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NUR 254 ( LATEST 2024 / 2025 ) TEST 3 CH.2 | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS
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NUR 254 ( LATEST 2024 / 2025 ) TEST 3 CH.2 | GUARANTEED A+ ACTUAL QUESTIONS AND ANSWERS
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NUR 254 TEST 3 Ch.21. The nurse would carefully assess a pt with for the development of
ARDS?
Answer
Sepsis ( & aspiration are the most likely to develop ARDS)
2. A pt with ARDS are anxious all morning. They are now less responsive & difficult to
arouse.This is likely due to?
Answer
Hypercapnia (hypercarbia)
=
increase in carbon dioxide in the bloodstream
3. The nurse inspects the chest of a patient with ARDS and notices the musculature in between
the ribs "dipping in" with breathing. This would be accurately documented as?
Answer
Intercostal retractions
4. What is the reason a pt would receive Rocoronium or Succinylcholine?
Answer
- They are non-sedating, non-amnesic and non-analgesic drugs. Sometimes used in severe
ARDs pt who are mechanically ventilated and who need paralytic agents to prevent barotrauma
and have better respirations with the vent.
**Typically found in Rapid Sequence Intubation (RSI) kits and used for initial intubation
5. PEEP is increased from 5 to 10 for a pt w/ ARDS. What is a major pulmonary complication
the nurse should assess for related to this change?
Answer
Barotrauma (such as pneumothorax)
6. Which clinical manifestation is highly indicative of ARDS (as opposed to some other
complication)?
, Answer
Refractory hypoxemia
7. The nurse should implement which of the following interventions for a mechanically
ventilated pt?
Answer
Explain all care activities
8. What are the expected outcomes of mechanical ventilation for a pt w/ ARDS for the O2
saturation measurement & the PaO2 measurement?
Answer
O2 sat >90% & PaO2 > 60mmHg
9. The nurse is assessing a pt on a ventilator who started a "weaning trial" 30 min ago. Provide 3
assessment findings that indicate the trial is unsuccessful & needs to be stopped?
Answer
Tachypnea
Tachycardia Labored breathing
O2 saturation dropping
Any other signs of increasing respiratory distress
10. Shock is a SYNDROME resulting from a decrease in , that
causes inadequate resulting in ischemic organs/tissues that cannot carry out cellular
metabolism?
Answer
blood flow;oxygenation
11. When monitoring for effectiveness of treatment, which value is often used to titrate
medications such as norepinepherine as it is an indicator of tissue perfusion?
Answer
MAP
12. What finding indicated progression from early to intermediate shock?
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