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Exam Solution zm
RN Targeted Medical Surgical Respiratory Online 2026
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A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
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FIED ANSWERS (161B4) zm zm
QUESTION 1 zm
A nurse in the emergency department is caring for a client who is experiencing a pul
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monary embolism. Which of the following actions should the nurse take first?
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ANSWER
Apply supplemental oxygen. When using the airway, breathing, circulation approach to client care, th
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e greatest risk to the client is severe hypoxemia. Therefore, the first action the nurse should take is
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to apply supplemental oxygen.
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QUESTION 2 zm
A nurse working in the emergency department is caring for a client following an acut
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e chest trauma. Which of the following findings indicates to the nurse the client is pos
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sibly experiencing a tension pneumothorax?
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ANSWER
Tracheal deviation to the unaffected side The nurse should recognize that deviation of the trachea to
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the unaffected side is a possible indicator that the client is experiencing a tension pneumothorax. A
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mtension pneumothorax results from free air filling the chest cavity, causing the lung to collapse and
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forcing the trachea to deviate to the unaffected side.
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QUESTION 3 zm
A charge nurse is caring for a client who is in respiratory distress and requires endot
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racheal suctioning. Which of the following actions should the nurse take?
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ANSWER
"I will use a rotating motion when removing the suction catheter." The nurse should rotate the sucti
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on catheter during withdrawal to remove secretions from the sides of the airway.
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Exam Solution zm
RN Targeted Medical Surgical Respiratory Online 2026
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A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
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FIED ANSWERS (161B4) zm zm
QUESTION 1 zm
A nurse in the emergency department is caring for a client who is experiencing a pul
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monary embolism. Which of the following actions should the nurse take first?
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ANSWER
Apply supplemental oxygen. When using the airway, breathing, circulation approach to client care, th
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e greatest risk to the client is severe hypoxemia. Therefore, the first action the nurse should take is
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to apply supplemental oxygen.
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QUESTION 2 zm
A nurse working in the emergency department is caring for a client following an acut
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e chest trauma. Which of the following findings indicates to the nurse the client is pos
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sibly experiencing a tension pneumothorax?
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ANSWER
Tracheal deviation to the unaffected side The nurse should recognize that deviation of the trachea to
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the unaffected side is a possible indicator that the client is experiencing a tension pneumothorax. A
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mtension pneumothorax results from free air filling the chest cavity, causing the lung to collapse and
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forcing the trachea to deviate to the unaffected side.
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QUESTION 3 zm
A charge nurse is caring for a client who is in respiratory distress and requires endot
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racheal suctioning. Which of the following actions should the nurse take?
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ANSWER
"I will use a rotating motion when removing the suction catheter." The nurse should rotate the sucti
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on catheter during withdrawal to remove secretions from the sides of the airway.
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