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Gas Exchange 1 - from Davis Edge Quiz

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Question
Answer
show The client demonstrates the correct way to pursed-lip breathe Rational - Pursed-lip breathing helps keep the alveoli open to allow for better oxygen and carbon dioxide exchange.  
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Which information would the practical nurse expect to be included in the teaching plan for the mother of a child diagnosed with cystic fibrosis (CF)? (Select all that apply)   show
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show Pulmonary embolus Rational - Part of the clot in the deep veins of the legs dislodges and travels up the inferior vena cava, lodges in the pulmonary artery, and causes the chest pain; the client often feels as if he or she is going to die.  
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The practical nurse is caring for a client who is anxious, has a respiratory rate of 40, and is complaining of fingers tingling and lips feeling numb. Which intervention should the practical nurse implement first?   show
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show Institute and maintain bed rest, as ordered - Bed rest reduces the risk of another clot becoming an embolus leading to a pulmonary embolus. Bed rest reduces metabolic demands and tissue needs for oxygen in the lungs.  
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show Pneumothorax & Pleural effusion = A chest tube is used when fluid or air has collected in the pleural space, as in pneumothorax, pleural effusion, penetrating chest injury, or during chest surgery.  
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The nurse obtained an oxygen saturation reading of 85% on a client who has no other abnormal vital sign values. Which of the following may cause the oxygen saturation to be inaccurate? Select all that apply.   show
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The nurse is aware that pulmonary function tests (PFTs) are used to diagnose and monitor which of the following types of respiratory disorders? Select all that apply.   show
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show Pneumothorax - A chest x-ray is usually ordered after a thoracentesis to ensure that the lung was not punctured and deflated (pneumothorax) during the procedure.  
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The nurse is preparing a client for a thoracentesis and will place the client in which of the following positions for the best results from this treatment?   show
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The nurse is caring for a client who has been unable to cough up secretions and will need to be suctioned. Which of the following vital signs is most important for the nurse to monitor with this client during the procedure?   show
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A client with severe diarrhea has developed metabolic acidosis. Which of the following respiratory changes does the nurse expect to see as the body attempts to correct the acidosis?   show
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The nurse is caring for a client who is unable to sit up. In which of the following positions will the nurse place the client for auscultation of the posterior chest?   show
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The nurse is caring for a client who is experiencing slight shortness of breath (SOB), especially on exertion. What laboratory value is most associated with this client’s symptom?   show
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a ventilation-perfusion (VQ) scan, which showed that the affected area of the lung was well ventilated but had no blood supply. Which of the following classifications of medication does the nurse expect the health-care provider to order?   show
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Which clinical manifestation would the practical nurse expect to observe in the older adult client diagnosed with pneumonia?   show
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show he client’s pulse oximeter reading is greater than 93% = impaired gas exchange.” A pulse oximeter reading of greater than 93% indicates the client is being adequately oxygenated which is an appropriate client outcome.  
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The practical nurse (PN) is caring for a client with cancer of the lung and has a nursing diagnosis of “impaired gas exchange.” Which intervention would the PN expect to be in the plan of care?   show
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