Nursing 211

N211: Health Differences Across the Lifespan I

Chapter 2 Practice Questions 1.

Which aspect of the following ABGs would be of most concern? a. pO2 91 b. pCO2 44 c. pH 7.28 d. sat 95% Which intervention would be most appropriate when caring for a patient with a tracheostomy? a. frequently suction the mouth and then the tracheostomy b. cleanse around the site with only sterile water c. encourage fluid intake d. change the tube frequently Which symptom is usually not associated with respiratory acidosis? a. headache b. irritability c. confusion d. bradycardia After administrating too much morphine sulfate, the patients CO 2 level is increasing. Why? a. chest muscles have become too weak for deep inspiration. b. Diaphragmatic musculature is depressed, preventing normal inspiration and expiration. c. CO2 increases in an attempt to compensate for increased oxygen accumulation. d. The medullary control center is depressed.

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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 The most appropriate intervention to increase vital capacity in a 3- 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 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

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