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The nurse is admitting a client who just had a bronchoscopy. Which assessment should
be the nurse's priority? - ✔✔Swallow reflex
Bradypnea is associated with which condition? - ✔✔Increased intracranial pressure
The nursing instructor is teaching a pre-nursing pathophysiology class. The class is
covering the respiratory system. The instructor explains that the respiratory system is
comprised of both the upper and lower respiratory system. The nose is part of the
upper respiratory system. The instructor continues to explain that the nasal cavities
have a vascular and ciliated mucous lining. What is the purpose of the vascular and
ciliated mucous lining of the nasal cavities? - ✔✔Warm and humidify inspired air
Explanation: The vascular and ciliated mucous lining of the nasal cavities warms and
humidifies inspired air. It is the function of the cilia alone to move mucus in the nasal
cavities and filter the inspired air.
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,A pediatrician diagnosed a child with swollen and inflamed adenoids. The nurse
practitioner confirmed the diagnosis by: - ✔✔Inspecting the roof of the nasopharynx.
Explanation:
The adenoids are clusters of lymph tissue located between the back of the nose and the
back of the throat in the nasopharynx. The adenoids are usually inspected by using a
special mirror. They cannot be seen by looking directly into the mouth.
A black client with asthma seeks emergency care for acute respiratory distress. Because
of this client's dark skin, the nurse should assess for cyanosis by inspecting the: -
✔✔mucous membranes.
A nurse would question the accuracy of a pulse oximetry evaluation in which of the
following conditions? - ✔✔A client experiencing hypothermia
Explanation:
Pulse oximetry is a noninvasive method of continuously monitoring the oxygen
saturation of hemoglobin. The reading is referred to as SpO2. A probe or sensor is
attached to the fingertip, forehead, earlobe, or bridge of the nose. Values less than 85%
indicate that the tissues are not receiving enough oxygen. SpO2 values obtained by
pulse oximetry are unreliable in states of low perfusion such as hypothermia.
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, Lung compliance (the ability of the lungs to stretch) is a physical factor that affects
ventilation. A nurse is aware that a patient who has lost elasticity in the lung tissue has
a condition known as: - ✔✔Emphysema
Explanation:
Emphysema, most commonly caused by smoking cigarettes, results in a loss of lung
elasticity, which destroys the capillaries that supply the alveoli. This causes airway
collapse during expiration, dyspnea, and eventually cyanosis.
The nurse is caring for a client with hypoxemia of unknown cause. Which of the
following oxygen transport considerations does the nurse identify as crucial to circulate
oxygen in the body system? Select all that apply. - ✔✔Oxygen is dissolved.
Oxyhemoglobin circulates to the body tissue.
Adequate red blood cells are needed for oxygen transport.
Explanation:
Oxygen transport occurs by dissolving oxygen in the water in the plasma and
combining oxygen with red blood cells (oxyhemoglobin). Normal red blood cell count is
needed for oxygen transport. High blood pressure does not disrupt transport unless
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