KROK 2 Exam Prep

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Questions and Answers

A patient undergoing intensive infusion therapy experiences increased tachypnea and decreased tidal volume after 600 mL of infusion. Auscultation reveals weakened respiration on the right, and percussion detects a dull sound. Which intervention is MOST critical at this moment?

  • Immediately discontinue the infusion and assess for pulmonary edema. (correct)
  • Administer a bronchodilator.
  • Administer a diuretic.
  • Increase the rate of infusion.

Following subclavian vein catheterization and infusion, a patient develops acute respiratory distress. Examination reveals increased tachypnea and reduced tidal volume. What physiological process BEST explains these changes?

  • Increased intracranial pressure affecting respiratory drive.
  • Bronchospasm leading to airway obstruction.
  • Myocardial infarction reducing cardiac output.
  • Fluid accumulation in the alveoli impairing gas exchange. (correct)

In a patient with suspected pulmonary edema following fluid infusion, which physical examination finding would provide the STRONGEST supporting evidence?

  • Bilateral wheezing during expiration.
  • Dullness to percussion and crackles on auscultation. (correct)
  • Increased vocal fremitus on chest palpation.
  • Hyperresonance to percussion over the lung fields.

A patient undergoing intravenous fluid resuscitation suddenly develops tachypnea and decreased tidal volume followed by auscultation detecting weakened respiration. What IMMEDIATE intervention should be taken?

<p>Administer oxygen and elevate the head of the bed. (A)</p> Signup and view all the answers

Which clinical sign would be MOST indicative of pulmonary edema as opposed to pulmonary embolism?

<p>Gradual onset of shortness of breath with crackles. (D)</p> Signup and view all the answers

A patient with acute respiratory failure is undergoing subclavian vein catheterization. After the infusion, the patient develops pulmonary edema. Which preexisting condition would MOST increase the risk of this outcome?

<p>Chronic kidney disease. (D)</p> Signup and view all the answers

After administering intravenous fluids, a patient's respiratory rate increases, and tidal volume decreases. Which calculation would be MOST useful in assessing the severity of the patient's respiratory compromise?

<p>Arterial blood gas (ABG) analysis. (C)</p> Signup and view all the answers

A patient undergoing fluid resuscitation shows signs of increasing respiratory distress. Beyond oxygen saturation, which additional monitoring parameter would provide the MOST immediate insight into worsening pulmonary edema?

<p>Chest X-ray. (A)</p> Signup and view all the answers

In managing a patient who develops pulmonary edema during fluid infusion, what is the PRIMARY goal of administering a diuretic?

<p>To reduce fluid volume overload. (D)</p> Signup and view all the answers

A patient is suspected of having fluid accumulation in their lungs during infusion therapy. Which diagnostic method would directly confirm the presence of fluid?

<p>Chest X-ray. (B)</p> Signup and view all the answers

What is the MOST important step to take when a patient shows symptoms of pulmonary edema during fluid administration?

<p>Immediately stop the infusion and assess the patient. (C)</p> Signup and view all the answers

A patient with acute respiratory distress is being assessed for fluid overload. Auscultation reveals crackles and percussion reveals dullness. What is the underlying physiological change related to these findings?

<p>Fluid accumulation in the interstitial and alveolar spaces. (A)</p> Signup and view all the answers

If a patient develops acute respiratory distress during fluid infusion, what laboratory test must be ordered to evaluate gas exchange?

<p>Arterial Blood Gas (ABG). (D)</p> Signup and view all the answers

After fluid resuscitation, a patient experiences increased respiratory rate, reduced tidal volume, weakened respiration, and a dull sound. Which immediate intervention should be implemented?

<p>Discontinue the fluid infusion and immediately administer oxygen. (B)</p> Signup and view all the answers

Which of the following actions should be avoided when a patient is suspected of having pulmonary edema during infusion therapy?

<p>Continuing the intravenous infusion at the same rate (C)</p> Signup and view all the answers

During fluid administration, a patient demonstrates signs of respiratory distress. Besides administering oxygen, what intervention should be prioritized?

<p>Reducing the rate to prevent more fluid build-up (B)</p> Signup and view all the answers

A patient receives intravenous fluids and suddenly develops acute respiratory distress. Auscultation reveals crackles, and percussion yields a dull sound. What condition is MOST likely occurring?

<p>Pulmonary Edema. (C)</p> Signup and view all the answers

After fluid administration, a patient has tachypnea, decreased tidal volume, and auscultation reveals weakened respiration on the right side of the lungs. What is the IMMEDIATE concern?

<p>Oxygenation. (C)</p> Signup and view all the answers

During infusion therapy, a patient experiences acute respiratory distress with tachypnea, decreased tidal volume, and auscultation detecting weakened respiration. Which treatment strategy is MOST appropriate at this time?

<p>Stopping the intravenous fluids and administering oxygen. (B)</p> Signup and view all the answers

Flashcards

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Pulmonary Edema

A condition characterized by the accumulation of fluid in the lungs, interfering with normal oxygen exchange.

Tachypnea

Rapid breathing.

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Study Notes

  • LearnMedX provides access to past years' KROK 2 papers, arranged from oldest to newest, with added explanations for each question.
  • Quizzes for each paper are available in two formats.

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  • Explanations become available after the quiz is finished.

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