NUR 421 Exam #3 Questions and Answers Latest 2025-2026
hypoventilation, headache, confused, low BP, V-fib, hypoxia - Answers What are the S&S of
respiratory acidosis?
hypoventilation, alcohol ingestion, carbon monoxide poisoning, PE, CF, chemical induced -
Answers What are the causes of respiratory acidosis?
lightheaded, dizzy, tachycardia, dysrhythmias, numbness/tingling - Answers What are the S&S of
respiratory alkalosis?
hyperventilation, liver failure - Answers What are the causes of respiratory alkalosis?
fatigue, confusion, cold & clammy skin, N/V, abdominal pain, deep & rapid respirations -
Answers What are the S&S of metabolic acidosis?
DKA, starvation, sepsis, dehydration, renal problems - Answers What are the causes of
metabolic acidosis?
N/V, tremors, confusion, tingling of fingers & toes, tachycardic - Answers What are the S&S of
metabolic alkalosis?
vomiting, NG suctioning, excessive NaHCO3 intake - Answers What are the causes of metabolic
alkalosis?
may need a PEG tube, bland foods are best, anticipate swallowing problems - Answers What are
the nutritional considerations with laryngeal cancer?
airway management, wound care, nutrition, communication, psychosocial issues, semi-fowlers
position, adequate fluid intake, cough & deep breathe - Answers What is involved with post-op
care from a radical neck dissection?
assess drainage for CAC, assess insertion site, document 2x per shift (most drainage should
occur the first 24hrs after surgery) - Answers What is involved with drainage from a radical neck
dissection?
removal of one entire lung - Answers What is a pneumonectomy?
have pt on operative side post op - Answers What is involved with post op care with a
pneumonectomy?
removal of one or more lobes of the lung - Answers What is a lobectomy?
removal of small, localized lesions that occupy only part of a segment - Answers What is a
wedge resection?
report hemoptysis, dysphagia, chest pain, hoarsness - Answers What pt edu is involved post
, lung surgery?
respiratory function rate and effort, breath sounds, septum color & volume, chest tube function
& drainage assessment, pain - Answers What is involved with the nursing assessment post op
from lung surgery?
drain & remove fluid or air from the pleural space, restore negative pressure, help lungs
reexpand - Answers What is the function of a chest tube?
collection; drained fluid is held here - Answers What does the 1st chamber of the chest tube do?
water seal; 2cm of water, tidying is present due to increased pleural pressure, bubbling indicates
a leak - Answers What does the 2nd chamber of the chest tube do?
suction control chamber; 20cm of water, should be bubbling - Answers What does the 3rd
chamber of the chest tube do?
CAC of drainage, assess for tidying, monitor water levels in suction chamber - Answers What is
involved with the assessment of the chambers of a chest tube?
don't clamp, monitor for reexpansion, pulmonary edema, hypotension, crepitus (air leaking
around tube) - Answers What are the considerations for pts. with chest tubes?
use ICS, cough deep breathe, ROM exercises - Answers What are the pt. edu with chest tubes?
painless lesions, leukopletcia, irritation that's persistent - Answers What are the early S&S of oral
cancer?
health hx., CT, MRI, PET, biopsy - Answers What are the diagnostics with oral cancer?
nutritional support/therapy, communication could be effected, psychosocial factors - Answers
What is involved with assessment/care for a pt. with oral cancer?
flank pain, CVA tenderness, abdominal pain, overall cancer symptoms - Answers What are the
late S&S with kidney cancer?
strict I&Os, elimination patterns, foley care, post-op care - Answers What is involved with
assessment for kidney cancer?
intravesical therapy - Answers What type of chemo can be used for bladder cancer?
implanted seeds for about 2 hrs, pt. must empty bladder prior and change positions q15mins
during instillation - Answers What is involved with intravesical therapy for bladder cancer?
irritavitve voiding symptoms - Answers What is common post intrevesical therapy?
