WorksheetsClinical Seminar Group 4 Game Questions
Total questions: 16
Worksheet time: 14mins
The nurse cares for multiple patients on a critical care stepdown unit. Which of the following patients is at risk for developing nosocomial pneumonia?
A. The mechanically ventilated patient
B. The patient with a chest tube
C. The patient admitted for COPD exacerbation
D. The patient with a pneumothorax
What does a nurse expect to hear on a lung auscultation of a patient diagnosed with pneumonia?
crackles
stridor
rhonchi
wheezing
What transmission precautions are implemented in a patient with SARS? Explain the appropriate PPE.
Which of the following are indications for emergency intubation?
Respiratory failure and cool peripheries
Respiratory failure and severe illness of any cause
Respiratory failure and oliguria
Respiratory failure and low intracranial pressure
What pathological mechanism that occurs in the lungs allows pneumonia to occur?
Atelectasis
Effusion
Bronchiectasis
Inflammation
To verify correct placement of the endotracheal tube right after insertion, what should a nurse perform first?
Use an end-tidal CO2 monitor
Observe for respirations
Auscultate breath sounds
Chest x-ray
The nurse walks into a patient room and sees the patient holding the endotracheal tube, what should the nurse do initially?
Manually ventilate patient with 100% oxygen
Call Rapid Response Team
Reinsert the tube
Scream for help
What does the nursing care of a patient with an endotracheal tube look like? Give at least 3 answers.
A 65 year old female presents to the clinic and is diagnosed with bacterial pneumonia. Which of the findings are consistent with this diagnosis?
Tachycardia
Dyspnea
Temperature of 102
Profuse sweating
Persistent cough
Which of the following are potential complications associated with intubation?
Hypotension.
Raised intracranial pressure
Aspiration.
hypertension
A patient admitted with pneumonia complains of severe pain with their persistent cough. Which should the nurse advise the patient to improve comfort?
Position themselves in the left side-lying position
Show them how to splint their chest with a pillow
Allow the cough to run its course
Advise them to cough into a pillow
Which of the following symptoms of pneumonia would an elderly patient most likely exhibit first?
Altered mental status and dehydration
Nausea and vomiting
Fever and chills
Dyspnea on exertion
Where should the HOB of patient with an endotracheal tube be?
(a)
What is a late manifestation of severe acute respiratory syndrome (SARS)?
tachypnea
Restlessness
Cough
fever
A nurse is caring for a client on an endotracheal tube. What interventions should the nurse take to prevent the client from developing ventilator associated pneumonia?
Keep HOB 15 to 30 degrees
Keep HOB 30 to 45 degrees
Turn on side every 2 hours
Oral care with chlorhexidine every 4 hours with suctioning
Which of the following should the nurse assess for when the low-pressure alarm sounds on a ventilator?
Excessive airway secret
Pulmonary edema
ET tube displacement
kinks in the tube
