SOLVED

Chapter 33 Question 1 The nurse assessing a patient with multiple injuries is concerned about the patient’s ability to maintain adequate oxygenation. Which explanation would the nurse provide for this increased concern? 1. The patient’s bowel sounds are hypoactive. 2. The patient has a hemoglobin level of 14 mg/dL. 3. The patient suffered a cervical neck injury and slight concussion. 4. The patient had an arm injury from flying glass. Question 2 A patient has a hemoglobin level of 8.6 mg/dL. The nurse is concerned that which oxygenation component will be affected in this patient? 1. Oxygen delivery 2. Diffusion of oxygen 3. Pulmonary gas exchange 4. Oxygen consumption Question 3 A patient is being started on oxygen therapy for an oxygen saturation level of 84% on room air. The nurse expects that this therapy will be effective if oxygen enters the blood through which physiological process? 1. Osmosis 2. Fluid shift 3. Diffusion 4. Concentration gradient Question 4 The nurse, caring for a patient with hypovolemic shock is primarily concerned that which change could occur in this patient’s pulmonary gas exchange? 1. Insufficient distribution of oxygen 2. Buildup of electrolytes in the blood 3. Over-oxygenation 4. Oxygen delivery shift to osmosis Question 5 The nurse is caring for a patient diagnosed with uncontrolled asthma. The nurse implements interventions to help control the effects of asthma on which element of the patient’s pulmonary gas exchange? 1. Removal 2. Diffusion 3. Ventilation 4. Perfusion Question 6 The nurse is caring for a patient with pneumonia that has impaired diffusion of oxygen. Assessment findings related to this impairment are similar to those the nurse would see in patients with which other disease states? 1. Spinal cord injuries 2. Flail chest 3. Atelectasis 4. Carbon monoxide poisoning Question 7 A nurse reviewing arterial blood gas results identifies the oxygen saturation level as low. The nurse interprets this information to reflect changes in which process? 1. Ratio of oxygenated hemoglobin to total hemoglobin 2. Percentage of cardiac output 3. Content of oxygen in arterial blood 4. Autoregulation Question 8 A patient is diagnosed with iron deficiency anemia. The nurse plans interventions for a patient with which most likely complication? 1. Impaired oxygen delivery 2. Bleeding 3. Multisystem organ failure 4. Reduced lung function Question 9 A patient tells the nurse that he feels more energetic when he wears oxygen. What would the nurse consider prior to responding to this statement? 1. The patient’s ability to extract oxygen is increased by wearing oxygen. 2. Increasing oxygen availability has shifted the oxyhemoglobin dissociation curve to the left. 3. Increasing availability of oxygen has produced more adenosine triphosphate. 4. Increased oxygen increases energy by breaking down carbohydrates. Question 10 A patient is diagnosed with diabetic ketoacidosis. The nurse plans to provide care to a patient whose energy is being produced through which process? 1. Affinity 2. Aerobic metabolism 3. Extraction 4. Anaerobic metabolism