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ATI RN PROCTORED MED SURG EXAM WITH NGN

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ATI RN PROCTORED MED SURG EXAM WITH NGN Despite your attempts to coach a conscious young female's respirations, she continues to hyperventilate with a marked reduction in tidal volume. You should: explain to her that you will assist her ventilations Inhalation occurs when the: diaphragm and intercostal muscles contract and cause a decrease in intrathoracic pressure. You are ventilating a patient with a stoma; however, air is escaping fromthe mouth and nose. To prevent this, you should: seal the mouth and nose The of a medication usually dictates the route by which it willbe administered form You are ventilating an apneic woman with a bag-mask device. She has dentures, which are tight-fitting. Adequate chest rise is present with eachventilation, and the patient's oxygen saturation reads 96%. When you reassess the patency of her airway, you note that her dentures are now loose, although your ventilations are still producing adequate chest rise. You should: remove her dentures, resume ventilations, and assess for adequatechest rise A 62-year-old male presents with crushing chest pain, which he describes as being the same kind of pain that he had with a previous heart attack. Hehas prescribed nitroglycerin but states that he has not taken any. After administering 100% oxygen and contacting medical control, you should: assist him with his nitroglycerin unless his systolic blood pressure is less that 100 mm Hg Which of the following statements regarding oxygen is correct? Oxygen supports the combustion process and may cause a fire A 37-year old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient includes: encouraging him to cough and transporting Which of the following factors will cause a decreased minute volume in an adult? shallow breathing The MOST serious complication associated with using a nasopharyngeal airway in a patient with trauma to the head or face is: penetrating the cranium You are treating a middle-aged man with chest discomfort. He has a history of three previous heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to patients with suspected cardiac-related chest pain or discomfort. While your partner is preparing to give oxygen to the patient, you should: confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and document the time and dose given Subcutaneous injections deliver the medication: Between the skin and the muscle While eating dinner, your partner suddenly grabs his throat and has a panicked look on his face. He has a weak cough, faint inspiratory stridor, and cyanosis around the lips. You should: stand behind him and administer abdominal thrusts Advil, Nuprin, and Motrin are brand (trade) names for the genericmedication: ibuprofen A 37-year-old male is found unconscious in his car. His airway is patent and his respirations are rapid and labored. As you and your partner are assessing and treating the patient, a police office hands you a medication named Alupent, which he found in the backseat of the patient's car. This medication suggests that the patient has a history of: asthma Which if the following is the MOST rapidly acting medication administrationroute? intravenous (IV) You are dispatched to a residence where a middle-aged man was found unconscious in his front yard. There are no witnesses who can tell you what happened. You find him in a prone position; his eyes are closed and he is not moving. Your FIRST action should be to: Log roll him as a unit to a supine position You arrive at a residence approximately 20 minutes after a 7-year-old boy, who weighs 22 kg, ingested a bottle of Advil. He is conscious and alert and has stable vital signs. Medical control orders you to administer activated charcoal and oxygen and then transport the child at once. The appropriate maximum dose of activated charcoal for this child is: 44 g You are treating a 45-year-old woman who was stung by a hornet and has a rash. She tells you that she is allergic to hornets and has her own epinephrine auto-injector. She also tells you that she takes medication for hypertension. Her breath sounds do not reveal any wheezing, her breathingis unlabored, and her blood pressure is 154.94 mm HG. What would you doif you are not able to make contact with medical control? Give her oxygen, transport her to the hospital, and monitor her condition en route You and your partner are caring for a critically injured patient. Your partneris controlling severe bleeding from the patient's lower extremities as you attempt ventilations with a bag-mask device. After respositioning the maskseveral times, you are unable to effectively ventilate the patient. You should: begin ventilations using the mouth-to-mask technique Irregular respirations characterized by an increasing rate and depth of breathing followed by periods of apnea are called: Cheyne-Stokes respirations Which if the following patients would MOST likely require insertion of an oropharyngeal airway? a 40-year-old unconscious patient with slow, shallow respirations After taking diphendydramine (Benadryl) for an allergic reaction,


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