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NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
NEWEST 2026 COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS ||VERIFIED EXAM!!(VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION!!!
Which of the following is the anticipated effect of an
alteration in gas exchange on an older adult client?
Select all that apply.
a)Exertional dyspnea
b)Increased respiratory depth
c)Decreased respiratory rate
d)Reduced ability to perform ADLs
e)Increased cough effort - ANSWER-a)Exertional dyspnea
d)Reduced ability to perform ADLs
An older adult client who has alterations in gas exchange
will likely experience changes in dyspnea on exertion that
may result in reduced capacity to perform ADLs. It is due
to structural and immunologic changes as the client ages.
The older adult has decreased elastin in and around the
lungs, which causes reduced recoil, and they have
decreased chest wall compliance, affecting their ability to
breathe effectively and, thus, decreasing their respiratory
depth. Also, the muscles of the respiratory system weaken
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with aging because of a decrease in the muscle mass in
both the diaphragm and the intercostal area.
With age, the ability to breathe effectively is impaired
because of decreased chest wall compliance, increased
anteroposterior diameter, and a shortened thorax. These
changes in an older client lead to an increased respiratory
rate, labored breathing, and ineffective cough.
Manifestations of pleural effusion - ANSWER-Dyspnea
chest pain (which may be referred to shoulder or
abdomen)
tachypnea
tracheal deviation
absent lung sounds and dullness over affected area,
tachycardia, and pleural friction rub.
Tactile Fremitus. Dry non productive cough.
*Note small effusions may not have symptoms and will
only be assess on cxr
A nurse is assessing a client who has a pleural effusion.
Which of the following client findings should the nurse
expect?
Select all that apply.
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a)Client reports sharp stabbing pain in chest.
b)Client reports shortness of breath.
c)Diminished breath sounds are noted on one side.
d)Pleural fluid can be heard moving in the pleural space.
e)Client reports coughing. - ANSWER-a)Client reports
sharp stabbing pain in chest.
b)Client reports shortness of breath.
c)Diminished breath sounds are noted on one side.
e)Client reports coughing.
Physical assessment of the area of pleural effusion
reveals decreased breath sounds on the affected side.
Shortness of breath, chest pain, and cough are the most
common manifestations of pleural effusion.
Pleural fluid movement is not auscultated with a pleural
effusion, rather the presence of a pleural rub indicated by
the two irritated layers of pleura moving against each other
may be auscultated.
pleural fluid analysis is designed to? - ANSWER-fluid
analysis is designed to determine if a transudate or
exudative effusion is present.
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Which of the following is a reason that a thoracentesis
would be performed?
Select all that apply.
a)Relieve manifestations of dyspnea
b)Assist in diagnosis of pleural effusion
c)Determine transudative or exudative effusion
d)Identify tuberculosis
e)Determine if an x-ray is required
f)Obtain a sample of lung tissue - ANSWER-a)Relieve
manifestations of dyspnea
b)Assist in diagnosis of pleural effusion
c)Determine transudative or exudative effusion
d)Identify tuberculosis
Thoracentesis is performed to relieve manifestations of
dyspnea caused by a large pleural effusion. A
thoracentesis can be performed at the bedside by the
provider using ultrasound guidance. Pleural fluid analysis
is performed to assist in the determination of the
underlying cause of the pleural effusion. Fluid analysis is
designed to determine if a transudate or exudative effusion
is present. Laboratory tests performed on the pleural fluid
are done to gather information regarding the etiology of
NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
NEWEST 2026 COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS ||VERIFIED EXAM!!(VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSION!!!
Which of the following is the anticipated effect of an
alteration in gas exchange on an older adult client?
Select all that apply.
a)Exertional dyspnea
b)Increased respiratory depth
c)Decreased respiratory rate
d)Reduced ability to perform ADLs
e)Increased cough effort - ANSWER-a)Exertional dyspnea
d)Reduced ability to perform ADLs
An older adult client who has alterations in gas exchange
will likely experience changes in dyspnea on exertion that
may result in reduced capacity to perform ADLs. It is due
to structural and immunologic changes as the client ages.
The older adult has decreased elastin in and around the
lungs, which causes reduced recoil, and they have
decreased chest wall compliance, affecting their ability to
breathe effectively and, thus, decreasing their respiratory
depth. Also, the muscles of the respiratory system weaken
,2|Page
with aging because of a decrease in the muscle mass in
both the diaphragm and the intercostal area.
With age, the ability to breathe effectively is impaired
because of decreased chest wall compliance, increased
anteroposterior diameter, and a shortened thorax. These
changes in an older client lead to an increased respiratory
rate, labored breathing, and ineffective cough.
Manifestations of pleural effusion - ANSWER-Dyspnea
chest pain (which may be referred to shoulder or
abdomen)
tachypnea
tracheal deviation
absent lung sounds and dullness over affected area,
tachycardia, and pleural friction rub.
Tactile Fremitus. Dry non productive cough.
*Note small effusions may not have symptoms and will
only be assess on cxr
A nurse is assessing a client who has a pleural effusion.
Which of the following client findings should the nurse
expect?
Select all that apply.
,3|Page
a)Client reports sharp stabbing pain in chest.
b)Client reports shortness of breath.
c)Diminished breath sounds are noted on one side.
d)Pleural fluid can be heard moving in the pleural space.
e)Client reports coughing. - ANSWER-a)Client reports
sharp stabbing pain in chest.
b)Client reports shortness of breath.
c)Diminished breath sounds are noted on one side.
e)Client reports coughing.
Physical assessment of the area of pleural effusion
reveals decreased breath sounds on the affected side.
Shortness of breath, chest pain, and cough are the most
common manifestations of pleural effusion.
Pleural fluid movement is not auscultated with a pleural
effusion, rather the presence of a pleural rub indicated by
the two irritated layers of pleura moving against each other
may be auscultated.
pleural fluid analysis is designed to? - ANSWER-fluid
analysis is designed to determine if a transudate or
exudative effusion is present.
, 4|Page
Which of the following is a reason that a thoracentesis
would be performed?
Select all that apply.
a)Relieve manifestations of dyspnea
b)Assist in diagnosis of pleural effusion
c)Determine transudative or exudative effusion
d)Identify tuberculosis
e)Determine if an x-ray is required
f)Obtain a sample of lung tissue - ANSWER-a)Relieve
manifestations of dyspnea
b)Assist in diagnosis of pleural effusion
c)Determine transudative or exudative effusion
d)Identify tuberculosis
Thoracentesis is performed to relieve manifestations of
dyspnea caused by a large pleural effusion. A
thoracentesis can be performed at the bedside by the
provider using ultrasound guidance. Pleural fluid analysis
is performed to assist in the determination of the
underlying cause of the pleural effusion. Fluid analysis is
designed to determine if a transudate or exudative effusion
is present. Laboratory tests performed on the pleural fluid
are done to gather information regarding the etiology of
