Study Guide with Practice Questions
& Rationalesw
Study online at https://quizlet.com/_gjpcgy
1. Nurse reviews diagnostic results for a client who became
unresponsive & has
no palpable pulse. Nurse observes client has gasping respirations. What
should
nurse do?: Initiate chest compressions.
2. Client just had coronary angiography via femoral artery approach.
What type
of emergency warrants this type of surgery?: Acute coronary
syndrome- placing a stint where
blood is blocked from heart.
1- Monitor puncture site for swelling/b leeding.
2-Cardiac monitoring.
3-Stay FLAT (do not have patient up to chair.)
4-Palpate client's bilateral pedal pulses q15 for 1st hour.
3. Nurse has taught a client who is scheduled for a total laryngectomy.
What is
best statement by client would require follow-up?
A: I will have to practice using a mirror to care for my stoma.
B: When I am discharged from hospital, I won't need feeding tube.
, C: My husband has bought me some scarves to wear loosely over the
stoma.
D: After surgery, my voice will be hoarse but will eventually return to
normal.-
: Answer is D: post-surgery, voice will not ever return to normal.
Type of patient that has this surgery typically has cancer.
4. COPD can be a result of chronic bronchitis (inflammation/excess
mucus) or
emphysema (alveolar damage). What would be important for
immediate follow
up?: Follow Up FIRST on: Paradoxical respirations is warning sign for
respiratory distress. When patient breaths in,
instead of chest wall expanding, the chest wall sucks in (retracts). When
breathing out, the chest wall goes out (instead
of in).
5. Chronic Venous Insufficiency: issues with venous valve
dysfunction/venous
blockages.
Arterial venous insufficiency/compartment syndrome: look for the 6
P's-Pain,
Pallor, Paresthesia, Paralysis, Pulselessness, and Poikilothermia;
What is biggest sign of a CVI?: Brownish discoloration to lower
extremities.
6. Patient had craniotomy and question is to pick the best assessment
for an