NURS 3661 EXAM 2 STUDY GUIDE FAll
2024
A perioperative nurse is caring for a postoperative patient. The patient
has a shallow respiratory pattern and is reluctant to cough or to begin
mobilizing. The nurse should address the patient's increased risk for
what complication? – answer Atelectasis
A critical-care nurse is caring for a patient diagnosed with pneumonia
as a surgical complication. The nurse's assessment reveals that the
patient has an increased work of breathing due to copious
tracheobronchial secretions. What should the nurse encourage the
patient to do? - answer Increase oral fluids unless contraindicated.
,The public health nurse is administering Mantoux tests to children who
are being registered for kindergarten in the community. How should the
nurse administer this test? - answer Administer intradermal injections
into the children's inner forearms.
The nurse is caring for a patient who has been in a motor vehicle
accident and the care team suspects that the patient has developed
pleurisy. Which of the nurse's assessment findings would best
corroborate this diagnosis? - answer The patient's pain intensifies when
he coughs or takes a deep breath.
The nurse caring for a patient recently diagnosed with lung disease
encourages the patient not to smoke. What is the primary rationale
behind this nursing action? answer - Smoking damages the ciliary
cleansing mechanism.
,A patient has been brought to the ED by the paramedics. The patient is
suspected of having ARDS. What intervention should the nurse first
anticipate? answer - Preparing to assist with intubating the patient
The nurse is caring for a patient who is scheduled for a lobectomy for a
diagnosis of lung cancer. While assisting with a subclavian vein central
line insertion, the nurse notes the client's oxygen saturation rapidly
dropping. The patient complains of shortness of breath and becomes
tachypneic. The nurse suspects a pneumothorax has developed. Further
assessment findings supporting the presence of a pneumothorax include
what? - answer Diminished or absent breath sounds on the affected side
The nurse is providing discharge teaching for a patient who developed a
pulmonary embolism after total knee surgery. The patient has been
converted from heparin to sodium warfarin (Coumadin) anticoagulant
therapy. What should the nurse teach the client? answer -
Anticoagulant therapy usually lasts between 3 and 6 months.
, A new employee asks the occupational health nurse about measures to
prevent inhalation exposure of the substances. Which statement by the
nurse will decrease the patient's exposure risk to toxic substances? -
answer "Wear protective attire and devices when working with a toxic
substance."
An x-ray of a trauma patient reveals rib fractures and the patient is
diagnosed with a small flail chest injury. Which intervention should the
nurse include in the patient's plan of care? answer - Suction the
patient's airway secretions.
The nurse is caring for a patient who is receiving oxygen therapy for
pneumonia. How should the nurse best assess whether the patient is
hypoxemic? - answer Assess the patient's oxygen saturation level.
2024
A perioperative nurse is caring for a postoperative patient. The patient
has a shallow respiratory pattern and is reluctant to cough or to begin
mobilizing. The nurse should address the patient's increased risk for
what complication? – answer Atelectasis
A critical-care nurse is caring for a patient diagnosed with pneumonia
as a surgical complication. The nurse's assessment reveals that the
patient has an increased work of breathing due to copious
tracheobronchial secretions. What should the nurse encourage the
patient to do? - answer Increase oral fluids unless contraindicated.
,The public health nurse is administering Mantoux tests to children who
are being registered for kindergarten in the community. How should the
nurse administer this test? - answer Administer intradermal injections
into the children's inner forearms.
The nurse is caring for a patient who has been in a motor vehicle
accident and the care team suspects that the patient has developed
pleurisy. Which of the nurse's assessment findings would best
corroborate this diagnosis? - answer The patient's pain intensifies when
he coughs or takes a deep breath.
The nurse caring for a patient recently diagnosed with lung disease
encourages the patient not to smoke. What is the primary rationale
behind this nursing action? answer - Smoking damages the ciliary
cleansing mechanism.
,A patient has been brought to the ED by the paramedics. The patient is
suspected of having ARDS. What intervention should the nurse first
anticipate? answer - Preparing to assist with intubating the patient
The nurse is caring for a patient who is scheduled for a lobectomy for a
diagnosis of lung cancer. While assisting with a subclavian vein central
line insertion, the nurse notes the client's oxygen saturation rapidly
dropping. The patient complains of shortness of breath and becomes
tachypneic. The nurse suspects a pneumothorax has developed. Further
assessment findings supporting the presence of a pneumothorax include
what? - answer Diminished or absent breath sounds on the affected side
The nurse is providing discharge teaching for a patient who developed a
pulmonary embolism after total knee surgery. The patient has been
converted from heparin to sodium warfarin (Coumadin) anticoagulant
therapy. What should the nurse teach the client? answer -
Anticoagulant therapy usually lasts between 3 and 6 months.
, A new employee asks the occupational health nurse about measures to
prevent inhalation exposure of the substances. Which statement by the
nurse will decrease the patient's exposure risk to toxic substances? -
answer "Wear protective attire and devices when working with a toxic
substance."
An x-ray of a trauma patient reveals rib fractures and the patient is
diagnosed with a small flail chest injury. Which intervention should the
nurse include in the patient's plan of care? answer - Suction the
patient's airway secretions.
The nurse is caring for a patient who is receiving oxygen therapy for
pneumonia. How should the nurse best assess whether the patient is
hypoxemic? - answer Assess the patient's oxygen saturation level.
