Nursing 211

N211: Health Differences Across the Lifespan I

36. What is the most likely cause of a decreased PO2 level in a patient with bilateral bronchial pneumonia? a. breathing is shallow related to pain on inspiration. b. Pre-existing underlying respiratory pathology c. Alveoli are blocked by secretions preventing adequate exchange of gases. d. Alterations in PO2 frequently occur during administration of antibiotics 37. The most appropriate intervention to increase vital capacity in a three-year- old child with asthma would be: a. blowing on pinwheel b. use an incentive spirometer c. use pursed lip breathing during exercise d. cough and deep breathe frequently 38. What is the most appropriate statement to make to a five-year-old child who is about to undergo a cardiac catheterization procedure? a. You’ll get breathing treatments every four hours after the procedure is finished. b. You’ll have nothing to worry about since you will be asleep during the whole test. c. The test won’t take long, usually less than one hour. d. When the special medication is put into the tube, it will feel warm.

39. The nurse’s primary responsibility for a patient who has just undergone cardiac catheterization is: a. to encourage the patient to ambulate as soon as possible to prevent complications. b. to observe the site for symptoms of infection. c. to assess for pain at the insertion site. d. To assess for hematoma development at the insertion site. 40. Your patient is being maintained on a ventilator. Which assessment finding needs to be reported to the physician? a. PO2 120, PCO2 35, pH 7.5, HCO3 23 b. HR 80, RR 20 c. 50 cc per hour urinary output d. white mucous obtained when suctioning ET tube 41. Compensation for respiratory acidosis would show a. increased HCO3 b. decreased CO2 c. increased SaO2 d. decreased pH

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