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ATI Med Surg Nurs 300 Day Exam 4 Questions

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Question 1 of 5

The nurse is caring for a client with respiratory failure. The client is lethargic and slow to follow commands. Current vital signs are: BP 88/52, pulse 132, respirations 8, and SPO2 84% on 35% Venturi mask. The nurse would anticipate which medical prescription?

Correct Answer: A

Rationale: Severe respiratory distress and low SpO2 despite oxygen therapy indicate the need for intubation and mechanical ventilation.

Question 2 of 5

The nurse is caring for a client diagnosed with acute respiratory failure. The client now requires ventilator support. What is the goal of treatment at this time? A/An:

Correct Answer: C

Rationale: The primary goal in acute respiratory failure is to maintain adequate oxygenation, with a target O2 saturation of at least 94%.

Question 3 of 5

A client with a medical diagnosis of acute respiratory distress syndrome (ARDS) is being placed in the prone position. The nurse explains to family members that, 'This will help improve ventilation by:

Correct Answer: A

Rationale: Prone positioning improves ventilation in ARDS by allowing better airflow to less-damaged posterior lung regions, enhancing oxygenation.

Question 4 of 5

The nurse is analyzing a client's arterial blood gas (ABG) values with the following results: pH 7.44, PaCO2 30 mmHg, Pa02 90 mmHg, and HCO3 18mEg/L. Which acid base Imbalance should the nurse associate with these results?

Correct Answer: B

Rationale: Normal pH (7.44), low HCO3 (18 mEq/L), and low PaCO2 (30 mmHg) indicate partially compensated metabolic acidosis with respiratory compensation.

Question 5 of 5

The client tells the nurse, 'My physician told me that I had a non-ST elevation myocardial infarction (NSTEMI). ' I thought all heart attacks were the same. Can you explain this to me?' The nurse's best response to the client's question would be: 'NSTEMI is

Correct Answer: D

Rationale: NSTEMI involves partial coronary blockage and is less severe than STEMI, which involves full blockage and ST elevation on ECG.

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