NUR242 / NUR 242 Exam 3 (Latest 2024 / 2025): Medical-Surgical Nursing Concepts | Questions and Verified Answers with Rationales | 100% Correct | Grade A - Galen
216 keer bekeken 9 keer verkocht
Vak
NUR 242 (NUR242)
Instelling
Galen College Of Nursing
Exam 3: NUR242 / NUR 242 (Latest 2024 / 2025) Medical-Surgical Nursing Concepts Exam | Questions and Verified Answers with Rationales | 100% Correct | Grade A - Galen Q: The nurse is assessing a patient with a chest tube following a pneumonectomy. Which assessment finding requires intervention? A. ...
NUR 242 Medical -Surgical Nursing Concepts Exam 3 Question: The nurse is assessing a patient with a chest tube following a pneumonectomy. Which assessment finding requires intervention? A. Bandage around the posterio r tube is loose. B. 2 cm of water is in the second chest tube chamber. C. The water in the water seal chamber rises and falls with inhalation/exhalation. D. Bubbling present in the water seal chamber when the patient coughs. Answer: A After lung surgery, two tubes, anterior and posterior, are used. Dressings around the wound should not be loose. The wounds should be covered with airtight dressings. Question: A home health patient with a history of asthma is having shortness of breath. The nurse discovers that the peak flowmeter indicates a peak expiratory flow (PEF) reading that is in the red zone. What is the priority nursing action? A. Call 911 immediately. B. Take the patient's vital signs. C. Notify the patient's prescriber. D. Re peat the PEF reading to verify the results. Answer: A A PEF reading in the red zone indicates a range that is 50% below the patient's personal best PEF reading and indicates serious respiratory obstruction requiring 911 or rapid response. Offer medica tions and stay with the patient. Repeating the PEF reading and taking vital signs are also important, but doing so first delays the administration of the rescue drugs and physician notification. Question: The patient is assessed and a blood glucose level and vital signs are obtained upon arrival on the unit. Results are as follows: BG—239 mg/dL BP —138/88 mm Hg HR—128 RR—36 breaths/min O2 saturation —88% (room air) Temperature —101.6º F Which vital sign or test result requires the nurse's immediate attentio n? A. Blood pressure B. Respiratory rate C. Temperature D. Blood glucose Answer: B All of the patient's vital signs are abnormal. However, the most important one to report immediately is her increased respirations (and decreased oxygen saturation). Even though a diagnosis has not been confirmed, it is very important to address these prob lems. The patient is experiencing tachypnea. Question: After consulting with the provider, the following orders are received: Full liquid diabetic diet IV fluids 1000 mL .9 NS at 60 mL/hr Oxygen at 2 L per nasal cannula Blood cultures × 3 and urinalysis Tylenol grain × every 4 hour for temperature above 101º F Cefazolin (Ancef) 1 g IVP every 8 hour Which of the provider's orders should the nurse implement first? A. IV fluids 1000 mL .9 NS at 60 mL/hr B. Oxygen at 2 L per nasal cannula C. Blood cultures a nd urinalysis D. Cefazolin (Ancef) 1 g IVP every 8 hour Answer: B All of the provider's orders are very important. However, the most important one is oxygen therapy. Hypoxia is often seen with pneumonia, so it is very important that supplemental oxyg en is started as soon as possible. IV fluids should be started to enhance pulmonary toileting, and the laboratory should be notified to draw the needed blood cultures. UAP can obtain the specimen for urinalysis. The blood cultures and the UA should be obta ined before the IVP Ancef is administered. Question: The nurse understands that which of the following is the most common symptom of pneumonia in the older adult patient? A. Fever B. Cough C. Confusion D. Weakness Answer: C The older adult with pneumonia often has weakness, fatigue, lethargy, confusion, and poor appetite. Fever and cough may be absent, but hypoxemia is usually present. The most common manifestation of pneumonia in the older adult patient is confusion from hyp oxia rather than fever or cough.
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
√ Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, Bancontact of creditcard voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper quiz_bit. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €7,83. Je zit daarna nergens aan vast.
