Question in doubt!! -3   1.    A client's respiratory status...

Question in doubt!!-3

 

1.    A client's respiratory status changed and needs adjustment to the mechanical ventilator modes and settings. The pulmonologist wants the client to receive 10 breaths/min from the ventilator but wants to encourage the client to breathe spontaneously between the mechanical breaths at the client's own tidal volume. Which mode of ventilation will accomplish these goals?

a.    Synchronized intermittent mandatory ventilation

b.    Assist/control ventilation

c.    Controlled ventilation

d.    Positive end-expiratory pressure

 

2.    A nurse is teaching a client with unifocal premature ventricular contractions. Which education should the nurse include in this client's teaching?

(Select all that apply)

a.    Foods's high (or low) in potassium

b.   Smoking cessation

c.    Medications that can cause PVCs

d.    Avoiding vagal stimulation

e.    Stress reduction and management

f.     Food high in potassium

 

3.    The nurse is preparing to administer adenosine with a supra ventricular tachycardia. Which considerations. Which considerations should the nurse take into account when administering this medication? (Select all that apply)

 

a.    Rapid 20 mL saline flush following bolus is necessary.

b.    Long half-life of adenosine may prolong adverse medications effects.

c.    IV injection site must be as far from the heart as possible

d.   Rapid IV bolus administration over 1-3 seconds is recommended

e.    Constant ECG monitoring is necessary

f.     Administration must be followed by a normal saline bolus.

 

4.    What are the expected findings in a client ARDS? (Select all that apply)

a. Increased cardiac output

b. Pa02 of 45 on 100% fiO2

c. PAWP of more than 15

d. Decreased pulmonary compliance

e. Dense pulmonary infiltrates on chest x-ray study

 

5.    The client with V-tach is unresponsive and has no pulse. The nurse calls for assistance and a defibrillator. What is the nurse's priority intervention while waiting for the defibrillator to arrive?

a. Ask the clients family about code status

b. Initiate CPR

c. Performing a pericardial thump

d. Start an 18 gauge IV

 

6.    The nurse is caring for a client admitted with shock. The nurse understands which assessment findings best assess improvements in the tissue perfusion in a client in shock. (Select all that apply)

a.    HR 120

b.    Alert and Oriented

c.    BP 92/61

d.    RR 28

e.    Urine output 150 in the last 4 hours

 

7.    The nurse is caring for a client in shock. The health care provider prescribes dopamine infusion to be administered. What nursing intervention should the nurse perform for administering dopamine? (Select all that apply)

a.    Monitor urine output hourly

b.    Monitor peripheral vasodilation once you start the infusion

c.    Assess client for chest pain

d.    Administer piggyback with sodium bicarbonate

e.    Assess blood pressure every 15 min

 

8.    A client who is receiving IV antibiotics develops wheezes and dyspnea. In which order should the nurse implement the prescribed actions?

a.    Discontinue the antibiotic infusion

b.    Give diphenhydramine IV

c.    Inject epinephrine IM

d.    Administer methylprednisolone IV

e.    Start 100% O2 using a nonrebreather mask

 

9.    A client says "my doctor says I have an abdominal aortic aneurysm, but they aren't going to do surgery to fix it" how should the nurse interpret this statement?

a.    The aortic aneurysm is small and must not be causing symptoms

b.    The client must be a poor surgical risk

c.    The abdominal aortic aneurysm must be located in the infrarenal area, making it inoperable

d.    Administration of steroids is the best treatment for abdominal aortic aneurysms

 

10. The nurse is discharging a client who is newly diagnosed with atrial fibrillation. The nurse explains that which symptom is most important to report to the physician?

a.    Fatigue

b.    Hemoptysis

c.    Irregular pulse  

d.    Palpitations

 

11. Which of the following adverse effects would the nurse monitor for while administering intravenous lidocaine?

a. Renal shutdown

b. Cerebral emboli

c. Bleeding tendencies

d. Central nervous system reactions 

 

12. A client is admitted to the hospital following a motor vehicle accident. On admission, the client complains of increasing shortness of breath and chest pain, and has absent lung sounds on the left side. What should the nurse expect to do next?

a.    Prepare the client to be sent to the operating room

b.    Prepare the client for intubation

c.    Prepare the client for chest tube insertion

d.    Prepare the client for a thoracentesis

 

13. A client is postoperative after having an endovascular stent graft to repair for an aortic abdominal aneurysm. Which items will be included in the discharge teaching?

a.    Use only a bedside commode since climbing stairs will not be prohibited permanently

b.    No lifting heavy objects for 6 to 12 days after surgery

c.    Use caution for activities that involve pulling, pushing or straining

d.    Driving a car is restricted for several weeks after discharge

e.    The need to reside in a long-term care facility permanently