NSG 3130 EXAM 4 TEST BANK QUESTIONS WITH SOLUTIONS MANUAL
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Course
NSG 6340
Institution
NSG 6340
The nurse finds the patient in cardiopulmonary arrest with no pulse or respirations. Which oxygen delivery device will the nurse use for this patient?
a. Non-rebreather mask
b. Bag-valve-mask unit
c. Continuous positive airway pressure (CPAP)
d. High-flow nasal cannula
b. Bag-valve-mask unit...
NSG 3130 EXAM 4 TEST BANK
QUESTIONS WITH SOLUTIONS
MANUAL
The nurse finds the patient in cardiopulmonary arrest with no pulse
or respirations. Which oxygen delivery device will the nurse use for
this patient?
a. Non-rebreather mask
b. Bag-valve-mask unit
c. Continuous positive airway pressure (CPAP)
d. High-flow nasal cannula
b. Bag-valve-mask unit
The priority of the nurse is to ventilate the patient manually using a
bag-valve-mask (BVM) unit. This allows air to be forced into the
patient's lungs when there are no spontaneous respirations. The
non-rebreather mask and nasal cannula require the patient to
breathe on his or her own. CPAP is used for patients who are awake,
oriented, and in respiratory failure.
The nurse is caring for a patient who is slow to awaken following
general anesthesia. The patient is breathing spontaneously but is
minimally responsive and having difficulty maintaining a patent
airway. Which intervention is the most appropriate for the patient to
improve oxygenation?
a. Insert an oral airway.
b. Lower the head of the bed.
c. Turn the patient's head to the side.
d. Monitor the patient's pulse oximetry.
a. Insert an oral airway.
An oral (oropharyngeal) airway will prevent the patient's tongue
from falling back and occluding the airway. Lowering the head of the
bed will only increase airway occlusion and risk of aspiration.
Turning the patient's head to the side will not clear the back of the
, patient's tongue from the airway. Monitoring the patient's pulse
oximetry will not improve oxygenation or clear the airway.
The nurse is caring for a patient with a history of left-sided
congestive heart failure who is acutely short of breath. The nurse
hears fine crackles throughout both lung fields and notes that the
patient's pulse oximetry is only 88% on 4 L of oxygen. What is the
priority intervention of the nurse?
a. Administer the ordered intravenous diuretic.
b. Prepare for insertion of a chest tube.
c. Suction secretions from the patient's respiratory tract.
d. Have the patient use the ordered incentive spirometer.
a. Administer the ordered intravenous diuretic.
The patient's respiratory distress is due to pulmonary edema and
fluid overload from left-sided congestive heart failure. A patient
with heart failure may be on diuretics. A diuretic will pull the excess
fluid out of the body through the urine and relieve the patient's
distress. A chest tube is not needed as the fluid is within the alveoli
rather than between the lung and chest wall. Suctioning and use of
an incentive spirometer will not address fluid overload or improve
the patient's symptoms.
The nurse is caring for a patient who has been intubated with an
oral endotracheal tube for several weeks. The physicians predict
that the patient will need to remain on a ventilator for at least
several more weeks before he will be able to maintain his airway
and breathe on his own. What procedure does the nurse anticipate
will be planned for the patient to facilitate recovery?
a. Placement of a tracheostomy tube
b. Diagnostic thoracentesis
c. Pulmonary angiogram
d. Lung transplantation surgery
a. Placement of a tracheostomy tube
Placement of a tracheostomy tube will secure the patient's airway
directly through the trachea, eliminating the need for the
endotracheal tube. This will make the patient more comfortable and
may allow eating while minimizing damage to the oropharynx from
the endotracheal tube.
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