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NSG 4100 (AH III) Exam 3 questions with complete solutions 2024
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NSG 4100 (AH III) Exam 3 questions with complete solutions 2024
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NSG 4100 (AH III) Exam 3 questions withcomplete solutions 2024
The jnurse jcaring jfor ja jpt jw/ jand jendotracheal jtube jrecognizes jseveral
jdisadvantages jof jan jendotracheal jtube. jWhat jwould jthe jnurse jrecognize jas ja
jdisadvantage?
a. jcognition jis jdecreased
b. jDaily jABGs jare jnecessary
c. jslight jtracheal jbleeding jis janticipated
d. jthe jcough jreflex jis jdepressed j- jANS✓✓-D
What jwould jthe jcritical jcare jnurse jrecognize jas ja jcondition jthat jmay jindicate ja
jpt's jneed jto jhave ja jtracheotomy?
a. ja jpt jhas ja jrespiratory jrate jof j10 jbreaths/min
b. ja jpt jrequired jpermanent jventilation
c. ja jpt jexhibits jsx jof jdyspnea
d. ja jpt jhas jrespiratory jacidosis j- jANS✓✓-B
The jnurse jis jcaring jfor ja jpt jwho jis jscheduled jto jhave ja jthoracotomy. jWhen
jplanning jpreoperative jteaching, jwhat jinfo jshould jthe jnurse jcommunicate jto jthe
jpt?
a. jhow jto jmilk jthe jchest jtubing
b. jhow jto jsplint jthe jincision jwhen jcoughing
c. jhow jto jtake jprophylactic jantibiotics jcorrectly
d. jhow jto jmanage jthe jneed jfor jfluid jrestriction j- jANS✓✓-B
A jnurse jis jeducating ja jpt jin janticipation jof ja jprocedure jthat jwill jrequire ja
jwater-sealed jchest jdrainage jsystem. jWhat jshould jthe jnurse jtell jthe jpt jand jthe
jfamily jthat jthis jdrainage jsystem jis jused jfor?
a. jmaintaining ja jpositive jchest-wall jpressure
b. jmonitoring jpleural jfluid josmolarity
,c. jproviding jpassive jintrathoracic jpressure
d. jremoving jexcess jair jand jfluid j- jANS✓✓-D
A jpt jis jexhibiting jsigns jof ja jpneumothorax jfollowing jtracheostomy. jThe
jsurgeon jinserts ja jchest jtube jinto jthe janterior jchest jwall. jWhat jshould jthe
jnurse jtell jthe jfamily jis jthe jprimary jpurpose jof jthis jchest jtube?
a. jto jremove jair jfrom jthe jpleural jspace
b. jto jdrain jcopious jsputum jsecretions
c. jto jmonitor jbleeding jaround jthe jlungs
d. jto jassist jwith jmechanical jventilation j- jANS✓✓-A
A jpt's jplan jof jcare jspecifies jpostural jdrainage. jWhat jaction jshould jthe jnurse
jperform jwhen jproviding jthis jnoninvasive jtherapy?
a. jadminister jthe jtx jw/ jthe jpt jin ja jhigh jFowler's jor jsemi-fowlers jposition
b. jperform jthe jprocedure jimmediately jfollowing jthe jpt's jmeals
c. japply jpercussion jfirmly jto jbare jskin jto jfacilitate jdrainage
d. jassist jthe jpt jinto ja jposition jthat jwill jallow jgravity jto jmove jsecretions j-
jANS✓✓-D
While jassessing jthe jpt, jthe jnurse jobserves jconstant jbubbling jin jthe jwater-seal
jchamber jof jthe jpt's jclosed jchest-drinagae jsystem. jWhat jshould jthe jNurs
jconclude?
a. jthe jsystem jis jfunctioning jnormally
b. jpt jhas ja jpneumothorax
c. jsystem jhas ja jleak
d. jchest jtube jis jobstructed j- jANS✓✓-C
The jnurse jhas jadmitted ja jpt jwho jis jscheduled jfor ja jthoracic jresection. jThe
jnurse jis jproviding jpreoperative jteaching jand jis jdiscussing jseveral jdiagnostic
jstudies jthat jwill jbe jrequired jprior jto jsurgery. jWhich jstudy jwill jbe jperformed jto
jdetermine jwhether jthe jpanned jresection jwill jleave jsufficient jfunctioning jlung
jtissue?
a. jpulmonary jfunction jstudies
b. jexercise jtolerance jtests
c. jarterial jblood jgas jvalues
d. jchest jx-ray j- jANS✓✓-A
The jnurse jis jdiscussing jactivity jmanagement jw/ ja jpt jwho jis jpostoperative
jfollowing jthoracotomy. jWhat jinstructions jshould jthe jnurse jgive jto jthe jpt
jregarding jactivity jimmediately jfollowing jdischarge?
