Gas Exchange Flashcards
The patient in the clinic presents with a history of GI bleed, a hemoglobin of 7.8 mg/dL along with heart palpitations and HR of 102 bpm. Which additional manifestations should the nurse anticipate in this patient?
A Diarrhea
B Jaundice
C Dyspnea
D Sensitivity to cold
C Dyspnea
The patient was informed that a face mask with a machine will be required when sleeping to manage sleep apnea. The patient asks how this mask will help his condition. Which response by the nurse is most appropriate?
A “It will prevent airway occlusion by bringing the tongue forward.”
B “It will help you sleep better with less apnea episodes and reduce your symptoms.”
C “The mask and machine will provide enough pressure to keep airway from collapsing.”
D “The machine will deliver oxygen while you sleep to improve your breathing.”
C “The mask and machine will provide enough pressure to keep airway from collapsing.”
The nurse is instructing the patient with pernicious anemia about this condition. Which statement by the patient indicates that teaching has been effective?
A “I will be get very sick unless I take my B12 injections for the rest of my life.”
B “Once I start taking my iron supplements, I will start to feel better.”
C “If this anemia doesn’t resolve with treatment, I will need a bone marrow transplant.”
D “I will need to enhance my diet with foods high in cobalamin.”
A “I will be get very sick unless I take my B12 injections for the rest of my life.”
A patient who is allergic to dogs experiences an “asthma attack”. Which assessment findings does the nurse expect to find?
A Slow deep pursed lip respirations.
B Breathlessness and difficulty completing sentences
C Clubbing of fingers and cyanosis of nail beds
D Bradycardia and restlessness
B Breathlessness and difficulty completing sentences
The patient admitted with suspected Tuberculosis (TB) is experiencing a fever, chest pains and a cough. Which action should the nurse take first?
A Administer the antitubercular drugs
B Place the patient in an isolation room
C Prepare the patient to provide a sputum specimen
D Admit the patient to the ICU for close monitoring
B Place the patient in an isolation room
The patient with active TB continues to have positive sputum cultures after 6 months of therapy. The patient cannot confirm if all medications were taken as ordered. What action should the nurse take next?
A Arrange for directly observed therapy by a public health nurse
B Schedule the patient to come to the clinic every day to receive the medications
C Arrange a meeting with other TB patients who have recovered after taking medications
D Re-instruct the patient on the importance of taking medications and risk of noncompliance.
A Arrange for directly observed therapy by a public health nurse
public health concern because he has active TB
Which patient does the nurse suspect may be experiencing inadequate oxygen?
A Patient A is admitted with Pneumonia, pulse ox 95% RA, RR 18, and cough
B Patient B is 1st day post-op gall bladder surgery with HR 100 and diaphoretic
C Patient C is post cardiac catheterization with a BP of 130/80 and weak pedal pulses
D Patient D is 80 years old post hip replacement undergoing intensive physical therapy, is experiencing fatigue
B Patient B is 1st day post-op gall bladder surgery with HR 100 and diaphoretic
A is not too much of a concern
C is a perfusion issue, not oxygenation
D is an expected finding
B has increased HR and is diaphoretic
The nurse is caring for a 73-year old patient who underwent a left total knee replacement. On the third postoperative, the patient complains of shortness of breath and slight chest pain. Temperature is 98.4F, blood pressure is 130/88, respiration is 36, and oxygen saturation 91% on room air. Which should the nurse first suspect as the etiology of this episode?
A Septic embolus from the knee joint
B Pulmonary embolus form deep vein thrombosis
C New onset of angina pectoris
D Pleural effusion related to positioning in the operating room
B Pulmonary embolus form deep vein thrombosis
Which patient should the charge nurse assign to a step-down RN pulled to the intensive care unit for the day?
A A 68 year-old patient on a ventilator with acute respiratory failure
B A 72 year-old patient with COPD who is ventilator dependent
C A 56 year-old new admission patient with Ketoacidosis and on an insulin drip
D A 38-year old patient on a ventilator with narcotic overdose
B A 72 year-old patient with COPD who is ventilator dependent
Which clinical manifestation is priority for the nurse to monitor for in the patient with chronic bronchitis who often shows signs of hypoxia?
A Large amounts of thick mucus
B Chronic non-productive, dry cough
C Clubbing of fingers
D Barrel Chest
A Large amounts of thick mucus
