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Jameskiller Jameskiller
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Posts: 327
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6 years ago
The finding of normal breath sounds on the right side of the chest and absent breath sounds on the left side of the chest in a newly intubated patient is probably caused by a
 
  a. right mainstem intubation.
  b. left pneumothorax.
  c. right hemothorax.
  d. gastric intubation.

Question 2

Diminished to absent breath sounds on the right side, tracheal deviation to the left side, and asymmetrical chest movement are indicative of which of the following disorders?
 
  a. Tension pneumothorax
  b. Pneumonia
  c. Pulmonary fibrosis
  d. Atelectasis

Question 3

Patients with left-sided pneumonia may benefit from placing them in which of the following positions?
 
  a. Reverse Trendelenburg
  b. Supine
  c. On the left side
  d. On the right side

Question 4

The mean arterial pressure (MAP) is calculated by
 
  a. averaging three of the patient's blood pressure readings over a 6-hour period.
  b. dividing the systolic pressure by the diastolic pressure.
  c. adding the systolic pressure and two diastolic pressures and then dividing by 3 .
  d. dividing the diastolic pressure by the pulse pressure.

Question 5

A patient is being monitored by continuous ECG after placement of a transvenous pacemaker. Loss of capture  is seen on the ECG. Which nursing intervention may correct this situation?
 
  a. Position the patient on the left side.
  b. Decrease the milliamperes as ordered.
  c. Increase the rate as ordered.
  d. Monitor the patient in a different lead.
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Replies
wrote...
6 years ago
The answer to question 1

A
The finding of normal breath sounds on the right side of the chest and absent breath sounds on the left side of the chest in a newly intubated patient is probably caused by a right mainstem intubation.

The answer to question 2

A
Diminished to absent breath sounds on the right side, tracheal deviation to the left side, and asymmetrical chest movement are indicative of tension pneumothorax.

The answer to question 3

D
Patients with unilateral lung disease should be positioned with the healthy lung in a dependent position. Because gravity normally facilitates preferential ventilation and perfusion to the dependent areas of the lungs, the best gas exchange would take place in the dependent areas of the lungs. Thus, the goal of positioning is to place the least affected area of the patient's lung in the most dependent position. Patients with unilateral lung disease should be positioned with the healthy lung in a dependent position.

The answer to question 4

C
The mean arterial pressure is one-third systole and two-thirds diastole.

The answer to question 5

A
Loss of capture most often can be attributed either to displacement of the pacing electrode or to an increase in threshold as a result of drugs, metabolic disorders, electrolyte imbalances, or fibrosis or myocardial ischemia at the site of electrode placement. In many cases, increasing the output (mA) may elicit capture. For transvenous leads, repositioning the patient to the left side may improve lead contact and restore capture.
Jameskiller Author
wrote...
6 years ago
Perfect on my quiz, so smart <3
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