Rasmussen College - NUR 2571 / NUR2571 PN 2 Exam 1 Study Guide.
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Course
PN 2 NUR 2571 / NUR2571
Institution
PN 2 NUR 2571 / NUR2571
NUR 2571 / NUR2571 PN 2 Exam 1 Study Guide.
4. A client has a tracheostomy tube in place. When the nurse suctions the client, food particles are noted. What action by the nurse is best?
b. Measure and compare cuff pressures. ANS: B
2. A nurse assesses a client after an open lung biopsy. Which as...
rasmussen college nur 2571 nur2571 pn 2 exam 1 study guide
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NUR 2571 / NUR2571 PN 2 Exam 1
Study Guide.
4. A client has a tracheostomy tube in place. When the nurse suctions the
client, food particles are noted. What action by the nurse is best?
b. Measure and compare cuff
pressures. ANS: B
2. A nurse assesses a client after an open lung biopsy. Which assessment
finding is matched with the correct intervention?
c. Client has reduced breath sounds. Nurse calls physician
immediately. ANS: C
3. A nurse assesses a clients respiratory status. Which information is of
highest priority for the nurse to obtain?
d. Occupation and
hobbies ANS: D
2. A nurse assesses a client who is experiencing an acid-base imbalance.
The clients arterial blood gas values are pH 7.34, PaO2 88 mm Hg,
PaCO2 38 mm Hg, and HCO3 19 mEq/L. Which assessment should the
nurse perform first?
a. Cardiac rate and rhythm
ANS: A
6. A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial
blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L.
What action should the nurse take next?
a. Assess clients rate, rhythm, and depth of respiration.
7. A nurse is assessing a client who is recovering from a lung biopsy.
Which assessment finding requires immediate action?
b. Absent breath
sounds ANS: B
8. A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure.
The clients arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and
HCO3 22 mEq/L. Which action should the nurse take first?
a. Apply oxygen by mask or nasal cannula.
8. A nurse is caring for a client who is scheduled to undergo a
thoracentesis. Which intervention should the nurse complete prior to the
procedure?
,d. Validate that informed consent has been given by the
client. ANS: D
, 9. A nurse assesses a client after a thoracentesis. Which assessment
finding warrants immediate action?
d. The trachea is deviated toward the opposite side of the
neck. ANS: D
1.A nurse is caring for a client who has just had a central venous access line
inserted. Which action should the nurse take next?
b. Ensure an x-ray is completed to confirm
placement. ANS: B
3.A nurse teaches a client who is being discharged home with a
peripherally inserted central catheter (PICC). Which statement should the
nurse include in this clients teaching?
a. Avoid carrying your grandchild with the arm that has the central
catheter. ANS: A
5.A nurse is caring for a client who is receiving an epidural infusion for
pain management. Which assessment finding requires immediate
intervention from the nurse?
b. Report of headache and stif f
neck ANS: B
7.A nurse is assessing clients who have intravenous therapy prescribed.
Which assessment finding for a client with a peripherally inserted central
catheter (PICC) requires immediate attention?
d. Upper extremity swelling is
noted. ANS: D
13.A nurse teaches a client who is prescribed a central vascular access
device. Which statement should the nurse include in this clients teaching?
c. Ask all providers to vigorously clean the connections prior to accessing the
device.
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