NR 283 Week 6 Exam 2 - Hot Topics

NR 283 Exam 2 Hot Topics The rule of nines helps to determine: Depth of burn injury. Infection in the patient. Number of organs involved. Total body surface area burned. On a patient's arterial blood gas (ABG) the nurse notes a decrease in the carbon dioxide level. What is most likely causing this to occur? Hyperventilation Loss of fluid volume Apnea Hypoventilation A patient experiencing hypercapnia can lead to which of the following complications? Decreased carbonic acid in the blood Decreased respirations and heart rate Respiratory acidosis A rise in the serum pH Your patient is a 10-year-old girl with a diagnosis of pneumonia. On arrival to the room the child is stating that it is difficult to breathe, she states “I feel like I can't get any air.” You note subcostal and intercostal retractions on your exam. You document that she is experiencing: Orthostatic hypertension Orthopnea Tachycardia Dyspnea A patient has a traumatic injury to the chest wall and lungs following a fall. The patient is now experiencing respiratory failure. What would the nurse expect to see in the labs? Elevated sodium levels on the comprehensive metabolic panel Increased hematocrit on the CBC Elevated PaCO2 on the ABG Elevated blood glucose levels A 50-year-old male presents to the ED with hypoxemia, hypotension and tracheal deviation to the left. The pulmonologist upon examination and review of tests reports that the air pressure in the pleural cavity exceeds barometric pressure in the atmosphere. What does the nurse suspect the patient is experiencing? Open pneumothorax Trauma to the chest wall Right side pleural effusion Tension pneumothorax A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply) Dyspnea Anemia Barrel chest Shallow respirations Bradycardia A nurse is caring for a patient with extensive burns to the anterior and posterior chest extending to the head and neck area. The burns are partial and full-thickness. While planning the patient’s care, the nurse should identify which of the following risks as the priority for assessment and intervention? Airway obstruction Scar prevention Infection Electrolyte changes A 54-year-old male presents to the ED with fever and difficulty breathing for the past 3 days. His vital signs are as follows: 102.2 degrees fahrenheit, HR 94, RR 28, and BP 124/78, oxygen saturation is 89% on room air. The physical exam by the nurse is positive for the decreased breath sounds to the right lower lobe and crackles to the left lower lobe. What does the nurse suspect the problem is? Pneumothorax Pneumonia Severe allergic Status asthmaticus A patient with asthma is experiencing increased airflow resistance and hypoventilation. The nurse knows the cause of this is: A result of debris entering the lungs. Decreased surfactant and alveolar cell injury. Mucous secretion, bronchoconstriction, and airway edema. Collapse of cartilaginous rings in the bronchi leading to inability of air to enter the lungs. A 5-year-old patient is diagnosed with acute leukemia. The patient will