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NURS 3661 Exam 2 questions with correct answers.
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NURS 3661 Exam 2 questions with correct answers.
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NURS 3661 Exam 2 questions with correct answersA perioperative nurse is caring for a postoperative patient. The patient
has a shallow respiratory pattern and is reluctant to cough or to begin
mobilizing. The nurse should address the patient's increased risk for
what complication? Correct Answer-Atelectasis
A critical-care nurse is caring for a patient diagnosed with pneumonia as
a surgical complication. The nurse's assessment reveals that the patient
has an increased work of breathing due to copious tracheobronchial
secretions. What should the nurse encourage the patient to do? Correct
Answer-Increase oral fluids unless contraindicated.
The public health nurse is administering Mantoux tests to children who
are being registered for kindergarten in the community. How should the
nurse administer this test? Correct Answer-Administer intradermal
injections into the children's inner forearms.
The nurse is caring for a patient who has been in a motor vehicle
accident and the care team suspects that the patient has developed
pleurisy. Which of the nurse's assessment findings would best
corroborate this diagnosis? Correct Answer-The patient's pain intensifies
when he coughs or takes a deep breath.
The nurse caring for a patient recently diagnosed with lung disease
encourages the patient not to smoke. What is the primary rationale
behind this nursing action? Correct Answer-Smoking damages the
ciliary cleansing mechanism.
,A patient has been brought to the ED by the paramedics. The patient is
suspected of having ARDS. What intervention should the nurse first
anticipate? Correct Answer-Preparing to assist with intubating the
patient
The nurse is caring for a patient who is scheduled for a lobectomy for a
diagnosis of lung cancer. While assisting with a subclavian vein central
line insertion, the nurse notes the client's oxygen saturation rapidly
dropping. The patient complains of shortness of breath and becomes
tachypneic. The nurse suspects a pneumothorax has developed. Further
assessment findings supporting the presence of a pneumothorax include
what? Correct Answer-Diminished or absent breath sounds on the
affected side
The nurse is providing discharge teaching for a patient who developed a
pulmonary embolism after total knee surgery. The patient has been
converted from heparin to sodium warfarin (Coumadin) anticoagulant
therapy. What should the nurse teach the client? Correct Answer-
Anticoagulant therapy usually lasts between 3 and 6 months.
A new employee asks the occupational health nurse about measures to
prevent inhalation exposure of the substances. Which statement by the
nurse will decrease the patient's exposure risk to toxic substances?
Correct Answer-"Wear protective attire and devices when working with
a toxic substance."
An x-ray of a trauma patient reveals rib fractures and the patient is
diagnosed with a small flail chest injury. Which intervention should the
,nurse include in the patient's plan of care? Correct Answer-Suction the
patient's airway secretions.
The nurse is caring for a patient who is receiving oxygen therapy for
pneumonia. How should the nurse best assess whether the patient is
hypoxemic? Correct Answer-Assess the patient's oxygen saturation
level.
An adult patient has tested positive for tuberculosis (TB). While
providing patient teaching, what information should the nurse prioritize?
Correct Answer-The importance of adhering closely to the prescribed
medication regimen
The nurse is assessing an adult patient following a motor vehicle
accident. The nurse observes that the patient has an increased use of
accessory muscles and is complaining of chest pain and shortness of
breath. The nurse should recognize the possibility of what condition?
Correct Answer-Pneumothorax
The nurse at a long-term care facility is assessing each of the residents.
Which resident most likely faces the greatest risk for aspiration? Correct
Answer-A resident who suffered a severe stroke several weeks ago
The nurse is caring for a patient suspected of having ARDS. What is the
most likely diagnostic test ordered in the early stages of this disease to
differentiate the patient's symptoms from those of a cardiac etiology?
Correct Answer-Brain natriuretic peptide (BNP) level
, The nurse is caring for a patient at risk for atelectasis. The nurse
implements a first-line measure to prevent atelectasis development in the
patient. What is an example of a first-line measure to minimize
atelectasis? Correct Answer-Incentive spirometry
The nurse is caring for a patient suspected of having ARDS. What is the
most likely diagnostic test ordered in the early stages of this disease to
differentiate the patient's symptoms from those of a cardiac etiology?
Correct Answer-Brain natriuretic peptide (BNP) level
The nurse is caring for a patient at risk for atelectasis. The nurse
implements a first-line measure to prevent atelectasis development in the
patient. What is an example of a first-line measure to minimize
atelectasis? Correct Answer-Incentive spirometry
While planning a patient's care, the nurse identifies nursing actions to
minimize the patient's pleuritic pain. Which intervention should the
nurse include in the plan of care? Correct Answer-Avoid actions that
will cause the patient to breathe deeply.
The perioperative nurse is writing a care plan for a patient who has
returned from surgery 2 hours prior. Which measure should the nurse
implement to most decrease the patient's risk of developing pulmonary
emboli (PE)? Correct Answer-Early ambulation
The school nurse is presenting a class on smoking cessation at the local
high school. A participant in the class asks the nurse about the risk of
lung cancer in those who smoke. What response related to risk for lung
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