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The nurse assesses a patient with b. A barrel chest
chronic obstructive pulmonary
disease (COPD). Which finding does
the nurse anticipate when inspecting
the chest?
a. A ratio of 1 : 2 when comparing the
side and front views of the chest
b. A barrel chest
c. A concave shape to the sternum
d. A severe lateral curvature of the
spine
,Which is a goal for a patient with the b. Patient's respiratory secretions will have a thinner
nursing diagnosis of Impaired Airway consistency after being given a mucolytic agent.
Clearance?
a. Patient's respiratory secretions will
become thicker so they are not
moved when coughing.
b. Patient's respiratory secretions will
have a thinner consistency after
being given a mucolytic agent.
c. Patient will have improved range
of motion while in bed.
d. Patient's respiratory rate will
increase to 28 breaths/min during
hospitalization.
Which position is the priority for a d. Upright position
patient experiencing acute shortness
of breath?
a. Supine position
b. Reverse Trendelenburg position
c. Face-down position
d. Upright position
Which oxygen delivery setting d. Nonrebreather mask at a flow rate of 5 L/min
places a patient in danger of
receiving inadequate oxygen?
a. Nasal cannula at a flow rate of 2
L/min
b. Nasal cannula at a rate of 5 L/min
c. Simple mask at a flow rate of 5
L/min
d. Nonrebreather mask at a flow rate
of 5 L/min
,Which action does a nurse anticipate c. Limit the time that the catheter is suctioning to
when suctioning a patient with prevent excessive loss of oxygen during the
excessive secretions? process.
a. Decrease the patient's oxygen
flow rate before beginning the deep
suctioning.
b. Avoid lubricating the catheter tip
to prevent getting the substance in
the lung tissues.
c. Limit the time that the catheter is
suctioning to prevent excessive loss
of oxygen during the process.
d. Flush the artificial airway with 3 mL
of tap water to loosen secretions
before suctioning.
Which of the chambers of the heart c. Left atrium
becomes enlarged when mitral valve
stenosis occurs?
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle
Which situation contributes to b. Hemoglobin that is not saturated with oxygen
cyanosis in the pulmonary patient?
a. Increased PaCO2 levels
b. Hemoglobin that is not saturated
with oxygen
c. Elevated white blood cell count
d. Decreased PaCO2 levels
, A patient with chronic pneumonia a. Persistent aspiration of liquids
may be evaluated by a speech
therapist for which cause?
a. Persistent aspiration of liquids
b. Hypoventilation due to smoking
c. Hyperventilation due to anxiety
d. Decreased respiratory effort due
to scoliosis
A patient with chronic obstructive c. Decreased PaO2 levels
pulmonary disease (COPD) uses
which drive to breathe?
a. Increased PaCO2
b. Decreased hemoglobin
c. Decreased PaO2 levels
d. Increased PaO2 levels
Which questions are included in a a. Are you having pain?
focused history for a cardiac patient? b. Where is the pain located?
(Select all that apply.) d. Do you have increased fatigue?
a. Are you having pain? e. Do you have any episodes of dizziness?
b. Where is the pain located?
c. Do you attend religious services
regularly?
d. Do you have increased fatigue?
e. Do you have any episodes of
dizziness?