NUR 265 EXAM 5 NEWEST COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!.
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Course
NUR 265
Institution
NUR 265
A patient with a pleural effusion is scheduled for a thoracentesis . Which action should the nurse take to prepare the patient for the procedure ?
a ) Obtain a large collection device to hold 2 to 3 liters of pleural fluid at one time .
b ) Position the patient sitting upright on the edge of th...
NUR 265 EXAM 5 NEWEST COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!.
A patient with a pleural effusion is scheduled for a thoracentesis . Which
action should the nurse take to prepare the patient for the procedure ?
a ) Obtain a large collection device to hold 2 to 3 liters of pleural fluid at one
time .
b ) Position the patient sitting upright on the edge of the bed and leaning
forward .
c ) Start a peripheral IV line to administer the necessary sedative drugs .
d ) Remove the water pitcher and remind the patient not to eat or drink
anything for 6 hours . - answer-b ) Position the patient sitting upright on the
edge of the bed and leaning forward
A client has a chest tube . What assessment findings require immediate
intervention from the nurse ? ( Select all that apply . )
a ) Tidaling in the water seal chamber in a client with a pneumothorax
b ) Tracheal deviation in a client after chest trauma
c ) Constant bubbling in the water seal chamber in a client post chest
surgery
d ) Intermittent bubbling in the water seal chamber in the client with a
pneumothorax
e ) No drainage in the chest tube of a client with a pneumothorax - answer-
b ) Tracheal deviation in a client after chest trauma
c ) Constant bubbling in the water seal chamber in a client post chest
surgery
e ) No drainage in the chest tube of a client with a pneumothorax
The nurse notes each time the mechanical ventilator delivers a breath to a
client with acute respiratory distress syndrome ( ARDS ) , the peak
inspiratory pressure alarm sounds . What is the nurse's best intervention ?
a ) Suction the client .
b ) Perform chest physiotherapy
c ) Assess the airway .
, d ) Raise the head of bed to high Fowlers . - answer-c ) Assess the airway .
A client has a new tracheostomy , on a mechanical ventilator with the
following settings : SIMV , rate of 12 TV 800 , Flo2 80 % and PEEP of 5
cmH20 Which assessment finding requires immediate action by the nurse ?
a ) Blood - tinged sputum
b ) Rhonchi in upper lobes
c ) Dry mucous membranes
d ) Constant , nonproductive coughing - answer-d ) Constant ,
nonproductive coughing
.
A client is admitted from a MVA trauma with difficulty breathing . The nurse
assesses the client's color lung sounds , and pulse oximetry reading . The
pulse oximetry is 90 % . Which of the following priority interventions would
the nurse take next ?
a ) Call for a stat chest x - ray .
b Administer 2mg morphine sulfate IV
c ) Initiate 0.9 % normal saline IVF at 100 ml / hr
d ) Assess an arterial blood gas . - answer-d ) Assess an arterial blood gas
.
After change of - shift report , which client should the nurse assess first ?
a ) 64 - year - old on a mechanical ventilator and decreased breath sounds
to right lung after subclavian catheter insertion .
b ) 28 - year - old with a history of a Cushing's disease and a temperature
of 100.9 ° F.
c ) 40 - year - old with a pleural effusion who is complaining of severe
stabbing chest pain .
d ) 45 year old admitted with hyperthyroidism reports feeling anxious ,
diaphoretic and has visual changes . - answer-a ) 64 - year - old on a
mechanical ventilator and decreased breath sounds to right lung after
subclavian catheter insertion .
A nurse plans care for a client with Cushing's disease . Which action
should the nurse include in the plan of care to prevent injury ?
a ) Use a lift sheet to change the client's position
b ) Pad the bed rails
c ) Keep suctioning equipment at the client's bedside
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