NUR 2755 MULTIDIMENSIONAL CARE
NUR 2755 MULTIDIMENSIONAL CARE IV EXAM 2 QUESTIONS AND CORRECT
ANSWERS GRADED A+ RASMUSSEN/ NUR 2755 MDC 4 EXAM 2 (BRAND NEW!!)
What is a sign of malignant hyperthermia that nurses must identify
intraoperatively? ANS >>-Early signs include increased CO₂, muscle
rigidity, and increased temperature.
What should be done for a patient showing signs of hypothermia? ANS >>-
Intervene early if cold skin, bradycardia, and confusion are present.
What are the complications associated with unmanaged pain postoperatively?
ANS >>- DVT and pneumonia.
What precautions should be taken to prevent complications in
postoperative care? ANS >>-Verify site markings, apply fall precautions,
and prevent sharps injuries.
What is the purpose of DVT prophylaxis in postoperative care? ANS >>-To
prevent deep vein thrombosis.
What should be included in the preoperative checklist? ANS >>-Prevent
wrong-site surgery, aspiration, or medication interactions.
,NUR 2755 MULTIDIMENSIONAL CARE
What is the role of respiratory therapy in ARDS management? ANS >>-Refer
for respiratory therapy and nutritional support, and obtain orders for prone
positioning, sedation, or neuromuscular blockers.
How should the effectiveness of treatment for ARDS be evaluated? ANS >>-
Review ABGs, CXR, and compliance with interventions such as pruning or
mechanical ventilation.
What is the significance of maintaining normothermia in wound healing? ANS
>>-It supports tissue perfusion and healing.
What should be done if there are signs of dehiscence or evisceration? ANS
>>-Call the provider immediately.
What is the importance of monitoring devices like VAC and drains? ANS >>-
Measure output and ensure suction is working.
What should be done if rising anxiety or misunderstanding is observed
preoperatively? ANS >>-Stop and clarify before surgery proceeds.
What are the stages of ARDS and their related changes in gas exchange? ANS
>>- Exudative, proliferative, and fibrotic stages, each affecting gas exchange
differently.
How should oxygenation be maintained in ARDS management? ANS >>-Use
low tidal volume ventilation, frequent assessments, and PEEP.
What should be monitored in clients on ventilators? ANS >>-Ensure ventilator
synchrony, follow sedation protocols, and monitor for VAP and barotrauma.
,NUR 2755 MULTIDIMENSIONAL CARE
What should be monitored if chest tubes are in place? ANS >>-Monitor
drainage, air leaks, and the dressing site.
What focused assessments should be performed in ARDS management? ANS
>>- Monitor breath sounds, ABGs, SpO₂, and work of breathing regularly.
What complications should be recognized and intervened upon in ARDS? ANS
>>-Watch for signs of barotrauma, VAP, oxygen toxicity, and ventilator
desynchrony.
What trends and changes should be recognized in ARDS patients? ANS >>-
Trend ABG deterioration, escalating oxygen needs, or decreased lung
compliance.
What is a hallmark of refractory hypoxemia? ANS >>-Oxygen does not help.
What is some injury/complication prevention strategies in ARDS
management? ANS >>-Use sterile suction technique, maintain HOB
elevation, and apply infection precautions.
What should be assessed for referrals in chest tube management? ANS >>-
Consult provider for placement and collaborate with respiratory therapy as
needed.
How should client response to medication be evaluated in chest tube
management? ANS >>-Monitor pain control, evaluate reduced dyspnea,
and check re-expansion on imaging.
, NUR 2755 MULTIDIMENSIONAL CARE
What indicates treatment effectiveness in chest tube management? ANS >>-
Assess lung re-expansion and drainage output.
How does pneumothorax, hemothorax, or pleural effusion disrupt lung
inflation? ANS >>- They create pressure imbalances that hinder lung
expansion.
How should impaired ventilation/oxygenation be managed with chest tubes?
ANS >>- Ensure chest drainage supports lung re-expansion and improves
oxygenation.
What should be monitored in ventilated patients with chest drainage? ANS
>>-Monitor interaction with chest drainage and pressures.
What maintenance is required for chest tube devices? ANS >>-Ensure the
tube is patent, suction settings are correct, and there are no kinks or
dislodgement.
What drainage volume indicates a need to notify the provider? ANS >>-If
drainage is greater than 150 mL/hour.
What focused assessments should be performed with chest tubes? ANS >>-
Auscultate breath sounds, palpate for subcutaneous emphysema, and assess
the tube site.
What complications should be recognized in chest tube management? ANS
>>-Tension pneumothorax, infection, and tube displacement.
