A patient who is 72 hours postoperative repair of a bowel obstruction suddenly
demonstrates shortness of breath and his respiratory rate increases from 22 to 45/min.
His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while
the patient is receiving oxygen via a nasal cannula at 6L/min reveals the following
results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a "ground-glass-like appearance" is reported.
Auscultation of the lungs reveals diffuse crackles that were not present previously.
Your patient just received 10 units of banked blood for a GI bleed. You know this will
affect the oxyhemoglobin dissociation curve by:
A. Shifting it to the right
B. Causing a plateau in the curve
C. Shifting it to the left
D. Causing no change in the curve
Give this one a try later!
, C. Shifting it to the left
One day following posterior spinal fusion surgery a 35 year old female suddenly
exhibits restlessness, labored breathing and acute chest pain. Her heart rate is
122/min., she is afebrile, and exhibits slightly diminished breath sounds on the right
side.
The findings described above should lead the nurse to suspect that the patient has
developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion
Give this one a try later!
B. A pulmonary embolus
The intra-aortic balloon pump (IABP) device is indicated for which of the following?
A. Aortic regurgitation
B. Abdominal aortic aneurysm
C. Treatment of Right-sided heart failure
D. As a bridge to LVAD or transplant
Give this one a try later!
D. As a bridge to LVAD or transplant
, Which of following is a nursing priority when providing care to a patient during a
seizure?
A. Ensure the patient has an open airway
B. Stay away from the patient
C. Administer Haldol
D. Padded tongue blade in mouth
Give this one a try later!
A. Ensure the patient has an open airway
A 47-year-old male patient is scheduled for a radical laryngectomy. You are about to
witness your patient signing a surgical consent when he tells you that he does not
really understand what is going to be done. What should you do?
A. Notify the physician that the patient needs additional explanation
B. Make drawings explaining the procedure and then witness the consent
C. Explain the procedure and then witness the consent
D. Tell the patient that he will receive additional information later but that he must sign
the consent form now.
Give this one a try later!
A. Notify the physician that the patient needs additional explanation
A 30-year-old man is admitted to the critical care unit after a motor vehicle collision.
The emergency department nurse reports that he was unconscious at the scene of
the accident but is now alert and oriented. Skull films show a linear fracture of the
right temporal bone. He is a significant risk for _______.
demonstrates shortness of breath and his respiratory rate increases from 22 to 45/min.
His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while
the patient is receiving oxygen via a nasal cannula at 6L/min reveals the following
results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a "ground-glass-like appearance" is reported.
Auscultation of the lungs reveals diffuse crackles that were not present previously.
Your patient just received 10 units of banked blood for a GI bleed. You know this will
affect the oxyhemoglobin dissociation curve by:
A. Shifting it to the right
B. Causing a plateau in the curve
C. Shifting it to the left
D. Causing no change in the curve
Give this one a try later!
, C. Shifting it to the left
One day following posterior spinal fusion surgery a 35 year old female suddenly
exhibits restlessness, labored breathing and acute chest pain. Her heart rate is
122/min., she is afebrile, and exhibits slightly diminished breath sounds on the right
side.
The findings described above should lead the nurse to suspect that the patient has
developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion
Give this one a try later!
B. A pulmonary embolus
The intra-aortic balloon pump (IABP) device is indicated for which of the following?
A. Aortic regurgitation
B. Abdominal aortic aneurysm
C. Treatment of Right-sided heart failure
D. As a bridge to LVAD or transplant
Give this one a try later!
D. As a bridge to LVAD or transplant
, Which of following is a nursing priority when providing care to a patient during a
seizure?
A. Ensure the patient has an open airway
B. Stay away from the patient
C. Administer Haldol
D. Padded tongue blade in mouth
Give this one a try later!
A. Ensure the patient has an open airway
A 47-year-old male patient is scheduled for a radical laryngectomy. You are about to
witness your patient signing a surgical consent when he tells you that he does not
really understand what is going to be done. What should you do?
A. Notify the physician that the patient needs additional explanation
B. Make drawings explaining the procedure and then witness the consent
C. Explain the procedure and then witness the consent
D. Tell the patient that he will receive additional information later but that he must sign
the consent form now.
Give this one a try later!
A. Notify the physician that the patient needs additional explanation
A 30-year-old man is admitted to the critical care unit after a motor vehicle collision.
The emergency department nurse reports that he was unconscious at the scene of
the accident but is now alert and oriented. Skull films show a linear fracture of the
right temporal bone. He is a significant risk for _______.
