N418 book TQ compilied NURS 418

N418 book TQ compilied Trauma, Chest Injury, Abd. Trauma Chapter 69: Emergency 1. During the primary assessment of a trauma victim, the nurse determines that the patient is breathing and has an unobstructed airway. Which action should the nurse take next? 2. During the primary survey of a patient with multiple traumatic injuries, the nurse observes that the patient’s right pedal pulses are absent and the leg is swollen. Which of these actions will the nurse take next? 4.A patient who is unconscious after a fall from a ladder is transported to the emergency department by family members. During the primary survey of the patient, the nurse should ondary survey. 6.A patient who has experienced blunt abdominal trauma during a car accident is complaining of increasing abdominal pain. The nurse will plan to teach the patient about the purpose of 7.A patient with hypotension and temperature elevation after doing yard work on a hot day is treated in the ED. After the nurse has completed discharge teaching, which statement by the patient indicates that the teaching has been effective? 8.When preparing to rewarm a patient with hypothermia, the nurse will plan to 9.A patient who experienced a near drowning accident in a local lake, but now is awake and breathing spontaneously, is admitted for observation. Which action will be most important for the nurse to take during the observation period? collected by the nurse, but it is not as pertinent to the patient’s admission diagnosis. 14.A triage nurse in a busy emergency department assesses a patient who complains of 6/10 abdominal pain and states, “I had a temperature of 104.6º F (40.3º C) at home.” The nurse’s first action should be to 15. The emergency department (ED) triage nurse is assessing four victims of an automobile accident. Which patient has the highest priority for treatment? 16. The following actions are part of the routine emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first? 20. When a patient is admitted to the emergency department after a submersion injury, which assessment will the nurse obtain first? 1. These four patients arrive in the emergency department after a motor vehicle crash. In which order should they be assessed? Put a comma and space between each answer choice (a, b, c, d, etc.) _____ _ _ _ _ _ Chapter 68: Respiratory failure and ARDS 1. To evaluate the effectiveness of prescribed therapies for a patient with ventilatory failure, which diagnostic test will be most useful to the nurse? 2. While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patient’s oxygen saturation (SpO2) from 94% to 88%. The nurse will 3.A patient with respiratory failure has a respiratory rate of 8 and an SpO2 of 89%. The patient is increasingly lethargic. The nurse will anticipate assisting with 4. The pulse oximetry for a patient with right lower lobe pneumonia indicates an oxygen saturation of 90%. The patient has rhonchi, a weak cough effort, and complains of fatigue. Which action is best for the nurse to take? a. 5. When the nurse is caring for an obese patient with left lower lobe pneumonia, gas exchange will be best when the patient is positioned . 6. When admitting a patient in possible respiratory failure with a high PaCO2, which assessment information will be of most concern to the nurse? 7. A patient with acute respiratory distress syndrome (ARDS) and acute renal failure has the following medications prescribed. Which medication should the nurse discuss with the health care provider before administration? 8.A patient develops increasing dyspnea and hypoxemia 2 days after having cardiac surgery. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by left ventricular failure, the nurse will anticipate assisting with 9. Which assessment finding by the nurse when caring for a patient with ARDS who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates that the PEEP may need to be decreased? . 10. Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the family members of a patient with ARDS is correct? 11. When prone positioning is used in the care of a patient with acute respiratory distress syndrome (ARDS), which information obtained by the nurse indicates that the positioning is effective? 12. The nurse obtains the vital signs for a patient admitted 2 days ago with gram-negative sepsis: temperature 101.2° F, blood pressure 90/56 mm Hg, pulse 92, respirations 34. Which action should the nurse take next? of 13. To decrease the risk for ventilator-associated pneumonia, which action will the nurse include in the plan of care for a patient who requires intubation and mechanical ventilation? 14.A patient has a nursing diagnosis of ineffective airway clearance related to thick, secretions. Which action will be best for the nurse to include in the plan of care? 15.A patient with acute respiratory distress syndrome (ARDS) who is intubated and receiving mechanical ventilation develops a pneumothorax. Which action will the nurse anticipate taking? . 16.After receiving change-of-shift report, which patient will the nurse assess first? ..............................CONTINUED..................................