Christopher Parrish vSim Questions and
Answers Already Passed
Which finding by the nurse supports the presence of obstructive secretions in a patients lungs?
✔✔Crackles occurring early in the inspirations phase
A pat
...
Christopher Parrish vSim Questions and
Answers Already Passed
Which finding by the nurse supports the presence of obstructive secretions in a patients lungs?
✔✔Crackles occurring early in the inspirations phase
A patient is experiencing hypoxia related to an ineffective airway. Which assessment findings
support the presence of hypoxia? ✔✔- nasal flaring
- cyanotic nail beds
The nurse's patient Christopher Parrish, is being prepared for discharge. Which responses by the
patient or his mother indicate an understanding of how chest physiotherapy should be
performed? ✔✔- We never do chest physiotherapy right before or within 2 hours of Chris eating
- I use my nebulizer before the percussion to prevent bronchospasms
-inhaling deeply through my nose and then exhaling in puffs really helps me cough up sputum
The nurse is assessing the lung sounds of a patient diagnosed with cystic fibrosis who is
experiencing dyspnea. Which finding would the nurse associate with the pathophysiology
associated with this diagnosis? ✔✔Diminished breath sounds in the lungs bilaterally
Which intervention will the nurse implement to best ensure a patient's oxygen saturation level
remain above 94%? ✔✔Administering 2 to 4 liters of supplemental oxygen
A patient is reporting symptoms of and demonstrating signs of dyspnea. What is the nurse's
initial reaction? ✔✔Begin administering supplemental oxygen
The nurse has concluded discharge education for a patient diagnosed with cystic fibrosis. What
patient statements indicate that education was effective. ✔✔- "it is very important to avoid being
around tobacco smoke"
- "We have the furnace filters changed regularly to manage dust"
- "Staying hydrated is important so I drink water throughout the day"
_ "Everyone in the family knows how to help me with my chest percussion treatments"
What interview questions will best help the nurse identify issued related to diet adherence that
need to be discussed with Chris and his parents as a part of discharge instructions. ✔✔- "How
would you describe your appetite"
- "Do you enjoy cooking for yourself"
- "Do you often eat out with friends"
A patient with a history of cystic fibrosis is being discharged after receiving treatment for a
respiratory infection. Which nursing diagnosis will the nurse focus on when developing
discharge teaching to best minimize the build-up of respiratory secretions. ✔✔Ineffective
Airway Clearance related to knowledge deficit regarding effective coughing and deep breath
techniques
The nurse's patient Christopher Parrish is being monitored for the effects of cystic fibrosis on his
respiratory function related to the nursing diagnosis of Ineffective Airway Clearance. The
following data have been recorded in his medical record by nursing staff. Which data directly
reflect his impaired ability to get oxygen into his lungs. ✔✔- Pulse oximetry: 95% on 2L/min
nasal canula
- Incentive spirometry every hour while awake has been tolerated well
- Arterial blood gas (ABG): pH 7.3, PaO2 mmHg, PaCO2 50mmHg
The nurse is assessing a patient for crepitus. Which hand placement technique will the nurse use
to perform this assessment effectively? ✔✔Use fingertips to palpate the anterior and posterior
chest wall.
A dark-skinned patient is being assessed after reporting dyspnea. Which documentation best
reflects the nurse's understanding of the effects of cyanosis on this specific patient ✔✔Bluish
dull skin is noted in the perioral area
A nurse is performing a respiratory assessment on a patient when the patient reports occasional
chest pain. Which initial response by the nurse demonstrates effective management of the
patient's report. ✔✔Asking "Are you experiencing chest pain now?"
Which nursing actions pertain to the objective portion of a respiratory assessment? ✔✔-
encourage the patient to ask questions
- gather equipment including a light source and a metric ruler
- Be attentive to the patient's verbal and nonverbal responses related to the need for privacy
A patient diagnosed with cystic fibrosis suggests asking for the provider to order chest
physiotherapy because "it has always helped me get up the secretions in the past." Which actions
will the nurse take when the patient's medical history reports a recent myocardial infarction
(MI)? ✔✔Explain that chest physiotherapy is contradicted by te patients recent MI
During a respiratory assessment the nurse ausculates what may be adventitious lung sound. What
is the nurse's initial response? ✔✔Ask the patient to cough
The nurse is preparing to continuously monitor a patient's arterial oxygen saturation levels using
a pulse oximetry ear probe. Which conditions will the nurse monitor for their effects on the
accuracy of the reading? ✔✔- A drop in systolic blood pressure
- Excessive movement by the patient
- Proper contact between the probe and the patient's ear lobe
A nurse is assessing respiratory function of a patient demonstrating signs and symptoms of
dyspnea. Which intervention is most appropriate for the effective assessment of this particular
patient's respiratory status. ✔✔Counting respirations for a full 60 seconds
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