Exam 4: NSG3130 / NSG 3130 (New 2025/ 2026 Update) Fundamental Concepts & Skills for Nursi, Exams of Nursing

Exam 4: NSG3130 / NSG 3130 (New 2025/ 2026 Update) Fundamental Concepts & Skills for Nursing Practice II Review| Questions with Verified Answers & Detailed Rationale | Grade A| 100% Correct- Galen.

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Exam 4: NSG3130 / NSG 3130 (New 2025/ 2026
Update) Fundamental Concepts & Skills for Nursing
Practice II Review| Questions with Verified Answers &
Detailed Rationale | Grade A| 100% Correct- Galen.
Question:
Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-withi,-ai,-chesti,-tubei,-whoi,-wasi,-transportedi,-toi,-
radiologyi,-fori,-testing.i,-Wheni,-thei,-patienti,-returnsi,-toi,-thei,-nursingi,-unit,i,-thei,-
transporteri,-showsi,-thei,-nursei,-thei,-patient'si,-chesti,-tubei,-collectioni,-device,i,-
whichi,-wasi,-badlyi,-damagedi,-afteri,-beingi,-caughti,-ini,-thei,-elevatori,-door.i,-Whati,-
isi,-thei,-priorityi,-actioni,-ofi,-thei,-nurse?
a.i,-Clampi,-thei,-chesti,-tubei,-untili,-thei,-collectioni,-devicei,-isi,-replaced.
b.i,-Coveri,-thei,-insertioni,-sitei,-withi,-ai,-newi,-occlusivei,-dressing.
c.i,-Ensurei,-thati,-therei,-isi,-gentlei,-bubblingi,-ini,-thei,-wateri,-seali,-chamber.
d.i,-Checki,-thei,-patient'si,-lungi,-soundsi,-andi,-pulsei,-oximetry.?
Answer:
a.i,-Clampi,-thei,-chesti,-tubei,-untili,-thei,-collectioni,-devicei,-isi,-replaced.
Thei,-brokeni,-collectioni,-devicei,-mayi,-noi,-longeri,-bei,-usedi,-toi,-collecti,-chesti,-tubei,-
drainage.i,-Clampingi,-thei,-chesti,-tubei,-untili,-thei,-collectioni,-devicei,-isi,-replacedi,-
willi,-preventi,-airi,-fromi,-enteringi,-thei,-lungi,-spacei,-untili,-thei,-newi,-collectioni,-
devicei,-isi,-attached.
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Download Exam 4: NSG3130 / NSG 3130 (New 2025/ 2026 Update) Fundamental Concepts & Skills for Nursi and more Exams Nursing in PDF only on Docsity!

Exam 4 : NSG3130 / NSG 3130 (New 2025/ 2026

Update) Fundamental Concepts & Skills for Nursing

Practice II Review| Questions with Verified Answers &

Detailed Rationale | Grade A| 100% Correct- Galen.

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-withi,-ai,-chesti,-tubei,-whoi,-wasi,-transportedi,-toi,-

radiologyi,-fori,-testing.i,-Wheni,-thei,-patienti,-returnsi,-toi,-thei,-nursingi,-unit,i,-thei,-

transporteri,-showsi,-thei,-nursei,-thei,-patient'si,-chesti,-tubei,-collectioni,-device,i,-

whichi,-wasi,-badlyi,-damagedi,-afteri,-beingi,-caughti,-ini,-thei,-elevatori,-door.i,-Whati,-

isi,-thei,-priorityi,-actioni,-ofi,-thei,-nurse?

a.i,-Clampi,-thei,-chesti,-tubei,-untili,-thei,-collectioni,-devicei,-isi,-replaced.

b.i,-Coveri,-thei,-insertioni,-sitei,-withi,-ai,-newi,-occlusivei,-dressing.

c.i,-Ensurei,-thati,-therei,-isi,-gentlei,-bubblingi,-ini,-thei,-wateri,-seali,-chamber.

d.i,-Checki,-thei,-patient'si,-lungi,-soundsi,-andi,-pulsei,-oximetry.?

Answer:

a.i,-Clampi,-thei,-chesti,-tubei,-untili,-thei,-collectioni,-devicei,-isi,-replaced.

