Answers Latest Update
MOLST - - -
correct answer ✅Follows pt. along
Morphine around the clock - - -
correct answer ✅Bowel regimen
Opioids decrease GI motility
Client received morphine 4 ½ hours ago, is currently dosing - - -
correct answer ✅Gently arouse the person and ask if their in pain
Keep pain controlled
Previous neuro assessment A&O now all the sudden decrease in
LOC, etc. - - -
correct answer ✅CAM ICU test - delirium
Caring for client on mech vent group of ventilations for bundle - - -
correct answer ✅IV heparin is NOT part of the bundle IT IS A
TREATMENT
What ventilation problems as opposed to perfusion - - -
correct answer ✅Myasthenia gravis
, NUR 4090 Exam 1 Questions And
Answers Latest Update
Client has a pneumothorax chest tube is bubbling intermittently,
diminished breath sounds on side of tube what should nurse do - - -
correct answer ✅Continue to monitor - normal finding
Client t boned in accident nurse suspects tension pneumothorax - -
-
correct answer ✅Trach deviation toward unaffected side (Hallmark
sign: mediastinal shift)
PNA w history of CHF sedated with propofol RASS -2 VS consistent
sudden drop in BP and RASS is -3 (too much sedation) - - -
correct answer ✅Pause sedation - check the BP and monitor
Dyspnea and hemoptysis DX of PE has been made what sure nurse
do - - -
correct answer ✅Coordinate venous punctures
ARDS what test to differentiate with CHF - - -
correct answer ✅BNP
Client been in accident brought to ER complain of chest pain - - -
correct answer ✅Beck's triad JVD, Muffled cardiac sounds, Low BP.
(cardiac tamponade)