NR341 NR-341 Exam 1 Latest

NR341 / NR-341 Exam 1 (Latest

Update 2024 / 2025): Complex Adult

Health | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain

Question:

What to do if when the endotracheal tube is removed the patient is having stridor and difficulty breathing?

Answer:

bipap or re intubated may be needed.. always stay with the patient a little bit after exubation

Question:

irreversible disease causing hypoxemia and respiratory acidosis

Complications:

• right sided heart failure

Answer:

COPD

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Question:

• PCO2 > 50mm Hg with pH < 7.35
• ventilation problem
• body cannot remove CO2

Causes:

• asthma (severe exacerbation)
• chronic obstructive pulmonary disease (COPD)
• cystic fibrosis
• spinal cord injury
• pain which limits respiration
• severe obesity
• multiple sclerosis
• sedative or opioid overdose

Answer:

hypercapnic respiratory failure

Question:

• PaO2 < 60mm Hg on FiO2 > 0.50
• ineffective oxygenation

Causes:

• massive PE 2 / 4

- ARDS

• smoke inhalation
• cardiogenic shock
• drowning (pulmonary edema)
• sepsis
• pneumonia

- COVID

• ventilation/perfusion mismatch

Answer:

Hypoxic Respiratory Failure

Question:

• occurs when oxygen levels drop (hypoxia) and carbon dioxide levels are too

high (hypercapnia)

• COPD patient who has pneumonia
• PaO2 ≤60 mmHg on ≥60% oxygen
• PaCO2 >50 mmHg with arterial pH <7.35

Answer:

Hypoxic-Hypercapnic Respiratory Failure

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Question:

progressive disease that develops over many years; fatty streak found in the artery --> fibrous plaque is created on on top of it --> complicated lesion --> inflammation inside the artery --> rupture of plaque --> clot can develop which can partially or totally occlude the artery --> ischemia

• most will be asymptomatic or have chronic stable angina
• can progress to acute coronary syndrome

Answer:

atheroscerlosis (CAD)

Question:

• narrowing or occlusion of peripheral arteries that mainly affect the lower

extremities

• caused by atherosclerosis
• blood flow is decreased

Manifestations:

• intermittent claudification (caused by exercise and resolves with rest
• paresthesia in toes or feet
• thin, shiny, and taut skin on lower legs; no hair
• lower extremity pulses are decreased or absent
• pallor of the feet when legs are elevated
• rubor of the feet when in dependent position
• ulcers on feet and toes that have defined borders and are dry
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