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Ati Med Surg respiratory test polizzoti
A nurse is collecting data from a client who has emphysema. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Dyspnea 7% Most selected
B. Barrel chest 3%
C. Clubbing of the fingers 0%
D. Shallow respirations 3%
E. Bradycardia 0%
Answer and Explanation
Choice A:
DyspneaDyspnea, or difficulty breathing, is a common symptom of emphysema due to
the damage to the alveoli and resulting decrease in lung function.
Choice B:
Barrel chestBarrel chest, characterized by an increased anterior-posterior diameter of
the chest, is often seen in individuals with emphysema due to chronic air trapping and
hyperinflation of the lungs.
Choice C:
Clubbing of the fingersClubbing of the fingers is not typically associated with
emphysema. It is more commonly seen in conditions such as chronic bronchitis or cystic
fibrosis.
Choice D:
Shallow respirationsShallow respirations are not a typical finding in emphysema. Instead,
individuals with emphysema often exhibit prolonged expiratory phases and difficulty with
full exhalation.
Choice E:
Bradycardia, or a slow heart rate, is not typically associated with emphysema. Instead,
individuals with emphysema may experience tachycardia (an elevated heart rate) due
,to the body's compensatory mechanisms in response to decreased oxygenation.
A nurse is checking the suction control chamber of a client's chest tube and notes that
there is no bubbling in the suction control chamber. Which of the following actions
should the nurse take?
A. Notify the provider. 9%
B. Verify that the suction regulator is on. 86% Most selected
C. Continue to monitor the client because this is an expected finding. 4%
D. Milk the chest tube to dislodge any clots in the tubing that may be occluding it. 0%
Answer and Explanation
Choice A:
Notify the provider.This choice suggests involving the healthcare provider immediately.
While notifying the provider might eventually be necessary if the issue persists, it's not the
initial action in this scenario. The nurse should first assess and troubleshoot the situation
before escalating it to the provider.
Choice B:
Verify that the suction regulator is on.This is the correct choice. When there is no bubbling
in the suction control chamber of a chest tube, it may indicate that suction is not being
applied properly. Verifying that the suction regulator is turned on and set to the correct
level ensures that suction is being delivered to the chest tube.
Choice C:
Continue to monitor the client because this is an expected finding.
This choice is incorrect. The absence of bubbling in the suction control chamber is not an
expected finding and suggests a potential problem with the suction system. Ignoring this
finding without taking any action could lead to complications for the client.
,Choice D:
Milk the chest tube to dislodge any clots in the tubing that may be occluding it.Milking the
chest tube is a technique used to maintain patency and promote drainage in chest
tubes, but it should not be the first action when there is no bubbling in the suction control
chamber. This action does not address the underlying issue of inadequate suction and
may not be appropriate without first ensuring that suction is functioning correctly.
A nurse is reviewing the laboratory results of a client who is postoperative and has a
respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2 68
mm Hg Base excess -2 PaO2 78 mm Hg Oxygen saturation 80% Bicarbonate 28 mEq/L.
Which of the following interpretations of the ABG values should the nurse make?
A. Metabolic acidosis 10%
B. Respiratory acidosis 73% Most selected
C. Metabolic alkalosis 10%
D. Respiratory alkalosis 5%
Answer and Explanation
Choice A:
Metabolic acidosisMetabolic acidosis is characterized by a low pH (< 7.35) and a
decreased bicarbonate level (< 22 mEq/L). In this scenario, the pH is low (7.22), but the
bicarbonate level is elevated (28 mEq/L), which does not support a diagnosis of
metabolic acidosis.
Choice B:
Respiratory acidosisRespiratory acidosis occurs when there is an accumulation of
carbon dioxide (PaCO2 > 45 mm Hg), leading to a decrease in pH (< 7.35). In this case,
the pH is low (7.22), and the PaCO2 is elevated (68 mm Hg), consistent with respiratory
acidosis.
, Choice C:
Metabolic alkalosis
Metabolic alkalosis is characterized by a high pH (> 7.45) and an elevated bicarbonate
level (> 26 mEq/L). In this scenario, the pH is low (7.22), and the bicarbonate level is also
elevated (28 mEq/L), which does not support a diagnosis of metabolic alkalosis.
Choice D:
Respiratory alkalosisRespiratory alkalosis occurs when there is a decrease in carbon
dioxide (PaCO2 < 35 mm Hg), leading to an increase in pH (> 7.45). In this case, the pH is
low (7.22), and the PaCO2 is elevated (68 mm Hg), which is not consistent with
respiratory alkalosis.
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a
client diagnosed with emphysema. Which of the following instructions should be
included in the teaching?
A. Rest in a supine position. 0%
B. Consume a low-protein diet. 4%
C. Breathe in through her nose and out through pursed lips. 95% Most selected
D. Limit fluid intake throughout the day. 0%
Answer and Explanation
Choice A:
Rest in a supine position.This option is not recommended for improving gas exchange in
emphysema. Resting in a supine position can lead to decreased lung expansion and
increased dyspnea in individuals with emphysema. Optimal lung expansion is crucial for
efficient gas exchange, and certain positions, such as sitting upright or using pillows to
support the head and chest, are preferred to facilitate breathing.
