n8 NUR 265 Exam 2
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Respiratory/ Endocrine n
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Practice Questions
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Respiratory
1. What finding is consistent for a patient with PE (pulmonary embolism)?
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Pleural friction rub n8 n8
2. For A patient with shortness of breath and chest pain, rapid response is
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called, the head of the bed is elevated, and oxygen is applied. What do
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you do next?
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Place the patient on a cardiac monitor. And pulse oximetry.
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3. A patient is d/c’d on warfarin for PE. What Comment from the patient
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achieves a clear understanding?
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My INR is to be monitored frequently.
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4. Which ABG will a patient who has just developed PE likely have?
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pH 7.60, PaO2 85, PaCO2 32, HCO3 23,
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(Respiratory alkalosis) n8
5. Who is a priority patient?
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A patient on day 10 of heparin with blood oozing from their Foley
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catheter.
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6. A chest tube is continuously bubbling in the suction control chamber.
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Do you call the doctor?
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No. This is normal in the suction control chamber.
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, 7. A patient with a chest tube has asymmetrical chest expansion. Do you
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call the doctor?
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Absolutely! YES!! n8
8. Apatienthas95 mLof drainage from theirchest tubeinonehour. Do you
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call the provider?
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Yes! It is >70 ml/hr n8 n8 n8
9. Eyelets of the chest tube become visible. Do you call the provider?
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Yes! The tube is coming out of the pleural space.
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10. It is day 4 with chest tube therapy. Now, there is a continuous
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n8 bubbling of water in the water seal chamber. What priority action
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n8 needs to come next? n8 n8 n8
Call the doctor to report a leak in the system.
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11. A patient with dyspnea, BP 145/86, R 10, HR 110, pH 7.28.,
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PaO2 60, PaCo2 52, HCO3 24, SaO2 84%. What would be this problem?
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Acute respiratory failure. n8 n8
12. Who is at greatest risk for ARDS? n8 n8 n8 n8 n8 n8
A burn victim receiving IV fluid boluses.
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13. Who would be considered a priority patient?
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A patient receiving 100% oxygen therapy and their PAO2 is 55.
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14. ApatientwithARDS wasintubated45 minutesago.Whatis the next
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priority?
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