NURS 3270 Exam 2 Questions With Complete Solutions
A 52-year-old man with a history of high BP was diagnosed
with sleep apnea. Which oxygen therapy delivery method would
benefit this patient?
a) Non-rebreather mask
b) Incentive spirometry
c) Continuous positive airway pressure (CPAP)
d) Oxymizer Correct Answer C. CPAP
A patient has thick, tenacious respiratory secretions. To best
help thin the patient's secretions, the nurse should:
A. Change the patient's position every 2 hrs
B. Encourage the patient to drink more fluid
C. Obtain an order for an antitussive agent
D. Teach effective deep breathing Correct Answer B.
encourage pt to drink more fluid
* antitussive = anti-cough
A patient hospitalized for acute pneumonia has a 10-year history
of chronic lung disease and cannot clear her respiratory
secretions from the posterior pharynx with coughing. Which
suctioning intervention is appropriate?
A. -Oropharyngeal
B. -Nasopharyngeal
C. -Endotracheal
D.-Tracheal Correct Answer A. oropharyngeal
,a surgically created opening in the abdominal wall Correct
Answer stoma
an artificial opening in an organ Correct Answer ostomy
Complications that can occur with immobility -- psychological?
Correct Answer - anxiety
- depression
- sensory deprivation
- learned helplessness
- delirium
Complications that can occur with immobility in the circulatory
system? Correct Answer - loss of plasma volume
- loss of orthostatic compensation
- increased heart rate
- development of DVT
Complications that can occur with immobility in the
genitourinary system? Correct Answer - incomplete bladder
emptying
- formation of calculi in kidneys and infection
Complications that can occur with immobility in the GI system?
Correct Answer - reflux
- loss of appetite
- decreased peristalsis
- constipation
, Complications that can occur with immobility in the
musculoskeletal system? Correct Answer - weakness
- muscle atrophy
- loss of muscle strength by 3-5%
- calcium loss from bones
- increased risk of falls due to weakness
Complications that can occur with immobility in the respiratory
system? Correct Answer - decreased lung volume
- pooling of mucous
- cilia less effective
- decreased O2 sat
- aspiration
- atelectasis
Describe the ways a nurse maintains aseptic technique while
bathing a client Correct Answer - Perform hand hygiene &
don gloves
- Offer bedpan or urinal FIRST
- Do NOT disconnect IV tubing to remove gown
- use a new wipe for each area
Factors that affect oxygenation/breathing/gas exchange (causes
of impairments) Correct Answer - Diminished concentration
of inspired O2
- Impaired ventilation (hypo- or hyperventilation)
- Decreased diffusion of oxygen from the alveoli
- Low oxygen carrying capacity
- Poor tissue perfusion of oxygenated blood
- Inability of the tissue to extract oxygen from the blood
A 52-year-old man with a history of high BP was diagnosed
with sleep apnea. Which oxygen therapy delivery method would
benefit this patient?
a) Non-rebreather mask
b) Incentive spirometry
c) Continuous positive airway pressure (CPAP)
d) Oxymizer Correct Answer C. CPAP
A patient has thick, tenacious respiratory secretions. To best
help thin the patient's secretions, the nurse should:
A. Change the patient's position every 2 hrs
B. Encourage the patient to drink more fluid
C. Obtain an order for an antitussive agent
D. Teach effective deep breathing Correct Answer B.
encourage pt to drink more fluid
* antitussive = anti-cough
A patient hospitalized for acute pneumonia has a 10-year history
of chronic lung disease and cannot clear her respiratory
secretions from the posterior pharynx with coughing. Which
suctioning intervention is appropriate?
A. -Oropharyngeal
B. -Nasopharyngeal
C. -Endotracheal
D.-Tracheal Correct Answer A. oropharyngeal
,a surgically created opening in the abdominal wall Correct
Answer stoma
an artificial opening in an organ Correct Answer ostomy
Complications that can occur with immobility -- psychological?
Correct Answer - anxiety
- depression
- sensory deprivation
- learned helplessness
- delirium
Complications that can occur with immobility in the circulatory
system? Correct Answer - loss of plasma volume
- loss of orthostatic compensation
- increased heart rate
- development of DVT
Complications that can occur with immobility in the
genitourinary system? Correct Answer - incomplete bladder
emptying
- formation of calculi in kidneys and infection
Complications that can occur with immobility in the GI system?
Correct Answer - reflux
- loss of appetite
- decreased peristalsis
- constipation
, Complications that can occur with immobility in the
musculoskeletal system? Correct Answer - weakness
- muscle atrophy
- loss of muscle strength by 3-5%
- calcium loss from bones
- increased risk of falls due to weakness
Complications that can occur with immobility in the respiratory
system? Correct Answer - decreased lung volume
- pooling of mucous
- cilia less effective
- decreased O2 sat
- aspiration
- atelectasis
Describe the ways a nurse maintains aseptic technique while
bathing a client Correct Answer - Perform hand hygiene &
don gloves
- Offer bedpan or urinal FIRST
- Do NOT disconnect IV tubing to remove gown
- use a new wipe for each area
Factors that affect oxygenation/breathing/gas exchange (causes
of impairments) Correct Answer - Diminished concentration
of inspired O2
- Impaired ventilation (hypo- or hyperventilation)
- Decreased diffusion of oxygen from the alveoli
- Low oxygen carrying capacity
- Poor tissue perfusion of oxygenated blood
- Inability of the tissue to extract oxygen from the blood
