RNSG 1261 Medical-Surgical Nursing/ Pre-Quiz Fundamentals: Scenario 8 – Maurice A: all answers correct, latest Fall 2021.

Pre-Quiz Fundamentals: Scenario 8 – Maurice A. 1. Diffusion of oxygen into the blood occurs in which structure located in the lungs? A. Carina B. Segmental bronchi C. Terminal bronchiole D. Alveoli 2. The normal respiratory rate for a healthy adult is: A. 6 to 10 breaths per minute. B. 10 to 16 breaths per minute. C. 12 to 20 breaths per minute. D. 18 to 26 breaths per minute. 3. A physician tells a patient that he is suffering from hypoxia. The patient asks the nurse what the term means. Which statement by the nurse is most accurate? A. "It would be best if you asked your physician to explain hypoxia." B. "Hypoxia means that the cells in your body's tissues are not receiving enough oxygen." C. "Hypoxia means that there is a deficient amount of oxygen in your blood." D. "There is too much carbon dioxide in your blood." 4. Sibilant wheezing upon auscultation of the lungs is an indication of: A. narrowed air passages. B. sudden reinflation of alveoli. C. inflamed pleura. D. fluid or mucus in airways. 5. A nasal cannula administering oxygen at 4 L/min is delivering an oxygen concentration of approximately: A. 24%. B. 28%. C. 36%. D. 32%.6. is the correct intervention to perform when administering oxygen via nasal cannula. A. Changing the cannula and tubing every 8 hours to prevent bacterial growth B. Using tape to secure the cannula to the nose to prevent dislodging of the delivery system C. Monitoring the patient for skin breakdown in the nares and over the ears D. Checking the oxygen flow rate and physician's orders at least every 2 hours 7. Which interventions should be included in the care plan for a patient with a nursing diagnosis of Ineffective airway clearance related to pulmonary secretions? Select all that apply. A. Encouraging the patient to cough and deep breathe every 4 hours B. Increasing the patient's fluid intake C. Pacing the patient's hygiene activities D. Placing the patient in high Fowler's position 8. A nurse documents "coarse crackles present in posterior lobes bilaterally" in a patient's medical record. The sounds the nurse heard are described as: A. dry, rubbing, or grating. B. loud and bubbly. C. loud, low-pitched rumbling. D. high-pitched, short, interrupted crackling. 9. Abnormal breath sounds upon auscultation can be described as breath sounds. A. tracheal B. bronchovesicular C. adventitious D. vesicular 10. Which oxygen delivery method can a nurse anticipate to be ordered for a patient whose condition requires the administration of a very precise and high level of oxygen concentration? A. Transtracheal cannula B. Venturi mask C. Simple face mask D. Nasal cannulaPost-Quiz Fundamentals: Scenario 8 – Maurice A. 1. Maurice Arviso has been experiencing a fever as a result of his pneumonia. His nurse is aware that a fever above F may be harmful. A. 101.8 B. 100.9 C. 102.2 D. 99.7 2. Maurice Arviso's physician orders an incentive spirometer 10 times per hour. Which patient statement demonstrates an understanding of the proper use of the device? A. "Exhaling quickly is the best way to use an incentive spirometer." B. "I should inhale slowly and evenly." C. "The incentive spirometer can determine the tidal volume in my lungs." D. "This device will measure the amount of oxygen that I am inhaling." 3. Maurice Arviso is to have his oxygen titrated to keep his oxygen saturation level above 92%. The most effective and least invasive way to monitor this level is by performing: A. daily arterial blood gases. B. continuous pulse oximetry. C. routine venipuncture. D. finger stick for oxygen saturation. 4. Maurice Arviso's respiratory rate is ranging from 24 to 32 breaths per minute. This respiratory pattern is known as: A. tachypnea. B. bradypnea. C. apnea. D. hyperpnea. 5. Which nursing diagnosis best reflects the issue of Maurice Arviso's inability to care for his hygiene and elimination needs due to his pneumonia-related weakness and hypoxia? A. Ineffective health maintenance B. Impaired physical mobility C. Risk for infection D. Fatigue6. Moving the head of Maurice Arviso's bed from a 30-degree angle to a 45-degree angle will aid in his breathing primarily by: A. aiding in expectoration of secretions from the bases of his lungs. B. allowing his alveoli to better diffuse oxygen. C. encouraging better flow of oxygen from his nasal cannula. D. using gravity to help increase his lung expansion and reduce the pressure exerted byhis abdomen onto his diaphragm. 7. How is Maurice Arviso's fever contributing to his hypoxia? A. A fever can cause the body's cellular metabolism to increase, thereby causing hypoxia. B. Pneumonia can trigger the hypothalamus to raise the body temperature, thereby causing hypoxia. C. A fever can cause oxygen saturation levels to decrease, thereby causing hypoxia. D. A fever can increase the carbon dioxide levels in the blood, thereby causing hypoxia. 8. Maurice Arviso has made reference to a shaman in regards to his care. A shaman can best be described as a cultural healer who utilizes: A. needles as a form of yin treatment to restore balance and flow in the body. B. massage and manipulation of bones and joints to treat illnesses. C. plant, animal, and mineral products to restore balance within the body. D. a combination of prayers, chanting, and herbs to treat illnesses. 9. The ideal oxygen saturation level for Maurice Arviso is . A. 35 to 45 mm Hg B. 85 to 100 mm Hg C. 85% to 89% D. 95% to 99%