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Respiratory/Endocrine r
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Respiratory
1. What finding is consistent for a patient with PE (pulmonary embolism)?
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Pleuralfrictionrub r r
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 you do
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next?
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Placethepatient onacardiac monitor. And pulse oximetry.
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3. Apatientisd/c’don warfarinfor PE.WhatCommentfromthepatient
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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,
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(Respiratory alkalosis) rr
5. Who is a priority patient? rr rr rr rr
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. Do
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you call the doctor?
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No.This is normal inthesuction control chamber.
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, 7. A patient with a chest tube has asymmetrical chest expansion. Do you call
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the doctor?
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Absolutely! YES!! r r
8. Apatienthas95mLofdrainagefromtheirchesttubeinonehour.Do you
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call the provider?
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Yes! Itis >70 ml/hr rr rr rr
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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rr bubbling of water in the water seal chamber. What priority action needs rr rr rr rr rr rr rr rr rr rr rr
rr to come next?
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Call the doctor to report aleak inthe system.
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11. A patient with dyspnea, BP 145/86, R 10, HR 110, pH 7.28.,
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PaO260, PaCo252,HCO324, SaO2 84%.Whatwouldbethis problem?
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Acute respiratory failure. rr rr
12. Who is at greatest risk for ARDS? rr rr rr rr rr rr
A burn victim receiving IV fluid boluses.
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13. Whowouldbeconsideredaprioritypatient? r r r r r r
A patient receiving 100% oxygen therapy and their PAO2 is 55.
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14. ApatientwithARDSwasintubated45minutesago.Whatisthe next
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rr priority?