1
NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
Update
Question 1
Correct
Mark 1.00 out of
1.00 Flag question
Question text
The nurse is caring for a patient who has septic shock. Which assessment finding is
most
important for the nurse to report to the health care
provider? Select one:
a. Skin cool and clammy
Because patients in the early stage of septic shock have warm and dry skin, the
patient's cool and clammy skin indicates that shock is progressing. The other
information will also be reported, but does not indicate deterioration of the patient's
status.
b. Oxygen saturation 93%
c. Blood pressure (BP) 92/56 mm Hg
d. Heart rate 118 beats/minute
Feedback
The correct answer is: Skin cool and clammy
Question 2
Correct
Mark 1.00 out of
1.00 Flag question
Question text
The following interventions are ordered by the health care provider for a patient
pg. 1
, 2
who has respiratory distress and syncope after eating strawberries. Which will the
nurse complete first? Select one:
a. Start a normal saline infusion.
b. Give diphenhydramine (Benadryl).
c. Start continuous ECG monitoring.
d. Give epinephrine (Adrenalin).
Epinephrine rapidly causes peripheral vasoconstriction, dilates the bronchi, and
blocks the effects of histamine and reverses the vasodilation, bronchoconstriction,
and histamine release that cause the symptoms of anaphylaxis. The other
interventions are also appropriate but would not be the first ones completed.
pg. 2
, 3
Feedback
The correct answer is: Give epinephrine (Adrenalin).
Question 3
Correct
Mark 1.00 out of
1.00 Flag question
Question text
After reviewing the information shown in the accompanying figure for a patient
with pneumonia and sepsis, which information is most important to report to the
health care provider?
Select one:
a. Oxygen saturation and breath sounds
b. Blood pressure, pulse rate, respiratory rate.
c. Temperature and IV site appearance
d. Platelet count and presence of petechiae
The low platelet count and presence of petechiae suggest that the patient may have
disseminated intravascular coagulation and that multiple organ dysfunction
syndrome (MODS) is developing. The other information will also be discussed
with the health care provider but does not indicate that the patient's condition is
deteriorating or that a change in therapy is needed immediately.
Feedback
The correct answer is: Platelet count and presence of petechiae
Question 4
Correct
pg. 3
, 4
Mark 1.00 out of
1.00 Flag question
Question text
pg. 4
NURSING 496A Exam 2 Medsurg 3 Questions and
Answers Best Rated A+ guaranteed success New
Update
Question 1
Correct
Mark 1.00 out of
1.00 Flag question
Question text
The nurse is caring for a patient who has septic shock. Which assessment finding is
most
important for the nurse to report to the health care
provider? Select one:
a. Skin cool and clammy
Because patients in the early stage of septic shock have warm and dry skin, the
patient's cool and clammy skin indicates that shock is progressing. The other
information will also be reported, but does not indicate deterioration of the patient's
status.
b. Oxygen saturation 93%
c. Blood pressure (BP) 92/56 mm Hg
d. Heart rate 118 beats/minute
Feedback
The correct answer is: Skin cool and clammy
Question 2
Correct
Mark 1.00 out of
1.00 Flag question
Question text
The following interventions are ordered by the health care provider for a patient
pg. 1
, 2
who has respiratory distress and syncope after eating strawberries. Which will the
nurse complete first? Select one:
a. Start a normal saline infusion.
b. Give diphenhydramine (Benadryl).
c. Start continuous ECG monitoring.
d. Give epinephrine (Adrenalin).
Epinephrine rapidly causes peripheral vasoconstriction, dilates the bronchi, and
blocks the effects of histamine and reverses the vasodilation, bronchoconstriction,
and histamine release that cause the symptoms of anaphylaxis. The other
interventions are also appropriate but would not be the first ones completed.
pg. 2
, 3
Feedback
The correct answer is: Give epinephrine (Adrenalin).
Question 3
Correct
Mark 1.00 out of
1.00 Flag question
Question text
After reviewing the information shown in the accompanying figure for a patient
with pneumonia and sepsis, which information is most important to report to the
health care provider?
Select one:
a. Oxygen saturation and breath sounds
b. Blood pressure, pulse rate, respiratory rate.
c. Temperature and IV site appearance
d. Platelet count and presence of petechiae
The low platelet count and presence of petechiae suggest that the patient may have
disseminated intravascular coagulation and that multiple organ dysfunction
syndrome (MODS) is developing. The other information will also be discussed
with the health care provider but does not indicate that the patient's condition is
deteriorating or that a change in therapy is needed immediately.
Feedback
The correct answer is: Platelet count and presence of petechiae
Question 4
Correct
pg. 3
, 4
Mark 1.00 out of
1.00 Flag question
Question text
pg. 4
