Transitions Exam 2 End of Chapter
Questions & answers rated A+
Your patient is at risk for an ECV deficit. Which assessment is a priority to report to the patient's
health care
provider?
1. Weight loss of 1 kg in 24 hours
2. Dry oral mucous membranes and thirst
3. Skin tenting over sternum when pinched
4. Hypotension and oliguria - correct answer ✔✔ 4
Your patient has a severe acute asthma episode. Which
set of arterial blood gas values is consistent with that
diagnosis?
1. pH, 7.52; PaO2, 90 mm Hg; PaCO2, 42 mm Hg;
HCO3
− , 36 mEq/L
2. pH, 7.52; PaO2, 80 mm Hg; PaCO2, 28 mm Hg;
HCO3
− , 24 mEq/L
3. pH, 7.22; PaO2, 90 mm Hg; PaCO2, 30 mm Hg;
HCO3
−
, 12 mEq/L
4. pH, 7.26; PaO2, 70 mm Hg; PaCO2, 55 mm Hg;
, HCO3
−
, 24 mEq/L - correct answer ✔✔ 4
You need to discontinue a VAD. Place the steps in the
correct order:
1. Turn off the roller clamp on the IV tubing.
2. Place sterile gauze over the VAD insertion site and
apply light pressure while removing the catheter.
3. Document VAD removal.
4. Review the health care provider's order for discontinuing the VAD.
5. Perform hand hygiene and apply clean gloves.
6. Inspect the catheter end for intactness while applying
firm pressure with the gauze.
7. Explain to the patient the reason for discontinuing
the VAD.
8. Maintain continuous firm pressure with the gauze for
2 to 3 minutes or longer if needed.
9. Remove IV site dressings and tape, and clean any
secretions. - correct answer ✔✔ 4. review order
7. explain reason
5. hand hygiene/gloves
1. off roller clamp
9. remove IV dressing/tape
2. gauze
6. cath tip
Questions & answers rated A+
Your patient is at risk for an ECV deficit. Which assessment is a priority to report to the patient's
health care
provider?
1. Weight loss of 1 kg in 24 hours
2. Dry oral mucous membranes and thirst
3. Skin tenting over sternum when pinched
4. Hypotension and oliguria - correct answer ✔✔ 4
Your patient has a severe acute asthma episode. Which
set of arterial blood gas values is consistent with that
diagnosis?
1. pH, 7.52; PaO2, 90 mm Hg; PaCO2, 42 mm Hg;
HCO3
− , 36 mEq/L
2. pH, 7.52; PaO2, 80 mm Hg; PaCO2, 28 mm Hg;
HCO3
− , 24 mEq/L
3. pH, 7.22; PaO2, 90 mm Hg; PaCO2, 30 mm Hg;
HCO3
−
, 12 mEq/L
4. pH, 7.26; PaO2, 70 mm Hg; PaCO2, 55 mm Hg;
, HCO3
−
, 24 mEq/L - correct answer ✔✔ 4
You need to discontinue a VAD. Place the steps in the
correct order:
1. Turn off the roller clamp on the IV tubing.
2. Place sterile gauze over the VAD insertion site and
apply light pressure while removing the catheter.
3. Document VAD removal.
4. Review the health care provider's order for discontinuing the VAD.
5. Perform hand hygiene and apply clean gloves.
6. Inspect the catheter end for intactness while applying
firm pressure with the gauze.
7. Explain to the patient the reason for discontinuing
the VAD.
8. Maintain continuous firm pressure with the gauze for
2 to 3 minutes or longer if needed.
9. Remove IV site dressings and tape, and clean any
secretions. - correct answer ✔✔ 4. review order
7. explain reason
5. hand hygiene/gloves
1. off roller clamp
9. remove IV dressing/tape
2. gauze
6. cath tip
