Oxygenation And Tissue Perfusion

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Nursing, Theory, and Professional Practice
Values, Beliefs, and Caring
Communication
Critical Thinking in Nursing
Introduction to the Nursing Process
Assessment
Nursing Diagnosis
Planning
Implementation and Evaluation
Documentation, Electronic Health Records, and Reporting
Ethical and Legal Considerations
Leadership and Management
Evidence-Based Practice and Nursing Research
Health Literacy and Patient Education
Nursing Informatics
Health and Wellness
Human Development: Conception through Adolescence
Human Development Young Adult to Older Adult
Vital Signs
Health History and Physical Assessment
Ethnicity and Cultural Assessment
Spiritual Health
Public Health, Community Base, and Home Health Care
Human Sexuality
Safety
Asepsis and Infection Control
Hygiene and Personal Care
Activity, Immobility, and Safe Movement
Skin Integrity and Wound Care
Nutrition
Cognitive and Sensory Alterations
Stress and Coping
Sleep
Diagnostic Testing
Medication Administration
Pain Management
Perioperative Nursing Care
Oxygenation and Tissue Perfusion
Fluid, Electrolytes, and Acid-Base Balance
Bowel Elimination
Urinary Elimination
Death and Loss

All Questions

Question 1

Free

Multiple Choice

The nurse finds the patient in cardiopulmonary arrest with no pulse or respirations. Which oxygen delivery device will the nurse use for this patient?

Choose correct answer/s

Non-rebreather mask

Bag-valve-mask unit

Continuous positive airway pressure (CPAP)

High-flow nasal cannula

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Question 2

Free

Multiple Choice

The nurse is caring for a patient who is slow to awaken following general anesthesia. The patient is breathing spontaneously but is minimally responsive and having difficulty maintaining a patent airway. Which intervention is the most appropriate for the patient to improve oxygenation?

Choose correct answer/s

Insert an oral airway.

Lower the head of the bed.

Turn the patient's head to the side.

Monitor the patient's pulse oximetry.

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Question 3

Free

Multiple Choice

The nurse is caring for a patient with a history of left-sided congestive heart failure who is acutely short of breath. The nurse hears fine crackles throughout both lung fields and notes that the patient's pulse oximetry is only 88% on 4 L of oxygen. What is the priority intervention of the nurse?

Choose correct answer/s

Administer the ordered intravenous diuretic.

Prepare for insertion of a chest tube.

Suction secretions from the patient's respiratory tract.

Have the patient use the ordered incentive spirometer.

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Question 4

Free

Multiple Choice

The nurse is caring for a patient who has been intubated with an oral endotracheal tube for several weeks. The physicians predict that the patient will need to remain on a ventilator for at least several more weeks before he will be able to maintain his airway and breathe on his own. What procedure does the nurse anticipate will be planned for the patient to facilitate his recovery?

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Placement of a tracheostomy tube

Diagnostic thoracentesis

Pulmonary angiogram

Lung transplantation surgery

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Question 5

Free

Multiple Choice

The nurse is caring for a patient with a chest tube who was transported to radiology for testing. When the patient returns to the nursing unit, the transporter shows the nurse the patient's chest tube collection device, which was badly damaged after being caught in the elevator door. What is the priority action of the nurse?

Choose correct answer/s

Clamp the chest tube until the collection device is replaced.

Cover the insertion site with a new occlusive dressing.

Ensure that there is gentle bubbling in the water seal chamber.

Check the patient's lung sounds and pulse oximetry.

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Question 6

Multiple Choice

The nurse is caring for a patient who is hospitalized for pneumonia. Which nursing diagnosis has the highest priority?

Choose correct answer/s

Activity intolerance r/t generalized weakness and hypoxemia

Imbalanced nutrition r/t poor appetite and increased metabolic needs

Ineffective airway clearance r/t thick secretions in trachea and bronchi

Knowledge deficit r/t use of nebulizer and inhaled bronchodilators

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Question 7

Multiple Choice

The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis Impaired gas exchange r/t impaired pulmonary blood flow from embolus?

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The patient will maintain pulse oximetry values of at least 95% on room air.

The patient will verbalize understanding of ordered anticoagulants.

The patient will report chest pain of no greater than 3 on a 1-10 scale.

The patient will ambulate 50 feet in hallway without shortness of breath.

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Question 8

Multiple Choice

The nurse is caring for a patient with severe COPD who is becoming increasingly confused and disoriented. What is the priority action of the nurse?

Choose correct answer/s

Obtain an arterial blood gas to check for carbon dioxide retention.

Increase the patient's oxygen until the pulse oximetry is greater than 98%.

Lower the head of the patient's bed and insert a nasal airway.

Administer a mild sedative and reorient the patient as needed.

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Question 9

Multiple Choice

The nurse is caring for a patient who has been prescribed warfarin (Coumadin) therapy after being diagnosed with atrial fibrillation. The patient tells the nurse that he doesn't want to take any more pills and asks what could happen if he doesn't fill the prescription. What is the nurse's best response?

