Complex NR 342 Exam 1 Questions With Complete
Solutions
The nurse cares for an adolescent patient who is dying. The
patients parents are interested in organ donation and ask the
nurse how the decision about brain death is made. Which
response by the nurse is most
appropriate?
Brain death has occurred if there is no breathing and certain
reflexes are absent.
When should you suction endotracheal tube patient?
Auscultated adventitious breath sounds
Which action should the nurse take first when a patient
complains of acute chest pain and dyspnea soon after insertion
of a centrally inserted IV catheter?
Auscultate the patients breath sounds.
Patient with potassium level of 2.7
Shallow Breath (HR 55 irregular??)
A 25-year-old male patient has been admitted with a severe
crushing injury after an industrial accident.. Which laboratory
result will be most important to report to the health care
provider?
Serum potassium level 6.5 mEq/L (may cause cardiac arrest)
Symptom of potassium level of 5.9?
, Diarrhea
A nurse in the outpatient clinic is caring for a patient who has a
magnesium level of 1.3 mg/dL. Which assessment would be
most important for the nurse to make?
Daily alcohol intake
Hypocalcemia manifestations
tetany and ECG changes
Cause of Metabolic acidosis
Excess diarrhea
respiratory alkalosis manifestations
hyperventilation and anxiety
Intervention for patient with tachypnea. 38 breaths per minute
non-rebreather without O2 (similar to paper bag effect for
hyperventilation).
Tracheostomy tube suctioning action?
Limit suctioning to no longer than 10 seconds
Tracheal suctioning of patient with increasing SOB prior to
procedure, how can suctioning outcomes be evaluated?
Check O2 saturation.
Potential cause of prerenal acute kidney injury?
Dehydration
Heath problem predisposing to CKD?
Solutions
The nurse cares for an adolescent patient who is dying. The
patients parents are interested in organ donation and ask the
nurse how the decision about brain death is made. Which
response by the nurse is most
appropriate?
Brain death has occurred if there is no breathing and certain
reflexes are absent.
When should you suction endotracheal tube patient?
Auscultated adventitious breath sounds
Which action should the nurse take first when a patient
complains of acute chest pain and dyspnea soon after insertion
of a centrally inserted IV catheter?
Auscultate the patients breath sounds.
Patient with potassium level of 2.7
Shallow Breath (HR 55 irregular??)
A 25-year-old male patient has been admitted with a severe
crushing injury after an industrial accident.. Which laboratory
result will be most important to report to the health care
provider?
Serum potassium level 6.5 mEq/L (may cause cardiac arrest)
Symptom of potassium level of 5.9?
, Diarrhea
A nurse in the outpatient clinic is caring for a patient who has a
magnesium level of 1.3 mg/dL. Which assessment would be
most important for the nurse to make?
Daily alcohol intake
Hypocalcemia manifestations
tetany and ECG changes
Cause of Metabolic acidosis
Excess diarrhea
respiratory alkalosis manifestations
hyperventilation and anxiety
Intervention for patient with tachypnea. 38 breaths per minute
non-rebreather without O2 (similar to paper bag effect for
hyperventilation).
Tracheostomy tube suctioning action?
Limit suctioning to no longer than 10 seconds
Tracheal suctioning of patient with increasing SOB prior to
procedure, how can suctioning outcomes be evaluated?
Check O2 saturation.
Potential cause of prerenal acute kidney injury?
Dehydration
Heath problem predisposing to CKD?
