and Oxygenation (wk9, ch 40 PP)
Fundamentals of Nursing Questions With
Complete Solutions
"ase" Correct Answers Thrombolytics
(streptokinase, alteplase [tPA] )
A 6-year-old boy is admitted to the pediatric unit
with chills and a fever of 104° F (40° C). What
physiological process explains why the child is at
risk for developing dyspnea?
-1 Fever increases metabolic demands, requiring
increased oxygen need.
-2 Blood glucose stores are depleted, and the cells
do not have energy to use oxygen.
-3 Carbon dioxide production increases as result of
hyperventilation.
-4 Carbon dioxide production decreases as a result
of hypoventilation. Correct Answers 1 Fever
increases metabolic demands, requiring increased
oxygen need.
A patient has been diagnosed with severe iron
deficiency anemia. During physical assessment for
which of the following symptoms would the nurse
assess to determine the patient's oxygen status?
-1 Increased breathlessness but increased activity
tolerance
,-2 Decreased breathlessness and decreased
activity tolerance
-3 Increased activity tolerance and decreased
breathlessness
-4 Decreased activity tolerance and increased
breathlessness Correct Answers -4 Decreased
activity tolerance and increased breathlessness
A patient has been newly diagnosed with
emphysema. In discussing his condition with the
nurse, which of his statements would indicate a
need for further education?
-1 "I'll make sure that I rest between activities so I
don't get so short of breath."
-2 "I'll rest for 30 minutes before I eat my meal."
-3 "If I have trouble breathing at night, I'll use two
to three pillows to prop up."
-4 "If I get short of breath, I'll turn up my oxygen
level to 6 L/min." Correct Answers 4 "If I get short
of breath, I'll turn up my oxygen level to 6 L/min."
A patient is admitted to the emergency
department with suspected carbon monoxide
poisoning. Even though the patient's color is ruddy,
not cyanotic, the nurse understands that the
patient is at a risk for decreased oxygen-carrying
capacity of blood because carbon monoxide does
which of the following:
-1 Stimulates hyperventilation, causing respiratory
alkalosis
, -2 Forms a strong bond with hemoglobin, creating
a functional anemia.
-3 Stimulates hypoventilation, causing respiratory
acidosis
-4 Causes alveoli to overinflate, leading to
atelectasis Correct Answers 2 Forms a strong
bond with hemoglobin, creating a functional
anemia.
A patient is admitted with severe lobar pneumonia.
Which of the following assessment findings would
indicate that the patient needs airway suctioning?
-1 Coughing up thick sputum only occasionally
-2 Coughing up thin, watery sputum easily after
nebulization
-3 Decreased independent ability to cough
-4 Lung sounds clear only after coughing Correct
Answers 3 Decreased independent ability to cough
A patient is admitted with the diagnosis of severe
left-sided heart failure. The nurse expects to
auscultate which adventitious lung sounds?
-1 Sonorous wheezes in the left lower lung
-2 Rhonchi midsternum
-3 Crackles only in apex of lungs
-4 Inspiratory crackles in lung bases Correct
Answers 4 Inspiratory crackles in lung bases
A patient was admitted after a motor vehicle
accident with multiple fractured ribs. Respiratory