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NUR2755 MDC 4 Exam 2 Questions and Answers.docx
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lOMoARcPSD|17222949MDC4 Exam 2 Questions
1. A client with a pulmonary embolism may have which of the following interventions?
a. IVC filter
b. Embolectomy
c. Chest tube placement
d. Heparin drug therapy
e. Thoracotomy
2. An older adult client arrives in the emergency department after falling off a roof. The
nurse observes “sucking inward” of the loose chest area during inspiration and a
“puffing out” of the same area during expiration. Arterial blood gas results show severe
hypoxemia and hypercarbia. Which procedure does the nurse prepare for?
a. Chest tube insertion X
b. Endotracheal intubation
c. Needle thoracotomy
d. Tracheostomy
3. A nurse in a burn treatment center is caring for a client admitted with severe burns to
both lower extremities and is scheduled for an escharotomy. The client’s spouse asks
the nurse what the procedure entails. Whish nursing statement is appropriate?
a. Large, surgical incision will be made in the hardened dermal layer to
improve circulation
b. This procedure involves placing the client into a shower and removing the
dead tissue
c. A piece of healthy skin will be removed from an unburned area and grafter
over the burned area
d. Surgical incisions will be made into the deep tissue, possibly to the bone,
to permit better circulation
4. A nurse is caring for a client who has burn injuries to his trunk. The nurse is explaining
what to expect from the prescribed hydrotherapy. Which of the following statements
by the client indicates an understanding of the teaching?
, a. I will be on a special shower table to enhance wound inspection
and debridement
b. The water temperature will be hot to improve blood flow and healing X
c. The nurse will use a wire brush to remove loose skin
d. The nurse will use scissors to open small blisters
5. Calculate the mean arterial pressure in mmHg for a client with a blood pressure of
84/46 mmHg.
a. 59 mmHg
6. Which if the following interventions is not appropriate for a client diagnosed with
a pneumothorax?
a. Apply wet to dry dressing on wound
b. Monitor respiratory and circulatory function
c. Assess for tracheal deviation
d. Provide analgesics
7. A client in the intensive care unit was recovering from moderate burns and smoke
inhalation. His condition was improving, and plans were made to transfer him to a
step- down unit. On the morning of the transfer, the client began to experience
elevated temperatures and shortness of breath. Urine output decreased to 10ml/hr.
labs were drawn and indicated elevated WBC, GFR, creatinine, and liver enzymes. The
client is experiencing which medical complication?
a. Acute respiratory failure X
b. Acute kidney injury
c. Disseminated intravascular coagulation
d. Multiple organ dysfunction syndrome
8. A nurse is assessing a client who sustained superficial partial thickness and deep
partial thickness burns 38 hours ago. Which finding should the nurse report to the
provider?
a. Edema in the burned extremities
b. Severe pain at the burn site
c. Urine output of 65ml/hr over 2 hours
d. ABG pH 7.31, PaCO2 37 mmHg, HCO3 31 mEq/L
, 9. A nurse is caring for a client who has sustained burns over 37% of total body surface
area. The client’s voice has become hoarse, a brassy cough has developed, and the
client is drooling. The nurse should identify these findings as indications that the client
has which of the following?
a. Pulmonary edema
b. Bacterial pneumonia
c. Inhalation injury
d. Carbon monoxide poisoning
10. A nurse is assisting the provider in caring for a client who has developed a
tension pneumothorax. Which actions should be performed first?
a. Assess the clients pain
b. Prepare for large bore needle thoracostomy
c. Administer lorazepam
d. Prepare for chest tube insertion
11. When assessing a client who has suffered a burn injury, the nurse classifies the burn as
a full thickness burn based on observing which characteristics?
a. Painful, reddened skin
b. Charred skin with milky areas
c. Erythema and blisters
d. Erythema, pain, and swelling
12. A client with 55% total body surface area burns arrives in the emergency
department. The client weighs 160 #. Using the parkland burn formula calculate the
hourly rate of lactate ringer during the first 8 hours of fluid resuscitation.
a. 1000
13. A nurse is caring for a group of clients. Which client is at most risk for a
pulmonary embolism?
a. Client who has a body mass index of 24
b. An active postmenopausal female
c. A long distance truck driver
d. A client who consumes alcohol
14. After receiving report of four client, the nurse determines the order of care of the
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