NUR 211 Module 8 Exam | QUESTIONS and Answers | Latest Update 2023 Graded 100%

NUR 211 Module 8 Exam | QUESTIONS and Answers | Latest Update 2023 Graded 100%. The RN assesses a patient admitted to the Emergency Department following a motor vehicle accident. The RN notes a paradoxical chest rise, multiple bruises across the chest and torso, crepitus and tachypnea. Which intervention will the RN anticipate that the patient will need first? Administration of analgesics Stabilization of the airway. Insertion of a chest tube. Application of a chest binder. Question 7 Which patient would the RN identify as being at increased risk for aspiration? The patient with a non functioning nasogastric tube. The patient in a side lying position following an endoscopy. The patient with a tube feeding with the head of the bed at a 45 degree angle. The patient with an endotracheal tube with a cuff pressure of 25 cm H2O. Question 8 – Hinkle 620 Chart 24-4 The patient diagnosed with chronic obstructive pulmonary disease (COPD) is being discharged on a new medication, budesonide (Pulmicort), which is administered by a metered dose inhaler. Place the steps below in the order that the RN should use to instruct the patient in the correct use of a metered dose inhaler. 1 Shake the inhaler. 2 Position the inhaler 1 to 2 inches away from the open mouth 3 Breathe in slowly and deeply while pressing on the inhaler. 4 Hold your breath for a few seconds and then exhale. 5 Rinse mouth. Question 9 – Hinkle 936 Which information should the RN provide when educating a patient with chronic obstructive pulmonary disease (COPD) that is prescribed two metered dose inhalers, salmeterol and fluticasone? Wait at least one minute between each medication. Self-administer the bronchodilator last. Exhale through the device after administering the medication. Rinse the mouth after administering each medication. Question 10 Which outcome is most appropriate for the nursing diagnosis Activity intolerance for the patient with chronic obstructive pulmonary disease (COPD)? The patient will: Drink at least 2,500 mL of water each day. Ambulate 100 feet without experiencing dyspnea Demonstrate purse lip breathing. Shower immediately after waking up in the morning. Question 11 The RN observes the unlicensed assistive personnel (UAP) removing the nasal cannula from the patient with chronic obstructive pulmonary disease (COPD) while ambulating the patient to the bathroom. Which action should the RN take? Praise the UAP since this prevents the patient from tripping on the oxygen tubing. Discuss the action of the UAP with the charge nurse so appropriate action can be taken. Place the oxygen on the patient and speak to the UAP in private concerning their actions. Explain to the UAP in front of the patient that oxygen must be left in place at all times. Question 12 The charge nurse is making patient assignments. Which patient should the RN assign to the licensed practical nurse (LPN)? The patient with pneumonia who has a pulse oximetry reading of 90%. The patient with a hemothorax who has a hemoglobin of 9 g/dL and hematocrit of 20%. The patient who had a bronchoscopy 4 hours ago and has stable vital signs. The patient with a chest tube who has jugular venous distention and a blood pressure of 96/60. Question 13 Which assessment finding in the client diagnosed with COPD would support a nursing diagnosis of Impaired gas exchange? Use of pursed lip breathing and three-point positioning. Coarse crackles in bilateral upper and bilateral lower lobes. Oxygen saturation of 90% when at rest. Capillary refill of less than 3 seconds on index finger. Question 14 Which nursing interventions would the RN implement for a patient with a nursing diagnosis of Risk for Bleeding related to thrombocytopenia? Select all that apply. Administer aspirin to manage fever. Apply pressure for 5 minutes to injections sites. Measure temperature using a rectal thermometer. Encourage a diet high in fiber. Assess neurological status with vital signs.