MDC 4 Exam 2
Study online at https://quizlet.com/_hpfstk
1. 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
2. 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
3. A client with a 3-day history of nausea and vomiting presents to the emer-
gency 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
4. A nurse is caring for a client with diabetic ketoacidosis and documents that
the client is experiencing Kussmaul's respirations. Based on this documenta-
tion, which of the following did the nurse observe?: Respirations that are labored and
increased in depth and rate
5. A nurse is caring for a client who has a tracheostomy and is receiving me-
chanical ventilation. When the low-pressure alarm on the ventilator sounds, it
indicates which of the following to the nurse?: Decreased lung compliance
6. 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
7. 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
8. 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
1/7
, MDC 4 Exam 2
Study online at https://quizlet.com/_hpfstk
9. 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
10. 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
11. A nurse is caring for a client who has a 20-year history of COPD and is receiv-
ing oxygen therapy at 2 L/min via nasal cannula. The client is dyspneic and has
an oxygen saturation via pulse oximetry of 85%. Which of the following actions
should the nurse take?: Increase the oxygen flow and request an arterial blood gas determination
12. A nurse is caring for a client who is scheduled to have his chest tube re-
moved. Which of the following actions should the nurse take?: Instruct the client to
perform the Valsalva maneuver during removal
13. A nurse is caring for a client with pneumonia who is experiencing thick oral
secretions. Which of the following actions should the nurse take first?: Encourage
deep breathing and coughing
14. Rib fracture cause: blunt trauma to chest wall; CPR
15. Rib fracture pain: defensive movements
reduced depth of breathing
reduced clearing of secretions
16. Flail Chest: At least 2 neighboring ribs in 2 or more places
Paradoxical chest movement
Blunt trauma, CPR can Cause
17. Vasodilator (Nitroprusside): decreases pulmonary artery pressure if impeding cardiac contractility
18. pulmonary embolism risk factors: prolonged immobility
central venous catheter
surgery
obesity
advancing age
hx. of thromboembolism
smoking
pregnancy
estrogen therapy
2/7
Study online at https://quizlet.com/_hpfstk
1. 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
2. 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
3. A client with a 3-day history of nausea and vomiting presents to the emer-
gency 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
4. A nurse is caring for a client with diabetic ketoacidosis and documents that
the client is experiencing Kussmaul's respirations. Based on this documenta-
tion, which of the following did the nurse observe?: Respirations that are labored and
increased in depth and rate
5. A nurse is caring for a client who has a tracheostomy and is receiving me-
chanical ventilation. When the low-pressure alarm on the ventilator sounds, it
indicates which of the following to the nurse?: Decreased lung compliance
6. 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
7. 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
8. 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
1/7
, MDC 4 Exam 2
Study online at https://quizlet.com/_hpfstk
9. 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
10. 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
11. A nurse is caring for a client who has a 20-year history of COPD and is receiv-
ing oxygen therapy at 2 L/min via nasal cannula. The client is dyspneic and has
an oxygen saturation via pulse oximetry of 85%. Which of the following actions
should the nurse take?: Increase the oxygen flow and request an arterial blood gas determination
12. A nurse is caring for a client who is scheduled to have his chest tube re-
moved. Which of the following actions should the nurse take?: Instruct the client to
perform the Valsalva maneuver during removal
13. A nurse is caring for a client with pneumonia who is experiencing thick oral
secretions. Which of the following actions should the nurse take first?: Encourage
deep breathing and coughing
14. Rib fracture cause: blunt trauma to chest wall; CPR
15. Rib fracture pain: defensive movements
reduced depth of breathing
reduced clearing of secretions
16. Flail Chest: At least 2 neighboring ribs in 2 or more places
Paradoxical chest movement
Blunt trauma, CPR can Cause
17. Vasodilator (Nitroprusside): decreases pulmonary artery pressure if impeding cardiac contractility
18. pulmonary embolism risk factors: prolonged immobility
central venous catheter
surgery
obesity
advancing age
hx. of thromboembolism
smoking
pregnancy
estrogen therapy
2/7
