NURS 401 Midterm Exam Questions And 100% Accurate Answers.
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Course
NURS 401
Institution
NURS 401
After receiving a dose of penicillin, a client develops dyspnea and hypotension and the nurse suspects the client is experiencing anaphylactic shock. What is the nurse's first action? - Answer Administer epinephrine, as ordered
Which type of sleep apnea is characterized by lack of airflow due...
NURS 401 Midterm Exam Questions And
100% Accurate Answers.
After receiving a dose of penicillin, a client develops dyspnea and hypotension and the nurse suspects
the client is experiencing anaphylactic shock. What is the nurse's first action? - Answer Administer
epinephrine, as ordered
Which type of sleep apnea is characterized by lack of airflow due to pharyngeal occlusion? - Answer
Obstructive
The nurse assesses a client who is bleeding profusely from the nose. The nurse documents this finding as
which condition? - Answer Epistaxis
You are doing preoperative teaching with a client scheduled for laryngeal surgery. What should you teach
this client to help prevent atelectasis? - Answer Encourage deep breathing every 2 hours.
Which intervention regarding nutrition is implemented for clients who have undergone laryngectomy? -
Answer Use enteral feedings after the procedure.
Which intervention is the single most important aspect for the client at risk for anaphylaxis? - Answer
Prevention
A client with a family history of allergies has suffered an allergic response based on a genetic
predisposition. This atopic response is usually mediated by what immunoglobulin? - Answer
Immunoglobulin E
(Know the others--A, M, G)
The nurse is assessing the client for the presence of a Chvostek sign. Which electrolyte imbalance would
a positive Chvostek sign indicate? - Answer Hypocalcemia
, The nurse is caring for a client whose worsening infection places the client at high risk for shock. Which
assessment finding would the nurse consider a potential sign of shock? - Answer Shallow, rapid
respirations
Rationale: A symptom of shock is shallow, rapid respirations. Systolic blood pressure drops in shock, and
MAP is less than 65 mm Hg. Bradycardia occurs in neurogenic shock; other states of shock have
tachycardia as a symptom. Infection can lead to septic shock.
The parents of a child receiving total parenteral nutrition ask the nurse why their child must have their
blood glucose monitored so frequently since they are not diabetic. What is the best response by the
nurse? - Answer "It is important to monitor the blood glucose level because the solution has a high
concentration of carbohydrates that convert to glucose."
Rationale: Total parenteral nutrition has a high concentration of carbohydrates, which convert to
glucose. Informing the parents that this is the reason for frequent monitoring of the blood glucose
adequately addresses their question. It is routine for any client receiving total parenteral nutrition to
have frequent monitoring of blood glucose, but this does not answer the parent's question. There is no
need to monitor a child for diabetes without reason. There is no reason to suggest asking the healthcare
provider when this question can be answered by the nurse.
The nurse is caring for a client who has been involved in a motor vehicle accident. The client"s labs
indicate a minimally elevated serum creatinine level. The nurse should further assess which body system
for signs of injury? - Answer Renal
The intensive care unit nurse is caring for a client with sepsis whose tissue perfusion is declining. What
sign would indicate to the nurse that end-organ damage may be occurring? - Answer Heart and
respiratory rates are elevated
Rationale: As sepsis progresses, tissues become less perfused and acidotic, compensation begins to fail,
and the client begins to show signs of organ dysfunction. The cardiovascular system also begins to fail,
the blood pressure does not respond to fluid resuscitation and vasoactive agents, and signs of end-organ
damage are evident (e.g., acute kidney injury, pulmonary failure, hepatic failure). As sepsis progresses to
septic shock, the blood pressure drops, and the skin becomes cool, pale, and mottled. Temperature may
be normal or below normal. Heart and respiratory rates remain rapid. Urine production ceases, and
multiple organ dysfunction progressing to death occurs. Adventitious lung sounds occur throughout the
lung fields, not just in the upper fields of the lungs.
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