NSG-300 EXAM 3 QUESTION WITH
VERIFIED SOLUTIONS.
A patient with a tracheostomy has thick tenacious secretions.
To maintain the airway, the most appropriate action for the
nurse includes:
A. Tracheal suctioning
B. Oropharyngeal suctioning
C. Nasotracheal suctioning
D. Orotracheal suctioning - correct answer
Answer: A
When evaluating a post-thoracotomy patient with a chest tube,
the best method to properly maintain the chest tube would be
to:
A. strip the chest tube every hour to maintain drainage
B. place the device below the patient's chest
C. double clamp the tube except during assessment
D. remove the tubing from the drainage device to check for
proper suctioning - correct answer
Answer : B
"Handle the chest drainage unit carefully and maintain the
drainage device below the patient's chest," (pg. 899). Chest
tubes are not routinely stripped or milked to move clots or
increase chest drainage. Clamping can result in a tension
pneumothorax and a chest tube is only clamped when
replacing the chest drainage system, assessing for an air leak,
or during removal. You do not want to remove the tubing
because it requires patient preparation due to the burning,
pulling, and painful sensation.
, A patient complains of chest pain. When assessing the pain,
you decide that its origin is cardiac - rather than respiratory or
gastrointestinal - when it:
A. does not occur with respiratory variations
B. is peripheral and may radiate to the scapular region
C. is aggravated by inspiratory movements
D. is non radiating and occurs during inspiration - correct
answer
Answer: A
C & D have the words "inspiratory" and "inspiration" both
indicating respiration.
During rounds on the night shift, you note that a patient stops
breathing for 1 to 2 minutes several times during the shift. This
condition is know as:
A. Cataplexy
B. Insomnia
C. Narcolepsy
D. Sleep Apnea - correct answer
Answer: D
A patient suffers from sleep pattern disturbance. To promote
adequate sleep, the most important nursing intervention is...
A. Administering a sleep aid
B. Synchronizing the medication, treatment, and vital signs
schedule
C. Encouraging the patient to exercise immediately before
sleep
VERIFIED SOLUTIONS.
A patient with a tracheostomy has thick tenacious secretions.
To maintain the airway, the most appropriate action for the
nurse includes:
A. Tracheal suctioning
B. Oropharyngeal suctioning
C. Nasotracheal suctioning
D. Orotracheal suctioning - correct answer
Answer: A
When evaluating a post-thoracotomy patient with a chest tube,
the best method to properly maintain the chest tube would be
to:
A. strip the chest tube every hour to maintain drainage
B. place the device below the patient's chest
C. double clamp the tube except during assessment
D. remove the tubing from the drainage device to check for
proper suctioning - correct answer
Answer : B
"Handle the chest drainage unit carefully and maintain the
drainage device below the patient's chest," (pg. 899). Chest
tubes are not routinely stripped or milked to move clots or
increase chest drainage. Clamping can result in a tension
pneumothorax and a chest tube is only clamped when
replacing the chest drainage system, assessing for an air leak,
or during removal. You do not want to remove the tubing
because it requires patient preparation due to the burning,
pulling, and painful sensation.
, A patient complains of chest pain. When assessing the pain,
you decide that its origin is cardiac - rather than respiratory or
gastrointestinal - when it:
A. does not occur with respiratory variations
B. is peripheral and may radiate to the scapular region
C. is aggravated by inspiratory movements
D. is non radiating and occurs during inspiration - correct
answer
Answer: A
C & D have the words "inspiratory" and "inspiration" both
indicating respiration.
During rounds on the night shift, you note that a patient stops
breathing for 1 to 2 minutes several times during the shift. This
condition is know as:
A. Cataplexy
B. Insomnia
C. Narcolepsy
D. Sleep Apnea - correct answer
Answer: D
A patient suffers from sleep pattern disturbance. To promote
adequate sleep, the most important nursing intervention is...
A. Administering a sleep aid
B. Synchronizing the medication, treatment, and vital signs
schedule
C. Encouraging the patient to exercise immediately before
sleep
