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NUR 213 ( LATEST 2024 / 2025 ) EXAM 3 | COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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NUR 213 ( LATEST 2024 / 2025 ) EXAM 3 | COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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NUR 213 Exam 31. Factors affecting oxygenation
Answer
Assess
Answer
-respiratory rate (12-20BPM)
-oxygen saturation (95-100%)
Physiological factors
Answer
-decreased oxygen-carrying capacity (low hemoglobin, anemia)
-hypovolemia
-decreased inspired oxygen concentration
-increased metabolic rate
Conditions affecting chest wall movement
Answer
-pregnancy, obesity, neuromuscular disease, musculoskeletal abnormalities, trau- ma,
neuromuscular disease, CNS alterations
Influences of chronic diseases
Answer
-Chronic Obstructive Pulmonary Disease (COPD), asthma
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,2. Alterations in respiratory functioning
Answer
Hyperventilation
Answer
ventilation excess of that required to eliminate CO2 produced by cellular metabolism
(breathing to fast)
-Ex
Answer
exercise, anxiety, panic attack, asthma
Hypoventilation
Answer
alveolar ventilation inadequate to meet bodys oxygen demand or to eliminate sufficient CO2
(breathing to slow or shallow)
-Ex
Answer
overdose from narcotics/opioids
Hypoxia
Answer
inadequate tissue oxygenation at the cellular level (COPD, pneumonia, poor tissue perfusion,
smoke inhalation, high altitudes)
-patients with sudden change in vitals, LOC or behavior are possibly experiencing profound
hypoxia
-patient may be confused, restless, dyspnea
Cyanosis
Answer
blue discoloration of the skin and mucous membranes
-assess skin, nail beds, lips
SUBSCRIBE
,-if darker colored skin look at palms
3. Assessment for airway mangement
Answer
1) Client history
Answer
-pain
-dyspnea, wheezing
-respiratory infections
-health risks
-fatigue
-cough
-smoking
-allergies
-medications
Physical examination
Answer
2) Inspection
Answer
-skin and mucous membrane colors
-LOC
-breathing patterns
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, -chest wall movement (use of accessory muscles to breath)
-general appearance (any tripod position)
-circulation (cyanosis)
3) Palpation
Answer
chest, feet, legs, pulses
-carotid and apical pulses
-tactile fremitus
-skin turgor, temperature, capillary refill
4) Percussion
Answer
presence of abnormal fluid or air, diaphragmatic excursion
5) Auscultation
Answer
normal and abnormal heart and lung sounds
-abnormal wheezing, crackles
6) Tests
Answer
-Blood specimens (ABGs)
-x-rays (visual of lungs)
-TB skin testing
4. Health promotion for airway management
Answer
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