a. jwalk j1 jmile j3-4x ja jweek
,b. juse jwights jdaily jto jincrease jarm jstrength
c. jwalk jon ja jtreadmill j30min jdaily
d. jperform jshoulder jexercises j5x jdaily j- jANS✓✓-D
The jOR jnurse jis jsetting jup ja jwater-seal jchest jdrainage jsystem jfor ja jpt jwho
jhas jjust jhad ja jthoracotomy. jThe jnurse jknows jthat jthe jamount jof jsuction jin jthe
jsystem jis jdetermined jby jthe jwater jlevel. jAt jwhat jsuction jlevel jshould jthe
jnurse jset jthe jsystem?
a. j20 jcm jH2O
b. j15 jcm jH2O
c. j10 jcm jH2O
d. j5 jcm jH2O j- jANS✓✓-A
The jnurse jis jcaring jfor ja jclient jw/ jand jendotracheal jtube jwho jis jon ja jventilator.
jWhen jassessing jthe jclient, jthe jnurse jknows jto jmaintain jwhat jcuff jpressure jto
jmaintain jappropriate jpressure jon jthe jtracheal jwall?
a. jbetween j10-15 jmm jHg
b. jbetween j15-20 jmm jHg
c. jbetween j20-25 jmm jHg
d. jbetween j25-30 jmm jHg j- jANS✓✓-B
A jnurse jeducator jis jreviewing jthe jindications jfor jchest jdrainage jsystems jw/ ja
jgroup jof jmedical jnurses. jWhat jindications jshould jthe jnurses jidentify? jSelect
jall jthat japply.
a. jpost jthoracotomy
b. jspontaneous jpneumothorax
c. jneed jfor jpostural jdrainage
d. jchest jtrauma jresulting jin jpneumothorax
e. jpleurisy j- jANS✓✓-A, jB, jD
The jhome jcare jnurse jis jvisiting ja jpt jnewly jdischarged jhome jafter ja jlobectomy.
jWhat jwould jbe jmost jimportant jfor jthe jhome jcare jnurse jto jassess?
a. jresumption jof jthe jpt's jADLs
b. jthe jfamily's jwillingness jto jcare jfor jthe jpt
c. jnutritional jstatus jand jfluid jbalance
d. js/s jof jrespiratory jcomplications j- jANS✓✓-D
A jpt jis jbeing jadmitted jto jthe jpreoperative jholding jarea jfor ja jthoracotomy.
jPreoperative jteaching jincludes jwhat?
a. jcorrect juse jof ja jventilator
b. jcorrect juse jof jincentive jspirometry
, c. jcorrect juse jof ja jmini-nebulizer
c. jcorrect jtechnique jfor jrhythmic jbreathing j- jANS✓✓-B
A jnurse jis jteaching ja jpt jhow jto jperform jflow jtype jincentive jspirometry jprior jto
jhis jscheduled jthoracic jsurgery. jWhat jinstruction jshould jthe jnurse jprovide jto
jthe jpt?
a. jhold jthe jspirometer jat jyour jlips jand jbreathe jin jand jout jlike jyou jnormally
jwould
b. jwhen jyou're jready, jblow jhard jinto jthe jspirometer jfor jas jlong jas jyou jcan
c. jtake ja jdeep jbreath jand jthen jblow jshort, jforceful jbreaths jinto jthe jspirometer
d. jbreathe jin jdeeply jthrough jthe jspirometer, jhold jyour jbreath jbriefly, jand jthen
jexhale j- jANS✓✓-D
The jnurse jis jassessing ja jpt jwho jhas ja jchest jtube jin jplace jfor jthe jtreatment jof
ja jpneumothorax. jThe jnurse jobserves jthat jthe jwater jlevel jin jthe jwater jseal
jrises jand jfalls jin jrhythm jw/ jthe jpt's jrespiration's. jHow jshould jthe jnurse jbest
jrespond jto jthis jassessment jfinding?
a. jgently jreinsert jthe jchest jtube j1-2cm jand jobserve jif jthe jwater jlevel jstabilizes
b. jinform jthe jphysician jproperty jthat jthere jis jan jimminent jleak jin jthe jdrainage
jsystem
c. jencourage jpt jto jdo jdeep jbreathing jand jcoughing jexercises
d. jdocument jthat jthe jchest jdrainage jis joperating jas jit jis jintended j- jANS✓✓-D
The jhome jcare jnurse jis jassessing jthe jhome jenvironment jof ja jpt jwho jwill jbe
jdischarged jfrom jthe jhospital jshortly jafter jhis jlaryngectomy. jThe jnurse jshould
jinform jthe jpt jthat jhe jmay jneed jto jarrange jfor jthe jinstallation jof jwhich jsystem
jin jhis jhome?
a. ja jhumidification jsystem
b. jan jair jconditioning jsystem
c. ja jwater jpurification jsystem
d. ja jradiant jheating jsystem j- jANS✓✓-A
The jnurse jis jcaring jfor ja jpt jwhose jrecent junexplained jweight jloss jand jhx jof
jsmoking jhave jprompted jdiagnostic jtesting jfor jcancer. jWhat jsx jis jmost jclosely
jassociated jw/ jthe jearly jstages jof jlaryngeal jcaner?
a. jhoarseness
b. jdyspnea
c. jdysphagia
d. jfrequent jnosebleeds j- jANS✓✓-A
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