Week 4: Gas Exchange

A child in respiratory distress is admitted to the hospital and diagnosed with acute spasmodic laryngitis (spasmodic croup). At the time of discharge, the mother asks how to handle another attack at home. What would the nurse recommend?

"Placing him near a cool-mist humidifier"

When a client with a health-care acquired respiratory tract infection asks the nurse what this means, which response will the nurse give?

"Your infection occurred because of exposure to a health care facility."

Which life-threatening wounds are treated with hyperbaric oxygen therapy?

-Burns -Osteomyelitis -Diabetic ulcers

Which assessment finding of a client being treated in the ED after a motor vehicle collision indicates the need for immediate health care provider intervention?

-Facial edema -Septal deviation -Clear nasal drainage -Oxygen saturation 89% -Bilateral periorbital bruising

The nurse described a client's abnormal breath sounds and included crackles, rhonchi, wheezes, and pleural friction rubs. Which breath sounds did the nurse hear?

Adventitious

Which complication is the nurse's main priority during the early postoperative period after a subtotal thyroidectomy?

Airway obstruction

A client who is receiving peritoneal dialysis reports severe respiratory difficulty. Which immediate action would the nurse implement?

Auscultate the lungs.

Which factor would elevate the oxygen saturation during an assessment?

Carbon monoxide

The nurse assessed the integumentary system of four clients. Which client has the least change of false-positive result while undergoing assessment of capillary refill time?

Client with epilepsy

Which is prevented by providing warm, humidified oxygen to a preterm infant?

Cold stress

The nurse assesses the lung sounds of a client and auscultates soft, crackling, bubbling breath sounds that are more obvious on inspiration. Which would the nurse document these sounds as?

Crackles

Which clinical manifestation would the nurse expect when a client experiences fat embolism syndrome?

Dyspnea

Which is the priority nursing intervention to prevent thrombus formation in a child with sickle cell anemia?

Encouraging fluids

A client shows an increase in respiratory rate that is abnormally deep and regular. Which condition would the nurse expect?

Kussmaul's respiration

A chronically ill, older client lives with their daughter. The client reports the daughter, who has three small children, seems run-down, coughs a lot, and sleeps all the time. Which statement supports the need for the nurse to pursue the daughters condition as a potential case finding?

Older adults with chronic illness are more susceptible to tuberculosis.

A client diagnosed with TB is taking isoniazid. To prevent a food and medication interaction, the nurse will advise the client to avoid which food item?

Red wine

A client is admitted to the hospital with a diagnosis of acute Guillain-Barre syndrome. Which assessment is the priority?

Respiratory exchange

Which intervention would the nurse offer the client to help relieve the symptoms of sinusitis?

Saline irrigation

An older client with a history of congestive heart failure express concern about potential exposure to TB from his or her roommate at the extended care facility. The roommate coughs a great deal and sometimes spits up blood. Which is the primary reason that the nurse pursues more information about the roommate?

Tb adversely affects older adults with chronic illnesses

A child with cystic fibrosis (CF) has recurrent episodes of bronchitis, and the parent asks why this happens. Which reason would the nurse include in the reply?

Tenacious secretions that obstruct the respiratory tract provide a favorable medium for growth of bacteria.

Which parameter describes the maximum volume of air a client's lungs may contain?

Total lung capacity