NSG 170 GAS EXCHANGE PRACTICE QUESTIONS AND ANSWERS
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Course
NSG 170
Institution
NSG 170
What are the primary causes for an acute exacerbation of COPD? a. gastrointestinal viruses b. air pollution c. change in season from Spring to Summer d. tracheobronchial infection e. hypertension b. air pollution d. tracheobronchial infection
A nurse is planning care for a client who has perniciou...
NSG 170 GAS EXCHANGE PRACTICE
QUESTIONS AND ANSWERS
What are the primary causes for an acute exacerbation of COPD?
a. gastrointestinal viruses
b. air pollution
c. change in season from Spring to Summer
d. tracheobronchial infection
e. hypertension ✅b. air pollution
d. tracheobronchial infection
A nurse is planning care for a client who has pernicious anemia. Which of the following
interventions should the nurse plan to implement?
a. Vitamin B6 supplements
b. blood transfusions
c. iron supplements
d. Vit B12 injection ✅d. Vit B12 injection
A client's spouse states that she is worried about her husband because he appears to
be breathing "really hard". The nurse performs a respiratory assessment. What findings
would indicate a need for further interventions?
a. client states, "It always seems like I just can't catch my breath"
b. BP 122/80, HR 116, R 24, pale and clammy skin, temp 101.3 F
c. pale, paper thin skin, O2 at 2L/min via nasal cannula
d. BP 122/82, HR 102, R 24, noted barrel chest, temp 98.4F ✅b. BP 122/80, HR 116,
R 24, pale and clammy skin, temp 101.3 F
A nurse evaluates the following arterial blood gas and vital sign results for a patient with
chronic obstructive pulmonary disease (COPD):
pH 7.32, PaCo2 62mmHg, PaO2 46mmHg, HCO3 28mEq/L (28mmol/L)
HR 110, RR 12, BP 145/65, O2 76%
What action should the nurse take first?
a. document findings as normal for a patient with COPD
b. Teach the patient diaphragmatic breathing techniques
c. administer a short-acting beta 2 agonist
d. initiate oxygenation therapy to increase saturation to 92% ✅d. initiate oxygenation
therapy to increase saturation to 92%
A nurse is planning nutritional teaching for a client who is experiencing fatigue due to
iron deficiency anemia. Which of the following foods should the nurse recommend to the
client?
a. 1.5oz raisins
b. 8oz black tea
c. 1c canned black beans
, d. 8oz whole milk ✅a. 1.5oz raisins
or
c. 1c canned black beans
Order: Tegretol 0.3g PO BID
Available: Tegretol 100mg chewable tablets
How many tablets will be administered per dose? ✅3
An IV piggyback of 75mL is to be infused over 40mins. The drop factor is 12gtt/mL. How
many drops per minute will be infused? (round to nearest whole number) ✅23
A nurse is providing teaching to a client who has asthma and a new prescription for
inhaled beclomethasone. Which of the following instructions should the nurse provide?
a. check the pulse after medication administration
b. limit caffeine intake
c. take the medication with meals
d. rinse the mouth after administration ✅d. rinse the mouth after administration
A nurse is teaching a client who has asthma how to use a metered dose inhaler (MDI).
The nurse identifies the sequence of steps the client should follow. Write the steps in
proper order:
1. place lips firmly around the mouthpiece
2. exhale slowly thru pursed lips
3. inhale deeply and then exhale completely
4. hold breath for 10sec
5. breathe in deeply over 2-3secs while pushing down on the canister
6. wait 60sec between each puff ✅3. inhale deeply and then exhale completely
1. place lips firmly around the mouthpiece
5. breathe in deeply over 2-3secs while pushing down on the canister
4. hold breath for 10sec
2. exhale slowly thru pursed lips
6. wait 60sec between each puff
A parent of a child with asthma asks if his child can still participate in sports. What
response by the nurse is best?
a. "Even with good asthma control, I would advise limiting the child to one athletic
activity per school year."
b. "Avoid swimming because exhaling underwater is dangerous for people with
asthma."
c. "Children with asthma are usually restricted from physical activities."
d. "Children can usually play any type of sport if their asthma is well controlled." ✅d.
"Children can usually play any type of sport if their asthma is well controlled."
A nurse is providing dietary teaching for a client who has COPD. Which of the following
instructions should the nurse include?
a. "Use a bronchodilator 1hr before eating"
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