The nurse is assessing a patient for the adequacy of ventilation. ...

[mcmcdaniel]

The nurse is assessing a patient for the adequacy of ventilation. What assessment findings would indicate the patient has good ventilation? (Select all that apply.)
 
  a. Respiratory rate is 24 breaths/min.
  b. Oxygen saturation level is 98.
  c. The right side of the thorax expands slightly more than the left.
  d. Trachea is just to the left of the sternal notch.
  e. Nail beds are pink with good capillary refill.
  f. There is presence of quiet, effortless breath sounds at lung base bilaterally.

Question 2

The nurse would identify which body systems as directly involved in the process of normal gas exchange? (Select all that apply.)
 
  a. Neurologic system
  b. Endocrine system
  c. Pulmonary system
  d. Immune system
  e. Cardiovascular system
  f. Hepatic system

[xthemafja]

Answer to Question 1

ANS: B, E, F
Oxygen saturation level should be between 95 and 100; nail beds should be pink with capillary refill of about 3 seconds; and breath sounds should be present at base of both lungs. Normal respiratory rate is between 12 and 20 breaths/min. The trachea should be in midline with the sternal notch. The thorax should expand equally on both sides.

Answer to Question 2

ANS: A, C, E
The neurologic system controls respiratory drive; the respiratory system controls delivery of oxygen to the lung capillaries; and the cardiac system is responsible for the perfusion of vital organs. These systems are primarily responsible for the adequacy of gas exchange in the body. The endocrine and hepatic systems are not directly involved with gas exchange. The immune system primarily protects the body against infection.

[mcmcdaniel]

Both answers were spot on, thank you once again

[xthemafja]

Great! Please up vote