NURS 3682-Preparation questions chapter 38. Questions and Answers

NURS 3682-Preparation questions chapter 38. Questions and Answers Question 1: (see full question) What is the action of codeine when used to treat a cough? You selected: expectorant Incorrect Correct response: suppressant Explanation: Codeine, which is an ingredient in many cough preparations, is generally considered to be the preferred cough suppressant ingredient. Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1422. Chapter 38: Oxygenation and Perfusion - Page 1422 Question 2: (see full question) The newly hired nurse is caring for a client who had a tracheostomy four hours ago. Which action by the nurse, if noted by the charge nurse, would cause the charge nurse to intervene? You selected: The newly hired nurse explains what she is doing and the reason to the client, even though the client does not appear to be alert. Incorrect Correct response: The newly hired nurse delegates care of the tracheostomy to a licensed practical/vocational nurse (LPN/LVN). Explanation: Care of a tracheostomy tube in a stable situation, such as long-term care and other community-based care settings, may be delegated to licensed practical/vocational nurses (LPN/LVN); ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, p. 1455. Chapter 38: Oxygenation and Perfusion - Page 1455 Question 3: (see full question) The nurse is educating an adolescent with asthma on how to use a metered-dose inhaler. Which education point follows recommended guidelines? You selected: Be sure to shake the canister before using it. Correct Explanation: A metered-dose inhaler (MDI) delivers a controlled dose of medication with each compression of the canister. The canister must be shaken to mix the medication properly. MDIs are in ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015, Chapter 38, Oxygenation and Perfusion, p. 1424 Question 4: (see full question) Which actions should a nurse perform when inserting an oropharyngeal airway? Select all that apply. You selected: • Remove airway for a brief period every 4 hours or according to facility policy. • Wash hands and put on PPE, as indicated. • Rotate the airway 180 degrees as it passes the uvula. Correct Explanation: The nurse will come into contact with respiratory secretions during the insertion of the oral airway, making it necessary to wear appropriate PPE. The airway will need to be rotate ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015, Chapter 38, Oxygenation and Perfusion, p. 1433 Question 5: (see full question) The nurse is assessing the vital signs of a newborn. The nurse documents which respiratory rate as normal? You selected: 30 to 55 breaths per minute Correct Explanation: The nurse should expect the newborn to have a respiratory rate of 30 to 55 breaths per minute. Toddlers and preschoolers have a respiratory rate of 20 to 30 per minute. School-age ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, p. 1405. Chapter 38: Oxygenation and Perfusion - Page 1405 Question 6: (see full question) To determine the quality of oxygenation, the nurse performs the physical assessment, the arterial blood gas test, and pulse oximetry. What is the purpose of the pulse oximetry test? You selected: Monitor the amount of oxygen saturation in the blood. Correct Explanation: The pulse oximetry test is a noninvasive transcutaneous technique for periodically or continuously monitoring the oxygen saturation of blood. The arterial blood gases test the clie ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, Chapter 38: Oxygenation and Perfusion, p. 1414. Chapter 38: Oxygenation and Perfusion - Page 1414 Question 7: (see full question) A nurse is admitting a 6-year-old child status post tonsillectomy to the surgical unit. The nurse obtains his weight and places EKG and a pulse oximeter on the client’s left finger. His heart rate reads 100 bpm and the pulse oximeter reads 99%. These readings best indicate: You selected: adequate tissue perfusion. Correct Explanation: Pulse oximetry is often used as a measure of tissue perfusion. An oxygen saturation of greater than 94% is typically indicative of good tissue perfusion. Question 8: (see full question) A client requires low-flow oxygen. How will the oxygen be administered? Select all that apply. You selected: • Nasal cannula • Simple oxygen mask Incorrect Correct response: • Nasal cannula • Simple oxygen mask • Partial rebreather mask Explanation: Nasal cannula with tubing administers oxygen at low-flow rates and concentrations at 22–44%. Simple masks and partial rebreathers both deliver a low-flow rate at concentratio ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1426. Chapter 38: Oxygenation and Perfusion - Page 1426 Question 9: (see full question) When reviewing data collection on a client with a cardiac output of 2.5 L/minute, the nurse inspects the client for which symptom? You selected: Rapid respirations Correct Explanation: Normal cardiac output averages from 3.5 L/minute to 8.0 L/minute. With decreased cardiac output, there is a reduction in the amount of circulating blood that is available to deliver ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, p. 1402. Chapter 38: Oxygenation and Perfusion - Page 1402 Question 10: (see full question) The nurse is caring for a postoperative client who has a prescription for meperidine (Demerol) 7 5mg intramuscularly (IM) every 4 hours as needed for pain. Before and after administering Demerol, the nurse would assess which most important sign? You selected: Respiratory rate and depth Correct Explanation: The client receiving narcotics/opioids needs monitoring of the respiratory rate and depth to ensure that respiratory depression does not result in progressive respiratory issues, ph ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, p. 1465. Chapter 38: Oxygenation and Perfusion - Page 1465 Question 1: (see full question) A client with no prior history of respiratory illness has been admitted to a postoperative unit following foot surgery. What intervention should the nurse prioritize in an effort to prevent postoperative pneumonia and atelectasis during this time of reduced mobility following surgery? You selected: educating the client on the use of incentive spirometry Correct Explanation: Incentive spirometry maximizes lung inflation and can prevent or reduce atelectasis and help mobilize secretions. Pursed-lip breathing primarily addresses dyspnea and anxiety. Suct ... (more) Incentive spirometry maximizes lung inflation and can prevent or reduce atelectasis and help mobilize secretions. Pursed-lip breathing primarily addresses dyspnea and anxiety. Suctioning is only indicated when clients are unable to independently mobilize secretions. Corticosteroids are not typically used as a preventive measure for respiratory complications after surgery. (less) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1420. Chapter 38: Oxygenation and Perfusion - Page 1420 Question 2: (see full question) The nurse is auscultating the lungs of a client and detects normal vesicular breath sounds. What is a characteristic of vesicular breath sounds? You selected: They are low-pitched, soft sounds heard over peripheral lung fields. Correct Explanation: Normal breath sounds include vesicular (low-pitched, soft sounds heard over peripheral lung fields), bronchial (loud, high-pitched sounds heard primarily over the trachea and laryn ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015, Chapter 38, Oxygenation and Perfusion, p. 1411 Question 3: The nurse is reviewing the results of a client’s arterial blood gas and pH (see full question) analysis. Normal findings include which of the following? Select all that apply. You selected: • pH 7.45 • PCO2 40 mm Hg • Base excess or deficit +2 mmol/L Correct Explanation: Normal ABG findings include a pH of 7.35-7.45, PCO2 35-45 mm Hg, PO2 80-100 mm Hg, and Base excess or deficit +2 mmol/L Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015, Chapter 38, Oxygenation and Perfusion, p. 1410 Question 4: (see full question) A client has been put on oxygen therapy because of low oxygen saturation levels in the blood. What should the nurse use to regulate the amount of oxygen delivered to the client? You selected: Nasal cannula Incorrect Correct response: Flow meter Explanation: The nurse should use a flow meter to regulate the amount of oxygen delivered to the client. A flow meter is a gauge used to regulate the amount of oxygen delivered to the client an ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, pp. . Chapter 38: Oxygenation and Perfusion - Page 1425 Question 5: (see full question) The nurse is conducting a respiratory assessment of a client age 71 years who has been recently admitted to the hospital unit. Which assessment finding should the nurse interpret as abnormal? You selected: fine crackles to the bases of the lungs bilaterally Correct Explanation: Except in the case of infants, fine crackles always constitute an