NUR 130 Final: Oxygenation QUESTIONS AND ANSWERS 2024/2025 VERIFIED
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Course
NUR 130
Institution
NUR 130
NUR 130 Final: Oxygenation QUESTIONS AND ANSWERS 2024/2025 VERIFIED
1. A perioperative nurse is caring for a postoperative patient. The patient has a shallow respiratory pattern and is reluctant to cough or to begin mobilizing. The nurse should address the patients increased risk for what compli...
,1. A perioperative nurse is caring for a postoperative patient. The patient has a
shallow respiratory pattern and is reluctant to cough or to begin mobilizing. The
nurse should address the patients increased risk for what complication?
A) Acute respiratory distress syndrome (ARDS)
B) Atelectasis
C) Aspiration
A
D) Pulmonary embolism - ANSWER B
VI
2. A critical-care nurse is caring for a patient diagnosed with pneumonia as a
surgical complication. The nurses assessment reveals that the patient has an
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increased work of breathing due to copious tracheobronchial secretions. What
should the nurse encourage the patient to do?
A) Increase oral fluids unless contraindicated.
B) Call the nurse for oral suctioning, as needed.
IS
C) Lie in a low Fowlers or supine position.
D) Increase activity. - ANSWER A
M
3. The public health nurse is administering Mantoux tests to children who are being
registered for kindergarten in the community. How should the nurse administer this
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test?
A) Administer intradermal injections into the childrens inner forearms.
A
B) Administer intramuscular injections into each childs vastus lateralis.
C) Administer a subcutaneous injection into each childs umbilical area.
N
D) Administer a subcutaneous injection at a 45-degree angle into each childs
deltoid. - ANSWER A
JP
4. The nurse is caring for a patient who has been in a motor vehicle accident and
the care team suspects that the patient has developed pleurisy. Which of the nurses
assessment findings would best corroborate this diagnosis?
A) The patient is experiencing painless hemoptysis.
B) The patients arterial blood gases (ABGs) are normal, but he demonstrates
increased work of breathing.
, C) The patients oxygen saturation level is below 88%, but he denies shortness of
breath.
D) The patients pain intensifies when he coughs or takes a deep breath. -
ANSWER D
5. The nurse caring for a patient recently diagnosed with lung disease encourages
the patient not to smoke. What is the primary rationale behind this nursing action?
A) Smoking decreases the amount of mucus production.
A
B) Smoke particles compete for binding sites on hemoglobin.
C) Smoking causes atrophy of the alveoli.
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D) Smoking damages the ciliary cleansing mechanism. - ANSWER D
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6. A patient has been brought to the ED by the paramedics. The patient is
suspected of having ARDS. What intervention should the nurse first anticipate?
A) Preparing to assist with intubating the patient
B) Setting up oxygen at 5 L/minute by nasal cannula
IS
C) Performing deep suctioning
D) Setting up a nebulizer to administer corticosteroids - ANSWER A
M
7. The nurse is caring for a patient who is scheduled for a lobectomy for a
diagnosis of lung cancer. While assisting with a subclavian vein central line
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insertion, the nurse notes the clients oxygen saturation rapidly dropping. The
patient complains of shortness of breath and becomes tachypneic. The nurse
A
suspects a pneumothorax has developed. Further assessment findings supporting
the presence of a pneumothorax include what?
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A) Diminished or absent breath sounds on the affected side
B) Paradoxical chest wall movement with respirations
JP
C) Sudden loss of consciousness
D) Muffled heart sounds - ANSWER A
8. The nurse is providing discharge teaching for a patient who developed a
pulmonary embolism after total knee surgery. The patient has been converted from
heparin to sodium warfarin (Coumadin) anticoagulant therapy. What should the
nurse teach the client?
A) Coumadin will continue to break up the clot over a period of weeks
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