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NURS 370: Medsurg Slide Questions for Midterm 1 Questions With Complete Solutions
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NURS 370: Medsurg Slide Questions for Midterm 1 Questions With Complete Solutions
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NURS 370: Medsurg Slide Questions for Midterm 1Questions With Complete Solutions
•Prevention of shock and respiratory distress are two immediate
priorities of care during the emergent/resuscitation phase burn
injury
True or Flase Correct Answer True!
•When blood cultures are ordered with other lab tests, the blood
culture specimen is ALWAYS drawn first Correct Answer (this
is to minimize the potential for contamination during the draw
process, since the whole purpose of culturing the blood is to
discover if the blood stream is infected with an organism so one
takes precaution to avoid contamination of blood culture
specimens)
When blood cultures are ordered, blood is put into BOTH an
anaerobic AND an aerobic bottle • An order for a single blood
culture means one venous "stick" with blood put into BOTH an
anaerobic AND an aerobic bottle • An order for "paired blood
cultures" means collection of blood from TWO DIFFERENT
sites (serves as a control for false negatives and false positives) •
The bottles are different colors (anaerobic and aerobic) & fill
volumes required are printed on the bottles
1.Which of the following is a key consideration in the
management of COPD?
a) Encouraging smoking cessation
b) Prescribing antibiotics for all COPD patients
,c) Limiting physical activity to conserve energy
d) Administering high-flow oxygen continuously Correct
Answer a) Encouraging smoking cessation
Rationale: Smoking can damage the lining of the lungs and
airways, which could worsen conditions for COPD patients
2. Which of the following breathing techniques is commonly
taught to COPD patients to reduce dyspnea?
a) Hyperventilation
b) Pursed-lip breathing
c) Irregular breathing patterns
d) Shallow breathing Correct Answer b) Pursed-lip breathing
Rationale: Pursed lip breathing helps keep airways open longer
so that you can remove trapped air by slowing down your
breathing rate and relieving shortness of breath
3. Which of the following symptoms in patients with COPD
requires urgent nursing intervention? Select all that apply
a)Decreased peak flow value from baseline
b)Worsening expiratory wheezing
c)New onset lethargy and confusion
d)Change in sputum color and amount
e)Clubbed fingernail
f)Increased anterior-posterior (A/P) chest diameter Correct
Answer a)Decreased peak flow value from baseline
b)Worsening expiratory wheezing
c)New onset lethargy and confusion
, d)Change in sputum color and amount
Rationale: ABCs take priority, risk of complications with onset
confusion and lethargy left untreated, sputum color could
indicate an infection which should be treated as soon as possible
A client is brought to the emergency department with a burn
injury. The nurse knows that the first is systemic instability.
True/ False
ON QUIZ/EXAM Correct Answer True
A client with a superficial partial-thickness solar burn (sunburn)
of the chest, back, face, and arms is seen in urgent care. The
nurse's primary concern should be:
A. Pain management
B. Fluid resuscitation
C. Infection
D. Body image Correct Answer A.Pain management
Rationale: With a superficial partial-thickness burn such as a
solar burn, the nurse's main concern is pain management. In this
patient, fluid resuscitation, body image disturbance, and
infection are concerns; however they have a lower priority than
pain management.
A client with chronic obstructive pulmonary disease (COPD)
reports increased shortness of breath after a prolonged episode
of coughing. On assessment, the nurse notes an oxygen
saturation of 84%, asymmetrical chest movement, and decreased
breath sounds on the right side. Which condition should the
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