Nursing fundamentals chapter 28- respiratory care Exam 2024

Nursing fundamentals chapter 28- respiratory care Exam 2024 Which of the following mechanisms results in inhalation? -Answer-The diaphragm contracts A nurse is caring for a patient with a high blood level of carbon dioxide. The nurse would expect which of the following responses by the body's respiratory system? -Answer-The breathing rate increases A nurse is caring for an African American individual with a long history of lung disease. The nurse would be most concerned if: -Answer-The patient's mucous membranes are ashen. A student nurse is providing care for a patient who becomes short of breath while ambulating to the bathroom. The best way for the student to document this finding is to write: -Answer-"Dyspnea noted after walking 15 Feet." A nurse enters a room and notes that a patient has a very productive cough. The nurse would be most concerned about a life-threatening situation if the sputum looks: - Answer-Frothy and pink-tinged. While caring for a patient with pneumonia, a nurse notes that the patients sputum is greenish and very thick. The highest priority in the patient's plan of care is to: -Answer- Encourage the patient to increase oral intake. A nurse is caring for a patient with a chest tube who has notable crepitus at the at the chest tube site, extending across the chest about 3 inches. The best statement the nurse can make is: -Answer-"There are some new, small pockets of air under your skin that I'd like to have the doctor examine." A nurse is caring for a number of patients on a medical unit. The patient of the highest priority is: -Answer-A 22-year-old with pneumonia who is restless and confused. A nurse notes a new order for sputum specimen for culture to be collected on a 91-year- old. The patient had a weak cough. The best action by the nurse is to: -Answer-Explain the order to the patient and plan sputum collection for the following morning. A nurse working in a pediatrician's office is preparing to do a throat culture for a 5-year- old. The child's parent asks, "Why do we have to do this?" The best statement the nurse could make to the child's parent is: -Answer-"It is important to identify and treat a Streptococcus infection quickly to prevent major illness." Which of the following pH values indicates the presence of alkalosis? -Answer-7.47 A nurse is reinforcing instructions to use the incentive spirometer. Further teaching is necessary if the patient states: -Answer-"I blew into that thing 10 times a little while ago." A nurse enters the room of a patient who is taking a nebulizer treatment set up by the respiratory therapist. The nurse should intervene if -Answer-The patient is breathing in and out through the nose. Which type of airway would not be used on a conscious patient? -Answer- Oropharyngeal airway While preparing to feed a patient with a tracheostomy tube connected to mechanical ventilation, a nurse notes that the cuff is deflated. Which of the following actions should the nurse take first? -Answer-The nurse should inflate the cuff.