older adult client. The nurse Decreased chest wall compliance
should identify which of the following age-related changes
places the client at increased risk for respiratory-associated
infection?
Question: Answer:
A nurse is assisting in caring for a client who has a chronic receiving peritoneal dialysis
condition. The nurse should identify which of the following TB
factors as placing the client at higher risk of developing a malignancy
pleural effusion?
Question: Answer:
A nurse is assisting in caring for a client who has a chronic Decreased lung recoil
condition. The nurse should identify which of the following
factors as placing the client at higher risk of developing a
pleural effusion?
Question: Answer:
When analyzing cues, the nurse should recognize that Cirrhosis
manifestations of a tension pneumothorax include tachypnea
and sharp pleuritic pain. Manifestations of pulmonary
embolism include tachypnea and chest pain. Manifestations of
a pleural effusion include the need for thoracentesis,
tachypnea, blunted costophrenic angle on chest x-ray, pain,
dullness to percussion and pleural friction rub.
Question: Answer:
A nurse is assisting in caring for a client who has a low Interstitial Lung Disease
ventilation-perfusion ratio (V/Q ratio). The nurse should
identify that this pathologic change may be the result of which
of the following conditions?
Question: Answer:
A nurse is reinforcing eduation to a client who has a pleural "I should avoid exercise for a few weeks."
effusion about ways to prevent a recurrence. Which of the
following statements indicates a need for further teaching?
