2
Adult Health 3 - Exam 1 with precise detailed answers
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Someone with ARDS and their incubated and receiving mechanical ventilation and develop
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a right pneumo? What is the first thing you do? - ✔✔Turn down the PEEP
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PEEP vent - ✔✔Pressure given at the end of each breathing cycle to KEEP ALVEOLI OPEN
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Caring for someone they have ARF, bronchitis what medication prescription should we
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question? - ✔✔Methylprednisolone by neb || || || ||
Someone with COPD into the ER with dyspnea and SOB? Which findings is priority? -
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✔✔Resp. rate of 10 || || ||
Receive report on 4 clients, which is priority to see first? - ✔✔12 month old with
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diminished lung sounds || ||
Assessment pt. is SOB, diminished breath sounds in R lower lobe, x-ray shows large right
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plural effusion, what procedure is coming next? - ✔✔Thoracentesis
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Evaluation of assist control vent. For ARF. What finding would indicate the client is
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tolerating this mode of ventilation? - ✔✔Initiating spontaneous breath
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Preparing to suction a client with ET tube, what would be the first thing we do? - ✔✔Listen
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to lung sounds and look at SaO2 (assess client first)
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Plan of care for pt. low potassium level, provide information on effects of medications and
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the dietary intakes of foods high in potassium. Outcome of plan would be evaluated how? -
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✔✔labs
, 2
Caring for a client with ARDS with mechanical ventilation, looking at labs results, what
|| || || || || || || || || || || || || ||
would indicate to the RN that the ventilation is providing adequate gas exchange of the
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client? - ✔✔Decrease CO2 and increase PO2
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Administer IV morphine to a client who is 18hrs. post op and the pt.s reports feeling
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anxious and having incisional pain, 7.50, po2 29, Hco3 of 23. After morphine what would be
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expected to happen? - ✔✔Decreased respiration, decrease pain, decrease pH
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Caring for client who had lung surgery and now has shallow respiration pattern and
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reluctant to cough? what should we assess for? - ✔✔Atelectasis
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Assess a client who has metabolic alkalosis due to food poisoning, we gave them fluid
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therapy? How do we evaluate if the treatment was successful? - ✔✔pH decreased and
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HCO3 decreased ||
Caring for a client with ARDS, vent. Evaluate gas exchange, adequate findings - ✔✔VQ
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adequate ventilation perfusion ratio || || ||
Child has cystic fibrosis. What prescribed intervention would we provide in the teaching? -
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✔✔Chest PT., digestive enzymes, postural drainage
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Caring for patient who has increased urination, blurred vision. Ph 7.30, HCO3 19, PCO2 35?
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- ✔✔(DKA) give fluids and insulin
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Explaining how to do postural drainage to a client, what intervention is appropriate when
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providing postural drainage? - ✔✔Use pillows to help position the client
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Adult Health 3 - Exam 1 with precise detailed answers
|| || || || || || || || ||
Someone with ARDS and their incubated and receiving mechanical ventilation and develop
|| || || || || || || || || || || ||
a right pneumo? What is the first thing you do? - ✔✔Turn down the PEEP
|| || || || || || || || || || || || || ||
PEEP vent - ✔✔Pressure given at the end of each breathing cycle to KEEP ALVEOLI OPEN
|| || || || || || || || || || || || || || ||
Caring for someone they have ARF, bronchitis what medication prescription should we
|| || || || || || || || || || || ||
question? - ✔✔Methylprednisolone by neb || || || ||
Someone with COPD into the ER with dyspnea and SOB? Which findings is priority? -
|| || || || || || || || || || || || || || ||
✔✔Resp. rate of 10 || || ||
Receive report on 4 clients, which is priority to see first? - ✔✔12 month old with
|| || || || || || || || || || || || || || || ||
diminished lung sounds || ||
Assessment pt. is SOB, diminished breath sounds in R lower lobe, x-ray shows large right
|| || || || || || || || || || || || || || ||
plural effusion, what procedure is coming next? - ✔✔Thoracentesis
|| || || || || || || ||
Evaluation of assist control vent. For ARF. What finding would indicate the client is
|| || || || || || || || || || || || || ||
tolerating this mode of ventilation? - ✔✔Initiating spontaneous breath
|| || || || || || || ||
Preparing to suction a client with ET tube, what would be the first thing we do? - ✔✔Listen
|| || || || || || || || || || || || || || || || || ||
to lung sounds and look at SaO2 (assess client first)
|| || || || || || || || ||
Plan of care for pt. low potassium level, provide information on effects of medications and
|| || || || || || || || || || || || || || ||
the dietary intakes of foods high in potassium. Outcome of plan would be evaluated how? -
|| || || || || || || || || || || || || || || ||
✔✔labs
, 2
Caring for a client with ARDS with mechanical ventilation, looking at labs results, what
|| || || || || || || || || || || || || ||
would indicate to the RN that the ventilation is providing adequate gas exchange of the
|| || || || || || || || || || || || || || ||
client? - ✔✔Decrease CO2 and increase PO2
|| || || || || ||
Administer IV morphine to a client who is 18hrs. post op and the pt.s reports feeling
|| || || || || || || || || || || || || || || ||
anxious and having incisional pain, 7.50, po2 29, Hco3 of 23. After morphine what would be
|| || || || || || || || || || || || || || ||
expected to happen? - ✔✔Decreased respiration, decrease pain, decrease pH
|| || || || || || || || || ||
Caring for client who had lung surgery and now has shallow respiration pattern and
|| || || || || || || || || || || || || ||
reluctant to cough? what should we assess for? - ✔✔Atelectasis
|| || || || || || || || ||
Assess a client who has metabolic alkalosis due to food poisoning, we gave them fluid
|| || || || || || || || || || || || || || ||
therapy? How do we evaluate if the treatment was successful? - ✔✔pH decreased and
|| || || || || || || || || || || || || ||
HCO3 decreased ||
Caring for a client with ARDS, vent. Evaluate gas exchange, adequate findings - ✔✔VQ
|| || || || || || || || || || || || || ||
adequate ventilation perfusion ratio || || ||
Child has cystic fibrosis. What prescribed intervention would we provide in the teaching? -
|| || || || || || || || || || || || || ||
✔✔Chest PT., digestive enzymes, postural drainage
|| || || || ||
Caring for patient who has increased urination, blurred vision. Ph 7.30, HCO3 19, PCO2 35?
|| || || || || || || || || || || || || ||
- ✔✔(DKA) give fluids and insulin
|| || || || || ||
Explaining how to do postural drainage to a client, what intervention is appropriate when
|| || || || || || || || || || || || || ||
providing postural drainage? - ✔✔Use pillows to help position the client
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