NUR 2755 MULTIDIMENSIONAL CARE IV EXAM 2 QUESTIONS AND CORRECT
ANSWERS GRADED A+ RASMUSSEN/ NUR 2755 MDC 4 EXAM 2 (BRAND NEW!!)
What is a sign of malignant hyperthermia that nurses must identify
intraoperatively? ANS >>-Early signs include increased CO₂, muscle
rigidity, and increased temperature.
What should be done for a patient showing signs of hypothermia? ANS >>-
Intervene early if cold skin, bradycardia, and confusion are present.
What are the complications associated with unmanaged pain postoperatively?
ANS >>- DVT and pneumonia.
What precautions should be taken to prevent complications in
postoperative care? ANS >>-Verify site markings, apply fall precautions,
and prevent sharps injuries.
What is the purpose of DVT prophylaxis in postoperative care? ANS >>-To
prevent deep vein thrombosis.
What should be included in the preoperative checklist? ANS >>-Prevent
wrong-site surgery, aspiration, or medication interactions.
,NUR 2755 MULTIDIMENSIONAL CARE
What is the role of respiratory therapy in ARDS management? ANS >>-Refer
for respiratory therapy and nutritional support, and obtain orders for prone
positioning, sedation, or neuromuscular blockers.
How should the effectiveness of treatment for ARDS be evaluated? ANS >>-
Review ABGs, CXR, and compliance with interventions such as pruning or
mechanical ventilation.
What is the significance of maintaining normothermia in wound healing? ANS
>>-It supports tissue perfusion and healing.
What should be done if there are signs of dehiscence or evisceration? ANS
>>-Call the provider immediately.
What is the importance of monitoring devices like VAC and drains? ANS >>-
Measure output and ensure suction is working.
What should be done if rising anxiety or misunderstanding is observed
preoperatively? ANS >>-Stop and clarify before surgery proceeds.
What are the stages of ARDS and their related changes in gas exchange? ANS
>>- Exudative, proliferative, and fibrotic stages, each affecting gas exchange
differently.
How should oxygenation be maintained in ARDS management? ANS >>-Use
low tidal volume ventilation, frequent assessments, and PEEP.
What should be monitored in clients on ventilators? ANS >>-Ensure ventilator
synchrony, follow sedation protocols, and monitor for VAP and barotrauma.
,NUR 2755 MULTIDIMENSIONAL CARE
What should be monitored if chest tubes are in place? ANS >>-Monitor
drainage, air leaks, and the dressing site.
What focused assessments should be performed in ARDS management? ANS
>>- Monitor breath sounds, ABGs, SpO₂, and work of breathing regularly.
What complications should be recognized and intervened upon in ARDS? ANS
>>-Watch for signs of barotrauma, VAP, oxygen toxicity, and ventilator
desynchrony.
What trends and changes should be recognized in ARDS patients? ANS >>-
Trend ABG deterioration, escalating oxygen needs, or decreased lung
compliance.
What is a hallmark of refractory hypoxemia? ANS >>-Oxygen does not help.
What is some injury/complication prevention strategies in ARDS
management? ANS >>-Use sterile suction technique, maintain HOB
elevation, and apply infection precautions.
What should be assessed for referrals in chest tube management? ANS >>-
Consult provider for placement and collaborate with respiratory therapy as
needed.
How should client response to medication be evaluated in chest tube
management? ANS >>-Monitor pain control, evaluate reduced dyspnea,
and check re-expansion on imaging.
, NUR 2755 MULTIDIMENSIONAL CARE
What indicates treatment effectiveness in chest tube management? ANS >>-
Assess lung re-expansion and drainage output.
How does pneumothorax, hemothorax, or pleural effusion disrupt lung
inflation? ANS >>- They create pressure imbalances that hinder lung
expansion.
How should impaired ventilation/oxygenation be managed with chest tubes?
ANS >>- Ensure chest drainage supports lung re-expansion and improves
oxygenation.
What should be monitored in ventilated patients with chest drainage? ANS
>>-Monitor interaction with chest drainage and pressures.
What maintenance is required for chest tube devices? ANS >>-Ensure the
tube is patent, suction settings are correct, and there are no kinks or
dislodgement.
What drainage volume indicates a need to notify the provider? ANS >>-If
drainage is greater than 150 mL/hour.
What focused assessments should be performed with chest tubes? ANS >>-
Auscultate breath sounds, palpate for subcutaneous emphysema, and assess
the tube site.
What complications should be recognized in chest tube management? ANS
>>-Tension pneumothorax, infection, and tube displacement.
