The nurse is caring for a postoperative patient with an abdominal incision. The nurse provides a pillow to use during coughing. Which activity is the nurse promoting?

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Question 1 of 5

The nurse is caring for a postoperative patient with an abdominal incision. The nurse provides a pillow to use during coughing. Which activity is the nurse promoting?

Correct Answer: B

Rationale: Correct Answer: B - Splinting Rationale: 1. Splinting supports the incision site during coughing, reducing pain. 2. The pillow provides external support, decreasing strain on the incision. 3. By promoting splinting, the nurse helps prevent wound dehiscence. 4. Pain relief, distraction, and anxiety reduction are not the primary focus in this scenario.

Question 2 of 5

An adult asthma patient is experiencing laryngospasm and ineffective respirations, making orotracheal intubation impossible. So, you quickly decide to perform nasotracheal intubation. Which of the following tubes would be most appropriate for the procedure for an average height and weight adult?

Correct Answer: D

Rationale: The correct answer is D: Cuffed 7-8 mm endotracheal tube. Rationale: 1. Cuffed tubes provide a better seal in the trachea, reducing the risk of aspiration and air leak. 2. A larger diameter tube (7-8 mm) is more appropriate for an average adult, ensuring adequate airflow. 3. Nasotracheal intubation requires a tube with a cuff to prevent nasal secretions from entering the lungs. Summary: A: A cuffed tube is needed for nasotracheal intubation to prevent complications. The diameter is too small for an adult. B: An uncuffed tube may not provide a secure seal in the trachea, increasing the risk of aspiration. C: An uncuffed tube is not suitable for nasotracheal intubation in an adult due to the risk of air leak and aspiration.

Question 3 of 5

While administering normal saline to an adult patient experiencing hypovolemia, the medical command physician recommends the administration of warm normal saline, even though it is not a cold environment. Why would a physician (MCP) recommend warmed normal saline be administered to an adult hypovolemia patient?

Correct Answer: B

Rationale: The correct answer is B: To help maintain a normal body temperature during hypovolemia. Rationale: 1. When a patient is experiencing hypovolemia, their body is already under stress, potentially leading to a decrease in body temperature. 2. Administering warm normal saline helps prevent further cooling of the body and aids in maintaining a normal body temperature. 3. Maintaining normal body temperature is crucial for proper physiological functions and overall patient well-being during hypovolemia. Summary of other choices: A: Warm saline's temperature does not affect its affinity for oxygen transport. C: The energy required for warm saline to enter circulation is not significantly different from room temperature saline. D: Warm saline may slightly affect cardiac output due to temperature, but the primary reason for warming saline is to maintain body temperature in hypovolemia.

Question 4 of 5

Which of the following medications is used to prevent blood clot formation in patients with a-fib or pulmonary embolism, and decrease the risk of MI in patients with atherosclerosis as well as reduce the risk of stroke?

Correct Answer: C

Rationale: Rationale: Losartan is the correct answer as it is an angiotensin II receptor blocker that helps prevent blood clot formation by reducing vasoconstriction and aldosterone secretion. It is commonly used in patients with a-fib, pulmonary embolism, atherosclerosis, and stroke prevention. Summary of incorrect choices: A: Nitroglycerin is used to treat angina by dilating blood vessels, not preventing blood clot formation. B: Lotensin is an ACE inhibitor used for hypertension, not for preventing blood clots. D: Streptokinase is a thrombolytic agent used to dissolve blood clots, not prevent their formation.

Question 5 of 5

You are on-scene with a patient suspected of taking a large amount of meperidine hydrochloride. Which of the following interventions may be effective in reversing the adverse effects of the ingested medication?

Correct Answer: D

Rationale: The correct answer is D: Naloxone. Meperidine hydrochloride is an opioid analgesic. Naloxone is an opioid antagonist that can reverse the effects of opioids like meperidine by blocking opioid receptors. By administering naloxone, it can potentially reverse respiratory depression, sedation, and other adverse effects caused by the opioid overdose. Activated charcoal (choice A) is used to absorb toxins in the gastrointestinal tract, which is not effective for opioids. Atropine (choice B) is used for treating bradycardia and not specific to opioid overdose. Romazicon (choice C) is a benzodiazepine antagonist and not effective for opioid overdose.

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