Ati Med Surg Respiratory Latest 2024 With Updated Questions And Well Elaborated And Detailed Answers (Graded A+)

ATI MED SURG RESPIRATORY LATEST 2024 WITH UPDATED QUESTIONS AND WELL ELABORATED AND DETAILED ANSWERS (GRADED A+) A nurse is caring for an elderly patient who suffers from COPD with pneumonia. The nurse should monitor the patient for which of the following acid-base imbalances? A. Respiratory alkalosis B. Respiratory acidosis C. Metabolic alkalosis D. Metabolic acidosis - ANSWER-2. Respiratory acidosis Respiratory acidosis is a common complication of COPD. This complication occurs because patients who have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the lungs. Respiratory alkalosis - ANSWER-hyperventilation Occurs when pt exhales too much carbon dioxide Metabolic alkalosis - ANSWER-high pH, high HCO3 Pt has excessive amount of bicarbonate Clients who use bicarbonate of soda as an antacid are at risk for the development of metabolic alkalosis. Excessive vomiting also places a client at risk for development of metabolic alkalosis. A nurse is preparing to administer cisplatin IV to a patient with lung cancer. The nurse should identify that which of the following findings is an adverse effect of this medication? A. Hallucinations B. Pruritus C. Hand and foot syndrome D. Tinnitus - ANSWER-Tinnitis An adverse effect of cisplatin is ototoxicity, which can cause tinnitis. Hand and foot syndrome = adverse effect of capecitabine, an antineoplastic - medication used to treat breast and colorectal cancer. Pruritus is an adverse effect of methotrexate, which is used to treat cancer and rheumatoid arthritis. Hallucinations are an adverse effect of asparaginase, which is an antineoplastic medication used to treat acute lymphocytic leukemi A nurse is preparing to assist a provider to withdraw arterial blood from a patient's radial artery for measurement of ABG. Which of the following actions should the nurse plan to take? A. Hyperventilate the client with 100% oxygen prior to obtaining the specimen. B. Apply ice to site after obtaining the specimen C. Perform an Allen's test prior to obtaining the specimen D. Release pressure applied to puncture site 1 min after needle is withdrawn - ANSWER-3. Perform an Allen's test prior to obtaining the specimen. A nurse is assessing a patient who has a chest tube in place following a thoracic surgery. Which of the following findings indicates a need for intervention: - ANSWER-2. Continuous bubbling in the water seal chamber. Continuous bubbling in the water seal chamber suggests an air leak. The nurse should ensure that circulation to the hand is adequate from the ulnar artery in case the radial artery is injured from the blood draw. The most common site for withdrawal of arterial blood gases is the radial artery. The nurse should apply pressure to the puncture site for 5 to 10 min after the needle is withdrawn. High pressure of the blood in the arteries places the client at risk for hemorrhage from the withdrawal site. The nurse should use ice to preserve the arterial blood gas specimen during transport to the laboratory. If the sample is not placed on ice, the pH and PO2 values can be inaccurate. It is not necessary to place ice on the withdrawal site. The nurse should not administer oxygen prior to the blood draw, because the test measures the client's arterial blood gases when breathing room air.