Which of the following mechanisms results in inhalation? - Correct Answer-The
diaphragm contracts
A nurse is caring for a patient with a high blood
... [Show More] level of carbon dioxide. The nurse would
expect which of the following responses by the body's respiratory system? - Correct
Answer-The breathing rate increases
A nurse is caring for an African American individual with a long history of lung disease.
The nurse would be most concerned if: - Correct Answer-The patient's mucous
membranes are ashen.
A student nurse is providing care for a patient who becomes short of breath while
ambulating to the bathroom. The best way for the student to document this finding is to
write: - Correct Answer-"Dyspnea noted after walking 15 Feet."
A nurse enters a room and notes that a patient has a very productive cough. The nurse
would be most concerned about a life-threatening situation if the sputum looks: - Correct
Answer-Frothy and pink-tinged.
While caring for a patient with pneumonia, a nurse notes that the patients sputum is
greenish and very thick. The highest priority in the patient's plan of care is to: - Correct
Answer-Encourage the patient to increase oral intake.
A nurse is caring for a patient with a chest tube who has notable crepitus at the at the
chest tube site, extending across the chest about 3 inches. The best statement the
nurse can make is: - Correct Answer-"There are some new, small pockets of air under
your skin that I'd like to have the doctor examine."
A nurse is caring for a number of patients on a medical unit. The patient of the highest
priority is: - Correct Answer-A 22-year-old with pneumonia who is restless and
confused.
A nurse notes a new order for sputum specimen for culture to be collected on a 91-yearold. The patient had a weak cough. The best action by the nurse is to: - Correct AnswerExplain the order to the patient and plan sputum collection for the following morning.
A nurse working in a pediatrician's office is preparing to do a throat culture for a 5-yearold. The child's parent asks, "Why do we have to do this?" The best statement the nurse
could make to the child's parent is: - Correct Answer-"It is important to identify and treat
a Streptococcus infection quickly to prevent major illness."
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