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NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
NEWEST 2026/2027 COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
Which of the following is the anticipated effect of an
alteration in gas exchange on an older adult client?
Select all that apply.
a)Exertional dyspnea
b)Increased respiratory depth
c)Decreased respiratory rate
d)Reduced ability to perform ADLs
e)Increased cough effort - ANSWER-a)Exertional dyspnea
d)Reduced ability to perform ADLs
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An older adult client who has alterations in gas exchange
will likely experience changes in dyspnea on exertion that
may result in reduced capacity to perform ADLs. It is due
to structural and immunologic changes as the client ages.
The older adult has decreased elastin in and around the
lungs, which causes reduced recoil, and they have
decreased chest wall compliance, affecting their ability to
breathe effectively and, thus, decreasing their respiratory
depth. Also, the muscles of the respiratory system weaken
with aging because of a decrease in the muscle mass in
both the diaphragm and the intercostal area.
With age, the ability to breathe effectively is impaired
because of decreased chest wall compliance, increased
anteroposterior diameter, and a shortened thorax. These
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changes in an older client lead to an increased respiratory
rate, labored breathing, and ineffective cough.
What should the nurse do for a chest tube placement? -
ANSWER-- Have suction tubing ready
- Provide analgesic prior to procedure
- Provide supplemental o2
- CXR to verify placement
- Monitor VS after procedure
- Keep occlusive dressing over site
What are the nursing interventions for pneumothorax? -
ANSWER-- Monitor VS
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- Monitor lung sounds
- Monitor chest tube site
- Encourage ambulation
- Reposition to promote drainage
- Assist with splinting
- Place in semi-fowlers position
- Monitor chest tube for air leaks, color and amount of
output, water level/ suction bellows to ensure suction level
is adequate
- Encourage deep breathing and to cough
What does continuous bubbling in the water-seal chamber
indicate? - ANSWER-An air leak.
NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
NEWEST 2026/2027 COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
Which of the following is the anticipated effect of an
alteration in gas exchange on an older adult client?
Select all that apply.
a)Exertional dyspnea
b)Increased respiratory depth
c)Decreased respiratory rate
d)Reduced ability to perform ADLs
e)Increased cough effort - ANSWER-a)Exertional dyspnea
d)Reduced ability to perform ADLs
,2|Page
An older adult client who has alterations in gas exchange
will likely experience changes in dyspnea on exertion that
may result in reduced capacity to perform ADLs. It is due
to structural and immunologic changes as the client ages.
The older adult has decreased elastin in and around the
lungs, which causes reduced recoil, and they have
decreased chest wall compliance, affecting their ability to
breathe effectively and, thus, decreasing their respiratory
depth. Also, the muscles of the respiratory system weaken
with aging because of a decrease in the muscle mass in
both the diaphragm and the intercostal area.
With age, the ability to breathe effectively is impaired
because of decreased chest wall compliance, increased
anteroposterior diameter, and a shortened thorax. These
,3|Page
changes in an older client lead to an increased respiratory
rate, labored breathing, and ineffective cough.
What should the nurse do for a chest tube placement? -
ANSWER-- Have suction tubing ready
- Provide analgesic prior to procedure
- Provide supplemental o2
- CXR to verify placement
- Monitor VS after procedure
- Keep occlusive dressing over site
What are the nursing interventions for pneumothorax? -
ANSWER-- Monitor VS
, 4|Page
- Monitor lung sounds
- Monitor chest tube site
- Encourage ambulation
- Reposition to promote drainage
- Assist with splinting
- Place in semi-fowlers position
- Monitor chest tube for air leaks, color and amount of
output, water level/ suction bellows to ensure suction level
is adequate
- Encourage deep breathing and to cough
What does continuous bubbling in the water-seal chamber
indicate? - ANSWER-An air leak.
