Fundamentals - Exam 3 Questions with Complete Solutions (Latest 2025) The nurse is caring for a client who is diagnosed with an impaired gas exchange. While performing a physical assessment of the client, which of the following data is the nurse likely to find, keeping in mind the client's diagnosis?
- High temperature
- Low blood pressure
- High respiratory rate
- Low pulse rate - Correct Answers ✅c
- Instruct the client in the use of pursed-lip breathing
- Encourage the client to take deep breaths.
- Inform the client about nasal strips.
- Teach the client diaphragmatic breathing. - Correct
- Decreased blood pressure
- Confusion
- Hyperactivity 1 / 4
A nurse is caring for a client who breathes very shallowly and has been complaining of severe back pain. What suggestion could the nurse make to help the client breathe efficiently?
technique.
Answers ✅b The nurse is informed while receiving a nursing report that the client has been hypoxic during the evening shift. Which of the following assessment findings is consistent with hypoxia?
Fundamentals - Exam 3 Questions with Complete Solutions (Latest 2025)
- Decreased respiratory rate - Correct Answers ✅b
- A client taking antibiotics for a urinary tract infection (UTI)
- A client taking insulin for diabetes
- A client taking opioids for cancer pain
- A client taking amlodipine for hypertension - Correct
- Tachypnea
- Atelectasis
- Pneumothorax
- Hemothorax - Correct Answers ✅b
- Increased use of accessory muscles for breathing 2 / 4
In which of the following clients would the nurse assess for a depressed respiratory system?
Answers ✅c A client 57 years of age is recovering in a hospital following a bilateral mastectomy and breast reconstruction two days earlier. Since her surgery, the client has been unwilling to mobilize despite the nurse's education on the benefits of early mobilization following surgery. The nurse would recognize that the client's prolonged immobility creates a risk for what?
What structural changes to the respiratory system should a nurse observe when caring for older adults?
Fundamentals - Exam 3 Questions with Complete Solutions (Latest 2025)
- Diminished coughing and gag reflexes
- Respiratory muscles become weaker
- Increased mouth breathing and snorin - Correct Answers
- age
- blood pH
- sodium and potassium levels
- hemoglobin level - Correct Answers ✅d
- "The mask and its moisture can be bothersome, so let me
✅c An older adult client is visibly pale with a respiratory rate of 30 breaths per minute. Upon questioning, the client states to the the nurse, "I can't seem to catch my breath." The nurse has responded by repositioning the client and measuring the client's oxygen saturation using pulse oximetry, yielding a reading of 90%. The nurse should interpret this oxygen saturation reading in light of the client's...
The charge nurse is observing a new nurse care for a client who is receiving oxygen via a simple mask with an FIO2 of 40%. The client states, "This moisture on my face is bothersome. Can something be done about it?" Which of the following responses by the new nurse would require clarification by the charge nurse?
demonstrate some distraction techniques to help you cope with them." 3 / 4
Fundamentals - Exam 3 Questions with Complete Solutions (Latest 2025)
- "Your mask should remain on, but I will help you dry your
- "After I dry your face, I can apply powder to absorb the
- "I will confer with your primary care provider to find out if
- It can create a risk of suffocation
- It can cause the nasal mucosa to dry in case of high flow.
- It can result in an inconsistent amount of oxygen.
- It can cause anxiety in clients who are claustrophobic. -
- Fine crackles to the bases of the lungs bilaterally
- Vesicular breath sounds audible over peripheral lung fields
- Resonance on percussion of lung fields
- Respiratory rate of 18 breaths per minute - Correct
- / 4
face when it becomes too wet."
moisture and protect your skin."
a nasal cannula can be used." - Correct Answers ✅c A nurse uses a nasal cannula to deliver oxygen to a client who is extremely hypoxic and has been diagnosed with chronic lung disease. What is the most important thing to remember when using a nasal cannula?
Correct Answers ✅b The nurse is conducting a respiratory assessment of a client age 71 years who has been recently admitted to the hospital unit. Which of the following assessment findings should the nurse interpret as abnormal?
Answers ✅a