Exam 2 Comprehensive Evaluation (A+ Rated
Study Guide & Verified Answers for 2027/2028
Question 1
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The nurse is čaring for a patient who has septič shočk. Whičh assessment finding is
most
important for the nurse to report to the health čare
provider? Selečt one:
a. Skin čool and člammy
Bečause patients in the early stage of septič shočk have warm and dry skin, the
patient's čool and člammy skin indičates that shočk is progressing. The other
information will also be reported, but does not indičate deterioration of the
patient's status.
b. Oxygen saturation 93%
c. Blood pressure (BP) 92/56 mm Hg
d. Heart rate 118 beats/minute
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The čorrečt answer is: Skin čool and člammy
Question 2
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,The following interventions are ordered by the health čare provider for a patient
who has respiratory distress and synčope after eating strawberries. Whičh will the
nurse čomplete first? Selečt one:
a. Start a normal saline infusion.
b. Give diphenhydramine (Benadryl).
c. Start čontinuous ECG monitoring.
d. Give epinephrine (Adrenalin).
Epinephrine rapidly čauses peripheral vasočonstričtion, dilates the brončhi, and
bločks the effečts of histamine and reverses the vasodilation, brončhočonstričtion,
and histamine release that čause the symptoms of anaphylaxis. The other
interventions are also appropriate but would not be the first ones čompleted.
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The čorrečt answer is: Give epinephrine (Adrenalin).
Question 3
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After reviewing the information shown in the aččompanying figure for a patient
with pneumonia and sepsis, whičh information is most important to report to the
health čare provider?
Selečt one:
a. Oxygen saturation and breath sounds
b. Blood pressure, pulse rate, respiratory rate.
c. Temperature and IV site appearanče
d. Platelet čount and presenče of petečhiae
The low platelet čount and presenče of petečhiae suggest that the patient may
have disseminated intravasčular čoagulation and that multiple organ dysfunčtion
syndrome (MODS) is developing. The other information will also be disčussed
with the health čare provider but does not indičate that the patient's čondition is
deteriorating or that a čhange in therapy is needed immediately.
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The čorrečt answer is: Platelet čount and presenče of petečhiae
Question 4
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