Perfusion Exam Study Guide
An older adult is brought to the ED by a family member, who reports a moderate change in mental status and mild cough. The patient is afebrile. The healthcare provider orders a chest x-ray. The family member questions why this is needed since the manifestations seem so vague. What response by the nurse is best?
"Older people often have vague symptoms, so an x-ray is essential."
A nurse teaches a patient who has COPD. Which statements related to nutrition would the nurse include in this teaching?
"Avoid drinking fluids just before and during meals" "Rest Before meals if you have dyspnea" "Have about six small meals a day"
A nurse cares for a patient with COPD. The patient states that he no longer enjoys going out with his friends. How would the nurse respond?
"Share any thoughts and feelings that cause you to limit social activities."
A nurse is teaching a patient how to perform perform pursed-lip breathing. Which instructions would the nurse include in this teaching?
"Use you abdominal muscles to squeeze air out of your lungs." "Breath out slowly without puffing your cheeks." "Exhale at least twice the amount of time it took to breath in."
A nurse is providing pneumonia vaccinations in a community setting. Due to limited finances, the event organizers must limit giving the vaccination to priority groups. What patients would be considered a priority when administering the pneumonia vaccination?
22-year-old patient with asthma Patient with well-controlled diabetes Healthy 72 year old patient Patient who is taking medication for hypertension
A nurse is teaching staff about the conduction of the heart. In which order will the nurse present the conduction cycle. Starting with the first structure? 1. Bundle of His 2. Purkinje network 3. Intraatrial pathways 4. Sinoatrial (SA) Node 5.Atrioventricular (AV) Node
4,3,5,1,2 SA Node Intraatrial pathways AV Node Bundle of His Purkinje network
A nurse assesses several patients who have a history of asthma. Which patient would the nurse assess first?
A 27-year old patient with a heart rate of 120 beats/min
A pulmonary nurse cares for patients who have COPD. Which patient would the nurse assess first?
A 52-year-old in a tripod position using accessory muscles to breathe
The ED manager is reviewing patient charts to determine how well the staff performs when treating patients with community acquired pneumonia. What outcome demonstrates that goals for this patient type have been met?
Antibiotics started before admission
A nurse cares for patient with arthritis who reports frequent asthma attacks. What action would the nurse take first?
Ask about medications the patient is currently taking.
A nurse explains the function of the alveoli to a patient with respiratory problems. Which information about the alveoli's function will the nurse share with the patient?
Carries out gas exchange
The acid-base status of a patient is dependent on normal gas exchange. Which patient would the nurse identify as having an increased risk for the development of respiratory acidosis?
Chronic lung disease with increased carbon dioxide retention
The nurse is teaching about the process of exchanging gases through the alveolar capillary membrane. Which term will the nurse use to describe this process?
Diffusion
The patient is experiencing angina pectoris. Which assessment finding does the nurse expect when conducting a history and physical examination?
Experiences chest pain after eating heavy meals
The nurse is assessing a patient diagnosed with emphysema. Which assessment finding requires further follow-up with the health care provider?
Hemotysis
A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?
Intravenous (IV) Fluids
A nurse is teaching a community health promotion class and discuss the flu vaccine. Which information will the nurse include in the teaching session
It is given yearly The vaccines are recommended for all people 6 months and older
A nurse is caring for several older patients in the hospital that the nurse identifies as being at high risk for healthcare associated pneumonia. To reduce this risk, what activity should the nurse delegate to the unlicensed assistive personnel?
Provide oral care every 4 hours
After teaching a patient how to perform diaphragmatic breathing, the nurse assesses the patients understanding. Which action demonstrates that the patient correctly understands the teaching?
The patient places his or her hands on his or her abdomen
A nurse cares for a patient who has a chest tube. When would this patient be at highest risk for developing a pneumothorax?
When the tube becomes disconnected from the drainage system
