NUR 2755 Multidimensional Care IV

MDC IV Exam 2

1) What is a classic sign of a flail chest?

A. Paradoxical chest movement

B. Cyanosis

C. Hypotension

D. Pain with exhalation

2) A disconnected ET tube from a ventilatory will sound a high alarm on the vent

- True

False

RATIONALE:

- False - a disconnection is a low alarm

3) To prevent a patient from getting VAP the nurse should include what in her patient's

care?

A. Perform mouth care q 12 hours

B. Suction q 1-2 hours around the clock

C. Elevate the head of the bed 30 degrees

D. Keep the patient on their left side

RATIONALE:

- Elevate the head of the bed 30 degrees

mouth care q 2 hours*

suction prn*

4) A post op patient complains of sudden SOB and pleuritis chest pain. What is the most

likely cause?

A. Pneumothorax

B. Pulmonary emboli

C. Heart attack

D. Congestive heart failure