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NUR 240 EXAM 1 2024/2025 VERIFIED QUESTIONS AND ANSWERS GRADED A+(SOLVED)
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NUR 240 EXAM 1 2024/2025 VERIFIED QUESTIONS AND ANSWERS GRADED A+(SOLVED)
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NUR 240 EXAM 1 2024/2025 VERIFIED QUESTIONSAND ANSWERS GRADED A+(SOLVED)
Which assessment findings should indicate to the nurse that a patient is experiencing respiratory
distress? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Tachycardia
2. Use of abdominal muscles
3. Intercostal muscle retractions
4. Bradypnea
5. Jugular vein distention
1,2,3
Arterial blood gas (ABG) results of an intubated, mechanically ventilated patient are as follows: pH 7.33;
PaO2 50; PaCO 49; bicarbonate 27. What nursing action is a priority for this patient?
1. Increase respiratory rate and FiO2.
2. Increase IV fluids.
3. Add positive end expiratory pressure.
4. Decrease the respiratory rate and FiO2.
1
Which nursing action optimizes overall oxygenation and ventilation in the patient with acute respiratory
distress syndrome (ARDS)?
,1. Provide adequate rest and recovery time between procedures.
2. Hyperventilate the patient before and after suctioning.
3. Administer sedation frequently.
4. Suction the patient as needed.
1
A patient with ARDS has PEEP added to the mechanical ventilation therapy. Which assessment finding
indicates that the use of PEEP has been effective?
1. PCO2 of 52 mm Hg
2. A PO2 of 92 mm Hg
3. A respiratory rate of 33
4. A urine output of 50 cc/hr
2
The nurse receives the following ABG result:
pH = 7.00
PaCO2 = 50 mm Hg
PaO2 = 89 mm Hg
SaO2 = 90%
Based on the results, what should the nurse do first?
1. Check the last dose of CNS depressant drug.
2. Assess lung sounds and vital signs.
3. Review the history for asthma or emphysema.
4. Apply oxygen per nasal cannula at 2 L/min.
2
,Which assessment finding indicates that a patient is ready to be weaned off of mechanical ventilation?
Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Unstable hemodynamics
2. Rapid shallow breathing index of 40
3. A spontaneous tidal volume of 600 cc
4. An SaO2 of 95%
5. A respiratory rate of 18 on CPAP
3,4,5
During multidisciplinary rounds, a discussion is held regarding the use of medications in acute
respiratory distress syndrome (ARDS). Which statement is most accurate based upon published research
findings?
1. Corticosteroids are used for their anti-inflammatory property to manage the cytokine-mediated
inflammatory response in ARDS.
2. Exogenous surfactant therapy is more beneficial to adult patients with ARDS than when it is given to
neonates.
3. β-agonists reduce pulmonary edema and inflammation.
4. Inhaled nitric oxide promotes blood flow to ventilated areas of the lungs.
4
What assessment finding indicates that a patient is in the fibroproliferative phase of acute respiratory
distress syndrome? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Crackles on auscultation
, 2. Agitation
3. Peripheral edema
4. Fever
5. Increased heart rate and drop in blood pressure
1,2,3
A patient in the recovery phase of acute respiratory distress syndrome continues to experience difficulty
with breathing. What should the nurse recognize as being the characteristics of this phase? Select all
that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Development of fibrotic tissue in the alveolar capillary membrane resulting in alveolar disfigurement
2. Decreased lung compliance
3. Worsening pulmonary hypertension
4. Increased dead space ventilation
5. Formation of hyaline membranes
1,2,3,4
What is important for the nurse to assess in a patient who is beginning noninvasive ventilatory support?
Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Patient orientation and level of alertness
2. Respiratory pattern and depth
3. Status of skin of the nose
4. Bowel sounds and presence of insufflation
5. Peripheral pulses
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