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Chapter 36. Oxygenation Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The nurse is providing care to a pregnant woman in preterm labor, The client is 32 weeks pregnant. Initially, the client states, “I’ve gained 30 pounds, That should be enough for the baby. Everything will be okay if I deliver now.” After teaching the client about fetal development, the nurse will know her teaching is effective if the client makes which of the following statements? 1. “The baby’s lungs are well developed now, but he will be at increased risk for sudden infant death syndrome (SIDS) if I deliver early.” 2. “We should try to stop this labor now because the baby will be born with sleep apnea if I deliver this early.” “If I deliver this early, my baby is at risk for respiratory distress syndrome (RDS), a condition that can be life threatening.” 4. “Thanks for reassuring me; I was pretty sure there isn’t much risk to the baby this far along in my pregnancy.” 2. While a client is receiving hygiene care, the chest tube becomes disconnected from the water-seal chest drainage unit (CDU). Which action should the nurse take immediately? 1. Clamp the chest tube close to the insertion site with rubber-shod hemostats. 2. Set up a new drainage system, and quickly connect it to the chest tube. 3. Have the client take a deep breath while the nurse reconnects the tube to the CDU. Place the disconnected end nearest the client into a bottle of sterile water. 3. The nurse administers an antitussive/expectorant cough preparation to a client with bronchitis. Which of the following responses indicates to the nurse that the medication is effective? 1. The amount of sputum the client expectorates decreases with each dose administered. . Cough is completely suppressed, and the client is able to sleep through the night. Dry, unproductive cough is reduced, but her voluntary coughing is more productive. 4. Involuntary coughing produces large amounts of thick yellow sputum. 4. The nurse is admitting to the medical-surgical unit an older adult with a diagnosis of pulmonar hypertension and right-sided heart failure. The client is complaining of shortness of breath, an nurse observes conversational dyspnea. What is the first action the nurse should take? 1. Review and implement the primary care provider’s prescriptions for treatments. Perform a quick physical examination of breathing, circulation, and oxygenation. Gather a thorough medical history, including current symptoms, from the family. 4. Administer supplemental oxygen to the client through a nasal cannula. Copyright @ 2020 F. A. Davis Company

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