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Answers to questions related to respiratory anatomy, assessment, and diagnostic procedures. It covers topics such as the key anatomic landmark separating the upper and lower respiratory tracts, the mechanism of air entering the lungs, signs of inadequate oxygenation, and respiratory assessment findings in older adults and patients with respiratory distress. It also discusses diagnostic tests like thoracentesis, arterial blood gases, and tuberculin skin tests.
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Answers BRIDGE TO NGLEX EXAMINATION
A patient had a right total knee replacement 2 days ago. Upon auscultation of the patient’s posterior chest, the nurse detects discontinuous, high-pitched breath sounds just before the end of inspiration in the lower portion of both lungs. Which statement most appropriately reflects how the nurse would document the breath sounds?
The nurse is interpreting a tuberculin skin test (TST) for a patient with end-stage renal disease due to diabetes. Which finding would indicate a positive reaction?
A patient is hospitalized with pneumonia. Which diagnostic test would be used to measure the efficiency of gas exchange in the lung and tissue oxygenation?
A patient has metabolic acidosis secondary to type 1 diabetes. What physiologic response would the nurse expect to observe in the patient?
After assisting at the bedside with a thoracentesis, the nurse would continue to assess the patient for signs and symptoms of what?
Which patient has early clinical manifestations of hypoxemia?
A patient with recurrent shortness of breath has just had a bronchoscopy. What is a priority nursing action immediately after the procedure?
The patient with Parkinson’s disease has a pulse oximetry reading of 72% but has no other signs of decreased oxygenation. What is the most likely explanation for the low SpO 2 level?
A frail older adult patient develops sudden shortness of breath while sitting in a chair. What location on the chest should the nurse begin auscultation of the lung fields?