NUR 186

Question 1

Expected clinical manifestations associated with respiratory alkalosis from hyperventilation

Answer 1

Lightheadedness and numbness/tingling of the fingers, toes and around the mouth

Question 2

Which breathing pattern is associated with respiratory compensation of metabolic acidosis

Answer 2

Kussmaul’s respirations ( Increased respiratory rate and depth)

Question 3

As part of a focused respiratory assessment, the RN should observe sputum for which characteristics?

Answer 3

Amount, color, consistency

Question 4

Priority nursing action upon observing labored breathing, intercostal retractions, diminished breath sounds, and bibasilar inspiratory crackles

Answer 4

Raise the HOB to semi - to high- fowler’s

Question 5

Expected finding in a client with low oxygen saturation and increased serum carbon dioxide levels

Answer 5

Increased respiratory rate and depth (Inhale more O2; exhale more CO2)

Question 6

A condition associated with low red blood cell numbers, low hemoglobin, and/or low hematocrit interfering with oxygen transport to tissue/cells

Answer 6

Anemia

Question 7

Best fitting nursing diagnosis/ problem for a client who experiences fatigue and shortness of air upon exertion

Answer 7

Activity intolerance