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Medical Surgical MIDTERM EXAM with correct answers

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Medical Surgical MIDTERM EXAM 2020 Question 1. Question : The nursing assistant reports to the nurse that an African-American client’s pulse oximetry reading is 93%. The client h... as no complaints. Which action by the nurse is most appropriate? Student Answer: Replace the sensor probe of the oximeter. Place the probe on another finger. CORRECT Assess other signs of respiratory adequacy. Prepare to obtain arterial blood gases. Question 2. Question : Which of the following has the highest priority when assessing a client’s respiratory status? Student Answer: Average daily fluid intake Neck circumference Height and weight CORRECT Occupation and hobbies Question 3. Question : Which of the following assessments obtained while auscultating breath sounds is matched with the appropriate nursing action the nurse should take secondary to the assessment finding? Student Answer: Hollow sounds are heard over the trachea. – The nurse increases the oxygen flow rate. INCORRECT Crackles are heard in bases. – The nurse encourages the client to cough forcefully. CORRECT Wheezes are heard in central areas. – The nurse administers an inhaled bronchodilator. Vesicular sounds are heard over the periphery. – The nurse has the client breathe deeply. Question 4. Question : What nursing action is appropriate to ............................CONTINUED [Show More]

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