Choose correct answer/s

"You could have a stroke."

"Your kidneys could fail."

"You could develop heart failure."

"You could go into respiratory failure."

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Question 10

Multiple Choice

The preceptor is working with a new nurse to provide care for a patient with a chest tube to relieve a pneumothorax. Which action by the new nurse indicates need for additional teaching about chest tube care?

Choose correct answer/s

The suction is discontinued when the patient is ambulated to the bathroom.

The collection device is emptied at the end of the shift and output recorded in the chart.

The patient's bed is placed in the semi-Fowler's position to facilitate lung reexpansion.

The patient is encouraged to use his incentive spirometer at least 10 times every hour.

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Question 11

Multiple Choice

The nurse is caring for a postoperative patient who has just been diagnosed with a deep vein thrombosis (DVT) in the right leg. Which focused assessment question has the highest priority for this patient?

Choose correct answer/s

"Do you have a headache or any dizziness?"

"Do you have any chest pain or shortness of breath?"

"When did you first notice the swelling and redness in your leg?"

"Do you have any cramping or muscle spasms in your leg?"

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Question 12

Multiple Choice

Which of the following patients would benefit from postural drainage?

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A patient with a heart murmur and jugular venous distention

A patient with asthma and audible wheezing

A patient with right-sided heart failure and pitting edema

A patient with chronic bronchitis and congested cough

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Question 13

Multiple Choice

The nurse is caring for a patient who has a history of congestive heart failure with generalized pitting edema. Which of the following laboratory results will the nurse expect to find in the patient's chart?

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Glycosylated hemoglobin 12%

Platelet count 450,000/mm3

Hematocrit 32%

Prothrombin time 8.8 seconds

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Question 14

Multiple Choice

The nurse is caring for a patient with high cholesterol who has been prescribed atorvastatin (Lipitor). Which laboratory result indicates that the patient has been taking the medication as ordered and following the physician's dietary recommendations?

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Serum triglyceride level 325 mg/dL

High-density lipoproteins (HDL) 56 mg/dL

Low-density lipoproteins (LDL) 155 mg/dL

Total cholesterol level 185 mg/dL

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Question 15

Multiple Choice

The nurse is caring for a patient who has just had a massive myocardial infarction. Which is the priority nursing diagnosis for this patient?

Choose correct answer/s

Impaired comfort r/t noisy ICU environment and need for frequent monitoring

Interrupted family processes r/t hospitalization of primary wage earner

Readiness for enhanced knowledge r/t cardiac rehabilitation options

Decreased cardiac output r/t weakened cardiac muscle and irregular heartbeat

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Question 16

Multiple Choice

The nurse is caring for a patient who has presented to the ER with chest pain. Which diagnostic test will best indicate if there is significant blockage of certain important blood vessels that provide oxygen to the heart muscle?

Choose correct answer/s

Cardiac catheterization

Chest x-ray

Echocardiogram

Electrocardiogram

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Question 17

Multiple Choice

The nurse hears a loud murmur when listening to the patient's heart. Which diagnostic test will best display the condition of the valves and structures within the patient's heart that could be causing the murmur?

Choose correct answer/s

Chest x-ray

Cardiac catheterization

Echocardiogram

Electrocardiogram

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Question 18

Multiple Choice

The nurse is caring for a patient who will be returning to the nursing unit following a cardiac catheterization via the right femoral artery. Which assessment is the highest priority for the nurse to perform when the patient arrives on the unit?

Choose correct answer/s

Checking the patient's right pedal pulse and warmth of the right leg

Checking pulse oximetry and listening to the patient's lung sounds

Checking bilateral radial pulses to check for a pulse deficit

Estimating the patient's jugular venous pressure

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Question 19

Multiple Choice

The home care nurse is caring for a patient who has severe COPD and home oxygen therapy. The patient tells the nurse that she feels much better after increasing the oxygen flowmeter from 2 L to 5 L/min. The patient's pulse oximetry is 98%. What is the priority action of the nurse?

Choose correct answer/s

Reduce the oxygen flow rate until the patient's pulse oximetry value is 90% to 92%.

Inform the patient's physician and obtain an order for oxygen at 5 L/min.

Document the intervention and findings in the patient's medical record.

Listen to the patient's lung fields and reinforce pursed-lip breathing techniques.

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Question 20

Multiple Choice

The nurse is caring for a patient with advanced COPD who reports feeling short of breath. The nurse notes that the patient's lung sounds are diminished bilaterally and the patient's pulse oximetry is 91% on 2 L/min oxygen via nasal cannula. What actions will the nurse take to make the patient more comfortable? (Select all that apply.)

Choose correct answer/s

Increase the patient's oxygen to 4 L/min via nasal cannula.

Suction the patient's airway using sterile technique.

Maintain eye contact and provide calm reassurance.

Turn the patient onto the side for postural drainage.

Administer the ordered nebulized bronchodilator.

Elevate the head of the patient's bed to fully upright.

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