SOLVED

 Question 11 The nurse is assessing the nutritional intake of a patient diagnosed with chronic carbon dioxide retention. Which patient report indicates the patient requires additional information about dietary choices? 1. “I try to eat salad with lunch every day.” 2. “I drink a cup of coffee in the morning with breakfast.” 3. “I usually eat a sandwich and pasta salad for lunch.” 4. “I have been trying to increase the protein in my diet.” Question 12 The patient complains that he awakens “two or three” times every night because he is so short of breath. The nurse would ask additional assessment questions about which condition? 1. Paroxysmal nocturnal dyspnea 2. Pneumonia 3. Stroke 4. Kidney infection Question 13 The nurse is auscultating a patient’s lung fields and hears a coarse sound like bubbling water. The sounds are heard best on expiration and in the center of the patient’s chest. How should the nurse document these sounds? 1. Crackles 2. Rhonchi 3. Wheeze 4. Stridor Question 14 The nurse is planning to use a respiratory spirometer to measure the amount of air that moves in and out of a patient’s lungs with each normal breath. How will the nurse document the results of this test? 1. Tidal volume 2. Vital capacity 3. Forced expiratory volume 4. Minute ventilation Question 15 A patient is undergoing testing to differentiate her airway disorder as being restrictive or obstructive. The nurse would evaluate a normal result on which test to indicate a restrictive disorder is present? 1. Vital capacity 2. Tidal volume 3. Minute ventilation 4. Forced expiratory volume Question 16 A 40-year-old postoperative patient has a hemoglobin level of 8 g/dL and a SaO2 of 95 percent. Considering all aspects, what conclusion would the nurse make about this patient’s condition? 1. The patient is stable and at no special risk. 2. Oxygenation is adequate for a postoperative patient. 3. This patient has a potential risk of hypoxia. 4. The patient’s SaO2 is higher than expected for the patient’s age. Question 17 A nurse is participating on a committee charged with the task of choosing capnography equipment for a new emergency department. The nurse should present which information regarding these choices? 1. Sidestream analyzers provide direct real-time measurements of ETCO2. 2. Mainstream analyzers require the patient to be intubated. 3. Colorimetric capnography is useful for determining accurate placement of endotracheal tubes. 4. Mainstream analyzers provide continuous ETCO2 measurements. 5. Colorimetric measurement provides a wide range of color results that are compared to a standard chart. Question 18 A patient with severe chronic respiratory illness suddenly develops a high fever. The nurse would plan care for this patient based upon which understanding of the fever’s impact on the oxyhemoglobin dissociation curve? 1. The curve will shift to the right. 2. Additional oxygen will be released to the tissues. 3. Life-threatening tissue hypoxia may occur. 4. The change will be similar to what occurs with alkalosis. 5. Hemoglobin will bind more readily to oxygen. Question 19 A patient’s PaO2 is 88 mm Hg while on FiO2 of 0.50. What can the nurse conclude about this patient’s intrapulmonary shunt? 1. The shunt is estimated to be 176. 2. The shunt is estimated to be 568. 3. The shunt is below the minimum acceptable level. 4. This data has little use in determining oxygenation status of the patient who is retaining CO2. 5. No determination of intrapulmonary shunt can be made from this data. Question 20 A nurse who is evaluating a patient’s arterial blood gases has determined that the patient’s pH is acidic. What is the next question the nurse would ask in this interpretation? 1. Is the patient symptomatic of an acidic condition? 2. Which individual ABG component matches the pH acid–base state? 3. Is the PaCO2 within normal range? 4. Is HCO3 within normal range?