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NUR 2755 Multidimensional Care IV MDC 4 EXAM 2

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MDC 4 Exam 2 1. The patient is a 54-year-old male with history of COPD, who was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. Measure ...

MDC 4 Exam 2 1. The patient is a 54-year-old male with history of COPD, who was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, and PaO2 60 mmHg. How would you interpret this? - Respiratory acidosis, partially compensated 2. Silver sulfadiazine (Silvadene, Thermazene) - Watch for allergic reaction causing a drop in white blood cell count. - Do not use if reaction to sulfonamide has occurred. - Use on deep partial-thickness or full-thickness wounds. - Monitor wounds for infection 3. A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypoventilating and has a respiratory rate of 10 breaths/min. Arterial blood gases are drawn and the nurse reviews the results, expecting to note which of the following? - An increased pH with an increased HCO3 4. A nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul respirations. Based on this documentation, which of the following did the nurse observe? - Respirations that are labored and increased in depth and rate 5. A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. When the low-pressure alarm on the ventilator sounds, it indicates which of the following to the nurse? - Decreased lung compliance 6. A nurse on a medical-surgical unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of pulmonary embolism? - Sudden onset of dyspnea 7. A client comes to the emergency department in severe respiratory distress following left-sided blunt chest trauma. The nurse notes absent breath sounds on the client's left side and a tracheal shift to the right. For which of the following procedures should the nurse prepare the client? - Chest tube insertion 8. A nurse is caring for a client who is experiencing acute opioid toxicity. Which of the following actions should the nurse identify as the priority? - Ensure an adequate airway 9. A nurse is caring for a client wh

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