Christopher Parrish vSim Questions and Answers

Which finding by the nurse supports the presence of obstructive secretions in a patients lungs? - Crackles occurring early in the inspirations phase A patient is experiencing hypoxia related to an ineffective airway. Which assessment findings support the presence of hypoxia? - - nasal flaring - cyanotic nail beds The nurse's patient Christopher Parrish, is being prepared for discharge. Which responses by the patient or his mother indicate an understanding of how chest physiotherapy should be performed? - - We never do chest physiotherapy right before or within 2 hours of Chris eating - I use my nebulizer before the percussion to prevent bronchospasms -inhaling deeply through my nose and then exhaling in puffs really helps me cough up sputum The nurse is assessing the lung sounds of a patient diagnosed with cystic fibrosis who is experiencing dyspnea. Which finding would the nurse associate with the pathophysiology associated with this diagnosis? - Diminished breath sounds in the lungs bilaterally Which intervention will the nurse implement to best ensure a patient's oxygen saturation level remain above 94%? - Administering 2 to 4 liters of supplemental oxygen A patient is reporting symptoms of and demonstrating signs of dyspnea. What is the nurse's initial reaction? - Begin administering supplemental oxygen The nurse has concluded discharge education for a patient diagnosed with cystic fibrosis. What patient statements indicate that education was effective. - - "it is very important to avoid being around tobacco smoke" - "We have the furnace filters changed regularly to manage dust" - "Staying hydrated is important so I drink water throughout the day" _ "Everyone in the family knows how to help me with my chest percussion treatments" What interview questions will best help the nurse identify issued related to diet adherence that need to be discussed with Chris and his parents as a part of discharge instructions. - - "How would you describe your appetite" - "Do you enjoy cooking for yourself" - "Do you often eat out with friends" A patient with a history of cystic fibrosis is being discharged after receiving treatment for a respiratory infection. Which nursing diagnosis will the nurse focus on when developing discharge teaching to best minimize the build-up of respiratory secretions. - Ineffective Airway Clearance related to knowledge deficit regarding effective coughing and deep breath techniques