Respiratory and Hematology

A patient in sickle cell crisis is started on patient-controlled analgesia (PCA) . What is the most important nursing intervention for a patient on a PCA?

• Monitor O2 sat q 2 hours

• Administer supplemental O2

• Use oral analgesics for breakthrough pain

• Monitor end-tidal CO2

Ph: 7.55 CO2: 21 HCO3: 24

• Uncompensated

  Resp

  Alkalosis

• Partial compensation

  Metabolic

  Acidosis

• Partial Compensation

  Resp

  Acidosis

• Uncompensated

  Metabolic

  Alkalosis

What type of heart failure are COPD patients at risk for developing?

• Systolic

• Diastolic

• Left-sided

• Cor Pulmonale

True or False, patients that quit smoking can reverse their symptoms of COPD

• True

• False

• Perhaps

• Doubtful

Which of the following is most often associated with acute leukemia?

• Erythrocytosis and Thrombocytosis

• Neutropenia and thrombosis

• Anemia and low platelets

• Lymphocytosis and low platelets

All of the following interventions will help prevent aspiration pneumonia EXCEPT what?

• Having patient sit in chair for meals

• Promote rest by allowing patient to lay down after lunch

• Follow diet modifications

• Speech therapy consult

A nurse is administering blood to a patient that suddenly complains of severe back pain. What is the nurse's priority intervention?

• Notify the provider

• Administer analgesic medication

• Reposition the patient

• Stop the transfusion

True or False, A patient can be on a heparin infusion and receive po warfarin

• True

• False

• I think I need more information

• I need a hint

All of the following will decrease the risk of developing atelectasis EXCEPT?

• Using the incentive spirometer once daily

• Ambulating patient 3 times daily

• Coughing

• Oral Care

Which patient symptoms would alert the nurse that the patient may have tuberculosis?

• Diminished lung sounds, increased appetite

• Thick yellow sputum, high fever

• Blood-tinged sputum, night sweats, fatigue

• Non-productive cough, weight gain