Nursing 211

N211: Health Differences Across the Lifespan I

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Compensation for respiratory acidosis would show: a. increased HCO3 b. decreased CO2 c. increased SaO2 d. decreased pH Your assessment of a three year old child being treated for Laryngotracheobronchitis shows slight substernal retractions, temperature 102 degrees F, heart rate of 120 beats per minute, and a respiratory rate of 32 breaths per minute. The most appropriate nursing action would be to: a. report you findings to the physician immediately b. record your findings in the patient’s chart c. begin oxygen administration at 2L per minute d. reassess the child in one hour Which finding would be most indicative of respiratory distress in a newborn? a. respiratory rate of 40 breaths per minute b. abdomen rises and falls with each breath c. expiratory grunting d. diaphragmatic respirations Which intervention would be appropriate for an infant in an isolette undergoing phototherapy? a. reposition frequently b. cover with plenty of blankets to maintain warmth

c. do not disturb, even for feedings d. Your patient is being given oral aminophylline. Which finding would most likely be a symptom of toxicity? a. bradycardia and oliguria b. lethargy and pallor c. cyanosis and constipation d. tachycardia and restlessness Pneumocystis carinii is usually associated with which disorder? a. HIV infection b. adult respiratory distress syndrome c. hepatitis B d. tuberculosis Your patient who has a chest tube is going to be transported to the radiology department. For safe transport you should: a. maintain chest tube patency and keeps the collection device lower than the insertion site. b. clamp the tubes close to the body and remove the collection device. c. maintain chest tube patency and hang the collection device on the IV pole. d. request that portable X-rays be taken since the patient cannot be safely transported. Answer Key on Page 143. maintain a side lying position at all times

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