Med-Surg Certification Practice Questions And Answers | 2024 Latest Study Solutions

"Third-spacing" can cause which form of shock? A. Anaphylactic B. Hypovolemic C. Septic D. Cardiovascular - B. Hypovolemic Third-spacing = movement of fluid out of the vascular system into the interstitial areas, resulting in loss of fluid leading to hypovolemic shock A 18-year-old male is admitted after a motor-vehicle accident with air-bag release. He complains of chest tightness and is restless and anxious. Heart sounds are barely audible on auscultation. The patient is most likely experiencing what condition? A. Cardiac tamponade B. Acute myocardial infarction C. Pulmonary edema D. Aortic aneurysm - A. Cardiac tamponade We know that this patient sustained trauma to the chest. Cardiac tamponade occurs when there is fluid build up around the heart that applies pressure to the heart and impairs its ability to pump adequately. This can happen with trauma or uncontrolled bleeding from an open heart procedure. Signs and symptoms include chest pain and pressure, muffled heart tones, shortness of breath, and jugular vein distention A 24 year-old factory worker with a history of asthma presents to the emergency department with difficulty breathing. During the respiratory assessment of the patient, the nurse would expect to auscultate:A. diminished breath sounds and crackles in lung bases B. moist crackles in lung bases C. distant breath sounds and expiratory wheezes D. bronchial breath sounds in lung bases - C. distant breath sounds and expiratory wheezes A 30 year-old man with chronic traumatic brain injury was admitted for a surgical procedure and is to be discharged. The nurse should modify his discharge instructions by: 1. Providing detailed oral instructions 2. Providing detailed written instructions 3. Having him repeat the instructions 4. Having sustained eye contact during the instruction - 3. Having him repeat the instructions