Exam (elaborations) Exam 2 PN3.

1. A client who is being mechanically ventilated has positive end respiratory pressure (PEEP) set at 20 cm of water. Which of the following should the nurse assess for the client? Pneumothorax 2. A nurse is completing discharge teaching with a client who has a pacemaker. Which of the following statements by the client is correct? I will call my doctor about prolonged hiccups 3. In order to reduce afterload in a client with HTN and HF, the nurse will administer which IV medication? Nitroprusside 4. A client diagnosed with a-fib will most likely be placed on which two long term medications? Cardizem and anticoagulant 5. A client is complaining of dizziness and near syncope. The nurse’s assessment reveals the following: VS: B/P 80/40, HR: 36 RR: 12. Cardiac monitor shows this: strip. the nurse anticipates giving which one of the following medications? PAGE 674. Atropine 6. The nurse suspects a client is in left-sided HF when which of the following are assessed? Shortness of breath; rales, frothy sputum 7. A client is receiving an infusion of tissue plasminogen activator (t-PA). the client becomes disoriented to person, place, and time. What is the first action the nurse should take? INDICATOR FOR A MASSIVE MI Stop the infusion and call the provider 8. * Which of the following interventions are for a client diagnosed with a pneumothorax? SATA. Monitor respiratory and circulatory function, assess tracheal deviation, provide analgesics, insert chest tube 9. The nurse is caring for a client is caring for a client diagnosed with a STEMI. Select the interventions a nurse will expect to give. SATA. Oxygen Morphine Nitroglycerin Fibrinolytics 10. a client is getting weaned from the ventilator. Which setting will give partial support (continue to give ventilations and allow spontaneous breathing) and is used during the weaning process? SIMV 11. which lab value is most important to monitor for a client receiving a heparin infusion for tx of a PE? Activated partial thromboplasatin time 12. * a client in the critical care unit has an arterial line. The nurse is aware that an advantage to having an arterial line includes which one of following? Continuous BP monitoring 13. * respiratory distress caused by a wide spread inflammatory response, damaged alveoli, and decreased O2 saturations even with 100% is called? ARDS