NUR 2755 MULTIDIMENSIONAL CARE IV EXAM

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NUR 2755 MULTIDIMENSIONAL CARE IV EXAM

2 NUR 2755 LATEST EXAM TEST BANK WITH

200 REAL EXAM PRACTICE QUESTIONS AND

CORRECT ANSWERS GRADED A+ RASMUSSEN/

NUR 2755 MDC 4 EXAM 2 (BRAND NEW!!)

A vena cava filter is one of the preventions used for patients with pulmonary emboli to prevent further PEs

True False True What does ARDS look like on a chest x-ray ground glass appearance

Which IV fluid is the best choice for a patient in hypovolemic shock?

0.45% Sodium Chloride

0.9% NS

Dextrose 10% Lactated Ringers

0.9% NS

A patient with a tension pneumothorax and cardiovascular compression is at risk for distributive shock

True False 1 / 4

pg. 2 False A patient is being discharged to home on warfarin (Coumadin) therapy to manage an acute pulmonary embolism. Which patient response indicates a need for further teaching by the nurse?

• "I should limit my alcohol consumption."
• "I should eat more green leafy vegetables like spinach."
• "I should take the medication at the same time every day."
• "I should make a doctor's appointment for weekly blood draws." - ANSWER-B.

"I should eat more green leafy vegetables like spinach."

A patient in acute respiratory failure is classified as having ventilatory failure. The nurse understands that which finding is a potential cause of ventilatory failure?

• Pulmonary edema
• Hypovolemic shock
• Pulmonary embolus
• Opioid analgesic overdose - ANSWER-D. Opioid analgesic overdose

Norepinephrine is often used for patients in distributive shock due to its ability to cause

Increased MAP by increasing vascular tone Decreased MAP by decreasing vascular volume Decreased MAP from capillary leak Increased MAP without change to vascular tone Increased MAP without change to vascular tone TBSA 55%, Wt 160 lbs, what is the initial IV rate if the client arrived immediately after the injury?

1000 mL/hr 800 mL/hr 2 / 4

pg. 3 750 mL/hr 1200 mL/hr 1,000 mL/hr

Use Parkland Formula:

4mL x TBSA% x kg 4mL x 55% x (160/2.2) = 16,000 divided by 2 = 8,000 mL in the first 8 hours...8,000mL/8 hr = 1,000mL/hr Which patient is at the lowest risk for developing ARDS?

A client following coronary artery bypass graft surgery A client who has a hemoglobin of 10.1 mg/dL post 1 unit PRBC A client who experienced a near-drowning incident in freshwater A client who is experiencing acute pancreatitis and vomiting A client who has a hemoglobin of 10.1 mg/dL post 1 unit PRBC It has been 12 hours since a patient has been admitted for burns to the face and neck with associated inhalation injuries. The patient had been wheezing audibly and the wheezing has now stopped. What nursing action is appropriate?

• Check the patient's Spo2 level.
• Notify the physician immediately.
• Re-assess breathing in 1 hour.
• Document improvement in patient's condition. - ANSWER-B. Notify the

physician immediately.

The nurse is caring for a patient who is admitted to the ED with burns to the lower legs and hands. During the initial management, what is the priority nursing care?

• Assess and treat pain.
• Evaluate airway and circulation.
• Place two IV catheters and initiate fluid resuscitation. 3 / 4

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• Use the rule of nines to estimate percent of body surface area burned. -

ANSWER-B. Evaluate airway and circulation.

A patient has been receiving dressing changes with silver sulfadiazine (Silvadene) for burn injuries over both lower arms. The nurse notices that the patient's white blood cell count has dropped significantly over the past 4 days. How does the nurse interpret this finding?

• Electrolyte imbalance
• Infection is improving
• Impending kidney disease
• Possible allergic reaction to silver sulfadiazine (Silvadene) - ANSWER-D.

Possible allergic reaction to silver sulfadiazine (Silvadene)

Which patient is at greatest risk of developing acute respiratory distress syndrome

(ARDS)?

• 24-year-old male admitted with blunt chest trauma and aspiration
• 56-year-old male with a history of alcohol abuse and chronic pancreatitis
• 72-year-old male post heart valve surgery receiving 1 unit of packed red blood

cells

• 82-year-old female on antibiotics for pneumonia - ANSWER-A. 24-year-old

male admitted with blunt chest trauma and aspiration

A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR 136, RR 28, Spo2 90% on room air, temperature 38.7o C. The nurse suspects that the patient has developed sepsis. What is the priority nursing intervention?

• Insert an indwelling urinary catheter.
• Initiate intravenous fluid resuscitation.
• Obtain a complete chemistry for laboratory analysis.
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