ECCO - Pulmonary Disorders 1 Questions and Answers Graded A+

ECCO - Pulmonary Disorders 1 Questions and Answers Graded A+ In a patient with pulmonary embolism, which sequelae should the nurse anticipate? Correct: Ischemia Correct: Right ventricular failure Correct: Hypoxemia For which of these patients requiring oxygen therapy is an air entrainment system indicated? ****incorrect Requiring a Requiring delivery With acute respiratory distress A patient with a hip fracture from a fall develops pleuritic chest pain, dyspnea, and dry cough. The patient's SPO2 is 90%. CTPA is positive for PE. The nurse should anticipate administration of which of the following? Unfractionated heparin A patient with a history of COPD and pulmonary hypertension on conventional therapy develops worsening symptoms. Cardiac catheterization reveals elevated pulmonary vascular resistance and the PA pressure does not respond to calcium channel blockers or PDE-5 inhibitors. Which should the nurse initially anticipate? Epoprostenol (Floan) Which are nursing priorities for patient care before, during, or after thoracentesis? Correct: Continually monitor vital signs and SpO2 Correct: Assist with attaching tube to evacuation collection bottle Incorrect: Obtain post-procedure ultrasound Correct: Position patient sitting on or lying near edge of bed. Which patient in the immediate postoperative period should be given an NC? A patient requiring: FiO2 of 0.4 or less A patient with a stroke and aspiration now has respiratory distress and is on NIPPV with FiO2 0.50. ABG reveals pH 7.30, PaO2 57, PaCO2 50, SaO2 89%, HCO3 27 and P/F 150 which is the priority action? Initiate emergency response team A patient post-thoracotomy develops a right tension pneumothorax. Which sign or symptom should the nurse anticipate? Tachycardia A patient has declining SpO2 despite supplemental O2 and uncompensated respiratory acidoisis. What is the priority action? Call the provider immediately Mr. Demontel is admitted after a thoracotomy. He has a chest tube drainage system to his left chest with orders for suction at -20cm H2O. What is the priority nursing assessment? Verify that the chest tube connection is secured. A patient has the following ABG results: pH 7.25, PaCO2 43, PaO2 80, SaO2 91%, and HCO3- 18. What is the most likely underlying cause? Acute kidney injury Which patient has an indication for ventilatory replacement? A patient with ABG results of : pH 7.20, PaO2 58, PaCO2 55, HCO3 24, SaO2 88 A patient with a hemothorax is admitted. Which intervention should the nurse anticipate? Prepare for chest tube insertion. A patient is admitted with tachycardia, wheezing, and a nonproductive cough. Which treatment(s) should the nurse anticipate? Bronchodilators For which complication should the nurse observe in a patient following bronchoscopy? Dysrhythmias Which may affect pulse oximetry accuracy? Cardiac Arrest A patient with COPD on PEEP reports sudden chest pain. The nurse observes tracheal deviation, tachycardia and shortness of breath. What other conditions should the nurse expect? Correct: Decreased SaO2 levels Correct: Decreased chest excursion on one side Correct: Decreased PaO2 level with increased PaCo2 levels Incorrect: Increased PaO2 levels with decreased PaCO2 levels A patient with a hemothorax and newly inserted chest tube with drainage system is admitted from the ED. Which intervention should the nurse anticipate? Attach chest tube drain to wall suction. Which ABG results requires that the provider be notified immediately? pH less than 7.2 A patient with pulmonary artery hypertension is receiving epoprostenol. Which intervention is indicated? Have the next bag's tubing primed in advance Following a chest x ray, for which report should the nurse notify the provider? ETT is positioned in the right mainstem bronchus A patient who underwent a pneumonectomy is admitted. For which complication should the nurse observe? Increased cough with frothy sputum A patient admitted 48 hours ago has a temperature of 38.9 (102 F), cough with purulent sputum, crackles that don't clear and decreased right lower lobe breath sounds. Broad-spectrum antibiotics A patient with respiratory failure following cardiac surgery has crackles in bilateral posterior lower lobes and a temperature of 38.6 C (101.5 F) and is on 4L/min NC. Which three interventions will promote normal respiratory function? correct: Reduce anxiety correct: Keep PaO2 > 60 mmHg correct: Promote effective coughing incorrect: Avoid tachypnea A nurse caring for a patient with ARDS on BiPAP observes rapid progression of dyspnea and tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? Call emergency for response team intubation