NR224 Exam 2 Questions with Answers (100% Correct
Answers)
What is the removal of devitalized tissue from a wound called?
a. debridement
b. pressure reduction
c. negative pressure wound therapy
d. sanitization —ANS: a. debridement
Which of the following skills can the nurse delegate to nursing assistive personnel?
Select all that apply.
a. nasotracheal suctioning
b. oropharyngeal suctioning of a stable patient
c. suctioning a new artificial airway
d. permanent tracheostomy tube suctioning
e. care of an endotracheal tube —ANS: b. oropharyngeal suctioning of a stable patient
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d. permanent tracheostomy tube suctioning
Place the following in correct sequence for suctioning a patient.
1. open kit and basin
2. apply gloves
3. lubricate catheter
4. verify functioning of suction device and pressure
5. connect suction tubing to suction catheter
6. increased supplemental oxygen
7. reapply oxygen
8. suction airway —ANS: 4. verify functioning of suction device and pressure
6. increased supplemental oxygen
1. open kit and basin
3. lubricate catheter
2. apply gloves
5. connect suction tubing to suction catheter
8. suction airway
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7. reapply oxygen
A patient was admitted following a motor vehicle accident with multiple fractured ribs.
Respiratory assessment includes signs/symptoms of secondary pneumothorax. Which
are the most common assessment findings associated with a pneumothorax? Select all
that apply.
a. sharp pleuritic pain that worsens on inspiration
b. crackles over lung bases of affected lung
c. tracheal deviation toward the affected lung
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side —ANS: a. sharp pleuritic pain
that worsens on inspiration
d. worsening dyspnea
e. absent lung sounds to auscultation on affected side
The nurse is caring for a patient who has decreased mobility. Which intervention is a
simple and cost-effective method for reducing the risks of pulmonary complication?
a. antibiotics
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b. frequent change of position
c. oxygen humidification
d. chest physiotherapy —ANS: B (Frequent change of position)
(Movement not only mobilizes secretions but helps strengthen respiratory muscles by
impacting the effectiveness of gas exchange processes.)
A nurse in a provider's office is evaluating a client who reports losing control of urine
whenever she coughs, laughs, or sneezes. THe client relates a history of three vaginal
births, but no serious accidents or illnesses. Which of the following interventions
should the nurse suggest for helping to control or eliminate the client's incontinence?
Select all that apply.
A. limit total daily fluid intake
B. decrease or avoid caffeine
C. take calcium supplements
D. avoid drinking alcohol
E. use the Crede maneuver. —ANS: B. Decrease or avoid caffeine
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