100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR242 / NUR 242 Exam 3 (Latest 2024 / 2025): Medical-Surgical Nursing Concepts | Questions and Verified Answers with Rationales | 100% Correct | Grade A - Galen $8.49   Add to cart

Exam (elaborations)

NUR242 / NUR 242 Exam 3 (Latest 2024 / 2025): Medical-Surgical Nursing Concepts | Questions and Verified Answers with Rationales | 100% Correct | Grade A - Galen

 230 views  9 purchases

Exam 3: NUR242 / NUR 242 (Latest 2024 / 2025) Medical-Surgical Nursing Concepts Exam | Questions and Verified Answers with Rationales | 100% Correct | Grade A - Galen Q: The nurse is assessing a patient with a chest tube following a pneumonectomy. Which assessment finding requires intervention? A. ...

[Show more]

Preview 4 out of 36  pages

  • February 21, 2024
  • 36
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
All documents for this subject (177)
avatar-seller
quiz_bit
NUR 242 Medical -Surgical Nursing Concepts Exam 3 Question: The nurse is assessing a patient with a chest tube following a pneumonectomy. Which assessment finding requires intervention? A. Bandage around the posterio r tube is loose. B. 2 cm of water is in the second chest tube chamber. C. The water in the water seal chamber rises and falls with inhalation/exhalation. D. Bubbling present in the water seal chamber when the patient coughs. Answer: A After lung surgery, two tubes, anterior and posterior, are used. Dressings around the wound should not be loose. The wounds should be covered with airtight dressings. Question: A home health patient with a history of asthma is having shortness of breath. The nurse discovers that the peak flowmeter indicates a peak expiratory flow (PEF) reading that is in the red zone. What is the priority nursing action? A. Call 911 immediately. B. Take the patient's vital signs. C. Notify the patient's prescriber. D. Re peat the PEF reading to verify the results. Answer: A A PEF reading in the red zone indicates a range that is 50% below the patient's personal best PEF reading and indicates serious respiratory obstruction requiring 911 or rapid response. Offer medica tions and stay with the patient. Repeating the PEF reading and taking vital signs are also important, but doing so first delays the administration of the rescue drugs and physician notification. Question: The patient is assessed and a blood glucose level and vital signs are obtained upon arrival on the unit. Results are as follows: BG—239 mg/dL BP —138/88 mm Hg HR—128 RR—36 breaths/min O2 saturation —88% (room air) Temperature —101.6º F Which vital sign or test result requires the nurse's immediate attentio n? A. Blood pressure B. Respiratory rate C. Temperature D. Blood glucose Answer: B All of the patient's vital signs are abnormal. However, the most important one to report immediately is her increased respirations (and decreased oxygen saturation). Even though a diagnosis has not been confirmed, it is very important to address these prob lems. The patient is experiencing tachypnea. Question: After consulting with the provider, the following orders are received: Full liquid diabetic diet IV fluids 1000 mL .9 NS at 60 mL/hr Oxygen at 2 L per nasal cannula Blood cultures × 3 and urinalysis Tylenol grain × every 4 hour for temperature above 101º F Cefazolin (Ancef) 1 g IVP every 8 hour Which of the provider's orders should the nurse implement first? A. IV fluids 1000 mL .9 NS at 60 mL/hr B. Oxygen at 2 L per nasal cannula C. Blood cultures a nd urinalysis D. Cefazolin (Ancef) 1 g IVP every 8 hour Answer: B All of the provider's orders are very important. However, the most important one is oxygen therapy. Hypoxia is often seen with pneumonia, so it is very important that supplemental oxyg en is started as soon as possible. IV fluids should be started to enhance pulmonary toileting, and the laboratory should be notified to draw the needed blood cultures. UAP can obtain the specimen for urinalysis. The blood cultures and the UA should be obta ined before the IVP Ancef is administered. Question: The nurse understands that which of the following is the most common symptom of pneumonia in the older adult patient? A. Fever B. Cough C. Confusion D. Weakness Answer: C The older adult with pneumonia often has weakness, fatigue, lethargy, confusion, and poor appetite. Fever and cough may be absent, but hypoxemia is usually present. The most common manifestation of pneumonia in the older adult patient is confusion from hyp oxia rather than fever or cough.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller quiz_bit. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $8.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78998 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$8.49  9x  sold
  • (0)
  Add to cart