WCU N480 Week 1&2 Latest recent and
frequently tested exam with comprehensive
questions and verified accurate solution
(detailed & elaborated) GRADED A+
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,When the low-pressure alarm on the ventilator sounds, what does this indicate? - correct ans:The low-
pressure alarm means that the ventilator has a leak. Either the ventilator tubing has come apart or the
tubing detached from the client.
A client is receiving mechanical ventilation and develops acute respiratory distress. What is the priority?
- correct ans:Initiate bag-valve-mask ventilation
A client comes into the ER in severe respiratory distress following left-sided blunt chest trauma. The
nurse notes absent breath sounds on the clients left side and a tracheal shift to the right. What
procedure should the nurse prepare for? - correct ans:Chest tube insertion.
The client's manifestations indicate pneumothorax.
A nurse is reviewing a client's lab report. The client's ABG levels are pH 7.5, PaCO2 32mmHg, and HCO3
24mEq/L. The nurse should determine that the client has which acid-base imbalance? - correct
ans:respiratory alkalosis
A nurse is preparing to assist a provider with an arterial blood withdrawal from a clients radial artery for
ABG measurement. Which of the following actions should the nurse plan to take? - correct ans:Perform
an Allen's test prior to obtaining the specimen
A nurse is caring for a client who is extremely anxious and is hyperventilating. The clients ABG results are
pH 7.50, PaCO2 27mmHg, and HCO3 25mEq/l. The nurse should identify that the client has which of the
following acid-base imbalances? - correct ans:Respiratory alkalosis
A nurse is caring for a client who has a pelvic fracture. The client reports sudden SOB, stabbing chest
pain, and feelings of doom. The client is experiencing which complication? - correct ans:pulmonary
embolus
A nurse is caring for a client who is scheduled to have his chest tube removed. which of the following
actions should the nurse take? - correct ans:Instruct the client to perform the Valsalva maneuver during
removal.
, This maintains the appropriate amount of negative pressure in the chest in order to prevent air entry
into the pleural space.
A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of the following
actions should the nurse include in the plan of care? - correct ans:Tape all connections between the
chest tube and drainage system.
This ensures that the system is airtight and prevents the chest tubing from accidentally disconnecting.
How often should you turn a patient to prevent skin breakdown? - correct ans:Q2 hours
Why should you assess skin under tubes and devices? - correct ans:To access for skin breakdown
What nursing interventions help prevent infection for a patient on a ventilator? - correct ans:Hand
hygiene
suction oral/bronchial secretions
oral care
assess for VAP (ventilator associated pneumonia)
How to prevent venous thromboembolism (VTE) - correct ans:anticoagulants
compression devices
How can the nurse avoid alarm fatigue? - correct ans:Ask the provider to put in orders that allow alarm
settings to tailor to the client's condition. Example: if patients heart rate stays between 55-65 and the
alarm is set to go off when the heart rate is <60, the RN can ask the provider to have the settings
changed to alarm <55 instead
What is CVP? - correct ans:Central Venous Pressure: The amount of blood going back into the heart
What does it mean when CVP is high? - correct ans:Over hydration.
frequently tested exam with comprehensive
questions and verified accurate solution
(detailed & elaborated) GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
CONTACT INFORMATION
WHATAPPSLINK- https://wa.me/254784769540
,When the low-pressure alarm on the ventilator sounds, what does this indicate? - correct ans:The low-
pressure alarm means that the ventilator has a leak. Either the ventilator tubing has come apart or the
tubing detached from the client.
A client is receiving mechanical ventilation and develops acute respiratory distress. What is the priority?
- correct ans:Initiate bag-valve-mask ventilation
A client comes into the ER in severe respiratory distress following left-sided blunt chest trauma. The
nurse notes absent breath sounds on the clients left side and a tracheal shift to the right. What
procedure should the nurse prepare for? - correct ans:Chest tube insertion.
The client's manifestations indicate pneumothorax.
A nurse is reviewing a client's lab report. The client's ABG levels are pH 7.5, PaCO2 32mmHg, and HCO3
24mEq/L. The nurse should determine that the client has which acid-base imbalance? - correct
ans:respiratory alkalosis
A nurse is preparing to assist a provider with an arterial blood withdrawal from a clients radial artery for
ABG measurement. Which of the following actions should the nurse plan to take? - correct ans:Perform
an Allen's test prior to obtaining the specimen
A nurse is caring for a client who is extremely anxious and is hyperventilating. The clients ABG results are
pH 7.50, PaCO2 27mmHg, and HCO3 25mEq/l. The nurse should identify that the client has which of the
following acid-base imbalances? - correct ans:Respiratory alkalosis
A nurse is caring for a client who has a pelvic fracture. The client reports sudden SOB, stabbing chest
pain, and feelings of doom. The client is experiencing which complication? - correct ans:pulmonary
embolus
A nurse is caring for a client who is scheduled to have his chest tube removed. which of the following
actions should the nurse take? - correct ans:Instruct the client to perform the Valsalva maneuver during
removal.
, This maintains the appropriate amount of negative pressure in the chest in order to prevent air entry
into the pleural space.
A nurse is planning care for a client following placement of a chest tube 1 hr ago. Which of the following
actions should the nurse include in the plan of care? - correct ans:Tape all connections between the
chest tube and drainage system.
This ensures that the system is airtight and prevents the chest tubing from accidentally disconnecting.
How often should you turn a patient to prevent skin breakdown? - correct ans:Q2 hours
Why should you assess skin under tubes and devices? - correct ans:To access for skin breakdown
What nursing interventions help prevent infection for a patient on a ventilator? - correct ans:Hand
hygiene
suction oral/bronchial secretions
oral care
assess for VAP (ventilator associated pneumonia)
How to prevent venous thromboembolism (VTE) - correct ans:anticoagulants
compression devices
How can the nurse avoid alarm fatigue? - correct ans:Ask the provider to put in orders that allow alarm
settings to tailor to the client's condition. Example: if patients heart rate stays between 55-65 and the
alarm is set to go off when the heart rate is <60, the RN can ask the provider to have the settings
changed to alarm <55 instead
What is CVP? - correct ans:Central Venous Pressure: The amount of blood going back into the heart
What does it mean when CVP is high? - correct ans:Over hydration.
