NR 341 EXAM III RECOMMENDED TO KNOW WITH
UPDATES AND 100% CORRECT ANSWERS!
A client remains hospitalized with a pneumothorax after a chest tube
insertion. Which assessment finding indicates that chest tube therapy has
been
effective? - ANSWER Client is able to inhale 500 ml with an incentive
spirometer
The trauma nurse recognizes that the "E" in the trauma survey includes which
intervention? - ANSWER Warming the patient with blankets
A client arrives to the emergency department after a motor vehicle
accident (MVA) with airbag deployment. Which assessment finding must the
trauma learn act open first? - ANSWER The client does not speak and is
excessively drooling from the mouth (Emergent!)
A trauma client with a fractured forearm complains of extreme throbbing
pain at the fracture site and numbness and tingling in the fingers. Which
action should the nurse perform first? - ANSWER Assess for presence of a
radial pulse (May be compartment syndrome)
The nurse received change-of-shift report about these clients on the
trauma step-down unit. Which client should the nurse see first? - ANSWER
A client with a blunt chest trauma who has developed paradoxical breathing
within the past hour (ABG'S Breathing !)
The nurse is caring for a client that sustained a snake bite on a lower
, extremity. What is the appropriate action the nurse should take? - ANSWER
Request pharmacy to deliver anti-venom
A patient experiences a blunt chest injury as a result of an automobile
accident. Which assessment finding would be of greatest concern to the
nurse? - ANSWER The client is coughing up blood-tinged sputum (internal
bleeding yes priority)
Which of these assessment findings by the nurse would be more likely to
indicate that a trauma patient was having problems with breathing rather than
difficulty maintaining an airway? - ANSWER Asymmetrical chest expansion
Which of the following interventions is a strategy to prevent fat embolism
syndrome? - ANSWER Splint extremity fractures early
A nurse is caring for a patient who has sustained crush injuries and has
reddish-brown urine in the urinary drainage bag. The nurse anticipates the
client may develop which complications? - ANSWER Intra-renal acute
kidney injury or it could be compartment
A mass casualty event has occurred. Which client will be in the emergent
category? - ANSWER A client with accessory muscle use and inability to
cough
A client that sustained a head injury has an intracranial pressure (ICP)
monitoring device. What is a priority nursing intervention for this client? -
ANSWER Aseptic technique when providing line care
If a client's blood pressure is 152/59 mmHg and the intracranial pressure
(ICP) is 17 mmHg. What is the cerebral perfusion pressure (CPP)? -
ANSWER 73 mmHg
UPDATES AND 100% CORRECT ANSWERS!
A client remains hospitalized with a pneumothorax after a chest tube
insertion. Which assessment finding indicates that chest tube therapy has
been
effective? - ANSWER Client is able to inhale 500 ml with an incentive
spirometer
The trauma nurse recognizes that the "E" in the trauma survey includes which
intervention? - ANSWER Warming the patient with blankets
A client arrives to the emergency department after a motor vehicle
accident (MVA) with airbag deployment. Which assessment finding must the
trauma learn act open first? - ANSWER The client does not speak and is
excessively drooling from the mouth (Emergent!)
A trauma client with a fractured forearm complains of extreme throbbing
pain at the fracture site and numbness and tingling in the fingers. Which
action should the nurse perform first? - ANSWER Assess for presence of a
radial pulse (May be compartment syndrome)
The nurse received change-of-shift report about these clients on the
trauma step-down unit. Which client should the nurse see first? - ANSWER
A client with a blunt chest trauma who has developed paradoxical breathing
within the past hour (ABG'S Breathing !)
The nurse is caring for a client that sustained a snake bite on a lower
, extremity. What is the appropriate action the nurse should take? - ANSWER
Request pharmacy to deliver anti-venom
A patient experiences a blunt chest injury as a result of an automobile
accident. Which assessment finding would be of greatest concern to the
nurse? - ANSWER The client is coughing up blood-tinged sputum (internal
bleeding yes priority)
Which of these assessment findings by the nurse would be more likely to
indicate that a trauma patient was having problems with breathing rather than
difficulty maintaining an airway? - ANSWER Asymmetrical chest expansion
Which of the following interventions is a strategy to prevent fat embolism
syndrome? - ANSWER Splint extremity fractures early
A nurse is caring for a patient who has sustained crush injuries and has
reddish-brown urine in the urinary drainage bag. The nurse anticipates the
client may develop which complications? - ANSWER Intra-renal acute
kidney injury or it could be compartment
A mass casualty event has occurred. Which client will be in the emergent
category? - ANSWER A client with accessory muscle use and inability to
cough
A client that sustained a head injury has an intracranial pressure (ICP)
monitoring device. What is a priority nursing intervention for this client? -
ANSWER Aseptic technique when providing line care
If a client's blood pressure is 152/59 mmHg and the intracranial pressure
(ICP) is 17 mmHg. What is the cerebral perfusion pressure (CPP)? -
ANSWER 73 mmHg
