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Exam (elaborations)

AACN ECCO Pulmonary Part 1 Questions and Answers

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AACN ECCO Pulmonary Part 1 Questions and Answers What are the nursing priorities for patient care before, during, or after thoracentesis? - Ans:-Position patient sitting on or lying... Continually monitor... Help attach tubes to chest drainage... A nurse caring for a patient with ARDS on BiPAP observes rapid progression and tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? - Ans:-Call emergency team for rapid intubation For which purposes is EtCO2 monitoring indicated? - Ans:-WRONG Determining accurate... Monitoring patients recovering from general... Measuring effectiveness of CPR 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? - Ans:-Acute kidney injury ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/14 Which patient has an indication for oxygen therapy with a low-flow device? - Ans:-Who is postoperative... A patient with respiratory failure following cardiac surgery has crackles in bilateral posterior lower lobes and is on 4 L/min NC. Which interventions will promote normal respiratory function? - Ans:-Reduce anxiety... Ensure early progressive mobility... Administer bronchodilators... A nurse monitoring a patient undergoing bedside bronchoscopy notes a decline in a patient's oxygen saturation. Which should the nurse anticipate? - Ans:-Auscultate lung sounds... Provide supplemental O2... Monitor EtCO2 The ABG test results for a patient with a spinal cord injury are pH 7.29, PaCO2 54, and HCO3- 25. Which acid-base disorder is reflected? - Ans:-Respiratory acidosis A patient with COPD on PEEP reports sudden chest pain. The nurse observes tachycardia and shortness of breath. Which other conditions should the nurse expected? - Ans:-Decreased PaCO2 levels... Decreased chest excursion on one side... ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/14 Decreased SaO2 level Which are correct statements about a closed-chest drainage system or component? - Ans:-To drain, system pressure must be lower... Gravity, and sometimes suction... Wet suction chambers create suction... A nurse caring for a patient with worsening hypoxia should anticipate which signs of ARDS? - Ans:- PaO2/FiO2 below 300... PEEP requirements of at least 5... Respiratory failure unexplained... Which may affect pulse oximetry accuracy? - Ans:-Cardiac arrest

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




AACN ECCO Pulmonary Part 1 Questions and
Answers


What are the nursing priorities for patient care before, during, or after thoracentesis? - Ans:✔✔-Position

patient sitting on or lying...


Continually monitor...


Help attach tubes to chest drainage...


A nurse caring for a patient with ARDS on BiPAP observes rapid progression and tachypnea with RR

between 37 and 41. What intervention should the nurse anticipate? - Ans:✔✔-Call emergency team for

rapid intubation


For which purposes is EtCO2 monitoring indicated? - Ans:✔✔-WRONG


Determining accurate...


Monitoring patients recovering from general...


Measuring effectiveness of CPR


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? - Ans:✔✔-Acute kidney injury
Page 1/14

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Which patient has an indication for oxygen therapy with a low-flow device? - Ans:✔✔-Who is

postoperative...


A patient with respiratory failure following cardiac surgery has crackles in bilateral posterior lower lobes

and is on 4 L/min NC. Which interventions will promote normal respiratory function? - Ans:✔✔-Reduce

anxiety...


Ensure early progressive mobility...


Administer bronchodilators...


A nurse monitoring a patient undergoing bedside bronchoscopy notes a decline in a patient's oxygen

saturation. Which should the nurse anticipate? - Ans:✔✔-Auscultate lung sounds...


Provide supplemental O2...


Monitor EtCO2


The ABG test results for a patient with a spinal cord injury are pH 7.29, PaCO2 54, and HCO3- 25. Which

acid-base disorder is reflected? - Ans:✔✔-Respiratory acidosis


A patient with COPD on PEEP reports sudden chest pain. The nurse observes tachycardia and shortness

of breath. Which other conditions should the nurse expected? - Ans:✔✔-Decreased PaCO2 levels...


Decreased chest excursion on one side...



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