PRN1 725/ PRN 1 725 Exam 2 (Latest 2024/ 2025 Update) Client -Centered Care IV Complete Guide | Questions and Verified Answers| All Modules Covered| 100% Correct| Grade A - Rasmussen Q: Nursing care for patient on mechanical ventilation Answer: Check physician order each shift & then check vent for proper settings o Check alarms to see that they are on Q: Ventilation troubleshooting Answer: o Keep tubing clear of pooled water; empty water into appropriate receptacle as needed If vent meets too much pressure, alarm sounds to indicate correct tidal volume is not being delivered Caused by excessive secretions in lungs, suctioning needed Check 02 status Q: Thoracentesis - What is this procedure Answer: Removal of pleural fluid, instill medication, or obtain fluid for diagnostic studies Q: Indications for procedure Answer: With local anesthetic and ultrasound guidance, large -bore needle is inserted through the chest wall into the pleural space, and fluid is withdrawn with a syringe or into vacuum bottles by a physician at the patient's bedside Aseptic technique must be used o Specimens are obtained for culture, microscopic examination, and stains Medication may be instilled. Q: instilled. o Nursing education and priorities Answer: Requires consent Explain procedure to patient Baseline vitals Monitor respirations O Monitor Skin color O Assist patient to remain still Q: Patient positioning Answer: O Patient sitting, facing side of bed, and leaning overbed table with arms crossed on it; pillows or the back of the chair can also be used. Q: O Patient care after Answer: Chest radiography may be ordered after O Monitor vital signs q15min for 1 hr or until stable, then routinely o Auscultate breath sounds frequently Rapid breathing, cyanosis, hemoptysis, changes breath sounds, and tachycardia should be reported immediately. o Chart amount and appearance of fluid and condition of patient, ancit tO o Send specimens to lab as ordered Q: Lumbar puncture - Answer: What is this procedure? Health care provider performs sterile puncture into the arachnoid space, using local anesthetic, between L3 and L4 or L4 and L5; opening pressure is obtained; fluid is aspirated and placed in sterile test tubes labeled 1, 2, 3. Flui d is analyzed for color, pH, cell count, protein, chloride, and glucose; a culture is usually done. Local anesthetic is used. Q: indications for procedure Answer: to determine whether CSF pressure is elevated; to determine whether there is a blockage to the flow of CSF; to inject medications; to obtain fluid for chemical analysis and culture Q: dcte o patient education and nursing priorities Answer: signed consent form sterile lumbar puncture tray local anestheticale sterile gloves tape assist patient into position with back bowed, head flexed on chest, and knees drawn up to abdomen. Patient can be lying or sitting. Assist patient to remain still reas sure patient and provide emotional support personnel must wear mask during procedure possible complications Q: patient care after lumbar puncture Answer: puncture keep pt flat in bed for 1 h or longer after procedure to reduce headache encourage fluid intake unless contraindicated observe site for signs of drainage and inflammation Q: Insect stings - Localized and allergic reactions Answer: Most bug bites result in local reaction and are not reported Q: Nursing priorities for patient that was stung Answer: Stinger should be removed immediately
