PRE-AND-POST SIMULATION QUIZ FOR KENNETH BRONSON

A patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. How would the nurse classify this type of pneumonia? - correct answer community-acquired pneumonia when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? - correct answer fatigue, dyspnea, fever, and orthopnea Which of the following represent initial signs and symptoms of a patient in respiratory distress? - correct answer hypoxemia dyspnea tachypnea a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? - correct answer pruritus, bronchospasm, laryngeal edema, dyspnea what is the primary action for the nurse when a patient experiences sudden respiratory distress? - correct answer Assess the airway the nurse is auscultating lung sounds. What lung sound is associated with narrowing of the airway? - correct answer wheezes the nurse is aware that which of the following represents the strongest predisposing factors for asthma? - correct answer allergies In a patient experiencing asthma exacerbation, which of the following changes occur? Select all that apply. hypotension bronchoconstriction airway edema airway narrowing bronchodialation - correct answer bronchoconstriction airway edema airway narrowing The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? - correct answer cough wheezing dyspnea In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? - correct answer expiration In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? - correct answer resonate to hyper-resonate the nurse assesses the severity of asthma by monitoring which of the following measures? Select all that apply - correct answer auscultation of lungs peak flow severity of symptoms the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? - correct answer chronic inflammation and narrowing of the airways the nurse recognizes that risk factors for COPD include which of the following? - correct answer air pollution second hand smoke exposure to dust smoking tobacco Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. How would the nurse interpret the following ABG levels? pH: 7.33 PaCO2: 55 mmHg HCO3: 22 mEq/L PaO2: 78 mmHg - correct answer respiratory acidosis with no compensation and mild hypoxemia In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? pH: 7.33 PaCO2: 55 mmHg HCO3: 22 mEq/L PaO2: 78 mmHg - correct answer likely asymptomatic When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? - correct answer dyspnea with a chronic cough T/F: Oxygen concentrations must be carefully titrated in patients experiencing COPD because some COPD patients may be oxygen sensitive, which can cause an increase in carbon dioxide - correct answer true When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? - correct answer Every five minutes, maximum 3 doses When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? - correct answer decreases anxiety decreases pain decreases preload decreases afterload