NURS 115 vSim: Medical Scenario 3 Vincent Brody With Complete Solution

NURS 115 vSim: Medical Scenario 3 Vincent Brody NURS 115 vSim: Medical Scenario 3 Vincent Brody The nurse recognizes that risk factors for chronic obstructive pulmonary disease (COPD) include which of the following? (Select all that apply.) When assessing breath sounds in a patient experiencing chronic obstructive pulmonary disease (COPD), the nurse would expect to find which of the following signs and symptoms? In a patient with chronic obstructive pulmonary disease (COPD), the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas (ABG) results below? pH: 7.33 PaCO2: 55 mmHg HCO3: 22 mEq/L PaO2: 78 The nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Is the following statement TRUE or FALSE? Oxygen concentrations must be carefully titrated in patients experiencing chronic obstructive pulmonary disease (COPD) because some COPD patients may be oxygen sensitive, which can cause an increase in carbon dioxide. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of chronic obstructive pulmonary disease (COPD). How would the nurse interpret the following ABG levels? pH: 7.33 PaCO2: 55 mmHg HCO3: 22 mEq/L PaO2: 78 mmHg The nurse understands that, for a patient with chronic obstructive pulmonary disease (COPD), chronic hypoxemia and thickening of the walls of the pulmonary vasculature can lead to which complication? Which of the following is the correct analysis of the most recent arterial blood gas (ABG) result after insertion of a chest tube? pH: 7.35 PaCO2: 51 mmHg HCO3-: 29 mEq/L PaO2: 85 mmHg The nurse knows that a patient with a pneumothorax would exhibit which of the following signs and symptoms? Vincent Brody was given morphine 2 mg IV prior to his chest tube insertion. The nurse must monitor for which of the following adverse effects with morphine administration? One hour after the chest tube is inserted, repeat arterial blood gases (ABGs) are done and the results are: pH: 7.35 PaCO2: 51 mmHg HCO3-: 29 mEq/L PaO2: 85 mm Hg These results are compared to the ABG drawn earlier: pH: 7.33 PaCO2: 55 mmHg HCO3: 22 mEq/L PaO2: 78 mmHg What would a comparison of the two ABGs indicate to the nurse about the patient's condition? A patient who currently has a chest tube in situ suddenly becomes short of breath with tracheal deviation. What does the nurse suspect has occurred? The nurse understands that tidaling in the patient assessment chamber of a chest tube is which type of finding? Bronchodilators such as albuterol sulfate (Ventolin) are a common pharmacological treatment for patients experiencing chronic obstructive pulmonary disease (COPD). About which common adverse effects would the nurse educate the patient? Which of the following are initial assessments the nurse understands as potential signs and symptoms of a pneumothorax? (Select all that apply.) Which of the following does the nurse suspect as the most likely cause for a pneumothorax in a patient diagnosed with severe emphysema? The nurse assesses the patient with sudden shortness of breath. Which finding would suggest a potential left pneumothorax?