NUR 146 Oxygenation Exam Questions
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A client is having the tonsils removed. The client asks the nurse what
function the tonsils normally serve. Which of the following would be the
most accurate response?
A. "The tonsils separate your windpipe from your throat when you swallow."
B. "The tonsils help to guard the body from invasion of organisms."
C. "The tonsils make enzymes that you swallow and which aid with
digestion." D. "The tonsils help with regulating the airflow down into your
lungs." - ✔✔B. "The tonsils help to guard the body from invasion of
organisms."
The nurse is caring for a client who has just returned to the unit after a
colon resection. The client is showing signs of hypoxia. The nurse knows
that this is probably caused by:
A. nitrogen narcosis.
B. infection.
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C. impaired diffusion.
D. shunting. - ✔✔D. shunting.
3. The nurse is assessing a client who frequently coughs after eating or
drinking. How should the nurse best follow up this assessment finding?
A. Obtain a sputum sample.
B. Perform a swallowing assessment. C. Inspect the client's tongue and
mouth.
D. Assess the client's nutritional status. - ✔✔B. Perform a swallowing
assessment.
The ED nurse is assessing a client who is reporting dyspnea. The nurse
auscultates the client's chest and hears wheezing throughout the lung
fields. What might this indicate about the client?
A. Bronchoconstriction
B. Pneumonia
C. Hemoptysis
D. Hemothorax - ✔✔A. Bronchoconstriction
The nurse is caring for a client admitted with an acute exacerbation of
chronic obstructive pulmonary disease. During assessment, the nurse finds
that the client is experiencing increased dyspnea. What is the most
accurate measurement of the concentration of oxygen in the client's blood?
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A. A capillary blood sample
B. Pulse oximetry
C. An arterial blood gas (ABG) study D. A complete blood count (CBC) -
✔✔C. An arterial blood gas (ABG) study
The nurse is caring for a client who has returned to the unit following a
bronchoscopy. The client is asking for something to drink. Which criterion
will determine when the nurse should allow the client to drink fluids?
A. Presence of a cough and gag reflex
B. Absence of nausea
C. Ability to demonstrate deep inspiration
D. Oxygen saturation of greater than or equal to92% - ✔✔A. Presence of a
cough and gag reflex
In addition to heart rate, blood pressure, respiratory rate, and temperature,
the nurse needs to assess a client's arterial oxygen saturation (SaO2).
What procedure will best accomplish this?
A. Incentive spirometry
B. Arterial blood gas (ABG) measurement
C. Peak flow measurement
D. Pulse oximetry - ✔✔D. Pulse oximetry
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A client asks the nurse why an infection in the upper respiratory system is
affecting the clarity of the client's speech. The nurse should describe the
role of what structure? A. Trachea
B. Pharynx
C. Paranasal sinuses
D. Larynx - ✔✔C. Paranasal sinuses
A client with a decreased level of consciousness is in a recumbent position.
How should the nurse best assess the lung fields for a client in this
position?
A. Review images from the client's portable chest x-ray.
B. Turn the client to enable assessment of all lung fields.
C. Assess the breath sounds accessible from the anterior chest wall.
D. Assess oxygen saturation and, if low, reposition the client and auscultate
breath sounds. - ✔✔B. Turn the client to enable assessment of all lung
fields.
A client is undergoing testing to assess for a pleural effusion. Which of the
nurse's respiratory assessment findings would be most consistent with this
diagnosis?
A. Increased tactile fremitus, egophony, and the chest wall dull on
percussion