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NURSING 1429041 WEEK 4 EXAM PREPARATION.

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NURSING WEEK 4 EXAM PREPARATION. A client with carbon monoxide poisoning is treated in the emergency department of an acute care facility. Which clinical manifestations should the nurse expect in this client? Select all that apply.  dizziness  pulse oximetry of 99% on room air  headache  nausea and vomiting 2. A client arrives to the emergency department (ED), with reports of chest pain. Electrocardiograph (ECG) exhibits an elevated ST segment. What are the priority actions by the nurse? Select all that apply.  improving myocardial oxygenation  relieving pain  reduce cardiac output 3. A nurse is caring for a client after a lung biopsy. Which assessment findings would be anticipated? Select all that apply.  respiratory rate of 28 breaths/minute  oxygen saturation level of 94% on 3 L of oxygen  client stating pain level of 4 out of 10 that decreases with pain medication  client dozing when left alone but awakening easily  pink tinged sputum expectorated with coughing 4. The nurse is caring for a client who has sickle cell disease (SCD). The client is reporting pain in the back, chest, and extremities. The nurse anticipates that the client may present with what other clinical manifestation(s)? Select all that apply.  nausea  hypertension  tachypnea  swelling 5. A neonate has been placed on cardiac and apnea monitoring in the neonatal nursery. The nurse notes that the apnea alarm repeatedly triggers. Place the following actions in the order they would be completed by the nurse. All options must be used.  Perform a focused assessment on the neonate.  Count the respiratory rate for 60 seconds.  Silence the alarm to decrease environmental stimuli.  Check all connections on the apnea monitor.  Document the assessment findings, interventions, and neonate’s response. 6. The nurse working in a critical care unit is a caring for a client that experiences respiratory arrest. In what order will the nurse respond? All options must be used.  Call for emergency help.  Begin emergency resuscitation.  Document the resuscitation.  Complete an incident report.  Alert the family to the event.  Restock the room with emergency equipment.

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Uploaded on
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