Test Bank Understanding Care edition the Nursing Critical PerrinMacLeod 2nd of Essentials

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Sample Provided Below:

Chapter 3
Question 1
Type: MCSA
A patient is diagnosed with type I hypoxemic failure. The nurse realizes that this type of respiratory failure is linked to:
1. Muscular failure to move the air into and out of the lungs
2. Failure of the neurological system to stimulate respirations
3. Skeletal alterations of the thoracic region that limit air movement
4. Breakdown of oxygen transport from the alveolus to arterial flow
Correct Answer: 4
Rationale 1: Muscular failure to move the air into and out of the lungs is not linked to type I hypoxemic failure.
Rationale 2: Failure of the neurological system to stimulate respirations is not linked to type I hypoxemic failure.
Rationale 3: Skeletal alterations of the thoracic region that limit air movement is not linked to type I hypoxemic failure.
Rationale 4: Type I hypoxemic failure is linked to a breakdown of oxygen transport from the alveolus to arterial flow.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 3-1: Discuss the pathophysiology of ALI/ARDS.

Question 2
Type: MCSA
The nurse is reviewing the health history of a patient diagnosed with an acute lung injury for a cause of the disease process. Which statement correctly identifies the cause for this type of lung injury?
1. Acute lung injury can be caused indirectly from sepsis, systemic inflammatory response syndrome, or pancreatitis.
2. Acute lung injury is a single organ dysfunction syndrome that has a chronic onset.
3. Acute lung injury is caused by few infiltrates on chest radiography.
4. Acute lung injury is caused by right ventricular failure.
Correct Answer: 1
Rationale 1: This statement reflects indirect causes of acute lung injury.
Rationale 2: This statement does not correctly identify the cause of acute lung injury.
Rationale 3: This statement does not correctly identify the cause of acute lung injury.
Rationale 4: This statement does not correctly identify the cause of acute lung injury.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 3-1: Discuss the pathophysiology of ALI/ARDS.

Question 3
Type: MCSA
In caring for a brain-injured patient with damage to the cortex, which changes in respiratory and ventilatory efforts would the nurse expect to observe?
1. Increased rate of breathing per minute
2. Increased respiratory effort by the use of chest and diaphragm muscles
3. Decreased voluntary initiation of ventilatory effort
4. Decrease in CO2 in blood analysis
Correct Answer: 3
Rationale 1: This would not occur because of damage to the cerebral cortex.
Rationale 2: This would not occur because of damage to the cerebral cortex.
Rationale 3: The cerebral cortex regulates voluntary ventilatory effort. In the patient with injury to the cortex, voluntary initiation of respirations will decrease.

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