ATI Nur285 Med Surg Fall Exam | Nurselytic

Questions 49

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ATI Nur285 Med Surg Fall Exam Questions

Extract:

Nurse's Notes: Day 1, 1530: Client appears restless. SaO2 92% on 40% humidified oxygen via tracheostomy collar. Lung fields with scattered rhonchi throughout. Tracheostomy suctioned for thin clear secretions. Day 1, 1545: Client appears less anxious. SaO2 98% on 40% humidified oxygen via tracheostomy collar. Breath sounds clear throughout. Day 3, 1530: Client appears restless. Buccal mucosa dusky. SaO2 88% on 40% humidified oxygen via tracheostomy collar. Lung fields with coarse crackles, diminished at right lower lobe. Tracheostomy suctioned for thick yellow secretions. Day 3, 1545: Client continues to appear restless. SaO2 94% on 40% humidified oxygen via tracheostomy collar. Breath sounds with intermittent crackles, diminished at right lower lobe. Vital Signs: Day 1, 1530: Temperature 36.9° C (98.5° F), Heart rate 100/min, Respiratory rate 22/min, Blood pressure 124/74 mm Hg, SaO2 92 % on 40% humidified oxygen. Day 3, 1530: Temperature 39.4° C (103° F), Heart rate 106/min, Respiratory rate 24/min, Blood pressure 128/76 mm Hg, SaO2 88% on 40% humidified oxygen. Diagnostic Results: Chest x-ray: right lower lobe opacity.


Question 1 of 5

A nurse is caring for a client who has a tracheostomy. Drag words from the choices below to fill in each blank in the following sentence. The client has manifestations of..... and....

Correct Answer: B,D

Rationale: Fever, decreased oxygen saturation, crackles, and chest x-ray opacity indicate pneumonia; low SaO2 and respiratory distress suggest hypoxia.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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