Thei,-brokeni,-collectioni,-devicei,-mayi,-noi,-longeri,-bei,-usedi,-toi,-collecti,-chesti,-tubei,-

drainage.i,-Clampingi,-thei,-chesti,-tubei,-untili,-thei,-collectioni,-devicei,-isi,-replacedi,-

willi,-preventi,-airi,-fromi,-enteringi,-thei,-lungi,-spacei,-untili,-thei,-newi,-collectioni,-

devicei,-isi,-attached.

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-whoi,-isi,-hospitalizedi,-fori,-pneumonia.i,-Whichi,-

nursingi,-diagnosisi,-hasi,-thei,-highesti,-priority?

a.i,-Activityi,-intolerancei,-r/ti,-generalizedi,-weaknessi,-andi,-hypoxemia

b.i,-Impairedi,-nutritionali,-intakei,-r/ti,-poori,-appetitei,-andi,-increasedi,-metabolici,-

needs

c.i,-Impairedi,-airwayi,-clearancei,-r/ti,-thicki,-secretionsi,-ini,-tracheai,-andi,-bronchi

d.i,-Lacki,-ofi,-knowledgei,-r/ti,-usei,-ofi,-nebulizeri,-andi,-inhaledi,-bronchodilators?

Answer:

c.i,-Impairedi,-airwayi,-clearancei,-r/ti,-thicki,-secretionsi,-ini,-tracheai,-andi,-bronchi.

Airwayi,-maintenancei,-andi,-patencyi,-isi,-thei,-highesti,-priorityi,-fori,-alli,-patients,i,-

especiallyi,-patientsi,-withi,-respiratoryi,-disorders.i,-Oxygenationi,-isi,-thei,-mosti,-

importanti,-humani,-need.i,-Thei,-otheri,-diagnosesi,-cani,-applyi,-oncei,-thei,-patient'si,-

airwayi,-isi,-kepti,-patent.

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-whoi,-developedi,-ai,-pulmonaryi,-embolismi,-

afteri,-surgery.i,-Whichi,-goali,-statementi,-isi,-thei,-highesti,-priorityi,-fori,-thei,-nursei,-toi,-

includei,-ini,-thei,-patient'si,-carei,-plani,-fori,-thei,-diagnosisi,-impairedi,-gasi,-exchangei,-

r/ti,-impairedi,-pulmonaryi,-bloodi,-flowi,-fromi,-embolus?

d.i,-Administeri,-ai,-mildi,-sedativei,-andi,-reorienti,-thei,-patienti,-asi,-needed.?

Answer:

a.i,-Obtaini,-ani,-arteriali,-bloodi,-gasi,-toi,-checki,-fori,-carboni,-dioxidei,-retention.

Alterationi,-ofi,-lungi,-tissuei,-mayi,-decreasei,-deliveryi,-ofi,-oxygeni,-toi,-thei,-alveoli,i,-

impedei,-transferi,-ofi,-oxygeni,-fromi,-alveolii,-toi,-thei,-bloodstream,i,-andi,-hinderi,-

expulsioni,-ofi,-carboni,-dioxide.i,-COPDi,-causesi,-impairedi,-gasi,-exchange,i,-leadingi,-

toi,-decreasedi,-oxygeni,-levelsi,-andi,-higheri,-circulatingi,-levelsi,-ofi,-carboni,-dioxidei,-

(i.e.,i,-respiratoryi,-acidosis).i,-Confusioni,-andi,-disorientationi,-ini,-ai,-patienti,-withi,-

severei,-COPDi,-mayi,-likelyi,-bei,-duei,-toi,-carboni,-dioxidei,-retention.i,-Ani,-arteriali,-

bloodi,-gasi,-shouldi,-bei,-drawni,-toi,-determinei,-ifi,-thisi,-isi,-thei,-case.i,-COPDi,-patientsi,-

shouldi,-bei,-kepti,-oni,-lowi,-oxygeni,-flowi,-ratesi,-wheneveri,-possiblei,-toi,-avoidi,-

impedingi,-thei,-drivei,-toi,-breathe.i,-Loweringi,-thei,-headi,-ofi,-thei,-bedi,-willi,-increasei,-

thei,-difficultyi,-ofi,-breathingi,-asi,-thei,-abdominali,-contentsi,-pressi,-oni,-thei,-

diaphragm.i,-Ai,-sedativei,-willi,-causei,-respiratoryi,-depressioni,-andi,-shouldi,-bei,-

avoided.

