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One day following posterior spinal B. A pulmonary embolus
fusion surgery a 35 year old female
suddenly exhibits restlessness,
labored breathing and acute chest
pain. Her heart rate is 122/min., she is
afebrile, and exhibits slightly
diminished breath sounds on the
right side.
The findings described above should
lead the nurse to suspect that the
patient has developed:
A. A spontaneous pneumothorax
B. A pulmonary embolus
C. Aspiration pneumonia
D. A pleural effusion
,One day following posterior spinal A. Pulmonary radioisotope scan
fusion surgery a 35 year old female
suddenly exhibits restlessness,
labored breathing and acute chest
pain. Her heart rate is 122/min., she is
afebrile, and exhibits slightly
diminished breath sounds on the
right side.
Which of the following will most
likely confirm the patient's diagnosis?
A. Pulmonary radioisotope scan
B. Echocardiogram
C. Cardiac enzyme studies
D. Chest x-ray and arterial blood
gases
The nursing staff does not wish to be D. Alternate the patient assignment among the
assigned a difficult patient who nursing staff.
continues to demonstrate disorderly
behavior. Which of the following is
an acceptable solution?
A. Request the family control the
patient's behavior.
B. Transfer the patient
C. The patient assignment should be
decided by the Charge Nurse.
D. Alternate the patient assignment
among the nursing staff.
, A patient who is 72 hours A. Acute respiratory distress syndrome
postoperative repair of a bowel
obstruction suddenly demonstrates
shortness of breath and his
respiratory rate increases from 22 to
45/min. His SpO2 went from 95% to
88% acutely. An arterial blood gas
sample obtained while the patient is
receiving oxygen via a nasal cannula
at 6L/min reveals the following
results:
pH 7.40
pCO2 27
pO2 50
A chest x-ray is obtained and a
"ground-glass-like appearance" is
reported. Auscultation of the lungs
reveals diffuse crackles that were not
present previously.
The findings described above should
lead the nurse to believe that the
patient has:
A. Acute respiratory distress
syndrome
B. A pulmonary embolus
C. A spontaneous pneumothorax
D. Aspiration pneumonia