NSG 252 Exam 2 (Exemplars) – Questions With
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Terms in this set (588)
A young adult is admitted to the B. Maintain adequate oxygenation
emergency department after an
automobile accident. The client
has severe pain in the right chest from
contact with the steering wheel. What
should the nurse do first?
A. Reduce the client's anxiety
B. Maintain adequate oxygenation
C. Decrease chest pain
D. Maintain adequate circulating
volume
,A client with rib fractures and a C. The chest tube system is functioning properly
pneumothorax has a chest tube
inserted that is connected to a water
seal chest tube drainage system. The
nurse notes that the fluid in the water
seal column is fluctuating with each
breath that the client takes. What is the
significance of this fluctuation?
A. An obstruction is present in the
chest tube
B. The client is developing
subcutaneous emphysema
C. The chest tube system is functioning
properly
D. There is a leak in the chest tube
system
For a client with rib fractures and a A. pain rating of 0 to 2 on a scale of 0 to 10 by the
pneumothorax, the health care client
provider prescribes morphine
sulfate, 1 to 2 mg/h, given IV as needed
for pain. The nursing care goal is to
provide adequate pain control so that
the client can breathe effectively.
Which finding indicates the goal has
been met?
A. pain rating of 0 to 2 on a scale of 0
to 10 by the client
B. decreased client anxiety
C. respiratory rate of 26 breaths/min
D. PaO, of 70 mm Hg (9.31 kPa)
,A client undergoes surgery to repair B. 4 hours
lung injuries. Postoperative
prescriptions include the transfusion of
one unit of packed red blood cells at a
rate of 60 mL/h. How long will this
transfusion take to infuse?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours
A client has been in an automobile A. Sudden, sharp chest pain
accident, and the nurse is assessing the
client for possible pneumothorax.
What finding should the nurse
immediately report to the health care
provider?
A. Sudden, sharp chest pain
B. Wheezing breath sounds over
affected side
C. Hemoptysis
D. Cyanosis
A client is undergoing a thoracentesis. A. Pneumothorax
What should the nurse monitor the B. Subcutaneous emphysema
client for during and immediately after C. Tension pneumothorax
the procedure? Select all that apply. D. Pulmonary edema
A. Pneumothorax
B. Subcutaneous emphysema
C. Tension pneumothorax
D. Pulmonary edema
E. Infection
, The nurse has placed the intubated C. The SpO2 and PO2 have decreased
client with acute respiratory syndrome D. The client is tachycardic with drop in blood
(ARDS) in prone position for 30 pressure
minutes. Which factors would require E. The face has increased skin breakdown and edema
the nurse to discontinue prone
position? Select all that apply.
A. The family is coming in to visit
B. The client has increased secretions
requiring frequent suctioning
C. The SpO2 and PO2 have decreased
D. The client is tachycardic with drop in
blood pressure
E. The face has increased skin
breakdown and edema
To promote effective airway clearance D. Suction if cough is ineffective
in a client with acute respiratory
distress, what should the nurse do?
A. Administer oxygen every 2 hours
B. Turn the client every 4 hours
C. Administer sedatives to promote
rest
D. Suction if cough is ineffective
To improve the oxygenation of a client D. Prone
with acute respiratory distress
syndrome (ARDS) who is receiving
mechanical ventilation, the nurse
should place the client in which
position?
A. Supine
B. Semi-fowlers
C. Lateral side
D. Prone
Verified Solutions
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Terms in this set (588)
A young adult is admitted to the B. Maintain adequate oxygenation
emergency department after an
automobile accident. The client
has severe pain in the right chest from
contact with the steering wheel. What
should the nurse do first?
A. Reduce the client's anxiety
B. Maintain adequate oxygenation
C. Decrease chest pain
D. Maintain adequate circulating
volume
,A client with rib fractures and a C. The chest tube system is functioning properly
pneumothorax has a chest tube
inserted that is connected to a water
seal chest tube drainage system. The
nurse notes that the fluid in the water
seal column is fluctuating with each
breath that the client takes. What is the
significance of this fluctuation?
A. An obstruction is present in the
chest tube
B. The client is developing
subcutaneous emphysema
C. The chest tube system is functioning
properly
D. There is a leak in the chest tube
system
For a client with rib fractures and a A. pain rating of 0 to 2 on a scale of 0 to 10 by the
pneumothorax, the health care client
provider prescribes morphine
sulfate, 1 to 2 mg/h, given IV as needed
for pain. The nursing care goal is to
provide adequate pain control so that
the client can breathe effectively.
Which finding indicates the goal has
been met?
A. pain rating of 0 to 2 on a scale of 0
to 10 by the client
B. decreased client anxiety
C. respiratory rate of 26 breaths/min
D. PaO, of 70 mm Hg (9.31 kPa)
,A client undergoes surgery to repair B. 4 hours
lung injuries. Postoperative
prescriptions include the transfusion of
one unit of packed red blood cells at a
rate of 60 mL/h. How long will this
transfusion take to infuse?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours
A client has been in an automobile A. Sudden, sharp chest pain
accident, and the nurse is assessing the
client for possible pneumothorax.
What finding should the nurse
immediately report to the health care
provider?
A. Sudden, sharp chest pain
B. Wheezing breath sounds over
affected side
C. Hemoptysis
D. Cyanosis
A client is undergoing a thoracentesis. A. Pneumothorax
What should the nurse monitor the B. Subcutaneous emphysema
client for during and immediately after C. Tension pneumothorax
the procedure? Select all that apply. D. Pulmonary edema
A. Pneumothorax
B. Subcutaneous emphysema
C. Tension pneumothorax
D. Pulmonary edema
E. Infection
, The nurse has placed the intubated C. The SpO2 and PO2 have decreased
client with acute respiratory syndrome D. The client is tachycardic with drop in blood
(ARDS) in prone position for 30 pressure
minutes. Which factors would require E. The face has increased skin breakdown and edema
the nurse to discontinue prone
position? Select all that apply.
A. The family is coming in to visit
B. The client has increased secretions
requiring frequent suctioning
C. The SpO2 and PO2 have decreased
D. The client is tachycardic with drop in
blood pressure
E. The face has increased skin
breakdown and edema
To promote effective airway clearance D. Suction if cough is ineffective
in a client with acute respiratory
distress, what should the nurse do?
A. Administer oxygen every 2 hours
B. Turn the client every 4 hours
C. Administer sedatives to promote
rest
D. Suction if cough is ineffective
To improve the oxygenation of a client D. Prone
with acute respiratory distress
syndrome (ARDS) who is receiving
mechanical ventilation, the nurse
should place the client in which
position?
A. Supine
B. Semi-fowlers
C. Lateral side
D. Prone
