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The patient is admitted to the ED with vomiting of bright red blood. Which info is
most important for the nurse to obtain during assessment?
Vital signs and symptoms of hypovolemia
History of prior
bleeding Medication
client is taking
Current medical
problems
(WORDED DIFFERENTLY ON TEST): A nurse is educating a patient in
anticipation of a procedure that will require a water-sealed chest
drainage system. What should the nurse tell the patient and the
family that this drainage system is used for?
A) Maintaining positive chest-wall pressure
B) Monitoring pleural fluid osmolarity
C) Providing positive intrathoracic pressure
NUR 4045 Adult Health 2 EXAM II Questions And Answers Rated
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,NUR 4045 Adult Health 2 EXAM II Questions And Answers Rated
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D) Removing excess air and fluid
(WORDED DIFFERENTLY ON TEST): A patient is exhibiting signs of a
pneumothorax following tracheostomy. The surgeon inserts a chest
tube into the anterior chest wall. What should the nurse tell the
family is the primary purpose of this chest tube?
A) To remove air from the pleural space
B) To drain copious sputum secretions
C) To monitor bleeding around the lungs
D) To assist with mechanical ventilation
Patient on PEEP (believe) experiencing ARDS (select all that apply)
a. Beta
blocker b.
Loop diuretic
c. Bronchodilator
d. Something else corticosterian
NUR 4045 Adult Health 2 EXAM II Questions And Answers Rated
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,NUR 4045 Adult Health 2 EXAM II Questions And Answers Rated
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Look it up
The nurse assists the provider with a liver biopsy at the bedside. Which position
does the nurse put the patient in after the biopsy?
Supine with head elevated on one
pillow Semi-fowlers with two
pillows under the leg
Right side lying with a folded towel under the puncture site
Left side lying with a small pillow under the puncture site
A patient is hospitalized for severe anorexia, fatigue, mild jaundice, hepatomegaly,
and abnormal liver function tests. The physician suspects viral hepatitis. In planning
care, which patient outcome does the nurse assign the highest priority?
Maintains adequate
nutrition Maintains usual
exercise regimen Adapts to
changes in appearance
Definitely identifies source of exposure to hepatitis virus
Select all the potential causes for hepatic inflammation (double check this answer)
Virus
Penicillin
Acetaminop
hen Alcohol
NUR 4045 Adult Health 2 EXAM II Questions And Answers Rated
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, NUR 4045 Adult Health 2 EXAM II Questions And Answers Rated
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Chocolate
A patient admitted to the hospital with a diagnosis of cirrhosis has a massive
ascites’s and difficulty breathing. The nurse performers which intervention as a
priority measure to assist the patient with breathing?
Reposition side to side every 2
hours Auscultate the lung
sounds every 4hours Encourage
deep breathing exercises Elevate
the head of the bed 60 degrees
A home health nurse visits a patient who was recently diagnosed with cirrhosis and
provides home care management instructions to the patient. Which statement by
the patient indicates the need for further instructions?
I will obtain adequate rest
I should monitor my weight regularly
I should include sufficient carbs in my diet
I will take acetaminophen (Tylenol) if I get a headache
The nurse administers lactulose to a patient with cirrhosis the patient complains of
diarrhea. The nurse explains that it is important to take the drug for which effect?
Prevention of
constipation
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