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Author Archives: Anonymous

A nurse is caring for a patient with a left-sided chest tube…

A nurse is caring for a patient with a left-sided chest tube attached to a wet suction chest tube system. Which observation by the nurse would require immediate intervention?

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The nurse is assessing a patient. Which assessments would cu…

The nurse is assessing a patient. Which assessments would cue the nurse to the potential of acute respiratory distress syndrome (ARDS)? Select all that apply.

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The nurse would determine that a patient with fractured ribs…

The nurse would determine that a patient with fractured ribs needs further self-care teaching if which of the following statements is made by the patient?

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Patients with musculoskeletal injury are at increased risk f…

Patients with musculoskeletal injury are at increased risk for compartment syndrome. What is an initial symptom of a suspected compartment syndrome?

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At 11:00 am, a patient is placed on a T-piece for weaning fr…

At 11:00 am, a patient is placed on a T-piece for weaning from the ventilator.  The nurse arranges for a follow up ABG to be drawn at:

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Mrs. L develops a hemothorax and the physician inserts a che…

Mrs. L develops a hemothorax and the physician inserts a chest tube, which is connected to a dry suction drainage system. In the next hour, 500 ml of blood drains. Which of the following actions by the nurse is most appropriate?

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A nurse in an emergency department is caring for a client wh…

A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?

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A patient’s status worsens and needs mechanical ventilation….

A patient’s status worsens and needs mechanical ventilation. The pulmonologist wants the patient to receive 10 breaths/min from the ventilator but wants to encourage the patient to breathe spontaneously between the mechanical breaths at his own tidal volume. This mode of ventilation is called

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A nurse is suctioning a mechanically ventilated patient’s ai…

A nurse is suctioning a mechanically ventilated patient’s airway using in-line suctioning. When using this method, it is most appropriate for the nurse to 

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The nurse calculates the PaO2/FiO2 ratio for the following v…

The nurse calculates the PaO2/FiO2 ratio for the following values: PaO2 78 mmHg, FiO2 60%. What conclusion can the nurse draw from this data?

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