Question 9 type mcsa the nurse administers oxygen to

This preview shows page 7 - 10 out of 22 pages.

Question 9 Type: MCSA The nurse administers oxygen to a patient who has lost a moderate amount of blood following a motor vehicle accident. What is the primary rationale for this nursing action? 1. To ease the work of breathing 2. To compensate for the reduction in circulating oxygen 3. To provide comfort 4. To prevent shock Correct Answer: Rationale 1 : Breathing might be easier, but this is an additional benefit, not the primary reason. Rationale 2 : As blood volume is lost, hemoglobin is lost. Oxygen is carried from the respiratory system to the cells by hemoglobin in the blood. Rationale 3 : The patient might be more comfortable, but this is an additional benefit not the primary reason. Rationale 4 : The risk of shock might be decreased through oxygen administration, but this is an additional benefit not the primary reason. 2
Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 25-1 Question 10 Type: MCSA The nurse anticipates that a patient with multiple fractured ribs is at risk for which condition?
3. Prolonged expiratory phase 4. Low arterial carbon dioxide level Correct Answer: 1 Rationale 1 : Due to the rib fractures, it might be difficult for the patient to have full rib cage expansion because of the pain. Rationale 2 : The respiratory rate might tend to be slower and more shallow than usual. Rationale 3 : The expiratory phase might be shortened due to the pain. Rationale 4 : The carbon dioxide would be high rather than low. Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: 25-5 Question 11 Type: MCSA A patient admitted with probable emphysema is scheduled for diagnostic tests. Which test would assess the patient’s acid-base balance? 4
Rationale 1 : A bronchoscopy provides visualization of internal respiratory structures. Rationale 2 : Sputum studies can provide specific information about bacterial organisms. Rationale 3 : Pulse oximetry is a noninvasive test that evaluates the oxygen saturation level of blood. Rationale 4 : ABGs are done to assess alterations in acid-base balance caused by respiratory disorders, metabolic disorders, or both. Global Rationale:
Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 25-6

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture