NUR 237 Test 1 PDF

Test 1 43 questions: 5 math, 1 bowtie and 1 nclex - **A patient with pulmonary embolism (PE) requires anticoagulants, thrombolytics (alteplase) to prevent clot progression and new clot formation.** - Oxygen therapy for hypoxia - Intravenous heparin - Injectable low-m...

Test 1 43 questions: 5 math, 1 bowtie and 1 nclex - **A patient with pulmonary embolism (PE) requires anticoagulants, thrombolytics (alteplase) to prevent clot progression and new clot formation.** - Oxygen therapy for hypoxia - Intravenous heparin - Injectable low-molecular-weight heparin for stable patients - Pulmonary embolectomy may be beneficial to patients with severe right ventricular dysfunction and cardiogenic shock - An inferior vena cava (IVC) filter may be placed to prevent future clots from traveling to the lungs from the lower extremities. - **Nursing interventions for patients who develop epistaxis (nosebleed)** - Cold compress or ice - Avoid sneezing or rubbing nose - Encourage the patient to spit blood out rather than swallowing - The patient should sit forward and apply direct pressure by pinching the nose just below the bone, close to the face, for 10 to 15 minutes - **The nurse is caring for a patient experiencing epistaxis. What action should the nurse take first?** Instruct the patient to sit forward and pinch the nose below the bone. - Tuberculosis (TB) patient medication therapy (no drugs) - **In an unconscious patient, the nurse directs care to prevent the patient from aspiration of fluids into the lungs. Why?** when someone is unconscious, they lack the protective reflexes needed to swallow properly, which could lead to fluids from the mouth or stomach entering the airway and lungs. - **Patient with rhinoplasty what are we assessing for post-op?** The patient is observed for frequent swallowing postoperatively, which could indicate posterior nasal bleeding. Vital signs are monitored closely, and the amount of drainage on the dressing is observed. - **The nurse is caring for a patient during the immediate postoperative period following a rhinoplasty. Which finding is most concerning to the nurse?** The nurse notices the patient is swallowing frequently. - **What is surfactant?** Surfactant is secreted by cells in the alveoli; it decreases surface tension on the alveolar wall so that diffusion of O2 and CO2 can take place. - **Signs and symptoms of sinusitis** - Tenderness over the sinuses - Purulent drainage from the nose - Nasal obstruction - Nonproductive cough - Low grade fever - Headache - Painful upper teeth - Malaise - **The nurse is caring for a patient with suspected sinusitis. Which assessment finding supports this diagnosis?** Generalized pain in the upper teeth. - **Patient with acute pulmonary edema management** (the answer is not one of these) **all of the following except:** - Placing the patient in high fowler's position to relieve the dyspnea - Administering oxygen, diuretics, morphine, and other prescribed drugs - Limiting and monitoring activity - Assessing cardiopulmonary status - The nurse in a skilled nursing facility is caring for an 80-year-old patient who develops a productive cough with pink, frothy sputum. Which independent interventions should the nurse implement immediately? (Select all that apply.) - Limit the patient's activity - Place the patient in high Fowler position. - **Status asthmaticus** are unrelieved asthma attacks. - **When teaching a client how to eat with a tracheostomy, what would be a good goal to monitor for the nurse?** - Patient will not experience injury from aspiration of food or fluids. - Patient will learn to swallow without aspirating within 6 weeks - **Signs and symptoms of advanced (late) emphysema** "pink puffer" - Productive cough - Dyspnea - Barrel chest - Cyanosis - **A patient with emphysema presents to the emergency room with severe dyspnea; O2 saturation is 74%, pulse is 120, and respirations are 26. The nurse positions the patient in high Fowler. What action should the nurse take next?** Coach the patient in pursed-lip breathing. - **What does a patient with broken ribs have difficulty with?** Breathing - **Which assessment findings would provide accurate information regarding the type of pneumonia a patient has?** Sputum culture with Gram stain and sensitivity testing**,** auscultating with stethoscope (coarse crackles, rhonchi or bronchi breath sound) - **The nurse is performing deep tracheal suctioning of a patient with a respiratory disorder. Which action demonstrates appropriate technique?** The nurse suctions the patient for 10 to 15 seconds. - **What is a chemical stimulant for the regulation of respiration?** Carbon dioxide (CO2) - **Pulmonary edema** is an abnormal collection of fluid in the interstitial spaces of the lung and inside the alveoli. - **Symptoms:** severe dyspnea, frothy, pink-tinged sputum, productive cough, tachycardia, moist bubbling respirations and cyanosis. - **What is the first sign that is present in carcinoma of the larynx?** Hoarseness - **The home health nurse is making an initial call on a newly diagnosed tuberculosis (TB) patient. The patient lives with his wife and child. Which infection control instructions should the nurse include in the teaching plan?** - Place contaminated tissues in sealable plastic bag - Take medications exactly as directed - Wash hands frequently - Wear a mask when in crowds - **A patient that is diagnosed with suspected lung cancer, what would we expect to find following an assessment?** Cough and wheezing - **For which individual(s) does U.S. Public Health Service recommend the influenza immunization?** - Physicians - Older adults - Chronically ill - Nurses - **Function of the sinuses** - Reduce the weight of the skull - Produce mucus - Influence voice quality. - **A patient just had a thoracentesis drawn up 700 mL of fluid that was inhibiting the inflation of the left lung, what will the nurse do after**? (select all that apply) - Apply a pressure dressing and check the puncture site for bleeding and crepitus. - Auscultate breath sounds frequently - Report: rapid breathing, cyanosis, hemoptysis, change in breath sounds, and tachycardia - Chart amount and appearance of fluid removed - **A patient that has been taking Neo-Synephrine nasal drops for the last 15 days for upper respiratory symptoms, the nurse will plan to monitor the client for?** Rebound nasal congestion. - **Patient who just had their tonsils removed should be positioned?** Semi fowler's - **The nurse is caring for a patient who has had a cold for 1 week. The patient questions why the health care provider issued a prescription for an antibiotic. Which explanation is best**? "The antibiotic will treat the secondary bacterial infection that has developed." - **The nurse is teaching a patient who underwent a laryngectomy. Which statement describes the correct technique for warming inspired air during cold weather?** Cover the stoma with a scarf. - **Developing a plan of care for a laryngectomy patient, what patient need will be the highest priority for the nurse to address?** Communication method - **What is a CPAP?** Continuous positive airway pressure for sleep apnea. - **The patient with sleep apnea is fitted with a continuous positive airway pressure (CPAP) mask and asks the nurse how this device will help. How should the nurse respond?** "The device delivers constant positive pressure to keep your airway open." - **Pneumonia signs and symptoms** - Altered mental status (restlessness, agitation, confusion) - Fever (100.4 F or 38 C) - Productive cough (yellow sputum) - Fine or coarse crackles - Dyspnea (shortness of breath) - Pleural friction rub (sharp chest pain upon inspiration or coughing) - **Care for clients who have pneumonia** - Monitor lung sounds, vitals, color of skin, and ABG results - Incentive spirometer - Increase fluid intake