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NUR2940 Exam 1 med-surg & MH
NUR2940 Exam 1 med-surg & MH
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NUR2940 Exam 1 med-surg & MHA nurse is scheduled to take care of these four patients in a trauma step-down unit.
Which one should the nurse assess first based on this information from report?
a. A 19 y/o, 2days post-motor vehicle crash, rib fractures and on CPAP for oxygenation
issues, complaining of increased chest pain.
b. 40 y/o, 1 day post-op for a ruptured spleen following a no chicle accident, slightly
confused on how he got on the unit.
c. 21 y/o still comatose following a fall and flail chest, remains stable on a ventilator and
drug therapy for low bp
d. 60 y/o with left femur fracture following a farming accident who is experiencing new
onset of sob. - ANS-C.
A patient who is receiving mechanical ventilation is at risk for which complications?
a. Hypotension, infection, barotrauma
b. Anxiety, hypertension, fatigue
c. VAP, atelectasis, hypothermia
d. Dyspnea, hypoxia, normothermia - ANS-A.
A patient who is tachypnea for an extended period of time will demonstrate which of the
following ABGs?
a. Respiratory acidosis with hypercapnia
b. Respiratory acidosis with rising pH
c. Respiratory alkalosis with hypocapnia
d. No changes in the results due to metabolic compensation - ANS-C.
A patient with COPD is given a high dose of oxygen in response to low SaO2. What is
the priority intervention for this patient?
a. Cardiovascular assessment
b. Assessment of RR
c. Medication administration.
d. Respiratory therapy referral. - ANS-B.
A patient with the diagnosis of COPD requires supplemental oxygen therapy because of
hypoxemia. Which statement is true concerning oxygen therapy with a patient
diagnosed with COPD?
a. High oxygen concentrations have no effect on patients with COPD.
b. The patient will become dependent on oxygen.
c. There is no indication for supplemental oxygen for a patient with COPD.
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