should never be clamped/kinked/compressed, irrigation no more than 5ml, check catheter for
patency when excessive drainage is noted - Answers What is involved with care for
hypoventilation, headache, confused, low BP, V-fib, hypoxia - Answers What are the S&S of
respiratory acidosis?
hypoventilation, alcohol ingestion, carbon monoxide poisoning, PE, CF, chemical induced -
Answers What are the causes of respiratory acidosis?
lightheaded, dizzy, tachycardia, dysrhythmias, numbness/tingling - Answers What are the S&S of
respiratory alkalosis?
hyperventilation, liver failure - Answers What are the causes of respiratory alkalosis?
fatigue, confusion, cold & clammy skin, N/V, abdominal pain, deep & rapid respirations -
Answers What are the S&S of metabolic acidosis?
DKA, starvation, sepsis, dehydration, renal problems - Answers What are the causes of
metabolic acidosis?
N/V, tremors, confusion, tingling of fingers & toes, tachycardic - Answers What are the S&S of
metabolic alkalosis?
vomiting, NG suctioning, excessive NaHCO3 intake - Answers What are the causes of metabolic
alkalosis?
may need a PEG tube, bland foods are best, anticipate swallowing problems - Answers What are
the nutritional considerations with laryngeal cancer?
airway management, wound care, nutrition, communication, psychosocial issues, semi-fowlers
position, adequate fluid intake, cough & deep breathe - Answers What is involved with post-op
care from a radical neck dissection?
assess drainage for CAC, assess insertion site, document 2x per shift (most drainage should
occur the first 24hrs after surgery) - Answers What is involved with drainage from a radical neck
dissection?
removal of one entire lung - Answers What is a pneumonectomy?
have pt on operative side post op - Answers What is involved with post op care with a
pneumonectomy?
removal of one or more lobes of the lung - Answers What is a lobectomy?
removal of small, localized lesions that occupy only part of a segment - Answers What is a
wedge resection?
report hemoptysis, dysphagia, chest pain, hoarsness - Answers What pt edu is involved post
, lung surgery?
respiratory function rate and effort, breath sounds, septum color & volume, chest tube function
& drainage assessment, pain - Answers What is involved with the nursing assessment post op
from lung surgery?
drain & remove fluid or air from the pleural space, restore negative pressure, help lungs
reexpand - Answers What is the function of a chest tube?
collection; drained fluid is held here - Answers What does the 1st chamber of the chest tube do?
water seal; 2cm of water, tidying is present due to increased pleural pressure, bubbling indicates
a leak - Answers What does the 2nd chamber of the chest tube do?
suction control chamber; 20cm of water, should be bubbling - Answers What does the 3rd
chamber of the chest tube do?
CAC of drainage, assess for tidying, monitor water levels in suction chamber - Answers What is
involved with the assessment of the chambers of a chest tube?
don't clamp, monitor for reexpansion, pulmonary edema, hypotension, crepitus (air leaking
around tube) - Answers What are the considerations for pts. with chest tubes?
use ICS, cough deep breathe, ROM exercises - Answers What are the pt. edu with chest tubes?
painless lesions, leukopletcia, irritation that's persistent - Answers What are the early S&S of oral
cancer?
health hx., CT, MRI, PET, biopsy - Answers What are the diagnostics with oral cancer?
nutritional support/therapy, communication could be effected, psychosocial factors - Answers
What is involved with assessment/care for a pt. with oral cancer?
flank pain, CVA tenderness, abdominal pain, overall cancer symptoms - Answers What are the
late S&S with kidney cancer?
strict I&Os, elimination patterns, foley care, post-op care - Answers What is involved with
assessment for kidney cancer?
intravesical therapy - Answers What type of chemo can be used for bladder cancer?
implanted seeds for about 2 hrs, pt. must empty bladder prior and change positions q15mins
during instillation - Answers What is involved with intravesical therapy for bladder cancer?
irritavitve voiding symptoms - Answers What is common post intrevesical therapy?
should never be clamped/kinked/compressed, irrigation no more than 5ml, check catheter for
patency when excessive drainage is noted - Answers What is involved with care for
