Examl 2:l NRl 341/l NR341l (NEWl 2026/l
2027l Update)l Complexl Adultl Healthl
Review|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)l -
Chamberlain
QUESTION
Acutel Respiratoryl Failurel inl COPDl -l Interventions:
Answer:
-l Correctl hypoxemia;l cautiousl adminl ofl O2,l noninvasivel positive-pressurel vent,l ventl
assistance
-l O2l therapyl isl providedl withl goall ofl PaO2l >>l 60l mmHGl andl SaO2l >l 90%
-l Commonl medications:l Beta2Agonistsl (albuterol,l whichl causesl smoothl musclel
relaxationl butl canl causel tachycardia),l anticholinergics,l corticosteroids,l antibiotics
QUESTION
Acutel Respiratoryl Failurel -l Asthma:
Answer:
-l Chronicl inflammatoryl
-l Asthmal Exacerbation:l wheezes,l dyspnea,l chestl tightness,l tachypnea,l tachycardia,l
agitation,l usel ofl accessoryl muscles,l andl retractions
-l Treatment:l bronchodilators
QUESTION
Acutel Respiratoryl Failurel -l Pneumonia:
Answer:
-l Types:l communityl acquired,l healthcarel qcquired,l orl ventilatorl associated
,-l Increasedl risk:l elderly,l alcoholic,l smokers,l chronicl diseases,l headl injury,l andl
immunosuppression
QUESTION
Pneumonial S/S:
Answer:
-l Fever,l cough,l chills,l sputum,l hemoptysis,l dyspnea,l chestl pain,l tachypnea,l andl
adventitiousl sounds
QUESTION
Ventilatorl Associatedl Pneumonial (VAP):
Answer:
-l al healthl care-acquiredl infectionl (HAI)l thatl developsl inl al personl requiringl invasivel
mechanicall ventilationl (vial endotracheall intubationl orl tracheotomyl tube)l forl atl leastl 48l
hours
QUESTION
VAPl Prevention:
Answer:
-l Handl washing,l surveillance,l ventilatorl bundle,l preventionl transmissionl vial sterilel waterl
inl circuit,l drainl condensatel awayl froml patient,l andl avoidl normall salinel duringl
suctioning
QUESTION
Pulmonaryl Embolisml (PE):
Answer:
-l Virchow'sl triad:l venousl stasis,l alteredl coagulability,l andl damagel tol vessell wall
-l Embolusl resultsl inl al lackl ofl perfusionl tol ventilatedl alveolil (V/Ql mismatch)
,QUESTION
PEl Assessment:
Answer:
QUESTION
PEl Diagnostic:
Answer:
-l CTl angiograml /wl contrast
-l D-dimerl (butl thisl isl notl firstl linel diagnosticl becausel itl isl notl asl accurate)
QUESTION
PEl Treatment:
Answer:
-l ABC;l O2
-l Patientl Positioningl -l Semil Fowler's
-l Bloodl thinnersl andl anticoags
-l Surgical:l Embolectomy,l venal caval umbrellal (prevention)
-l Thrombolytics
QUESTION
, Pulmonaryl Embolism
Answer:
QUESTION
Hemodynamicsl Definition:
Answer:
-l thel studyl ofl bloodl movingl throughl thel circulatoryl system
QUESTION
Hemodynamicsl Importantl Aspects:
2027l Update)l Complexl Adultl Healthl
Review|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)l -
Chamberlain
QUESTION
Acutel Respiratoryl Failurel inl COPDl -l Interventions:
Answer:
-l Correctl hypoxemia;l cautiousl adminl ofl O2,l noninvasivel positive-pressurel vent,l ventl
assistance
-l O2l therapyl isl providedl withl goall ofl PaO2l >>l 60l mmHGl andl SaO2l >l 90%
-l Commonl medications:l Beta2Agonistsl (albuterol,l whichl causesl smoothl musclel
relaxationl butl canl causel tachycardia),l anticholinergics,l corticosteroids,l antibiotics
QUESTION
Acutel Respiratoryl Failurel -l Asthma:
Answer:
-l Chronicl inflammatoryl
-l Asthmal Exacerbation:l wheezes,l dyspnea,l chestl tightness,l tachypnea,l tachycardia,l
agitation,l usel ofl accessoryl muscles,l andl retractions
-l Treatment:l bronchodilators
QUESTION
Acutel Respiratoryl Failurel -l Pneumonia:
Answer:
-l Types:l communityl acquired,l healthcarel qcquired,l orl ventilatorl associated
,-l Increasedl risk:l elderly,l alcoholic,l smokers,l chronicl diseases,l headl injury,l andl
immunosuppression
QUESTION
Pneumonial S/S:
Answer:
-l Fever,l cough,l chills,l sputum,l hemoptysis,l dyspnea,l chestl pain,l tachypnea,l andl
adventitiousl sounds
QUESTION
Ventilatorl Associatedl Pneumonial (VAP):
Answer:
-l al healthl care-acquiredl infectionl (HAI)l thatl developsl inl al personl requiringl invasivel
mechanicall ventilationl (vial endotracheall intubationl orl tracheotomyl tube)l forl atl leastl 48l
hours
QUESTION
VAPl Prevention:
Answer:
-l Handl washing,l surveillance,l ventilatorl bundle,l preventionl transmissionl vial sterilel waterl
inl circuit,l drainl condensatel awayl froml patient,l andl avoidl normall salinel duringl
suctioning
QUESTION
Pulmonaryl Embolisml (PE):
Answer:
-l Virchow'sl triad:l venousl stasis,l alteredl coagulability,l andl damagel tol vessell wall
-l Embolusl resultsl inl al lackl ofl perfusionl tol ventilatedl alveolil (V/Ql mismatch)
,QUESTION
PEl Assessment:
Answer:
QUESTION
PEl Diagnostic:
Answer:
-l CTl angiograml /wl contrast
-l D-dimerl (butl thisl isl notl firstl linel diagnosticl becausel itl isl notl asl accurate)
QUESTION
PEl Treatment:
Answer:
-l ABC;l O2
-l Patientl Positioningl -l Semil Fowler's
-l Bloodl thinnersl andl anticoags
-l Surgical:l Embolectomy,l venal caval umbrellal (prevention)
-l Thrombolytics
QUESTION
, Pulmonaryl Embolism
Answer:
QUESTION
Hemodynamicsl Definition:
Answer:
-l thel studyl ofl bloodl movingl throughl thel circulatoryl system
QUESTION
Hemodynamicsl Importantl Aspects:
