Question

5. The RN is caring for a client on mechanical ventilation. The RN notes an increase in peak airway pressure. What nursing actions are appropriate at this time? Select all that apply.

Call the health care provider.

Assess the tubing for kinks.

Call the Rapid Response Team

Assess whether the tubing has become disconnected.

Auscultate the client ’s lungs.

6. Which nursing interventions are appropriate when preparing a client for a cardiac magnetic resonance angiogram (MRA)? Select all that apply

Position the client on the stomach for the procedure. Sedate the client prior to the procedure.

Allow the client to listen to music during the procedure. Remove the client ’s jewelry.

Remove the client ’s transdermal nitroglycerine patch

7. A client presents to the Emergency Department with shortness of breath and chest pain. Which of the following symptoms indicate pulmonary embolism? Select all that apply.

frothy sputum

low grade fever

bradycardia

tachycardia

8. The RN is preparing a client for an elective cardioversion. Place the actions in the correct order. “Set the defibrillator in synchronized mode.”

1.Set defibrillator

2. Place pads away from me

3. Visualize that no one is to

4. Deliver the prescripted vo

5. Assess skin under pads

9. Which intervention by the RN is appropriate to prevent complications in a client with limited mobility following thoracic surgery?

Position client in left lateral recumbent position.

Administer pain-control opioids as needed.

Apply ordered oxygen at 4 liters via nasal cannula.

Assist client to use the incentive spirometer.

10 A client presents to the Emergency Department with shortness of breath and chest pain. Which of the following symptoms indicate pulmonary embolism? Select all that apply.

frothy sputum

low grade fever

bradycardia

tachycardia

Answer 1

5) asses the tubing for kinks - peak inspiratory pressure increases with any airway resistance. things that may increases PIP could be increasesd secretions,bronchospasms,biting down on ventilation tubing and decreased lung compliance.

6)Allow the client to listen to music during the procedure. earplugs will be provided to help mask the noise and to allow you to listen to music.

Remove the client ’s jewelry.;-You will remove any clothing, jewelry, or other objects that may interfere with the scan and put on a gown.

Sedate the client prior to the procedure.- sedation only gives to infants young childrens and to some anxiety patients

9) Assist client to use the incentive spirometer.;- incentive spirometry is a relatively good measure of lung function and may be used to assess respiratory recovery in the days after thoracic surgery.

8)1  Assess skin under pads

2 Place pads away from me

3 Set defibrillator
4. Visualize that no one is to
5 Deliver the prescripted vo
.

10) forthy sputum ; symptoms such as coughing up blood classically seen as pink, frothy sputum for pulmonary embolism.

low grade fever;Although fever has been reported in several case series of acute pulmonary embolism(PE), the extent to which fever may be caused by PE, and not associated disease, has not been adequately sorted out. Low-grade fever is not uncommon in PE, and high fever, although rare, may occur.

tachycardia;Tachycardia, or elevated heart rate is one of the important clinical parameters considered when diagnosing pulmonary embolism

Bradycardia;-Recurrent short episodes of bradycardia and hypotension are rarely reported.