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Exam 3)NUR 101 Exam 3: NUR 101 Exam 3 Study Guide : Questions & Answers: Updated Solution

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The nurse is caring for a patient who had abdominal surgery yesterday. Today the patient's lung sounds in the lower lobes are diminished. The nurse knows this could be related to the occurrence of (Ans- atelectasis. Which patient has early clinical manifestations of hypoxemia? (Ans- A 72-yr-old patient who has four new premature ventricular contractions per minute After assisting at the bedside with a thoracentesis, the nurse would continue to assess the patient for signs and symptoms of what? (Ans- Pneumothorax The patient with Parkinson's disease has a pulse oximetry reading of 72% but has no other signs of decreased oxygenation. What is the most likely explanation for the low SpO2 level? (Ans- ArtifactA patient had a right total knee replacement 2 days ago. Upon auscultation of the patient's posterior chest, the nurse detects discontinuous, high-pitched breath sounds just before the end of inspiration in the lower portion of both lungs. Which statement most appropriately reflects how the nurse would document the breath sounds? (Ans- "Fine crackles posterior right and left lower lung fields." The nurse is palpating the patient's chest during a focused respiratory assessment in the emergency department. Which finding is a medical emergency? (Ans- Tracheal deviation to the left A patient with recurrent shortness of breath has just had a bronchoscopy. What is a priority nursing action immediately after the procedure? (Ans- Monitor the patient for laryngeal edema. A frail older adult patient develops sudden shortness of breath while sitting in a chair. What location on the chest should the nurse begin auscultation of the lung fields? (Ans- Bases of the posterior chest area

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