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You review Trent’s charts and note the following: 

Temperature – 37°C
Pulse rate – 110 beats/min

Respiratory rate – 26 breaths/min
Blood pressure – 140/85 mmHg
SpO2 – 94% on room air
Hourly urine output (average) – 40 mL/hr

Breath sounds – wheezing on auscultation

BGL –  6.2 mmol/L

 

Q1.  Which of these observations are not within normal limits?

 

Q2.  While you are talking with Trent, he tells you that he had a vision when he was in ICU where an angel came and watched over him. From the following list, choose how you would respond.

a  Your vision probably occurred because you were hypoxic.
b  You were very ill at the time; it must be comforting to believe that someone was looking after you.
c  It was probably one of the nurses as angels don’t exist.
d  Only a Catholic could believe that they saw an angel.

Q3. You note that Trent is dyspnoeic. What respiratory assessments are required at this stage?

 

Q4.  A wheeze is caused by:

a  Collapsed alveoli
b  Fluid in the alveoli
c  Narrowed airways
d  Collapsed lungs

Q5.  An asthma exacerbation can be caused by substances released from mast cells which cause:

a  Smooth muscle dilation
b  Bronchodilation and capillary permeability
c  Broncho-constriction and inflammation
d  Decreased capillary permeability and fluid leakage

Q6.  FEV1 can be defined as:

a  The rate of gas exchange in the alveoli during normal respiration
b  The maximum amount of air a person is capable of blowing in one second
c  The amount of air left in the lungs at the end of maximal forced expiration
d  The amount of air that is breathed in and out during a single respiratory cycle

Q7.  Expiration occurs when:

a  The intercostal muscles and diaphragm relax
b  The intercostal muscles and diaphragm contract
c  The diaphragm rises and the ribs move upward and outward
d  The air pressure inside the thorax decreases and becomes less than external air pressure
SCIENCE
HEALTH SCIENCE
NURSING
NURSING C10122

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