Question:

Thei,-nursei,-findsi,-thei,-patienti,-ini,-cardiopulmonaryi,-arresti,-withi,-noi,-pulsei,-ori,-

respirations.i,-Whichi,-oxygeni,-deliveryi,-devicei,-willi,-thei,-nursei,-usei,-fori,-thisi,-

patient?

a.i,-Non-rebreatheri,-mask

b.i,-Bag-valve-maski,-unit

c.i,-Continuousi,-positivei,-airwayi,-pressurei,-(CPAP)

d.i,-High-flowi,-nasali,-cannula?

Answer:

b.i,-Bag-valve-maski,-unit

Thei,-priorityi,-ofi,-thei,-nursei,-isi,-toi,-ventilatei,-thei,-patienti,-manuallyi,-usingi,-ai,-bag-

valve-maski,-(BVM)i,-unit.i,-Thisi,-allowsi,-airi,-toi,-bei,-forcedi,-intoi,-thei,-patient'si,-lungsi,-

wheni,-therei,-arei,-noi,-spontaneousi,-respirations.i,-Thei,-non-rebreatheri,-maski,-

andi,-nasali,-cannulai,-requirei,-thei,-patienti,-toi,-breathei,-oni,-hisi,-ori,-heri,-own.i,-CPAPi,-

isi,-usedi,-fori,-patientsi,-whoi,-arei,-awake,i,-oriented,i,-andi,-ini,-respiratoryi,-failure.

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-whoi,-isi,-slowi,-toi,-awakeni,-followingi,-generali,-

anesthesia.i,-Thei,-patienti,-isi,-breathingi,-spontaneouslyi,-buti,-isi,-minimallyi,-

responsivei,-andi,-havingi,-difficultyi,-maintainingi,-ai,-patenti,-airway.i,-Whichi,-

interventioni,-isi,-thei,-mosti,-appropriatei,-fori,-thei,-patienti,-toi,-improvei,-

oxygenation?

a.i,-Inserti,-ani,-orali,-airway.

b.i,-Loweri,-thei,-headi,-ofi,-thei,-bed.

c.i,-Turni,-thei,-patient'si,-headi,-toi,-thei,-side.

d.i,-Monitori,-thei,-patient'si,-pulsei,-oximetry.?

Answer:

a.i,-Inserti,-ani,-orali,-airway.

Ani,-orali,-(oropharyngeal)i,-airwayi,-willi,-preventi,-thei,-patient'si,-tonguei,-fromi,-

fallingi,-backi,-andi,-occludingi,-thei,-airway.i,-Loweringi,-thei,-headi,-ofi,-thei,-bedi,-willi,-

onlyi,-increasei,-airwayi,-occlusioni,-andi,-riski,-ofi,-aspiration.i,-Turningi,-thei,-patient'si,-

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-whoi,-hasi,-beeni,-intubatedi,-withi,-ani,-orali,-

endotracheali,-tubei,-fori,-severali,-weeks.i,-Thei,-physiciansi,-predicti,-thati,-thei,-

patienti,-willi,-needi,-toi,-remaini,-oni,-ai,-ventilatori,-fori,-ati,-leasti,-severali,-morei,-weeksi,-

beforei,-hei,-willi,-bei,-ablei,-toi,-maintaini,-hisi,-airwayi,-andi,-breathei,-oni,-hisi,-own.i,-

Whati,-procedurei,-doesi,-thei,-nursei,-anticipatei,-willi,-bei,-plannedi,-fori,-thei,-patienti,-

toi,-facilitatei,-recovery?

a.i,-Placementi,-ofi,-ai,-tracheostomyi,-tube

b.i,-Diagnostici,-thoracentesis

c.i,-Pulmonaryi,-angiogram

d.i,-Lungi,-transplantationi,-surgery?

