Rasmussen College MDC 4 Exam 2 Questions and
Answers | 100% Verified Answers
The patient is a 54-year-old male with history of COPD, who was
rushed to the emergency department with increasing shortness of
breath, pyrexia, and a productive cough with yellow-green sputum.
Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mmHg,
HCO3 28 mmol/L, and PaO2 60 mmHg. How would you interpret this?
Respiratory acidosis, partially compensated
Silver sulfadiazine (Silvadene, Thermazene)
Watch for allergic reaction causing a drop in white blood cell count.
Do not use if reaction to sulfonamide has occurred.
Use on deep partial-thickness or full-thickness wounds.
Monitor wounds for infection
A client with a 3-day history of nausea and vomiting presents to the
emergency department. The client is hypoventilating and has a
respiratory rate of 10 breaths/min. Arterial blood gases are drawn
and the nurse reviews the results, expecting to note which of the
following?
An increased pH with an increased HCO3
A nurse is caring for a client with diabetic ketoacidosis and documents
that the client is experiencing Kussmaul's respirations. Based on this
documentation, which of the following did the nurse observe?
Respirations that are labored and increased in depth and rate
, A nurse is caring for a client who has a tracheostomy and is receiving
mechanical ventilation. When the low-pressure alarm on the
ventilator sounds, it indicates which of the following to the nurse?
Decreased lung compliance
A nurse on a medical-surgical unit is caring for a client who is
postoperative following a hip replacement surgery. The client reports
feeling apprehensive and restless. Which of the following findings
should the nurse recognize as an indication of pulmonary embolism?
Sudden onset of dyspnea
A client comes to the emergency department in severe respiratory
distress following left-sided blunt chest trauma. The nurse notes
absent breath sounds on the client's left side and a tracheal shift to
the right. For which of the following procedures should the nurse
prepare the client?
Chest tube insertion
A nurse is caring for a client who is experiencing acute opioid toxicity.
Which of the following actions should the nurse identify as the
priority?
Ensure an adequate airway
A nurse is caring for a client who has chronic obstructive pulmonary
disease (COPD) and is experiencing shortness of breath. Which of the
following actions should the nurse perform first?
Place the client in an upright position
A nurse is assessing a client who has pharyngitis. Which of the
following findings is the nurse's priority to report to the provider?
Inspiratory stridor
Answers | 100% Verified Answers
The patient is a 54-year-old male with history of COPD, who was
rushed to the emergency department with increasing shortness of
breath, pyrexia, and a productive cough with yellow-green sputum.
Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mmHg,
HCO3 28 mmol/L, and PaO2 60 mmHg. How would you interpret this?
Respiratory acidosis, partially compensated
Silver sulfadiazine (Silvadene, Thermazene)
Watch for allergic reaction causing a drop in white blood cell count.
Do not use if reaction to sulfonamide has occurred.
Use on deep partial-thickness or full-thickness wounds.
Monitor wounds for infection
A client with a 3-day history of nausea and vomiting presents to the
emergency department. The client is hypoventilating and has a
respiratory rate of 10 breaths/min. Arterial blood gases are drawn
and the nurse reviews the results, expecting to note which of the
following?
An increased pH with an increased HCO3
A nurse is caring for a client with diabetic ketoacidosis and documents
that the client is experiencing Kussmaul's respirations. Based on this
documentation, which of the following did the nurse observe?
Respirations that are labored and increased in depth and rate
, A nurse is caring for a client who has a tracheostomy and is receiving
mechanical ventilation. When the low-pressure alarm on the
ventilator sounds, it indicates which of the following to the nurse?
Decreased lung compliance
A nurse on a medical-surgical unit is caring for a client who is
postoperative following a hip replacement surgery. The client reports
feeling apprehensive and restless. Which of the following findings
should the nurse recognize as an indication of pulmonary embolism?
Sudden onset of dyspnea
A client comes to the emergency department in severe respiratory
distress following left-sided blunt chest trauma. The nurse notes
absent breath sounds on the client's left side and a tracheal shift to
the right. For which of the following procedures should the nurse
prepare the client?
Chest tube insertion
A nurse is caring for a client who is experiencing acute opioid toxicity.
Which of the following actions should the nurse identify as the
priority?
Ensure an adequate airway
A nurse is caring for a client who has chronic obstructive pulmonary
disease (COPD) and is experiencing shortness of breath. Which of the
following actions should the nurse perform first?
Place the client in an upright position
A nurse is assessing a client who has pharyngitis. Which of the
following findings is the nurse's priority to report to the provider?
Inspiratory stridor
