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Exam (elaborations)

NUR 2474 Pharm Exam 2 NCLEX Questions Questions and Correct Answers/ Latest Update / Already Graded

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NUR 2474 Pharm Exam 2 NCLEX Questions Questions and Correct Answers/ Latest Update / Already Graded

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nurs 333 final exam review Questions and
Correct Answers/ Latest Update / Already
Graded
Airway → check if airway is patent

Breathing → rate, depth, work of breathing, SpO₂

Circulation → pulse, BP, skin colour, shock

Ans: priorities for chest trauma


tracheal shift (windpipe dislocation)

neck vein distention

chest symmetry

open wounds / exit wounds

crepitus / subcutaneous emphysema

signs of shock

IV access

continuous SpO₂ + cardiac monitoring

Ans: assessment for chest trauma


Air enters pleural space → lung partially/completely collapses.


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Ans: pneumothorax


dyspnea / air hunger

decreased breath sounds

shallow rapid respirations

low O₂ sat

accessory muscle use

cyanosis

decreased chest movement

Ans: s/s for pneumothorax


oxygen therapy

frequent respiratory assessments

monitor SpO₂

prepare for large-bore needle aspiration if ordered

prepare for chest tube insertion

monitor chest drainage system

Ans: nursing interventions for pneumothorax




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re-establish negative pressure so the lung can re- expand

Ans: goal for pneumothorax


Air enters but cannot escape → pressure builds → affects heart and
vessels.

Ans: tension pneumothorax


sudden worsening dyspnea

absent breath sounds on one side

tracheal deviation away

cyanosis

JVD

agitation

asymmetrical chest

Ans: s/s of tension pneumothorax


urgent provider notification / rapid response

prepare for needle decompression immediately

prepare for chest tube

continuous O₂ monitoring

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