Care of Client with Problems in OxygenationQuiz 1

Name: _____________________________ Section:_____ Date: __________ Score: ____Anatomy and Physiology of Respiratory System

DIRECTION: Complete the statement below.1. ____________ serves as the initial passageway of air to the lungs and aids in phonation2. __________refers to the movement of air in and out of the lungs.3. Gas or air flow from an area of _______________________________pressure gradient4. ___________ refers to movement of gases through a semi-permeable membrane.5. Alveoli contains type ___ pneumocyte which releases surfactant that prevents lung collapse6. The exchange of gases between alveoli and lung capillaries is called ______________7. Oxygen is transported through bloodstream by binding with _______________8. The respiratory centers in the brain in located in the _______________ and the ________9. When chemoreceptors detect increased level of __________ it stimulates an increase in RR.

Physical AssessmentDIRECTION: Encircle the best answer.

1. Adventitious breath sound produced by air moving through fluid in the airways or airspacesA. Wheeze C. RhonchiB. Stridor D. Crackles

2. High pitch breath sound produced by narrowed or nearly collapse small airwaysA. Wheeze C. CracklesB. Stridor D. Rhonchi

3. Which assessment finding if auscultated over the lung is positive bronchophonyA. Loud, clear while saying “99” C. A sound like a loud, long nasal “A”B. Nearly inaudible voice while saying “99” D. An increase in vibration upon palpation

4. The percussion sound expected to be heard over an overinflated lung is:A. Hyperresonance C. TympanyB. Resonance D. Dull

5. Measuring the distance between the marked level of the diaphragm during full inhalation and full expiration is performed during the assessment for:A. Thoracic expansion C. Whispered petroliloquyB. Tactile fremitus D. Diaphragmatic Excursion

Diagnostic TestDIRECTION: Match the corresponding nursing responsibilities in column B with the diagnostic test in column A

Column A_____ 1. Chest X-ray_____2. Magnetic Resonance Imaging_____3. Thoracentesis_____4. Pulmonary Function Test_____5. V/Q Lung Scan_____6. CT Scan_____7. Bronchoscopy _____8. Pulmonary Angiography_____9. Arterial Blood Gas_____10. Sputum Analysis

Column Ba. Presence of metal clips in the brain is an absolute

contraindication for this testb.Client is assisted in sitting position with the upper body leaning

forward and arms resting on a padded table to support weightc. Best done in the morning just after patient wakes upd.Food must not be given until the gag reflex returnse. Bronchodilators must be withheld prior to testf. Allergy to sea food must be assessedg. Allen’s test is performed prior to blood drawh.Client might feel claustrophobic when test is performedi. Ask client to inhale deeply and hold breath momentarilyj. Patient inhales a radioactive gas as part of the test

Interpret the ABG result below:pH: 7.45 __________PCO2: 29 __________HCO3: 16 __________ Interpretation:__________________________________________

1st Sem S.Y. 2014-15MBS

Care of Client with Problems in OxygenationQuiz 1