Answer:

a.i,-Placementi,-ofi,-ai,-tracheostomyi,-tube

Placementi,-ofi,-ai,-tracheostomyi,-tubei,-willi,-securei,-thei,-patient'si,-airwayi,-directlyi,-

throughi,-thei,-trachea,i,-eliminatingi,-thei,-needi,-fori,-thei,-endotracheali,-tube.i,-Thisi,-

willi,-makei,-thei,-patienti,-morei,-comfortablei,-andi,-mayi,-allowi,-eatingi,-whilei,-

minimizingi,-damagei,-toi,-thei,-oropharynxi,-fromi,-thei,-endotracheali,-tube.

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-whoi,-hasi,-beeni,-prescribedi,-warfarini,-

(Coumadin)i,-therapyi,-afteri,-beingi,-diagnosedi,-withi,-atriali,-fibrillation.i,-Thei,-

patienti,-asksi,-thei,-nursei,-whati,-couldi,-happeni,-ifi,-thei,-prescriptioni,-doesn'ti,-geti,-

filled.i,-Whati,-isi,-thei,-nurse'si,-besti,-response?i,-

a.i,-"Youi,-couldi,-havei,-ai,-stroke."i,-

b.i,-"Youri,-kidneysi,-couldi,-fail."i,-

c.i,-"Youi,-couldi,-developi,-hearti,-failure."i,-

d.i,-"Youi,-couldi,-goi,-intoi,-respiratoryi,-failure."?

Answer:

a.i,-"Youi,-couldi,-havei,-ai,-stroke."i,-

Ai,-majori,-complicationi,-ofi,-chronici,-atriali,-fibrillationi,-isi,-formationi,-ofi,-bloodi,-

clotsi,-withini,-thei,-atriai,-duei,-toi,-sluggishi,-bloodi,-flow.i,-Anticoagulationi,-therapyi,-

isi,-commoni,-toi,-preventi,-bloodi,-cloti,-formationi,-thati,-couldi,-traveli,-toi,-thei,-brain,i,-

causingi,-ai,-stroke.

Question:

Thei,-preceptori,-isi,-workingi,-withi,-ai,-newi,-nursei,-toi,-providei,-carei,-fori,-ai,-patienti,-

withi,-ai,-chesti,-tubei,-toi,-relievei,-ai,-pneumothorax.i,-Whichi,-actioni,-byi,-thei,-newi,-

nursei,-indicatesi,-needi,-fori,-additionali,-teachingi,-abouti,-chesti,-tubei,-care?

a.i,-Thei,-suctioni,-isi,-discontinuedi,-wheni,-thei,-patienti,-isi,-ambulatedi,-toi,-thei,-

bathroom.

d.i,-"Doi,-youi,-havei,-anyi,-crampingi,-ori,-musclei,-spasmsi,-ini,-youri,-leg?"?

Answer:

b.i,-"Doi,-youi,-havei,-anyi,-chesti,-paini,-ori,-shortnessi,-ofi,-breath?"

Thei,-highesti,-riski,-ofi,-ai,-DVTi,-isi,-thei,-potentiali,-fori,-thei,-cloti,-toi,-breaki,-freei,-andi,-

traveli,-throughi,-thei,-bloodstreami,-toi,-causei,-ai,-pulmonaryi,-embolusi,-(PE).i,-Thei,-

nursei,-shouldi,-aski,-thei,-patienti,-abouti,-chesti,-paini,-ori,-shortnessi,-ofi,-breathi,-toi,-

assessi,-ifi,-ai,-PEi,-mayi,-havei,-occurred.

Question:

Thei,-nursei,-identifiesi,-whichi,-patienti,-whoi,-wouldi,-benefiti,-fromi,-posturali,-

drainage?

a.i,-Ai,-patienti,-withi,-ai,-hearti,-murmuri,-andi,-jugulari,-venousi,-distention.

b.i,-Ai,-patienti,-withi,-asthmai,-andi,-audiblei,-wheezing.

c.i,-Ai,-patienti,-withi,-right-sidedi,-hearti,-failurei,-andi,-pittingi,-edema.

d.i,-Ai,-patienti,-withi,-chronici,-bronchitisi,-andi,-congestedi,-cough.?

