Exam 11: Determinants and Assessment of Pulmonary Function

A patient is undergoing testing to differentiate her airway disorder as being restrictive or obstructive.The nurse would evaluate a normal result on which test to indicate a restrictive disorder is present?

A patient with severe chronic respiratory illness suddenly develops a high fever.The nurse would plan care for this patient based on which understanding of the fever's impact on the oxyhemoglobin dissociation curve? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A nurse who is evaluating a patient's arterial blood gases (ABGs)has determined that the patient's pH is acidic.What is the next question the nurse would ask in this interpretation?

The nurse is planning to use a respiratory spirometer to measure the amount of air that moves in and out of a patient's lungs with each normal breath.How will the nurse document the results of this test?

A 40-year-old postoperative patient has a hemoglobin level of 8 g/dL and an SaO₂ of 95%.Considering all aspects,what conclusion would the nurse make about this patient's condition?

The nurse is assessing the nutritional intake of a patient diagnosed with chronic carbon dioxide retention.Which patient report indicates the patient requires additional information about dietary choices?

The patient complains that he awakens "two or three" times every night because he is so short of breath.The nurse would ask additional assessment questions about which condition?

A patient's arterial blood gases (ABGs)are as follows: pH 7.30,PaCO₂ 30 mm Hg,HCO₃ 14 mEq/L,and PaO₂ 50.The nurse evaluates these ABGs as representing which acid-base imbalance?

The arterial blood gases of a patient with a large mass in the right lung show increasing hypoxemia and the patient will be intubated for placement on a mechanical ventilator.In which position should the nurse place this patient until intubation is begun?

The patient has been diagnosed with early stage pneumonia.The nurse would anticipate which laboratory results?

A patient,diagnosed with diabetic ketoacidosis,presents with Kussmaul respirations at a rate of 28.A newly licensed nurse asks the patient to try to slow his breathing.What instruction should the preceptor provide?

A patient with pulmonary edema has a respiratory rate of 28 per minute.The nurse plans care for this patient based on which change in the lungs?

A patient was extubated in the postanesthesia recovery room prior to transfer to the intensive care unit (ICU).Upon admission to the ICU the patient is sedated,but will arouse when stimulated.Blood pressure is 106/68 mm/Hg,heart rate is 68 and regular,temperature is 97.8°F,and respirations are 12 bpm.The nurse would monitor this patient for which changes in arterial blood gases?

A patient's PaO₂ is 88 mm Hg while on FiO₂ of 0.50.What can the nurse conclude about this patient's intrapulmonary shunt? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A patient's PaO₂ level is 76 mm Hg.The nurse would be least concerned regarding this finding in which patient?

A postoperative patient's nasogastric drainage has been 500 mL in the last 8 hours.The nurse would assess this patient for findings associated with which acid-base imbalance?

The nurse is assessing an 80-year-old patient who has no underlying respiratory pathology but whose carbon dioxide level is slightly elevated.The nurse would contribute this increase to which changes associated with normal aging? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse is assessing a patient with an endotracheal tube and notes decreased breath sounds on the left with normal sounds on the right.Which condition may cause this? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A nurse is participating on a committee charged with the task of choosing capnography equipment for a new emergency department (ED).The nurse should present which information regarding these choices? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

The nurse is auscultating a patient's lung fields and hears a coarse sound like bubbling water.The sounds are heard best on expiration and in the center of the patient's chest.How should the nurse document these sounds?