DAVIS ADVANTAGE CHAPTER 37
QUESTIONS WITH COMPLETE
SOLUTIONS.
During an assessment, the nurse notices that a client's breathing pattern follows a
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cycle of progressively increasing in depth, then progressively decreasing in depth,
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followed by a period of apnea. Which appropriately describes this respiratory pattern?
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- ANSWER: Cheyne-Stokes respirations
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Which oxygen delivery method can deliver the highest Fio2? - ANSWER:
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nonrebreather mask
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The nurse is performing a painless, noninvasive procedure to measure SaO2. Which
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procedure is it? - ANSWER: pulse oximetry
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Eldon Martin is a 75-year-old retired Marine Corps officer. He smoked cigarettes most
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of his adult life, but quit 10 years ago when he learned he had allergy-induced
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asthmatic lung disease. He comes to the hospital today with a high fever, productive
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cough, and pain in his chest. He is diagnosed with pneumonia.
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What additional assessment findings would be important for the nurse to gather in
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relation to oxygenation concerns? Select all that apply. - ANSWER: pulse oximetry
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reading, arterial blood gas, lung sounds, and number of years of smoking.
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Upon further assessment, the nurse discovers that Mr. Martin has conversational
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dyspnea and use of accessory muscles. His sputum is dark yellow-green and thick.
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He is having difficulty expectorating. What is the best position for Mr. Martin? -
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ANSWER: high fowler's
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To promote mobilization of the pneumonia secretions, which actions should the nurse
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include in the plan of care? Select all that apply. - ANSWER: encourage cough and
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deep breathing, maintain hydration, and perform chest physiotherapy.
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The nurse performs a routine assessment on Mr. Martin and discovers that his pulse
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oximetry reading is 89%. She contacts the healthcare provider and receives an order
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for oxygen at 2 L/nasal cannula. What hazards should be considered with the use of
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oxygen? Select all that apply. - ANSWER: High oxygen concentration can lead to
vv vv vv vv vv vv vv vv vv vv vv vv vv
alveolar collapse.
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Toxicity can develop if too much oxygen is delivered.
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Oxygen tanks are pressurized and can turn into an unguided missile.
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Oxygen is highly combustible. vv vv vv
QUESTIONS WITH COMPLETE
SOLUTIONS.
During an assessment, the nurse notices that a client's breathing pattern follows a
vv vv vv vv vv vv vv vv vv vv vv vv
cycle of progressively increasing in depth, then progressively decreasing in depth,
vv vv vv vv vv vv vv vv vv vv vv
followed by a period of apnea. Which appropriately describes this respiratory pattern?
vv vv vv vv vv vv vv vv vv vv vv vv
- ANSWER: Cheyne-Stokes respirations
vv vv vv vv
Which oxygen delivery method can deliver the highest Fio2? - ANSWER:
vv vv vv vv vv vv vv vv vv vv
nonrebreather mask
vv vv
The nurse is performing a painless, noninvasive procedure to measure SaO2. Which
vv vv vv vv vv vv vv vv vv vv vv
procedure is it? - ANSWER: pulse oximetry
vv vv vv vv vv vv vv
Eldon Martin is a 75-year-old retired Marine Corps officer. He smoked cigarettes most
vv vv vv vv vv vv vv vv vv vv vv vv
of his adult life, but quit 10 years ago when he learned he had allergy-induced
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
asthmatic lung disease. He comes to the hospital today with a high fever, productive
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
cough, and pain in his chest. He is diagnosed with pneumonia.
vv vv vv vv vv vv vv vv vv vv vv
What additional assessment findings would be important for the nurse to gather in
vv vv vv vv vv vv vv vv vv vv vv vv
relation to oxygenation concerns? Select all that apply. - ANSWER: pulse oximetry
vv vv vv vv vv vv vv vv vv vv vv vv
reading, arterial blood gas, lung sounds, and number of years of smoking.
vv vv vv vv vv vv vv vv vv vv vv vv
Upon further assessment, the nurse discovers that Mr. Martin has conversational
vv vv vv vv vv vv vv vv vv vv
dyspnea and use of accessory muscles. His sputum is dark yellow-green and thick.
vv vv vv vv vv vv vv vv vv vv vv vv vv
He is having difficulty expectorating. What is the best position for Mr. Martin? -
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
ANSWER: high fowler's
vv vv vv
To promote mobilization of the pneumonia secretions, which actions should the nurse
vv vv vv vv vv vv vv vv vv vv vv
include in the plan of care? Select all that apply. - ANSWER: encourage cough and
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
deep breathing, maintain hydration, and perform chest physiotherapy.
vv vv vv vv vv vv vv vv
The nurse performs a routine assessment on Mr. Martin and discovers that his pulse
vv vv vv vv vv vv vv vv vv vv vv vv vv
oximetry reading is 89%. She contacts the healthcare provider and receives an order
vv vv vv vv vv vv vv vv vv vv vv vv vv
for oxygen at 2 L/nasal cannula. What hazards should be considered with the use of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
oxygen? Select all that apply. - ANSWER: High oxygen concentration can lead to
vv vv vv vv vv vv vv vv vv vv vv vv vv
alveolar collapse.
vv vv
Toxicity can develop if too much oxygen is delivered.
vv vv vv vv vv vv vv vv
Oxygen tanks are pressurized and can turn into an unguided missile.
vv vv vv vv vv vv vv vv vv vv
Oxygen is highly combustible. vv vv vv
