A patient is admitted to the postanesthesia care unit (PACU) immediately after
undergoing surgery. The nurse finds shallow breathing and the pulse oximetry value is
90%. Which intervention does the nurse perform for effective treatment?
A. Inserting an oral or nasal airway
B. Providing oral fluids to the patient
C. Encouraging the patient to cough
D. Providing intravenous (IV) fluids to the patient
,Give this one a try later!
Inserting an oral or nasal airway.
Rationale:
Certain anesthetic agents can cause respiratory depression. The signs of
respiratory depression are shallow breathing and abnormal pulse oximetry
values. The nurse inserts a nasal or oral airway to maintain a patent airway
and facilitate effective oxygenation of all tissues in the body.
The nurse is performing a physical examination on a patient. Where should the nurse
palpate for the apical impulse?
Give this one a try later!
Fifth intercostal space at the midclavicular line.
Rationale:
The apex of the heart touches the fourth to fifth intercostal space just
medial to the left midclavicular line; the apical impulse is palpated best in
this anatomical region.
A patient with chronic obstructive pulmonary disorder (COPD) is administered oxygen
therapy using a simple oxygen face mask. After some time, the patient's blood
analysis reveals abnormally high levels of carbon dioxide. Which should be the nurse's
immediate next step?
Give this one a try later!
Remove the mask and use a nasal cannula for oxygen supply.
Rationale:
Simple face masks are designed to deliver high-flow O2. In COPD patients,
this results in hypoventilation. Decreased O2 is the stimulus to breathe with
, COPD, so excessive O2 destroys the stimulus. The resulting hypoventilation
causes excessive retention of carbon dioxide. Additionally, the patient may
inhale exhaled carbon dioxide retained in the mask. Therefore, masks are
contraindicated in patients with COPD..
The nurse is performing examination of the lungs and thorax of a patient. From which
area should the nurse begin palpation of tactile fremitus?
Give this one a try later!
Lung apex
Which cranial nerve is responsible for the sense of smell?
Give this one a try later!
Olfactory
A patient reports having chronic dry cough in the mornings, with occasional
production of thick, yellow-green sputum in small quantities. The nurse finds that the
patient has dry skin and the mucous membranes are dry. On auscultation, crackles are
heard in lower lobes bilaterally. Which intervention will relieve dryness of the mucous
membranes?
Give this one a try later!
Giving plenty of oral fluids
undergoing surgery. The nurse finds shallow breathing and the pulse oximetry value is
90%. Which intervention does the nurse perform for effective treatment?
A. Inserting an oral or nasal airway
B. Providing oral fluids to the patient
C. Encouraging the patient to cough
D. Providing intravenous (IV) fluids to the patient
,Give this one a try later!
Inserting an oral or nasal airway.
Rationale:
Certain anesthetic agents can cause respiratory depression. The signs of
respiratory depression are shallow breathing and abnormal pulse oximetry
values. The nurse inserts a nasal or oral airway to maintain a patent airway
and facilitate effective oxygenation of all tissues in the body.
The nurse is performing a physical examination on a patient. Where should the nurse
palpate for the apical impulse?
Give this one a try later!
Fifth intercostal space at the midclavicular line.
Rationale:
The apex of the heart touches the fourth to fifth intercostal space just
medial to the left midclavicular line; the apical impulse is palpated best in
this anatomical region.
A patient with chronic obstructive pulmonary disorder (COPD) is administered oxygen
therapy using a simple oxygen face mask. After some time, the patient's blood
analysis reveals abnormally high levels of carbon dioxide. Which should be the nurse's
immediate next step?
Give this one a try later!
Remove the mask and use a nasal cannula for oxygen supply.
Rationale:
Simple face masks are designed to deliver high-flow O2. In COPD patients,
this results in hypoventilation. Decreased O2 is the stimulus to breathe with
, COPD, so excessive O2 destroys the stimulus. The resulting hypoventilation
causes excessive retention of carbon dioxide. Additionally, the patient may
inhale exhaled carbon dioxide retained in the mask. Therefore, masks are
contraindicated in patients with COPD..
The nurse is performing examination of the lungs and thorax of a patient. From which
area should the nurse begin palpation of tactile fremitus?
Give this one a try later!
Lung apex
Which cranial nerve is responsible for the sense of smell?
Give this one a try later!
Olfactory
A patient reports having chronic dry cough in the mornings, with occasional
production of thick, yellow-green sputum in small quantities. The nurse finds that the
patient has dry skin and the mucous membranes are dry. On auscultation, crackles are
heard in lower lobes bilaterally. Which intervention will relieve dryness of the mucous
membranes?
Give this one a try later!
Giving plenty of oral fluids
