NP3 PRE-INTENSIVE EXAM WITH PRECISE DETAILED SOLUTIONS

NP3 PRE-INTENSIVE EXAM WITH !| !| !| !|




PRECISE DETAILED SOLUTIONS !| !|




SITUATION

Upon discharge, the patient with Chronic Obstructive Pulmonary Disease
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(COPD) requires considerable patient and family teaching
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1. A nurse instructs a client diagnosed with COPD to use purse-lip breathing.
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The client inquires the nurse about the advantages of this kind of breathing.
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The nurse answers that the main purpose of purse-lip is to:
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a. Prevent bronchial collapse
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b. Strengthen the intercostals muscle
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c. Achieve maximum inhalation
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d. Allows air trapping - Correct answer ✔a. Prevent bronchial collapse
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*Deep inhale through the nose
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*Purse lip while exhaling slowly through their mouth (should take twice as
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long as inhaling)!| !|




2. Nurse Albert teaches a patient about the use of respiratory inhaler. Arrange
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the steps in using an inhaler chronologically.
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1. Press the canister down with your fingers as you breathe in
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2. Wait one minute between puffs if more than one puff is prescribed
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,3. Inhale the mist, hold your breath at least 5 to 10 seconds before exhaling
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4. Remove the cap and shake the inhaler
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a. 4, 1, 2, 3
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b. 4, 1, 3, 2
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c. 3, 4, 2, 1
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d. 1, 2, 3, 4 - Correct answer ✔*b. 4, 1, 3, 2
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3. The physician prescribed monitoring closely of clients oxygen saturation of
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the blood. Which of the following will you prepare?
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a. Electrocardiogram machine
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b. Spirometer
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c. Pulse oximeter
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d. Blood Pressure apparatus - Correct answer ✔c. Pulse oximeter
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4. Patients suffering from COPD are taught to avoid shifts to temperature and
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humidity. It should be emphasized that heat increases body temperature and
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thereby raising the !| !|




a. Risk for infection
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b. Anxiety level
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c. The oxygen requirements
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d. Fluid intake - Correct answer ✔c. The oxygen requirements
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5. COPD patients may be taught the following pulmonary hygiene measures
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to improve clearance of airway secretion, except:
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,a. Postural drainage
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b. Complete bed rest
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c. Effective coughing
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d. Measure fluid intake - Correct answer ✔b. Complete bed rest
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SITUATION

Sandy a flower shop owner admitted in medical ward has been resuscitated
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and was transferred to the ICU. The Physician inserted a CVP line. She was
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diagnosed of having Congestive Heart Failure (CHF). - Correct answer ✔
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6. CVP monitoring could provide the following information, but one:
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a. Vascular tone
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b. Blood volume
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c. Ability of the heart to receive and pump blood
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d. Glomerular filtration rate - Correct answer ✔d. Glomerular filtration rate
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*CVP is the blood pressure in the vena cava
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7. The normal CVP reading is:
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a. 8 - 12 cm of H2O
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b. 13 - 17 cm of H2O
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c. 18 - 25 cm of H2O
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d. 4 - 10 cm of H2O - Correct answer ✔d. 4 - 10 cm of H2O
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, 8. In taking the CVP reading, the nurse knows that the stopcock shall be
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manipulated in a manner that: !| !| !| !|




a. There is a communication between the client and the manometer
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b. There is a communication between the manometer and the client and
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closed to the IV !| !| !|




c. There is a communication between the IV and the client and closed to the
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manometer

d. There is a communication between the IV and manometer and closed to
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the client - Correct answer ✔b. There is a communication between the
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manometer and the client and closed to the IV !| !| !| !| !| !| !| !|




9. The patient is having volume ventilator. Which of the following does not
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indicate that the client is adequately ventilated?
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a. Absence of hyper - and hypoventilation
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b. Skin is normal in color
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c. Blood pressure is normal
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d. Presence of neurologic signs - Correct answer ✔d. Presence of neurologic
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signs



*indicates hypoxia !|