Study Guide for MDC4 Exam 2
Questions and Answers 2024
The patient is a 54-year-old male with history of COPD, who was rushed to the
emergency department with increasing shortness of breath, pyrexia, and a productive
cough with yellow-green sputum. Measurement of arterial blood gas shows pH...
Study Guide for MDC4 Exam 2
Questions and Answers 2024
The patient is a 54-year-old male with history of COPD, who was rushed to the
emergency department with increasing shortness of breath, pyrexia, and a productive
cough with yellow-green sputum. Measurement of arterial blood gas shows pH 7.3,
PaCO2 68 mmHg, HCO3 28 mmol/L, and PaO2 60 mmHg. How would you interpret
this? - CORRECT ANSWER-Respiratory acidosis, partially compensated
Silver sulfadiazine (Silvadene, Thermazene) - CORRECT ANSWER-Watch for allergic
reaction causing a drop in white blood cell count.
Do not use if reaction to sulfonamide has occurred.
Use on deep partial-thickness or full-thickness wounds.
Monitor wounds for infection
A client with a 3-day history of nausea and vomiting presents to the emergency
department. The client is hypoventilating and has a respiratory rate of 10 breaths/min.
Arterial blood gases are drawn and the nurse reviews the results, expecting to note
which of the following? - CORRECT ANSWER-An increased pH with an increased
HCO3
A nurse is caring for a client with diabetic ketoacidosis and documents that the client is
experiencing Kussmaul's respirations. Based on this documentation, which of the
following did the nurse observe? - CORRECT ANSWER-Respirations that are labored
and increased in depth and rate
A nurse is caring for a client who has a tracheostomy and is receiving mechanical
ventilation. When the low-pressure alarm on the ventilator sounds, it indicates which of
the following to the nurse? - CORRECT ANSWER-Decreased lung compliance
A nurse on a medical-surgical unit is caring for a client who is postoperative following a
hip replacement surgery. The client reports feeling apprehensive and restless. Which of
the following findings should the nurse recognize as an indication of pulmonary
embolism? - CORRECT ANSWER-Sudden onset of dyspnea
A client comes to the emergency department in severe respiratory distress following
left-sided blunt chest trauma. The nurse notes absent breath sounds on the client's left
side and a tracheal shift to the right. For which of the following procedures should the
nurse prepare the client? - CORRECT ANSWER-Chest tube insertion
A nurse is caring for a client who is experiencing acute opioid toxicity. Which of the
following actions should the nurse identify as the priority? - CORRECT ANSWER-
Ensure an adequate airway
, A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD)
and is experiencing shortness of breath. Which of the following actions should the nurse
perform first? - CORRECT ANSWER-Place the client in an upright position
A nurse is assessing a client who has pharyngitis. Which of the following findings is the
nurse's priority to report to the provider? - CORRECT ANSWER-Inspiratory stridor
A nurse is caring for a client who has a 20-year history of COPD and is receiving
oxygen therapy at 2 L/min via nasal cannula. The client is dyspneic and has an oxygen
saturation via pulse oximetry of 85%. Which of the following actions should the nurse
take? - CORRECT ANSWER-Increase the oxygen flow and request an arterial blood
gas determination
A nurse is caring for a client who is scheduled to have his chest tube removed. Which of
the following actions should the nurse take? - CORRECT ANSWER-Instruct the client to
perform the Valsalva maneuver during removal
A nurse is caring for a client with pneumonia who is experiencing thick oral secretions.
Which of the following actions should the nurse take first? - CORRECT ANSWER-
Encourage deep breathing and coughing
Rib fracture cause - CORRECT ANSWER-blunt trauma to chest wall; CPR
Rib fracture pain - CORRECT ANSWER-defensive movements
reduced depth of breathing
reduced clearing of secretions
Flail Chest - CORRECT ANSWER-At least 2 neighboring ribs in 2 or more places
Paradoxical chest movement
Blunt trauma, CPR can Cause
pulmonary embolism risk factors - CORRECT ANSWER-prolonged immobility
central venous catheter
surgery
obesity
advancing age
hx. of thromboembolism
smoking
pregnancy
estrogen therapy
HF
stroke
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, creditcard of Stuvia-tegoed 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 TIFFACADEMICS. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €12,23. Je zit daarna nergens aan vast.