Answer:

d.i,-Ai,-patienti,-withi,-chronici,-bronchitisi,-andi,-congestedi,-cough.

Patientsi,-whoi,-benefiti,-fromi,-posturali,-drainagei,-therapyi,-includei,-thosei,-whoi,-

arei,-unablei,-ori,-reluctanti,-toi,-changei,-bodyi,-positionsi,-andi,-patientsi,-withi,-

unilaterali,-lungi,-diseasesi,-thati,-arei,-relatedi,-toi,-poori,-oxygenationi,-duei,-toi,-

position.i,-Patientsi,-whoi,-havei,-diseasesi,-suchi,-asi,-cystici,-fibrosisi,-ori,-

bronchiectasis,i,-COPD,i,-abscesses,i,-ori,-difficultyi,-removingi,-secretionsi,-mayi,-

benefiti,-fromi,-posturali,-drainagei,-therapy.i,-Ai,-patienti,-withi,-chronici,-bronchitisi,-

andi,-ai,-congested,i,-productivei,-coughi,-wouldi,-benefiti,-fromi,-posturali,-drainagei,-

becausei,-iti,-wouldi,-helpi,-cleari,-thei,-airway.

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-whoi,-hasi,-ai,-historyi,-ofi,-congestivei,-hearti,-

failurei,-withi,-generalizedi,-pittingi,-edema.i,-Whichi,-laboratoryi,-resultsi,-willi,-thei,-

nursei,-expecti,-toi,-findi,-ini,-thei,-patient'si,-chart?

a.i,-Glycosylatedi,-hemoglobini,-12%

b.i,-Plateleti,-counti,-450,000/mm

c.i,-Hematocriti,-32%

d.i,-Prothrombini,-timei,-8.8i,-seconds?

Answer:

c.i,-Hematocriti,-32%

Hemodilutioni,-mayi,-bei,-foundi,-wheni,-patientsi,-arei,-ini,-fluidi,-overloadi,-causedi,-byi,-

congestivei,-hearti,-failure.i,-Ai,-normali,-hematocriti,-resulti,-isi,-42%i,-toi,-52%i,-fori,-ai,-

malei,-andi,-37%i,-toi,-47%i,-fori,-ai,-female,i,-soi,-thei,-patient'si,-32%i,-hematocriti,-leveli,-

isi,-markedlyi,-low.i,-Thei,-otheri,-laboratoryi,-resultsi,-arei,-noti,-expectedi,-duei,-toi,-

congestivei,-hearti,-failurei,-ori,-fluidi,-overload.

a.i,-Cardiaci,-catheterization

b.i,-Chesti,-x-ray

c.i,-Echocardiogram

d.i,-Electrocardiogram?

Answer:

a.i,-Cardiaci,-catheterizationi,-

Cardiaci,-catheterizationi,-includesi,-thei,-usei,-ofi,-contrasti,-dyei,-toi,-visualizei,-thei,-

coronaryi,-arteriesi,-andi,-determinei,-bloodi,-flowi,-toi,-cardiaci,-muscle.i,-Thei,-otheri,-

testsi,-willi,-noti,-allowi,-thei,-physiciani,-toi,-determinei,-whichi,-(ifi,-any)i,-coronaryi,-

arteriesi,-arei,-occluded.

Question:

Thei,-nursei,-hearsi,-ai,-loudi,-murmuri,-wheni,-listeningi,-toi,-thei,-patient'si,-heart.i,-

Whichi,-diagnostici,-testi,-willi,-besti,-displayi,-thei,-conditioni,-ofi,-thei,-valvesi,-andi,-

structuresi,-withini,-thei,-patient'si,-hearti,-thati,-couldi,-bei,-causingi,-thei,-murmur?i,-

a.i,-Chesti,-x-rayi,-

b.i,-Cardiaci,-catheterizationi,-

c.i,-Echocardiogrami,-

d.i,-Electrocardiogram?

