g g g g
Surgical Nursing In Canada, g g g
Whichgstatementgbygthegnursegtogthegpatient'sgcaregivergaboutgthegpurposeg
ofgpositivegend-expiratorygpressureg(PEEP)gisgaccurate?
A.) "PEEPgpreventsgtheglunggairgsacsgfromgcollapsinggduringgexhalation."
B.) "PEEPgallowsgthegbreathinggmachinegtogdeliverg100%gO2gtogtheglungs."
C.) "PEEPgwillgpreventglunggdamagegwhilegthegpatientgisgongthegventilator."
D.) "PEEPgwillgpushgmoregairgintogtheglungsgduringginhalation."g-gANSWER
✔️gA.)"PEEPgpreventsgtheglunggairgsacsgfromgcollapsinggduringgexhalation."
Agpatientgwithgchronicgobstructivegpulmonarygdiseaseg(COPD)garrivesgingthe
gemergencygdepartmentgreportinggshortnessgofgbreathgongminimalgexertion.
gWhichgassessmentgfindinggbygthegnursegwouldgbegmostgimportantgtogreport
gtogtheghealthgcaregprovider?
A.) Thegpatient'sgrespiratorygrategisg10gbreaths/min.
B.) Thegpatientgisgsittinggingthegtripodgposition.
C.) Thegpatient'sgpulsegoximetrygshowsgag91%gO2gsaturation.
D.) Thegpatientghasgbibasilarglunggcrackles.g-
gANSWERg✔️gA.)gThegpatient'sgrespiratorygrategisg10gbreaths/min.
Thegnursegobservesgagnewgonsetgofgagitationgandgconfusiongingagpatientgwith
gchronicgobstructivegpulmonarygdiseaseg(COPD).gWhichgactiongwouldgthegnu
rsegtakegfirst?
,A.) Assessgoxygenationgusinggpulsegoximetry.
B.) Notifygtheghealthgcaregprovider.
C.) Testgforgfacialgsymmetry.
D.) Attemptgtogcalmgandgreorientgthegpatient.g-
gANSWERg✔️gA.)gAssessgoxygenationgusinggpulsegoximetry.
Whichgdiagnosticgtestgwouldgprovidegthegnursegwithgthegmostgspecificginform
ationgtogevaluategthegeffectivenessgofginterventionsgforgagpatientgwithgventilat
orygfailure?
A.) Arterialgbloodggases
B.) Centralgvenousgpressure
C.) O2gsaturation
D.) Chestgx-rayg-gANSWERg✔️gA.)gArterialgbloodggasses
Agnursegisgcaringgforgagpatientgwithgrightglowerglobegpneumoniagwhogisgobes
e.gWhichgpositiongwillgprovidegthegbestggasgexchange?
A.) Ongthegleftgside
B.) Ongthegrightgside
C.) Ingthegtripodgposition
D.) Ingtheghigh-Fowler'sgpositiong-gANSWERg✔️gA.)gOngthegleftgside
,Agpatientgwithgacutegrespiratorygdistressgsyndromeg(ARDS)gandgacutegkidn
eyginjuryghasgseveralgdrugsgprescribed.gWhichgdruggwouldgthegnursegdiscus
sgwithgtheghealthgcaregprovidergbeforeggiving?
A.) Vancomycing(Vancocin)
B.) Methylprednisoloneg (Solu-Medrol)
C.) Pantoprazoleg(Protonix)
D.) Sucralfateg(Carafate)g-gANSWERg✔️gA.)gVancomycin
Pronegpositioninggisgbeinggusedgforgagpatientgwithgacutegrespiratorygdistress
gsyndromeg(ARDS).gWhichginformationgobtainedgbygthegnursegindicatesgtha
tgthegpositioninggisgeffective?
A.) Thegpatient'sgPaO2gisg89gmmgHg,gandgthegSaO2gisg91%.
B.) Thegskingongthegpatient'sgbackgisgintactgandgwithoutgredness
C.) Endotrachealgsuctioninggresultsgingcleargmucousgreturn.
D.) Sputumgandgbloodgculturesgshowgnoggrowthgafterg48ghoursg-gANSWER
✔️gA.)gThegpatient'sgPaO2gisg89gmmgHg,gandgthegSaO2gisg91%.
Agnursegisgcaringgforgagpatientgwhogisgorallygintubatedgandgreceivinggmechan
icalgventilation.gTogdecreasegthegriskgforgventilator-
associatedgpneumonia,gwhichgactiongwillgthegnursegincludegingthegplangofgcar
e?
A.) Elevategheadgofgbedgtog30gtog45gdegrees.
B.) Limitgthegusegofgpositivegend-expiratorygpressure.
, C.) Suctiongthegendotrachealgtubegeveryg2gtog4ghours.
D.) Givegenteralgfeedingsgatgnogmoregthang10gmL/hr.g-
gANSWERg✔️gA.)gElevategheadgofgbedgtog30gtog45gdegrees.
Agpatientgadmittedgwithgacutegrespiratorygfailuregisgunablegtogcleargthickgsec
retionsgfromgthegairway.gWhichgnursingginterventiongwouldgspecificallygaddre
ssgthisgpatientgproblem?
A.) Offergthegpatientgfluidsgatgfrequentgintervals.
B.) Encouragegusegofgthegincentivegspirometer.
C.) TitrategoxygenglevelgtogkeepgO2gsaturationgaboveg93%.
D.) Teachgthegpatientgthegimportancegofgambulation.g-
gANSWERg✔️gA.)gOffergthegpatientgfluidsgatgfrequentgintervals.
Aftergreceivinggchange-of-
shiftgreportgongagmedicalgunit,gwhichgpatientgwouldgthegnursegassessgfirst?
A.) Agpatientgwithgsepticemiagwhoghasgintercostalgandgsuprasternal
gretractions
B.) Agpatientgwithgcysticgfibrosisgwhoghasgthick,ggreen-coloredgsputum
C.) Agpatientgwithgpneumoniagwhoghasgcracklesgbilaterallygingtheglunggbases
D.) Agpatientgwithgemphysemagwhoghasgangoxygengsaturationgofg90%gtog9
2%g-
gANSWERg✔️gA.)gAgpatientgwithgsepticemiagwhoghasgintercostalgandgsupraste
rnalgretractions