What nursing action takes priority for Mr. Alexander intubated for pneumonia?

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Free Medical Surgical Certification Practice Questions Questions

Question 1 of 9

What nursing action takes priority for Mr. Alexander intubated for pneumonia?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 9

What can be a cause of hyperkalemia?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 9

What medication would be expected for Mrs. West’s pain relief?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

A client is receiving oxygen therapy via nasal cannula. Which finding indicates that the therapy is effective?

Correct Answer: A

Rationale: The correct answer is A because the ability to ambulate without dyspnea indicates effective oxygen therapy. When a client can move without experiencing difficulty breathing, it suggests that the oxygen therapy is adequately supporting their oxygenation needs. In contrast, options B, C, and D do not directly indicate the effectiveness of oxygen therapy. Option B (respiratory rate of 24 breaths per minute) may be within normal range but does not confirm the therapy's efficacy. Option C (oxygen saturation of 92%) is below the desired range of 95-100%, indicating inadequate oxygenation. Option D (productive cough) is unrelated to the assessment of oxygen therapy effectiveness.

Question 5 of 9

How are pulse rate, volume, and rhythm used to identify the severity of shock and estimate the approximate reduction in blood volume?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

Mr. Woodring has had a stapedectomy. On his first postoperative day, he tells the nurse he is dizzy and has ringing in his ears. Your assessment would be that these symptoms are

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:

Correct Answer: D

Rationale: The wound is not infected. An infected wound would contain pus, debris, and exudate. A necrotic wound would appear black or brown. The wound is healing properly. It is filled with red granulated tissue and fragile capillaries. A necrotic wound would appear black or brown. The wound is healing properly. It is filled with red granulated tissue and fragile capillaries.

Question 8 of 9

What should the nurse request Mr. Ross to do while assisting him to cough and deep breathe postoperatively?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

Describe the physiologic stress response.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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