Chapter 24 Patient Assessment- Respiratory System

Chapter 24  Patient Assessment- Respiratory System

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient in the ICU is producing an increased amount of sputum and has a fever. The nurse suspects an infection. Which of the following characteristics of the patient’s sputum would indicate a bacterial infection, as opposed to a viral infection? Select all that apply.
A)
Yellow
B)
Clear
C)
Blood-streaked
D)
Green
E)
Brown
F)
White

2.
An older patient in the ICU has labored breathing and a history of smoking. The nurse suspects that he has chronic obstructive pulmonary disease (COPD). Which of the following signs would tend to confirm that the patient has COPD? Select all that apply.
A)
Increased anterior-posterior diameter of the chest
B)
The patient lying propped onto one side
C)
Deviation of the trachea from the midline
D)
Inspiration taking just as long as expiration

3.
A patient in the ICU with a history of smoking is having tests performed to assess his respiratory function. Which test would be best for measuring the oxygenation of this patient’s blood?
A)
SaO2
B)
Pulse oximetry
C)
End-tidal carbon dioxide
D)
pH

4.
A patient has arterial blood gas testing performed. Her PaO2 is 95 mm Hg, SaO2 is 90%, pH is 7.4, and HCO3 is 23 mEq/L. Which of these values should the nurse be most concerned about?
A)
PaO2
B)
HCO3
C)
pH
D)
SaO2

5.
A patient in her first trimester is in the ICU and is displaying signs of metabolic alkalosis. On speaking with the patient, the nurse learns that she has been experiencing much vomiting, diarrhea, and anxiety in the past week. The nurse should recognize that which of the following is the most likely cause of this acid-base imbalance?
A)
Pregnancy
B)
Diarrhea
C)
Vomiting
D)
Anxiety

Answer Key

1.
A, D, E
2.
A, B
3.
A
4.
D
5.
C