Question 1

What should a nurse prepare when assessing paradoxical movement in a patient with a flail chest who has significant dyspnea?

Accepted Answer

A)  Thoracotomy 
B)  Intubation 
C)  Thoracentesis 
D)  Body cast 
A)  Thoracotomy 
B)  Intubation 
C)  Thoracentesis 
D)  Body cast B

Question 2

A patient comes to the emergency department with a sucking chest wound.Which type of dressing should the nurse apply to begin the process of lung reinflation?

Accepted Answer

A)  Petroleum dressing covered with an airtight bandage 
B)  No dressing at all 
C)  Pillow weighted down with a sandbag 
D)  Air-occlusive dressing taped on three sides (vented dressing) 
A)  Petroleum dressing covered with an airtight bandage 
B)  No dressing at all 
C)  Pillow weighted down with a sandbag 
D)  Air-occlusive dressing taped on three sides (vented dressing) D

Question 3

What symptoms should a nurse expect to see in a patient with hypoxemia?

Accepted Answer

A)  Restlessness, tachycardia, and tachypnea 
B)  Bradycardia, cyanosis, and restlessness 
C)  Dyspnea, flushed face, and tachycardia 
D)  Cyanosis, nausea, and bradycardia 
A)  Restlessness, tachycardia, and tachypnea 
B)  Bradycardia, cyanosis, and restlessness 
C)  Dyspnea, flushed face, and tachycardia 
D)  Cyanosis, nausea, and bradycardia A

Question 4

Assessment of 24-year-old driver after an automobile accident, who is complaining of right-sided chest pain and is dyspneic, reveals the following:
• Respirations: 26 breaths/min
• Significant pain on inspiration
• Hand is pressed to the rib area; large bruise is forming on the right chest
• Blood pressure: 182/98 mm Hg
Based on these assessments, the nurse suspects _____ ribs.

Accepted Answer

The answer of Assessment of 24-year-old driver after an automobile...

Question 5

Which group of patients should a nurse advise to have a vaccination with conjugated pneumococcal?

Accepted Answer

A)  Adults with diabetes 
B)  Persons 65 years and older 
C)  Parents of children younger than 24 months 
D)  Persons with cardiovascular disorders 
A)  Adults with diabetes 
B)  Persons 65 years and older 
C)  Parents of children younger than 24 months 
D)  Persons with cardiovascular disorders

Question 6

What action should a nurse implement to reduce the risk of aspiration in a patient receiving continuous enteral feedings at a rate of 70 mL/hr?

Accepted Answer

A)  Check the position of the tube during every shift. 
B)  Notify the charge nurse or physician about a residual volume of 20 mL. 
C)  Elevate the patient's head during and for 10 minutes after feeding. 
D)  Position the patient on the left side after the feeding. 
A)  Check the position of the tube during every shift. 
B)  Notify the charge nurse or physician about a residual volume of 20 mL. 
C)  Elevate the patient's head during and for 10 minutes after feeding. 
D)  Position the patient on the left side after the feeding.

Question 7

Which intervention would be inappropriate for decreasing the risk of further emboli in a patient with a pulmonary embolism?

Accepted Answer

A)  Carefully applying compression stockings 
B)  Performing passive range-of-motion exercises, especially of the lower limbs 
C)  Placing pillows under the knees to elevate the legs 
D)  Ambulating frequently 
A)  Carefully applying compression stockings 
B)  Performing passive range-of-motion exercises, especially of the lower limbs 
C)  Placing pillows under the knees to elevate the legs 
D)  Ambulating frequently

Question 8

A patient with acute bronchitis is being discharged with a prescription for an antimicrobial medication to be taken for the next 14 days.What should the nurse stress when providing discharge teaching?

Accepted Answer

A)  Take the drug on an empty stomach before meals. 
B)  Complete the entire course as prescribed. 
C)  Maintain a thorough oral hygiene regimen. 
D)  Maintain a daily fluid intake of 500 mL. 
A)  Take the drug on an empty stomach before meals. 
B)  Complete the entire course as prescribed. 
C)  Maintain a thorough oral hygiene regimen. 
D)  Maintain a daily fluid intake of 500 mL.

Exam 27: Acute Lower Respiratory Tract Disorders

What should a nurse prepare when assessing paradoxical movement in a patient with a flail chest who has significant dyspnea?

A patient comes to the emergency department with a sucking chest wound.Which type of dressing should the nurse apply to begin the process of lung reinflation?

What symptoms should a nurse expect to see in a patient with hypoxemia?

Which group of patients should a nurse advise to have a vaccination with conjugated pneumococcal?

What action should a nurse implement to reduce the risk of aspiration in a patient receiving continuous enteral feedings at a rate of 70 mL/hr?

Which intervention would be inappropriate for decreasing the risk of further emboli in a patient with a pulmonary embolism?

A patient with acute bronchitis is being discharged with a prescription for an antimicrobial medication to be taken for the next 14 days.What should the nurse stress when providing discharge teaching?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

Filters