In a burn injury, the Rule of nines is used to estimate: - ANSWER-total body surface area burned
The nurse is aware that hypercapnia can lead to which
... [Show More] of the following? - ANSWER-Respiratory acidosis
A patient's arterial blood gas reveals decreased carbon dioxide levels. What is the most likely cause of this situation? - ANSWER-Hyperventilation
What lab value would the nurse expect in a patient who has sustained trauma to the lungs and chest wall is experiencing respiratory failure? - ANSWER-Elevated PaCO2
A 10-year-old develops pneumonia. Physical exam reveals subcostal and intercostal contractions. The child reports that breathing is difficult with feeling that "I cannot get enough air." What term should the nurse use to document this condition? - ANSWER-Dyspnea
A 50 year old presents with hypotension, hypoxemia, and tracheal deviation to the left. Tests reveal that the air pressure in the pleural cavity exceeds barometric pressure in the atmosphere. Based upon these assessment findings, what does the nurse suspect the patient is experiencing - ANSWER-Tension Pneumothorax
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? - ANSWER-Dyspnea, Barrel chest, and Hypocapnia
A nurse in the emergency department is caring for a patient who has extensive partial and full thickness burns of the head, neck, and chest. While planning the patients care, the nurse should identify what risk as the priority for assessment and intervention? - ANSWER-Airway obstruction
A patient presents to the ER with complaints of difficulty breathing and fever. Upon assessment, nurse notes that the patient has a fever of 102.2 F, HR: 94. RR: 28, and BP 124/78. The patients O2 sat is 89% on room air. The nurse auscultates the patients lungs and notes decreased breath sounds to the right lower lobe and crackles to the left lower lobe. Based upon these findings, what does the nurse suspect the patient may be experiencing? - ANSWER-Pneumonia
Airway obstruction contributing to increased airflow resistance and hypoventilation in asthma is caused by - ANSWER-mucous secretion, bronchoconstiction, and airway edema
5 year old patient is diagnosed with acute leukemia. The patient will most likely be treated with - ANSWER-Chemotherapy
A 30 year old presenting with hematuria, menorrhagia, and bleeding gums is diagnosed with immune thrombolytic pupura. The nurse realizes the most likely cause is - ANSWER-Antibody destruction of platelets
A 40 year old develops disseminated intravascular coagulation. Upon obtaining the history, which finding is most likely the cause for this condition? - ANSWER-Sepsis
A patient who experiences chronic GI bleeding is diagnosed with anemia. What is the primary cause of the patients anemia? - ANSWER-Iron Deficiency
A patient recently diagnosed with pernicious anemia asks the nurse, "how long will it take for the disease to be cured?" Which of the following is the best response from the nurse? - ANSWER-This disease requires lifelong Vit B 12 injections and is not cured
Multiple opportunistic infection develop with acute leukemia primarily because - ANSWER-many circulating leukocytes are immature
A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take? - ANSWER-Perform neuromuscular checks with vital signs
The nurse is preparing a patient for an echocardiogram. The nurse explains that an echocardiogram is used to demonstrate an abnormal - ANSWER-Movement of heart valves
The nurse caring for a patient with sub-acute ineffective endocarditis - ANSWER-A microbe of low virulence attacks normal or damged heart vales T
The nurse is interpreting a patient's arterial blood gas results. Based on the lab result, which of the following is is the correct interpretation? pH 7.29, PaCO2: 60, HCO3 - ANSWER-Respiratory acidosis
Pericarditis causes a reduction in CO as a result of which of the following - ANSWER-Excess fluid in the pericardial cavity, which decreases ventricular filing
Compensation mechanisms for decreased CO in cases of congestive heart failure include - ANSWER-Increased renin and aldosterone
A nurse in the ER is caring for a patient who has a sucking chest would resulting from a gunshot. The client has a blood pressure of 100/60, a weak pulse rate of 118, and a RR of 40. Which of the following actions should the nurse take first. - ANSWER-Adminster O2 via nasal cannula [Show Less]