NUR 445 review q PowerPoint
The patient diagnosed with an exacerbation of COPD is in respiratory distress. Which
intervention should the nurse implement first?
A.Assist the patient into a sitting position at 90 degrees
B.Give oxygen at 6 L via NC
C.Monitor vital signs with the patient sitting upright
D.Notify the health-care provider about the patient's status - answerA.Assist the patient
into a sitting position at 90 degrees
The nurse is caring for the patient diagnosed with end-stage COPD. Which data would
warrant immediate intervention by the nurse?
A.The patient's pulse ox reading is 92%
B.The patient's arterial blood gas level is 74
C.The patient has SOB when walking to the bathroom
D.The patient's sputum is rusty colored - answerD.The patient's sputum is rusty colored
Which nursing diagnosis would be appropriate for the nurse to include in the plan of
care for the patient diagnosed with COPD? (Select all that apply)
A.Impaired gas exchange
B.Inability to tolerate temperature extremes
C.Activity intolerance
D.Inability to cope with changes in roles
E.Alteration in nutrition - answerA.Impaired gas exchange
B.Inability to tolerate temperature extremes
C.Activity intolerance
D.Inability to cope with changes in roles
E.Alteration in nutrition
The patient is diagnosed with a pulmonary embolus and is receiving a heparin drip. The
bag hanging is 20,000 units/500 mL of D5W infusing at 22 mL/hr. How many units of
heparin is the patient receiving each hour? - answer800 units/hr
Which assessment data would support that the patient has experienced a pulmonary
embolus?
A.Calf pain with dorsiflexion of the foot
B.Sudden onset of chest pain and dyspnea
C.Left-sided chest pain with diaphoresis
D.Bilateral crackles and low-grade fever - answerB.Sudden onset of chest pain and
dyspnea
The patient diagnosed with an exacerbation of COPD is in respiratory distress. Which
intervention should the nurse implement first?
A.Assist the patient into a sitting position at 90 degrees
B.Give oxygen at 6 L via NC
C.Monitor vital signs with the patient sitting upright
D.Notify the health-care provider about the patient's status - answerA.Assist the patient
into a sitting position at 90 degrees
The nurse is caring for the patient diagnosed with end-stage COPD. Which data would
warrant immediate intervention by the nurse?
A.The patient's pulse ox reading is 92%
B.The patient's arterial blood gas level is 74
C.The patient has SOB when walking to the bathroom
D.The patient's sputum is rusty colored - answerD.The patient's sputum is rusty colored
Which nursing diagnosis would be appropriate for the nurse to include in the plan of
care for the patient diagnosed with COPD? (Select all that apply)
A.Impaired gas exchange
B.Inability to tolerate temperature extremes
C.Activity intolerance
D.Inability to cope with changes in roles
E.Alteration in nutrition - answerA.Impaired gas exchange
B.Inability to tolerate temperature extremes
C.Activity intolerance
D.Inability to cope with changes in roles
E.Alteration in nutrition
The patient is diagnosed with a pulmonary embolus and is receiving a heparin drip. The
bag hanging is 20,000 units/500 mL of D5W infusing at 22 mL/hr. How many units of
heparin is the patient receiving each hour? - answer800 units/hr
Which assessment data would support that the patient has experienced a pulmonary
embolus?
A.Calf pain with dorsiflexion of the foot
B.Sudden onset of chest pain and dyspnea
C.Left-sided chest pain with diaphoresis
D.Bilateral crackles and low-grade fever - answerB.Sudden onset of chest pain and
dyspnea
