NUR 421 Exam 3 Test Questions and
Correct Answers
What are the S&S of respiratory acidosis? ✅hypoventilation, headache, confused, low
BP, V-fib, hypoxia
What are the causes of respiratory acidosis? ✅hypoventilation, alcohol ingestion,
carbon monoxide poisoning, PE, CF, chemical induced
What are the S&S of respiratory alkalosis? ✅lightheaded, dizzy, tachycardia,
dysrhythmias, numbness/tingling
What are the causes of respiratory alkalosis? ✅hyperventilation, liver failure
What are the S&S of metabolic acidosis? ✅fatigue, confusion, cold & clammy skin,
N/V, abdominal pain, deep & rapid respirations
What are the causes of metabolic acidosis? ✅DKA, starvation, sepsis, dehydration,
renal problems
What are the S&S of metabolic alkalosis? ✅N/V, tremors, confusion, tingling of fingers
& toes, tachycardic
What are the causes of metabolic alkalosis? ✅vomiting, NG suctioning, excessive
NaHCO3 intake
What are the nutritional considerations with laryngeal cancer? ✅may need a PEG
tube, bland foods are best, anticipate swallowing problems
What is involved with post-op care from a radical neck dissection? ✅airway
management, wound care, nutrition, communication, psychosocial issues, semi-fowlers
position, adequate fluid intake, cough & deep breathe
What is involved with drainage from a radical neck dissection? ✅assess drainage for
CAC, assess insertion site, document 2x per shift (most drainage should occur the first
24hrs after surgery)
What is a pneumonectomy? ✅removal of one entire lung
What is involved with post op care with a pneumonectomy? ✅have pt on operative
side post op
, What is a lobectomy? ✅removal of one or more lobes of the lung
What is a wedge resection? ✅removal of small, localized lesions that occupy only part
of a segment
What pt edu is involved post lung surgery? ✅report hemoptysis, dysphagia, chest pain,
hoarsness
What is involved with the nursing assessment post op from lung surgery? ✅respiratory
function rate and effort, breath sounds, septum color & volume, chest tube function &
drainage assessment, pain
What is the function of a chest tube? ✅drain & remove fluid or air from the pleural
space, restore negative pressure, help lungs reexpand
What does the 1st chamber of the chest tube do? ✅collection; drained fluid is held
here
What does the 2nd chamber of the chest tube do? ✅water seal; 2cm of water, tidying
is present due to increased pleural pressure, bubbling indicates a leak
What does the 3rd chamber of the chest tube do? ✅suction control chamber; 20cm of
water, should be bubbling
What is involved with the assessment of the chambers of a chest tube? ✅CAC of
drainage, assess for tidying, monitor water levels in suction chamber
What are the considerations for pts. with chest tubes? ✅don't clamp, monitor for
reexpansion, pulmonary edema, hypotension, crepitus (air leaking around tube)
What are the pt. edu with chest tubes? ✅use ICS, cough deep breathe, ROM
exercises
What are the early S&S of oral cancer? ✅painless lesions, leukopletcia, irritation that's
persistent
What are the diagnostics with oral cancer? ✅health hx., CT, MRI, PET, biopsy
What is involved with assessment/care for a pt. with oral cancer? ✅nutritional
support/therapy, communication could be effected, psychosocial factors
What are the late S&S with kidney cancer? ✅flank pain, CVA tenderness, abdominal
pain, overall cancer symptoms