Answer:

c.i,-Echocardiogrami,-

Echocardiogramsi,-allowi,-fori,-ultrasoundi,-visualizationi,-ofi,-thei,-structuresi,-ofi,-thei,-

hearti,-alongi,-withi,-functioni,-ofi,-thei,-hearti,-valvesi,-andi,-cardiaci,-musculature.

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-whoi,-willi,-bei,-returningi,-toi,-thei,-nursingi,-uniti,-

followingi,-ai,-cardiaci,-catheterizationi,-viai,-thei,-righti,-femorali,-artery.i,-Whichi,-

assessmenti,-isi,-thei,-highesti,-priorityi,-fori,-thei,-nursei,-toi,-performi,-wheni,-thei,-

patienti,-arrivesi,-oni,-thei,-unit?i,-

a.i,-Checkingi,-thei,-patient'si,-righti,-pedali,-pulsei,-andi,-warmthi,-ofi,-thei,-righti,-legi,-

b.i,-Checkingi,-pulsei,-oximetryi,-andi,-listeningi,-toi,-thei,-patient'si,-lungi,-soundsi,-

c.i,-Checkingi,-bilaterali,-radiali,-pulsesi,-toi,-checki,-fori,-ai,-pulsei,-deficiti,-

d.i,-Estimatingi,-thei,-patient'si,-jugulari,-venousi,-pressure?

Answer:

a.i,-Checkingi,-thei,-patient'si,-righti,-pedali,-pulsei,-andi,-warmthi,-ofi,-thei,-righti,-leg

Cardiaci,-catheterizationi,-includesi,-thei,-insertioni,-ofi,-ai,-largei,-IVi,-needlei,-intoi,-thei,-

patient'si,-righti,-femorali,-ori,-brachiali,-arteryi,-toi,-viewi,-thei,-lefti,-sidei,-ofi,-thei,-hearti,-

andi,-insertedi,-intoi,-thei,-antecubitali,-ori,-femorali,-veini,-toi,-viewi,-structuresi,-oni,-thei,-

righti,-sidei,-ofi,-thei,-heart.i,-Ini,-thisi,-case,i,-occlusioni,-ofi,-thei,-femorali,-arteryi,-mayi,-

developi,-afteri,-thei,-procedurei,-leadingi,-toi,-fainti,-ori,-absenti,-pedali,-pulsesi,-andi,-

lossi,-ofi,-warmthi,-toi,-thei,-righti,-leg.i,-Thei,-nursei,-shouldi,-checki,-thei,-patient'si,-righti,-

pedali,-pulsesi,-andi,-legi,-warmthi,-toi,-ensurei,-thati,-thei,-femorali,-arteryi,-hasi,-noti,-

administrationi,-isi,-indicatedi,-byi,-lowi,-oxygeni,-saturationi,-levels.i,-High-flowi,-

oxygeni,-mayi,-leadi,-toi,-respiratoryi,-suppressioni,-causedi,-byi,-lossi,-ofi,-thei,-

patient'si,-drivei,-toi,-breathe.i,-Fori,-COPDi,-patientsi,-thei,-PCPi,-ofteni,-ordersi,-oxygeni,-

toi,-bei,-titratedi,-toi,-keepi,-thei,-oxygeni,-saturationi,-abovei,-88%.i,-Therefore,i,-thei,-

nursei,-shouldi,-reducei,-thei,-oxygeni,-flowi,-ratei,-untili,-thei,-patient'si,-pulsei,-

oximetryi,-isi,-morei,-thani,-88%i,-andi,-educatei,-thei,-patienti,-abouti,-oxygeni,-therapyi,-

fori,-COPD.

Question:

Thei,-nursei,-isi,-caringi,-fori,-ai,-patienti,-withi,-advancedi,-COPDi,-whoi,-reportsi,-feelingi,-

shorti,-ofi,-breath.i,-Thei,-nursei,-notesi,-thati,-thei,-patient'si,-lungi,-soundsi,-arei,-

diminishedi,-bilaterallyi,-andi,-thei,-patient'si,-pulsei,-oximetryi,-isi,-91%i,-oni,- 2 i,-L/mini,-

oxygeni,-viai,-nasali,-cannula.i,-Whati,-actionsi,-willi,-thei,-nursei,-takei,-toi,-makei,-thei,-

patienti,-morei,-comfortable?i,-

(Selecti,-alli,-thati,-apply.)

a.i,-Increasei,-thei,-patient'si,-oxygeni,-toi,- 4 i,-L/mini,-viai,-nasali,-cannula.

b.i,-Suctioni,-thei,-patient'si,-airwayi,-usingi,-sterilei,-technique.

c.i,-Maintaini,-eyei,-contacti,-andi,-providei,-calmi,-reassurance.

d.i,-Turni,-thei,-patienti,-ontoi,-thei,-sidei,-fori,-posturali,-drainage.

e.i,-Administeri,-thei,-orderedi,-nebulizedi,-bronchodilator.

f.i,-Elevatei,-thei,-headi,-ofi,-thei,-patient'si,-bedi,-toi,-fullyi,-upright.?

Answer:

c.i,-Maintaini,-eyei,-contacti,-andi,-providei,-calmi,-reassurance.

e.i,-Administeri,-thei,-orderedi,-nebulizedi,-bronchodilator.

f.i,-Elevatei,-thei,-headi,-ofi,-thei,-patient'si,-bedi,-toi,-fullyi,-upright.

Patientsi,-whoi,-arei,-acutelyi,-shorti,-ofi,-breathi,-duei,-toi,-advancedi,-COPDi,-willi,-

benefiti,-fromi,-nebulizedi,-bronchodilatori,-medicationi,-toi,-openi,-thei,-airways.i,-

Elevatingi,-thei,-headi,-ofi,-thei,-bedi,-willi,-preventi,-pressurei,-oni,-thei,-diaphragmi,-

fromi,-thei,-abdominali,-contents.i,-Ai,-caringi,-demeanori,-withi,-eyei,-contacti,-willi,-

helpi,-thei,-patienti,-remaini,-calmi,-untili,-thei,-medicationi,-beginsi,-toi,-worki,-andi,-thei,-

shortnessi,-ofi,-breathi,-isi,-eased.i,-Patientsi,-withi,-COPDi,-shouldi,-bei,-kepti,-oni,-low-

flowi,-oxygeni,-toi,-maintaini,-pulsei,-oximetryi,-ofi,-morei,-thani,-88%.

Question:

Thei,-nursei,-isi,-performingi,-ai,-respiratoryi,-assessmenti,-oni,-ai,-patient.i,-Whichi,-

assessmenti,-findingsi,-indicatei,-toi,-thei,-nursei,-thati,-thei,-patienti,-hasi,-ai,-historyi,-ofi,-

long-standingi,-chronici,-respiratoryi,-disease?i,-

(Selecti,-alli,-thati,-apply.)i,-

a.i,-Alli,-thei,-patient'si,-fingernailsi,-arei,-noticeablyi,-clubbed.i,-

b.i,-Thei,-patienti,-needsi,-toi,-sleepi,-oni,-ati,-leasti,-fouri,-toi,-fivei,-pillowsi,-ati,-night.i,-

c.i,-Thei,-patient'si,-chesti,-hasi,-equali,-antero-posteriori,-andi,-transversei,-diameters.i,-

d.i,-Thei,-patient'si,-loweri,-legsi,-havei,-largei,-areasi,-ofi,-brownishi,-spottedi,-

discoloration.i,-e.i,-Thei,-patienti,-reportsi,-puffinessi,-ofi,-bothi,-feeti,-wheni,-standingi,-

fori,-longi,-periods.i,-

f.i,-Thei,-patient'si,-forcedi,-vitali,-capacityi,-testi,-resulti,-isi,-3.8i,-Li,-ofi,-air.?

Answer:

a.i,-Alli,-thei,-patient'si,-fingernailsi,-arei,-noticeablyi,-clubbed.i,-

e.i,-Thei,-patienti,-hasi,-becomei,-confusedi,-andi,-mildlyi,-disoriented.

