MDC 4 EXAM 2 PRACTICE
QUESTIONS
A client with a pulmonary embolism may have which of the following interventions?
- IVC filter
- Embolectomy
- Chest tube placement
- Heparin drug therapy
- Thoracotomy - ANS a. IVC filter
- Embolectomy
- Heparin drug therapy
- Chest tube insertion
- Endotracheal intubation 1 / 3
An older adult client arrives in the emergency department after falling off a roof.The nurse observes "sucking inward" of the loose chest area during inspiration and a "puffing out" of the same area during expiration. Arterial blood gas results show severe hypoxemia and hypercarbia. Which procedure does the nurse prepare for?
- Needle thoracotomy
- Tracheostomy - ANS b. Endotracheal intubation
- Large, surgical incision will be made in the hardened dermal layer to improve
- This procedure involves placing the client into a shower and removing the dead
- A piece of healthy skin will be removed from an unburned area and grafter over
- Surgical incisions will be made into the deep tissue, possibly to the bone, to
- I will be on a special shower table to enhance wound inspection and
- The water temperature will be hot to improve blood flow and healing 2 / 3
A nurse in a burn treatment center is caring for a client admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Whish nursing statement is appropriate?
circulation
tissue
the burned area
permit better circulation - ANS a. Large, surgical incision will be made in the hardened dermal layer to improve circulation A nurse is caring for a client who has burn injuries to his trunk. The nurse is explaining what to expect from the prescribed hydrotherapy. Which of the following statements by the client indicates an understanding of the teaching?
debridement
- The nurse will use a wire brush to remove loose skin
- The nurse will use scissors to open small blisters - ANS a. I will be on a
- Apply wet to dry dressing on wound
- Monitor respiratory and circulatory function
- Assess for tracheal deviation
- Provide analgesics - ANS a. Apply wet to dry dressing on wound
- Acute respiratory failure
- Acute kidney injury
- Disseminated intravascular coagulation
- / 3
special shower table to enhance wound inspection and debridement Calculate the mean arterial pressure in mmHg for a client with a blood pressure of 84/46 mmHg. - ANS 84+ 2(46)/ 3= 59 mmHG Which if the following interventions is not appropriate for a client diagnosed with a pneumothorax?
A client in the intensive care unit was recovering from moderate burns and smoke inhalation. His condition was improving, and plans were made to transfer him to a step- down unit. On the morning of the transfer, the client began to experience elevated temperatures and shortness of breath. Urine output decreased to 10ml/hr. labs were drawn and indicated elevated WBC, GFR, creatinine, and liver enzymes. The client is experiencing which medical complication?