NUR 2755 Exam 2 Multidimensional Care IV MDC 4 - Rasmussen
A client with a pulmonary embolism may have which of the following interventions?
- IVC filter
- Embolectomy
- Chest tube placement
- Heparin drug therapy
- Thoracotomy
The pathophysiology of acute respiratory distress syndrome is characterized by which of the following?
- Refractory hypoxemia
- Increased lung compliance
- Increased surfactant production
- Hypertension
During the change of shift report, the nurse learns that a client has been admitted with dehydration and hypotension after having vomiting and diarrhea for 3 days. Which finding is most important for the nurse to report to the health care provider?
- Decreased bowel sounds
- Apical pulse 110 beats/min
- Pale, cool, and dry extremities
- New onset of confusion and agitation 1 / 3
When the charge nurse is evaluating the skills of a new RN, which action by the new RN indicated a need for further education in the care of clients with shock?
- Placing the pulse oximeter on the ear for a client with septic shock
- Keeping the head of the bed flat for a patient with hypovolemic shock
- Decreasing the room temperature to 68 F for a patient with neurogenic
- Increasing the nitroprusside (Nipride) infusion rate for a patient with high SVR
shock
A nurse is reviewing the health records of clients. Which client is at least risk for developing acute respiratory distress syndrome?
- A client who experienced a near drowning incident in freshwater
- A client following coronary artery bypass graft surgery
- A client who has hemoglobin of 10.1 mg/dl post 1-unit PRBC
- A client who is experiencing acute pancreatitis and vomiting
You receive an order for Dopamine 20 mcg/kg/minute. The bag is labeled Dopamine 100mg/50ml. The patient weighs 88 lbs. What is the infusion rate in ml/hr.? Record answer to the nearest whole number.✓ 24ml/hr.
A client is admitted to the emergency department with a full thickness burn to the right arm. Upon assessment, the arm is edematous, fingers are mottled, and radial pulse is now absent. The client states that the pain is 8 on a scale of 1 to 10. The nurse should perform which of the following?
- Administer morphine sulfate IV push for severe pain
- Call the healthcare provider to report the loss of the radial pulse
- Continue to assess the arm every hour for any additional changes
- Instruct the client to exercise the fingers and wrist 2 / 3
A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which statement indicates the nurse’s correct understanding of DIC?
- DIC is controllable with lifelong heparin usage
- DIC is a genetic disorder characterized by an elevated factor VII count
- DIC is caused by abnormal coagulation involving fibrinogen
- DIC is a genetic disorder involving a vitamin K deficiency
A patient who was admitted after receiving a blow to the head begins to show signs of shock. How should the patient be positioned?
- With the head lower than the body
- Flat with legs elevated
- High fowler's position
- In a side lying position
- Flat on the back
The client in the intensive care unit is on a ventilator. Which interventions should the nurse implement? (Select all that apply)
- Ensure there is manual
- Resuscitation bag at the bedside only one choice on other and course
- Monitor the client’s pulse oximeter reading every shift
- Assess the client’s respiratory status every 2 hours
- Check the ventilatory setting every 4 hours
- Collaborate with the respiratory therapist
The nurse is caring for a ventilated client. Which intervention is appropriate for this client?
- Ensure there is a manual resuscitation bag at the bedside
- Monitor the clients pulse oximeter reading every shift
- Assess the client’s respiratory status every 8 hours
- Turn alarm volumes down to allow the client to rest
- / 3