Ai,-patienti,-whoi,-isi,-unablei,-toi,-speaki,-withouti,-gaspingi,-isi,-indicativei,-ofi,-poori,-

airflowi,-throughi,-thei,-airways,i,-whichi,-musti,-bei,-addressedi,-promptly.i,-Greenish-

browni,-sputumi,-mayi,-indicatei,-pneumoniai,-requiringi,-antibiotici,-treatment.i,-

Dyspneai,-andi,-wheezesi,-arei,-indicativei,-ofi,-ani,-acutei,-asthmai,-attack.i,-Confusioni,-

andi,-disorientationi,-ini,-ai,-patienti,-withi,-COPDi,-mayi,-indicatei,-retentioni,-ofi,-

carboni,-dioxide.i,-Increasedi,-forcedi,-vitali,-capacityi,-isi,-ai,-positivei,-sign.

Question:

Thei,-nursei,-isi,-workingi,-withi,-ai,-nursingi,-assistanti,-toi,-carei,-fori,-ai,-patienti,-withi,-ai,-

newi,-tracheostomy.i,-Whichi,-tasksi,-mayi,-thei,-nursei,-delegatei,-toi,-thei,-assistant?i,-

(Selecti,-alli,-thati,-apply.)

a.i,-Obtainingi,-masks,i,-gloves,i,-andi,-suctioni,-suppliesi,-fromi,-thei,-utilityi,-room

b.i,-Helpingi,-toi,-reassurei,-thei,-patienti,-before,i,-during,i,-andi,-afteri,-suctioning

c.i,-Changingi,-thei,-Velcroi,-ori,-twilli,-tiesi,-usedi,-toi,-securei,-thei,-tracheostomy

d.i,-Transportingi,-sputumi,-specimensi,-toi,-thei,-labi,-fori,-culturei,-andi,-sensitivityi,-

testing

e.i,-Assessingi,-needi,-fori,-suctioningi,-ofi,-thei,-oropharynxi,-ori,-tracheostomy

f.i,-Teachingi,-thei,-patienti,-howi,-toi,-removei,-andi,-cleani,-thei,-inneri,-cannula?

Answer:

a.i,-Obtainingi,-masks,i,-gloves,i,-andi,-suctioni,-suppliesi,-fromi,-thei,-utilityi,-room

b.i,-Helpingi,-toi,-reassurei,-thei,-patienti,-before,i,-during,i,-andi,-afteri,-suctioning

d.i,-Transportingi,-sputumi,-specimensi,-toi,-thei,-labi,-fori,-culturei,-andi,-sensitivityi,-

testing

Carei,-ofi,-ai,-newi,-tracheostomyi,-mayi,-noti,-bei,-delegatedi,-toi,-ai,-nursingi,-assistant.i,-

Obtainingi,-suppliesi,-neededi,-fori,-care,i,-helpingi,-toi,-reassurei,-thei,-patient,i,-andi,-

bringingi,-specimensi,-toi,-thei,-labi,-arei,-tasksi,-thati,-mayi,-bei,-assignedi,-toi,-thei,-

assistant.

Question:

Thei,-preceptori,-isi,-workingi,-withi,-ai,-newi,-nursei,-toi,-providei,-carei,-fori,-ai,-patienti,-

withi,-ai,-newi,-tracheostomy.i,-Whichi,-actionsi,-byi,-thei,-newi,-nursei,-indicatei,-needi,-

fori,-additionali,-teachingi,-abouti,-thei,-procedure?i,-

(Selecti,-alli,-thati,-apply.)

a.i,-Thei,-outeri,-cannulai,-isi,-cleanedi,-withi,-thei,-brushi,-andi,-half-strengthi,-H2O2.

b.i,-Thei,-newi,-tracheostomyi,-holderi,-isi,-securedi,-beforei,-thei,-oldi,-soiledi,-onei,-isi,-

removed.

c.i,-Ai,-Yankaueri,-suctioni,-catheteri,-isi,-usedi,-toi,-removei,-secretionsi,-fromi,-thei,-

patient's

mouth.

d.i,-Sterilei,-glovesi,-arei,-appliedi,-beforei,-thei,-soiledi,-dressingi,-isi,-removedi,-fromi,-

the

tracheostomy.

e.i,-Half-strengthi,-H2O2i,-isi,-usedi,-toi,-removei,-crustedi,-secretionsi,-aroundi,-thei,-

tracheostomyi,-site.