MDC 4 Exam 2 Questions and Answers Rated A+

MDC 4 Exam 2 Questions and Answers Rated A+ The patient is a 54-year-old male with history of COPD, who was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow- green sputum. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, and PaO2 60 mmHg. How would you interpret this? Respiratory acidosis, partially compensated Silver sulfadiazine (Silvadene, Thermazene) Watch for allergic reaction causing a drop in white blood cell count. Do not use if reaction to sulfonamide has occurred. Use on deep partial-thickness or full-thickness wounds. Monitor wounds for infection A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypoventilating and has a respiratory rate of 10 breaths/min. Arterial blood gases are drawn and the nurse reviews the results, expecting to note which of the following? An increased pH with an increased HCO3 A nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul's respirations. Based on this documentation, which of the following did the nurse observe? Respirations that are labored and increased in depth and rate A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. When the low-pressure alarm on the ventilator sounds, it indicates which of the following to the nurse? Decreased lung compliance A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of pulmonary embolism? Sudden onset of dyspnea A client comes to the emergency department in severe respiratory distress following left-sided blunt chest trauma. The nurse notes absent breath sounds on the client's left side and a tracheal shift to the right. For which of the following procedures should the nurse prepare the client? Chest tube insertion A nurse is caring for a client who is experiencing acute opioid toxicity. Which of the following actions should the nurse identify as the priority? Ensure an adequate airway A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is experiencing shortness of breath. Which of the following actions should the nurse perform first? Place the client in an upright position A nurse is assessing a client who has pharyngitis. Which of the following findings is the nurse's priority to report to the provider? Inspiratory stridor A nurse is caring for a client who has a 20-year history of COPD and is receiving oxygen therapy at 2 L/min via nasal cannula. The client is dyspneic and has an oxygen saturation via pulse oximetry of 85%. Which of the following actions should the nurse take? Increase the oxygen flow and request an arterial blood gas determination 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? Instruct the client to perform the Valsalva maneuver during removal A nurse is caring for a client with pneumonia who is experiencing thick oral secretions. Which of the following actions should the nurse take first? Encourage deep breathing and coughing Rib fracture cause blunt trauma to chest wall; CPR Rib fracture pain defensive movements reduced depth of breathing reduced clearing of secretions Flail Chest At least 2 neighboring ribs in 2 or more places Paradoxical chest movement Blunt trauma, CPR can Cause Vasodilator (Nitroprusside) decreases pulmonary artery pressure if impeding cardiac contractility pulmonary embolism risk factors prolonged immobility central venous catheter surgery obesity advancing age hx. of thromboembolism smoking pregnancy estrogen therapy HF stroke trauma Ventilatory and Oxygenation failure bronchioles and alveoli are diseased (oxygen failure), the work of breathing increases until respiratory