WITH COMPLETE SOLUTION..100%
PASS||2025.
A.nurse.is.assessing.a.patient.who.has.a.chest.tube.in.place.following.a.thor
acic.surgery..Which.of.the.following.findings.indicates.a.need.for.interventi
on:
1..Fluctuation.of.drainage.in.the.tubing.with.inspiration.
2..Continuous.bubbling.in.the.water.seal.chamber..
3..Drainage.of.75.mL.in.the.first.hour.after.surgery.
4..Several.small,.dark-
red.blood.clots.in.the.tubing..~Correct.answer.~2..Continuous.bubbling.in.the
.water.seal.chamber..
Continuous.bubbling.in.the.water.seal.chamber.suggests.an.air.leak.
A.nurse.is.caring.for.an.elderly.patient.who.suffers.from.COPD.with.pneu
monia..The.nurse.should.monitor.the.patient.for.which.of.the.following.aci
d-base.imbalances?
1..Respiratory.alkalosis
2..Respiratory.acidosis
3..Metabolic.alkalosis
4..Metabolic.acidosis.~Correct.answer.~2..Respiratory.acidosis
,Respiratory.acidosis.is.a.common.complication.of.COPD..This.complicatio
n.occurs.because.patients.who.have.COPD.are.unable.to.exhale.carbon.dio
xide.due.to.a.loss.of.elastic.recoil.in.the.lungs.
A.nurse.is.preparing.to.administer.cisplatin.IV.to.a.patient.with.lung.cance
r..The.nurse.should.identify.that.which.of.the.following.findings.is.an.adver
se.effect.of.this.medication?
1..Hallucinations
2..Pruritis
3..Hand.and.foot.syndrome
4..Tinnitis.~Correct.answer.~4..Tinnitis
An.adverse.effect.of.cisplatin.is.ototoxicity,.which.can.cause.tinnitis.
A.nurse.is.preparing.to.assist.a.provider.to.withdraw.arterial.blood.from.a.
patient's.radial.artery.for.measurement.of.ABG..Which.of.the.following.act
ions.should.the.nurse.plan.to.take?
1..Hyperventilate.the.patient.with.100%.oxygen.prior.to.obtaining.the.spec
imen.
2..Apply.ice.to.the.site.after.obtaining.the.specimen.
3..Perform.an.Allen's.test.prior.to.obtaining.the.specimen.
4..Release.pressure.applied.to.the.puncture.site.1.minute.after.the.needle.i
s.withdrawn..~Correct.answer.~3..Perform.an.Allen's.test.prior.to.obtaining.t
he.specimen.
,The.nurse.should.ensure.that.circulation.to.the.hand.is.adequate.from.the.
ulnar.artery.in.case.the.radial.artery.is.injured.from.the.blood.draw..The.m
ost.common.site.for.withdrawal.of.arterial.blood.gases.is.the.radial.artery.
A.nurse.is.providing.instructions.about.pursed-
lip.breathing.for.a.patient.who.has.COPD.with.emphysema..The.nurse.sho
uld.explain.that.this.breathing.technique.accomplishes.which.of.the.follow
ing:
1..Increases.oxygen.intake
2..Promotes.carbon.dioxide.elimination
3..Uses.the.intercostal.muscles
4..Strengthens.the.diaphram.~Correct.answer.~2..Promotes.carbon.dioxide.e
limination
A.patient.who.has.COPD.with.emphysema.should.use.pursed-
lip.breathing.when.experiencing.dyspnea..This.is.one.of.the.simplest.ways.
to.control.dyspnea..It.slows.the.patient's.pace.of.breathing,.making.each.br
eath.more.effective..Pursed-
lip.breathing.releases.trapped.air.in.the.lungs.and.prolongs.exhalation.to.s
low.the.breathing.rate..This.improved.breathing.pattern.moves.carbon.dio
xide.out.of.the.lungs.more.efficiently.
A.nurse.is.preparing.a.patient.for.a.thoracentesis..In.which.of.the.following.
positions.should.the.nurse.place.the.patient:
1..Lying.flat.on.the.affected.site
2..Prone.with.arms.raised.over.the.head
3..Supine.with.the.head.of.the.bed.elevated
, 4..Sitting.while.leaning.forward.over.the.bedside.table.~Correct.answer.~4..S
itting.while.leaning.forward.over.the.bedside.table
When.preparing.a.patient.for.a.thoracentesis,.the.nurse.should.have.the.pa
tient.sit.on.the.edge.of.the.bed.and.lean.forward.over.the.bedside.table.beca
use.this.position.maximizes.the.space.between.the.patient's.ribs.and.allow
s.for.aspiration.of.accumulated.fluid.and.air.
A.nurse.on.a.med-
surg.unit.is.caring.for.a.patient.who.is.postoperative.following.a.hip.replace
ment.surgery..The.patient.reports.feeling.apprehensive.and.restless..Whic
h.of.the.follow.findings.should.the.nurse.recognize.as.an.indication.of.a.PE:
1..Sudden.onset.of.dyspnea
2..Tracheal.deviation.
3..Bradycardia
4..Difficulty.swallowing.~Correct.answer.~1..Sudden.onset.of.dyspnea
Clinical.manifestations.of.a.PE.have.a.rapid.onset..Dyspnea.occurs.due.to.r
educed.blood.flow.to.the.lungs.
A.nurse.is.planning.care.for.a.patient.who.has.COPD.and.is.malnourished..
Which.of.the.following.recommendations.to.promote.nutritional.intake.sho
uld.the.nurse.include.in.the.plan:
1..Eat.high-calorie.foods.first
2..Increase.intake.of.water.at.meal.times
3..Perform.active.range.of.motion.exercises.before.meals