UTA NURS3366 2021 October Module 8 Quiz Latest

NURS3366 Pathophysiologic Processes: Implications for Nursing

Module 8 Quiz

Question 1A patient in the hospital is recovering from hip surgery.  She begins to complain of chest pain and dyspnea.  Her RR (respiratory rate) is 30.  A lung scan is performed and the V/Q ratio is reported to the nurse as “high.” This patient has most likely suffered a(n)  

  MI.

  pulmonary embolus.

  atelectasis

  episode of pulmonary edema.

 Question 2A patient, diagnosed with a high V/Q restrictive disorder, has shortness of breath and chest pain. In the categorization of a restrictive disorder, the pathophysiology student should identify that the patient has problems related to __________ and ____________.

  inhalation and hypoxemia

  inhalation and hypercapnia

  exhalation and hypoxemia

  exhalation and hypercapnia

 Question 3Arterial blood gases (ABGs) are drawn on a patient in the ED (emergency department). The results are: pH:  7.50; PO2: 100; PCO2: 29; HCO3: 26.  This acid base imbalance is called _________________     

  respiratory acidosis

  metabolic acidosis

   respiratory alkalosis.

  metabolic alkalosis.

 Question 4Arterial blood gases (ABGs) are drawn on a patient in the ED (emergency department). The results are: pH:  7.50; PO2: 100; PCO2: 29; HCO3: 26.  What mechanism is likely causing this disturbance?

  Hypoventilation

  Hyperventilation

  Hemoptysis.

   Orthopnea.

 Question 5Arterial blood gases (ABGs) are drawn on a patient in the ED (emergency department). The results are: pH:  7.50; PO2: 100; PCO2: 29; HCO3: 26.  What compensatory mechanism occurs with this acid base imbalance?

  The respiratory rate will increase.

  The respiratory rate will decrease.

  The kidney will make less HCO3.

  The kidney will make more HCO3.

 Question 6A child with laryngotracheobronchitis is likely to 

  have stridor from trying to exhale air from inflamed alveoli.

  develop a walled-off area of viral infection in the laryngeal area.

  have stridor from trying to inhale air through inflamed bronchi.

  have wheezing from trying to exhale through broncho constricted airways.

 Question 7A child is diagnosed with laryngotracheobronchitis. The RN (registered nurse) should provide the parents with instructions related to the________________.

  administration of antibiotics

  use of a cool mist humidifier

  insertion of a chest tube drainage system

  use of a peak flow meter

 Question 8A victim of a stab wound to the chest develops a pneumothorax. Which type of pneumothorax is most likely in his case?

  Consolidative.

  Tension

  Bronchial

  Open

 Question 9A common denominator of a bed-ridden nursing home patient and an unconscious  alcoholic is their high risk for

  aspiration pneumonia.

  bronchogenic carcinoma.

  nosocomial pneumonia.

  strictures in the pulmonary vessels.

 Question 10A patient is diagnosed with community-acquired pneumonia (CAP). Which S&S would the nurse expect to assess in the patient?   

  Hypercapnia and malaise.

  Fever, chills and cough.

  Frothy sputum and edema.

  Bradypnea and jugular vein distension.

 Question 11An RN (registered nurse) suspects that her patient has respiratory distress. Which assessment findings support the nurse’s suspicion?

  Clubbing of the fingers and a respiratory rate of 18 breaths/minute.

  A PaO2 of 88 with a cough that produces tan sputum.

  A barrel-shaped chest and a pH of 7.45.

  Complaints of dyspnea and a respiratory rate of 32 breaths/minute.

 Question 12The nurse taking care of a pulmonary patient notes that he is very thin and barrel-chested, has a respiratory rate of 28, and uses accessory muscles to breathe. These S&S are likely due to

  chronic bronchitis.

  an elevated V/Q ratio.

  emphysema.

  Kussmaul respirations.

 Question 13The nurse taking care of a pulmonary patient notes that he is very thin and barrel-chested, has a respiratory rate of 28, and uses accessory muscles to breathe. An arterial blood gas report shows a pH = 7.50, PCO2 =32, SO2= 95% HCO3 = 26. These values indicate the patient

  is in a metabolic alkalosis.

  has hypercapnia, which is his normal state of compensation.

  is probably in respiratory failure.

  is probably in his normal state of compensatory hyperventilation.

 Question 14A patient complains of a one-week history of fever, cough, and purulent sputum.  The nurse listening to the patient’s lungs notes greatly diminished breath sounds in one area  of the left lung and concludes that it is probably an area of consolidation.   What statement   reflects that the nurse has a good understanding of this situation?       

  The patient probably has TB, since he is coughing up blood.

  The diagnosis is probably lobar pneumonia, which is consistent with having a consolidated area of lung tissue.

  The nurse will prepare to help the physician insert a chest tube to reinflate the left lung, as the patient probably has a pneumothorax.

  It is likely that the patient has chronic bronchitis and has developed cor pulmonale.

 Question 15A patient with a medical history of heart failure presents to her health care provider complaining of paroxysmal nocturnal dyspnea (PND), 2-pillow orthopnea, dyspnea and hemoptysis.  She most likely has    

  primary pulmonary hypertension.

  noncardiogenic pulmonary edema.

  cardiogenic pulmonary edema.

  pleural effusion.

 Question 16A patient, diagnosed with either cardiogenic or non-cardiogenic pulmonary edema, will likely have dyspnea, crackles, hemoptysis and hypoxemia. Identify the pathophysiological sequela of pulmonary edema.

  Forceful exhalation causes water to move into the alveoli.

  Forceful inhalation causes water to move into the alveoli.

  Pulmonary edema will cause a disruption in surfactant production.

  Inflammatory changes to the alveoli will cause the collection of mucous.

 Question 17A patient has overdosed on heroin.   He is unconscious and his RR is 8.  Which acid base imbalance is most likely, given this information alone?

  respiratory acidosis

  metabolic acidosis

  respiratory alkalosis.

  metabolic alkalosis

 Question 18A patient has overdosed with heroin. He is unconscious and his RR is 8. Which of the  following set of blood gases is most likely, given this information alone?

   pH= 7.25; PO2= 70; PCO2 = 50; HCO3= 24.

   pH= 7.49; PO2= 90; PCO2= 25; HCO3 = 25.

   pH = 7.20; PO2 = 80; PCO2 = 38; HCO3 = 18.

  pH = 7.37; PO2 = 85; PCO2 = 36; HCO3 = 26.

 Question 19Which clinical manifestation should the nurse expect to assess in a patient diagnosed with chronic bronchitis?

  Clubbing of the fingers with chronic sputum production.

  Pink, warm skin with a respiratory rate of 26 breaths per minute.

  Malaise, chest pain on inhalation and crackles.

  Dry cough and infrequent respiratory infections.

Question 20A patient arrives in the emergency department with a complaint of dyspnea after being stung by a bee.   On assessment, the nurse identifies a respiratory rate of 24 breaths/minute and hears wheezing during exhalation. Which additional assessment should the nurse perform?

  Obtain a peak flow measurement.         

  Measure the amount of air the patient can inhale.

  Assess the patient for clubbing of the fingers.

  Assess the HCO3 level on the patient’s ABG report.

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.