Oxygenation Clinical Discussion Questions

Oxygenation Clinical Discussion Questions
1. A patient who started smoking in adolescence and continues
to smoke 40 years later comes to the clinic. The nurse understands that this patient has an increased risk for being diagnosed with which disorder:
1. Alcoholism and hypertension
2. Obesity and diabetes
3. Stress-related illnesses
4. Cardiopulmonary disease and lung cancer
2. A patient has been diagnosed with severe iron deficiency
anemia. During physical assessment for which of the following
symptoms would the nurse assess to determine the patient’s
oxygen status?
1. Increased breathlessness but increased activity tolerance
2. Decreased breathlessness and decreased activity tolerance
3. Increased activity tolerance and decreased breathlessness
4. Decreased activity tolerance and increased breathlessness
3. A patient is admitted to the emergency department with suspected carbon monoxide poisoning. Even though the patient’s
color is ruddy, not cyanotic, the nurse understands that the
patient is at a risk for decreased oxygen-carrying capacity of
blood because carbon monoxide does which of the following:
1. Stimulates hyperventilation, causing respiratory alkalosis
2. Forms a strong bond with hemoglobin, creating a functional anemia.
3. Stimulates hypoventilation, causing respiratory acidosis
4. Causes alveoli to overinflate, leading to atelectasis
4. A 6-year-old boy is admitted to the pediatric unit with chills
and a fever of 104° F (40° C). What physiological process
explains why the child is at risk for developing dyspnea?
1. Fever increases metabolic demands, requiring increased
oxygen need.
2. Blood glucose stores are depleted, and the cells do not have
energy to use oxygen.
3. Carbon dioxide production increases as result of
hyperventilation.
4. Carbon dioxide production decreases as a result of
hypoventilation.
5. A patient is admitted with the diagnosis of severe left-sided
heart failure. The nurse expects to auscultate which adventitious lung sounds?
1. Sonorous wheezes in the left lower lung
2. Rhonchi midsternum
3. Crackles only in apex of lungs
4. Inspiratory crackles in lung bases
6. The nurse is caring for a patient who has decreased mobility.
Which intervention is a simple and cost-effective method for
reducing the risks of stasis of pulmonary secretions and
decreased chest wall expansion?
1. Antibiotics
2. Frequent change of position
3. Oxygen humidification
4. Chest physiotherapy

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