NUR 185 test 1 Hondros With complete solution Newest

NUR 185 test 1 Hondros With complete
solution Newest
Nurse admits patient to med surg unit. Resp rate of 38. Patient using chest muscles to
II II II II II II II II II II II II II II II



breathe, pulse ox of 87 on room air, pink frothy sputum. What intervention would you
II II II II II II II II II II II II II II II



implement first? - O2 at 2 Liters/Min
II II II II II II II II II




Caring for pt. who is intubated and receiving mechanical ventilation. What action by the
II II II II II II II II II II II II II II



nurse would decrease the patient's incidence of developing ventilator associated
II II II II II II II II II II



pneumonia? - Put head of bed at 30-45 degrees.
II II II II II II II II II II II




The nurse is administering acetylcysteine (muca-mist) as nebulizer treatment to patient.
II II II II II II II II II II II



Which should the nurse have available for adverse effect on the patient? - Suction
II II II II II II II II II II II II II II II II



equipment
II




Patient coming in with SOB and resp. rate of 32. ABG results PH 7.3 (acid), Co2-50
II II II II II II II II II II II II II II II II



Bicarb-28, PO2-70
II II



Resp. Acidosis, what orders do you anticipate carrying out? - Apply O2 and give med-
II II II II II II II II II II II II II II II II



neb treatment.
II




You have 4 patients in a long term care facility. Which would you check first? - COPD
II II II II II II II II II II II II II II II II II II II



patient with resp rate of 30, O2 of 87 and on 3 Liters of O2 complaining of dyspnea.
II II II II II II II II II II II II II II II II II II




Caring for newly intubated patient getting mechanical ventilation. Pt.'s wife was not at
II II II II II II II II II II II II II



hosp. when this occurred. Wife appears angry and states "What have you all done to
II II II II II II II II II II II II II II II



him?" What would be your response as a nurse? - Explain to the patient why the patient
II II II II II II II II II II II II II II II II II II II



had to be intubated, continue to update patient's wife on condition and plan of care, I'm
II II II II II II II II II II II II II II II II



sorry that you walked in on him like that, I understand this must have been very
II II II II II II II II II II II II II II II II



frightening.
II




Patient has SOB, edema in legs and face and has the following labs: BUN-95 (high),
II II II II II II II II II II II II II II II



Creatinine of 9.2, Potassium of 6.0 (high). What are you going to do - Give Kexolate,
II II II II II II II II II II II II II II II II II II



prepare the patient a central line for dialysis. Cardiac monitoring.
II II II II II II II II II II




Working with a UAP, what task can be delegated? - Instill non-prescription eye drops in
II II II II II II II II II II II II II II II II II



patient's eyes.
II II




Nurse is caring for patient who had total knee replacement yesterday. Patient up in chair
II II II II II II II II II II II II II II II



stating he feels good. Pain is 3/10. Resp. 16, pulse is 75, bp is 110/78. Pulse ox 88
II II II II II II II II II II II II II II II II II II



reading is after incentive spirometer. What actions would you take at this time? - Move
II II II II II II II II II II II II II II II II II



pulse ox to another finger on the other hand and recheck.
II II II II II II II II II II II