Med Surg 2 Proctored Exam

Which of the following complications is associated with mechanical ventilation? Select all that apply

Which one of the following assessments is most appropriate for determining the correct placement of an endotracheal tube in a mechanically ventilated client?

The nurse is caring for a client with cardiogenic shock. Which information obtained by the nurse would best suggest the patient is developing multiple organ dysfunction syndrome (MODS)?

A client with acute respiratory distress syndrome (ARDS) has fine crackles at lung bases and the respirations are shallow at a rate of 28 breaths/minute. The client is restless and anxious. In additio

Which of the following interventions would be most likely to prevent the development of acute respiratory distress syndrome (ARDS)?

Which of the following conditions can place a client at risk for acute respiratory distress syndrome (ARDS)?

The nurse is caring for a client diagnosed with septic shock. Which finding would lead the nurse to suspect the client is developing disseminated intravascular coagulation (DIC)?

A 32-year-old client with a history of asthma presents to the emergency department in severe respiratory distress. The client is using accessory muscles, is unable to speak in complete sentences, and

The nurse is teaching a group of staff nurses about risk factors associated with developing a pulmonary embolism. Which of the following conditions would the nurse include in the teaching? Select all

The nurse is caring for a client with pulmonary embolism who is receiving enoxaparin. Which of the following actions should the nurse include in the plan of care?

The nurse is caring for a client with a pneumothorax who has a chest tube connected to a closed drainage system with suction. Which of the following actions should the nurse include in the plan of car

The nurse is teaching a group of staff nurses about complications associated with a tracheostomy. Which of the following conditions would the nurse include? Select all that apply

The nurse is teaching the spouse of a client on mechanical ventilation about measures to prevent ventilator associated pneumonia. Which of the following statements by the family would indicate to the

The nurse is assessing a client with rib fractures. Which of the following findings would indicate that the client is developing a tension pneumothorax?

The nurse is caring for a client with severe bleeding from a wound. Which of the following intravenous solutions would the client most likely receive initially?

The nurse is caring for a client with an open wound on the right thigh that is bleeding profusely. Which of the following actions should the nurse take first?

The nurse is admitting a client to the emergency department (ED) who was in a motor vehicle collision and has multiple traumatic injuries. Which of the following assumptions is a priority guiding prin

The nurse is caring for a client who is being admitted to the emergency department with a body temperature of 105.2" F (40.7° C). Which of the following actions should the nurse take first?

The nurse is caring for a client in the emergency room who has been diagnosed with shock. The client has a history of an abscessed tooth that has not yet been removed. Which type of shock does the nur

The nurse is caring for an 87-year-old client who is admitted with manifestations of shock. Which of the following findings would the nurse identify as characteristics of older adults with shock? Sele

The nurse is assessing a client who is in shock. Which of the following findings would indicate to the nurse that the client is entering an irreversible stage?

A client is on mechanical ventilator settings that include the use of PEEP (positive end-expiratory pressure). Which finding indicates the client is developing a complication related to this therapy a

The nurse is caring for a client with a chest tube connected to gravity drainage. Which of the following statements would the nurse identify as the purpose of the water seal?

A nurse is field-triaging clients after an industrial accident. Which client condition would the nurse triage with a red tag?

A 72-year-old client is admitted from a skilled nursing facility with altered mental status and a productive cough. The nurse performs an assessment and documents the following findings: Temperature 1