Ati Med Surg respiratory test polizzoti
A nurse is collecting data from a client who has emphysema. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Dyspnea 7% Most selected
B. Barrel chest 3%
C. Clubbing of the fingers 0%
D. Shallow respirations 3%
E. Bradycardia 0%
Answer and Explanation
Choice A:
DyspneaDyspnea, or difficulty breathing, is a common symptom of emphysema due to
the damage to the alveoli and resulting decrease in lung function.
Choice B:
Barrel chestBarrel chest, characterized by an increased anterior-posterior diameter of
the chest, is often seen in individuals with emphysema due to chronic air trapping and
hyperinflation of the lungs.
Choice C:
Clubbing of the fingersClubbing of the fingers is not typically associated with
emphysema. It is more commonly seen in conditions such as chronic bronchitis or cystic
fibrosis.
Choice D:
Shallow respirationsShallow respirations are not a typical finding in emphysema. Instead,
individuals with emphysema often exhibit prolonged expiratory phases and difficulty with
full exhalation.
Choice E:
Bradycardia, or a slow heart rate, is not typically associated with emphysema. Instead,
individuals with emphysema may experience tachycardia (an elevated heart rate) due
,to the body's compensatory mechanisms in response to decreased oxygenation.
A nurse is checking the suction control chamber of a client's chest tube and notes that
there is no bubbling in the suction control chamber. Which of the following actions
should the nurse take?
A. Notify the provider. 9%
B. Verify that the suction regulator is on. 86% Most selected
C. Continue to monitor the client because this is an expected finding. 4%
D. Milk the chest tube to dislodge any clots in the tubing that may be occluding it. 0%
Answer and Explanation
Choice A:
Notify the provider.This choice suggests involving the healthcare provider immediately.
While notifying the provider might eventually be necessary if the issue persists, it's not the
initial action in this scenario. The nurse should first assess and troubleshoot the situation
before escalating it to the provider.
Choice B:
Verify that the suction regulator is on.This is the correct choice. When there is no bubbling
in the suction control chamber of a chest tube, it may indicate that suction is not being
applied properly. Verifying that the suction regulator is turned on and set to the correct
level ensures that suction is being delivered to the chest tube.
Choice C:
Continue to monitor the client because this is an expected finding.
This choice is incorrect. The absence of bubbling in the suction control chamber is not an
expected finding and suggests a potential problem with the suction system. Ignoring this
finding without taking any action could lead to complications for the client.
,Choice D:
Milk the chest tube to dislodge any clots in the tubing that may be occluding it.Milking the
chest tube is a technique used to maintain patency and promote drainage in chest
tubes, but it should not be the first action when there is no bubbling in the suction control
chamber. This action does not address the underlying issue of inadequate suction and
may not be appropriate without first ensuring that suction is functioning correctly.
A nurse is reviewing the laboratory results of a client who is postoperative and has a
respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2 68
mm Hg Base excess -2 PaO2 78 mm Hg Oxygen saturation 80% Bicarbonate 28 mEq/L.
Which of the following interpretations of the ABG values should the nurse make?
A. Metabolic acidosis 10%
B. Respiratory acidosis 73% Most selected
C. Metabolic alkalosis 10%
D. Respiratory alkalosis 5%
Answer and Explanation
Choice A:
Metabolic acidosisMetabolic acidosis is characterized by a low pH (< 7.35) and a
decreased bicarbonate level (< 22 mEq/L). In this scenario, the pH is low (7.22), but the
bicarbonate level is elevated (28 mEq/L), which does not support a diagnosis of
metabolic acidosis.
Choice B:
Respiratory acidosisRespiratory acidosis occurs when there is an accumulation of
carbon dioxide (PaCO2 > 45 mm Hg), leading to a decrease in pH (< 7.35). In this case,
the pH is low (7.22), and the PaCO2 is elevated (68 mm Hg), consistent with respiratory
acidosis.
, Choice C:
Metabolic alkalosis
Metabolic alkalosis is characterized by a high pH (> 7.45) and an elevated bicarbonate
level (> 26 mEq/L). In this scenario, the pH is low (7.22), and the bicarbonate level is also
elevated (28 mEq/L), which does not support a diagnosis of metabolic alkalosis.
Choice D:
Respiratory alkalosisRespiratory alkalosis occurs when there is a decrease in carbon
dioxide (PaCO2 < 35 mm Hg), leading to an increase in pH (> 7.45). In this case, the pH is
low (7.22), and the PaCO2 is elevated (68 mm Hg), which is not consistent with
respiratory alkalosis.
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a
client diagnosed with emphysema. Which of the following instructions should be
included in the teaching?
A. Rest in a supine position. 0%
B. Consume a low-protein diet. 4%
C. Breathe in through her nose and out through pursed lips. 95% Most selected
D. Limit fluid intake throughout the day. 0%
Answer and Explanation
Choice A:
Rest in a supine position.This option is not recommended for improving gas exchange in
emphysema. Resting in a supine position can lead to decreased lung expansion and
increased dyspnea in individuals with emphysema. Optimal lung expansion is crucial for
efficient gas exchange, and certain positions, such as sitting upright or using pillows to
support the head and chest, are preferred to facilitate breathing.
