NUR 185 TEST 1 WITH CORRECT
QUESTIONS AND ANSWERS
Nurse admits patient to med surg unit. Resp rate of 38. Patient
using chest muscles to breathe, pulse ox of 87 on room air,
pink frothy sputum. What intervention would you implement
first? - CORRECT ANSWER-O2 at 2 Liters/Min
Caring for pt....
Nurse admits patient to med surg unit. Resp rate of 38. Patient
using chest muscles to breathe, pulse ox of 87 on room air,
pink frothy sputum. What intervention would you implement
first? - CORRECT ANSWER-O2 at 2 Liters/Min
Caring for pt. who is intubated and receiving mechanical
ventilation. What action by the nurse would decrease the
patient's incidence of developing ventilator associated
pneumonia? - CORRECT ANSWER-Put head of bed at 30-45
degrees.
The nurse is administering acetylcysteine (muca-mist) as
nebulizer treatment to patient. Which should the nurse have
available for adverse effect on the patient? - CORRECT
ANSWER-Suction equipment
Patient coming in with SOB and resp. rate of 32. ABG results
PH 7.3 (acid), Co2-50 Bicarb-28, PO2-70
Resp. Acidosis, what orders do you anticipate carrying out? -
CORRECT ANSWER-Apply O2 and give med-neb treatment.
You have 4 patients in a long term care facility. Which would
you check first? - CORRECT ANSWER-COPD patient with
resp rate of 30, O2 of 87 and on 3 Liters of O2 complaining of
dyspnea.
, Caring for newly intubated patient getting mechanical
ventilation. Pt.'s wife was not at hosp. when this occurred. Wife
appears angry and states "What have you all done to him?"
What would be your response as a nurse? - CORRECT
ANSWER-Explain to the patient why the patient had to be
intubated, continue to update patient's wife on condition and
plan of care, I'm sorry that you walked in on him like that, I
understand this must have been very frightening.
Patient has SOB, edema in legs and face and has the following
labs: BUN-95 (high), Creatinine of 9.2, Potassium of 6.0 (high).
What are you going to do - CORRECT ANSWER-Give
Kexolate, prepare the patient a central line for dialysis. Cardiac
monitoring.
Working with a UAP, what task can be delegated? - CORRECT
ANSWER-Instill non-prescription eye drops in patient's eyes.
Nurse is caring for patient who had total knee replacement
yesterday. Patient up in chair stating he feels good. Pain is
3/10. Resp. 16, pulse is 75, bp is 110/78. Pulse ox 88 reading
is after incentive spirometer. What actions would you take at
this time? - CORRECT ANSWER-Move pulse ox to another
finger on the other hand and recheck.
Vancomycin - CORRECT ANSWER-Nephrotoxic (meaning it
can really damage the kidney's) and Ototoxic (temp. hearing
loss) Can be given IV, orally, or via enema. pharmacy is usually
involved with this medication.
Lomotil - CORRECT ANSWER-mix of 2 different drugs
(atropine-can dry up fluids or for bradycardia & diphenoxylate
can raise the BP/HR and lower the urinary output). Monitor BP
and HR. Monitor urinary output.
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