Question in doubt!! Exam 3 1.A client’s respiratory status changed…
Question Answered step-by-step Question in doubt!! Exam 3 1.A client’s respiratory status changed… Question in doubt!!Exam 31. 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 ventilationb. Assist/control ventilation?? (Other option)c. Controlled ventilationd. Positive end-expiratory pressure2. 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 potassiumb. Smoking cessationc. Medications that can cause PVCs d. Avoiding vagal stimulatione. Stress reduction and managementf. Food high in potassium3. 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 possibled. Rapid IV bolus administration over 1-3 seconds is recommendede. Constant ECG monitoring is necessaryf. 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 outputb. Pa02 of 45 on 100% fiO2c. PAWP of more than 15d. Decreased pulmonary compliancee. Dense pulmonary infiltrates on chest x-ray study5. 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 CPRc. Performing a pericardial thumpd. Start an 18 gauge IV6. 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 120b. Alert and Orientedc. BP 92/61d. RR 28e. Urine output 150 in the last 4 hours7. 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 hourlyb. Monitor peripheral vasodilation once you start the infusionc. Assess client for chest paind. Administer piggyback with sodium bicarbonatee. Assess blood pressure every 15 min8. 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 infusionb. Give diphenhydramine IVc. Inject epinephrine IMd. Administer methylprednisolone IVe. Start 100% O2 using a nonrebreather mask9. 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 symptomsb. The client must be a poor surgical riskc. The abdominal aortic aneurysm must be located in the infrarenal area, making it inoperabled. Administration of steroids is the best treatment for abdominal aortic aneurysms10. 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. Fatigueb. Hemoptysisc. Irregular pulse d. Palpitations11. Which of the following adverse effects would the nurse monitor for while administering intravenous lidocaine?a. Renal shutdownb. Cerebral embolic. Bleeding tendenciesd. 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 roomb. Prepare the client for intubationc. Prepare the client for chest tube insertiond. Prepare the client for a thoracentesis13. 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 permanentlyb. No lifting heavy objects for 6 to 12 days after surgeryc. Use caution for activities that involve pulling, pushing or strainingd. Driving a car is restricted for several weeks after dischargee. The need to reside in a long-term care facility permanently Health Science Science Nursing NSG 321 Share QuestionEmailCopy link Comments (0)
