Exam 43: Oxygenation and Circulation

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What is the reason why American Heart Association has advocated a C-A-B approach to cardiopulmonary resuscitation instead of the longstanding A-B-C?

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C

Mrs.Headly,who is being mechanically ventilated,has copious amounts of secretions ranging from thick and tenacious to frothy.What should the nurse do in preparation for suctioning Mrs.Headly?

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Mrs.Katerina has an endotracheal tube in place and is on a mechanical ventilator.She is restless and is pulling at the tube.How would the nurse assess if the tube is still in place?

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C

Which diagnostic test measures the normal volume of air inspired and expired with each breath?

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Which of the following breathing patterns may be the result of metabolic acidosis?

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Mr.Patterson is 73 years old and is being seen in the emergency room.He is having difficulty breathing,his respiratory rate is increased,and he is coughing up pinkish coloured frothy secretions.Considering his symptoms,what does this condition lead to initially?

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What action should the nurse take after inserting an oropharyngeal airway in Mr.Ahmed?

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Ms.Calloway is a student nurse who is teaching her client about the anatomy and physiology of the heart.What does she teach her client is the primary pacemaker of the heart?

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Mr.Gunstensen is to have a sputum specimen collected for acid-fast bacillus.How would the nurse go about collecting this specimen?

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Normal breathing is dependant on which of the following factors?

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Mrs.Lois has a nursing diagnosis of ineffective airway clearance related to inadequate chest expansion and poor cough effort related to pain secondary to trauma.One of her outcomes is a patent airway.How would the nurse determine whether Mrs.Lois has met this outcome?

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While suctioning Mr.Julian's tracheostomy,the nurse notes that Mr.Julian's heart rate has increased from 80 to 100 bpm.Based on this assessment,what action should the nurse take?

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Mr.Julian,a 60-year-old man,has a new tracheostomy.Upon arrival to the unit what is the priority nursing action?

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Priscilla is a 1-day-old infant born at 36 weeks gestation.She is in the neonatal intensive care unit for monitoring.Which of the following would be considered a normal finding?

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As a part of preoperative teaching,the nurse is instructing Mr.Zuk on the use of a volume-oriented incentive spirometer.Which instruction should be included in this teaching?

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Mrs.Leonard is receiving oxygen by non-rebreather mask.Which of the following is a true statement regarding this type of oxygen delivery?

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Mr.Jacks is a 23-year-old with a respiratory rate of 36 breaths per minute.What term would the nurse use to document this in the electronic health record?

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The ties on Mr.Julian's tracheostomy are very soiled.What is the safest method for changing these ties?

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Mrs.Kafi has just delivered a premature infant at 33 weeks gestation.After careful examination,it is determined that his only complication is respiratory distress syndrome (RDS).What does the nurse tell Mrs.Kafi is the reason why her infant son requires mechanical ventilation?

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Mr.Bruce,55 years old,has chronic obstructive lung disease and has oxygen ordered at 1.5 litres per minute via nasal cannula.Mr.Bruce complains of shortness of breath.What action should be taken by the nurse?

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