A patient with pneumonia is experiencing shunt ventilation. The nurse plans care for the patient based on which considerations? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Shunt ventilation is the normal state for a patient who has pneumonia.
2. Blood flow to the alveoli is compromised.
3. Blood is flowing past the alveoli but is not being oxygenated.
4. Ventilation is inadequate at the alveolar level.
5. Hypoxia may occur if the unaffected lung cannot compensate.
3,4,5
Rationale 1: Shunt ventilation is not normal and the patient may decompensate quickly.
Rationale 2: In shunt ventilation, blood flow to the alveoli is normal.
Rationale 3: Blood is "shunting" past the alveoli, but oxygenation is not taking place.
Rationale 4: Not enough oxygen is being delivered to the alveoli, and blood is not being oxygenated.
Rationale 5: As long as the unaffected lung can supply sufficient oxygen, the patient may show few ill effects from shunt ventilation. However, should the unaffected lung fail to compensate, hypoxia will occur.
You might also like to view...
The nurse is providing education to the patient about isometric exercises. Which statement by the patient indicates a good understanding?
a. "An example of this type of exercise is walking." b. "An example of this type of exercise is running." c. "An example of this type of exercise is Kegels." d. "An example of this type of exercise is weight lifting."
The patient asks the nurse to describe the neuroendocrine theory of aging. What would be an appropriate response by the nurse?
a. It relates thyroid function to age-related changes. b. Adrenal corticosteroids inhibit the aging process. c. The stimulation and/or inhibition of the hypothalamus causes age-related changes. d. The adrenal medulla inhibits epinephrine, causing age-related changes.
The nurse would expect to receive an order for antibiotic therapy for a client after the results of which of the following tests are reported?
1. white blood cell count differential 2. complete blood count 3. culture and sensitivity 4. urinalysis
Your client has just passed away, and his wife is sobbing hysterically. You recognize her behavior as:
1. dysfunctional grief. 2. normal grieving. 3. denial. 4. anticipatory grief.