NR341 Quiz 2 exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which medications are used for intubated client's with acute respiratory failure? - correct answer✔✔-
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Midazolam for sedation ||\\||\\ ||\\||\\
- Fentanyl for pain
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Manifestations expected in a patient with ARDs - correct answer✔✔- Agitation, irritability, confusion, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
restlessness
- Use of accessory muscles
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- Intercostal retractions
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- Disorientation
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- Tachycardia, tachypnea
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A patient has a chest tube, which finding should be immediately be reported to the HCP? - correct
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answer✔✔Increase in drainage of 300 mL in the last hour ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient has a chest tube, which finding needs immediate intervention by the nurse? - correct
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answer✔✔Patient's trachea is not midline ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which manifestation is priority for the nurse to address? - correct answer✔✔Diaphoresis and cyanosis
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Nursing actions appropriate to prevent stress in intubated patients - correct answer✔✔- Schedule rest
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periods
- Have family bring items from home
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- Provide analgesic for pain
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- Explain all actions and procedures
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Patient with acute respiratory distress, which 2 priority interventions - correct answer✔✔- ABG
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- BiPAP 10 C, iPAP/5cm ePAP, fiO2 40%
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Patient is on a mechanical ventilator, what are some things to keep at bedside? - correct answer✔✔-
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Communication board ||\\||\\
- Chlorhexidine oral care supplies
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Which medications are used for intubated client's with acute respiratory failure? - correct answer✔✔-
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Midazolam for sedation ||\\||\\ ||\\||\\
- Fentanyl for pain
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Manifestations expected in a patient with ARDs - correct answer✔✔- Agitation, irritability, confusion, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
restlessness
- Use of accessory muscles
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- Intercostal retractions
||\\||\\ ||\\||\\
- Disorientation
||\\||\\
- Tachycardia, tachypnea
||\\||\\ ||\\||\\
A patient has a chest tube, which finding should be immediately be reported to the HCP? - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔Increase in drainage of 300 mL in the last hour ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient has a chest tube, which finding needs immediate intervention by the nurse? - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔Patient's trachea is not midline ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which manifestation is priority for the nurse to address? - correct answer✔✔Diaphoresis and cyanosis
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Nursing actions appropriate to prevent stress in intubated patients - correct answer✔✔- Schedule rest
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
periods
- Have family bring items from home
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- Provide analgesic for pain
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- Explain all actions and procedures
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Patient with acute respiratory distress, which 2 priority interventions - correct answer✔✔- ABG
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- BiPAP 10 C, iPAP/5cm ePAP, fiO2 40%
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Patient is on a mechanical ventilator, what are some things to keep at bedside? - correct answer✔✔-
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Communication board ||\\||\\
- Chlorhexidine oral care supplies
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