A patient is one day postoperative following an open thoracotomy. The patient is receiving oxygen mist at 40% by Venturi mask. The patient's ABG results are: pH 7.31, PaO2 93 mm Hg, PaCO2 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action for the nurse?

Elevate the patient in a high Fowler's position and encourage the use of an incentive spirometer and coughing.

Increase oxygen to 70%.

Switch oxygen to a rebreather mask.

Position the patient prone and have the respiratory therapist perform postural drainage.

Answer and Explanation

The Correct Answer is A

Choice A reason: Elevating the patient in a high Fowler's position can help improve lung expansion and oxygenation, and using an incentive spirometer along with coughing can help prevent atelectasis and pneumonia, which are common postoperative complications.

Choice B reason: Increasing oxygen to 70% without a specific indication could lead to oxygen toxicity, especially without assessing the patient's current oxygenation status.

Choice C reason: Switching to a rebreather mask is not indicated based on the given ABG results and could lead to CO2 retention.

Choice D reason: Positioning the patient prone and performing postural drainage are not typically first-line interventions for a patient one day post-thoracotomy and could be contraindicated due to the recent surgery.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Trousseau's sign is indicative of hypocalcemia and is elicited by inﬂating a blood pressure cuﬀ on the arm.

Choice B reason: Carpopedal spasm is a muscular spasm involving the hands and feet that can occur with hypocalcemia.

Choice C reason: Chvostek's sign is a facial twitching that occurs when tapping on the facial nerve in front of the ear, which can be a sign of hypocalcemia.

Choice D reason: Korsakoﬀ's psychosis is associated with chronic alcoholism and thiamine deficiency, not directly with hypocalcemia.

A. Encourage walking in the corridor soon. B. Ensure participation in the decision room. C. State the most important information. D. Share rational moments with writen and graphic aid including blue.

Correct Answer is C

Explanation

Choice A reason: Encouraging walking in the corridor soon after surgery is important for preventing complications, but it is not specific enough as an instruction for a teaching plan.

Choice B reason: Ensuring participation in the decision room is vague and does not provide clear guidance for preoperative teaching.

Choice C reason: Stating the most important information is crucial in a teaching plan to ensure that the patient understands key aspects of their care.

Choice D reason: Sharing rational moments with writen and graphic aid can be helpful, but the inclusion of 'including blue' is unclear and not a standard part of preoperative teaching.

Please note that these responses are based on general medical and nursing practices. Specific hospital policies and patient circumstances may vary.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient is one day postoperative following an open thoracotomy. The patient is receiving oxygen mist at 40% by Venturi mask. The patient's ABG results are: pH 7.31, PaO2 93 mm Hg, PaCO2 50 mm Hg, HCO3 25 mEq/L. Which of the following is an appropriate action for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a patient who has hypocalcemia. For which of the following signs should the nurse monitor?

Correct Answer is ["A","B","C"]

Explanation

A nurse is making a preoperative teaching plan for a patient. Which of the following actions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is collecting data on a patient who is experiencing hypovolemia. Which of the following findings should the nurse expect?

A nurse is caring for a patient who has dementia and is scheduled for a procedure. Which of the following individuals should the nurse request to help the patient give informed consent?

Based on the ABG results: pH 7.33, CO2: 50, HCO3: 22, what acid-base imbalance is present?

A patient's ABG results came back with the following values: pH 7.25, CO2 40, HCO3 22. How would you, as the nurse, interpret these results?

A nurse is caring for a patient who has respiratory alkalosis and hyperventilating. Which of the following interventions should the nurse implement?

When presenting about caring for patients who are receiving diuretic therapy, the nurse should explain that which of the following medications can put patients at risk for hyperkalemia?

A nurse is collecting data from a patient who has hypocalcemia. Which of the following findings should the nurse expect?

A nurse is collecting data from a patient who is postoperative following abdominal surgery. Which of the following findings should the nurse suspect deep vein thrombosis (DVT)?