Mr. Mettenberger is being discharged following his hospitalization for reexpansion

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Question 5

Mr. Mettenberger is

being discharged following his hospitalization for reexpansion of his second spontaneous pneumothorax this year. He has stopped smoking and does not appear to have any overt risk factors. While doing his discharge teaching, the AGACNP advises Mr. Mettenberger that his current risk for another pneumothorax is:

A. < 10%     B. 25-50%     C. 50-75%     D. > 90

 
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One of the earliest findings for a patient in hypovolemic shock is:

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Question 6

One of the earliest

findings for a patient in hypovolemic shock is:

A. A drop in systolic blood pressure (SBP) < 10 mm Hg for > 1 minute when sitting up     B. A change in mental status     C. SaO2 of < 88%     D. Hemoglobin and hematocrit (H&H) < 9 g/dL and 27%

 
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Traumatic diaphragmatic hernias present in both acute and chronic forms.

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Question 7

Traumatic

diaphragmatic hernias present in both acute and chronic forms. Patients with a more chronic form are most likely to be present with:

A. Respiratory insufficiency     B. Sepsis     C. Bowel obstruction     D. Anemia

 
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The AGACNP is managing a patient in the ICU who is being treated for a pulmonary embolus

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Question 8

The AGACNP is

managing a patient in the ICU who is being treated for a pulmonary embolus. Initially the patient was stable, awake, alert, and oriented, but during the last several hours the patient has become increasingly lethargic. At change of shift, the oncoming staff nurse appreciates a profound change in the patient’s mental status from the day before. Vital signs and hemodynamic parameters are as follows: BP 88/54 mm Hg Pulse 110 bpm Respiratory rate 22 breaths per minute SaO2 93% on a 50% mask Systemic vascular resistance (SVR) 1600 dynes ∙ sec/cm5 Cardiac index 1.3 L/min Pulmonary capillary wedge pressure (PCWP) 8 mm Hg This clinical picture is most consistent with which shock state?

A. Hypovolemic     B. Cardiogenic     C. Distributive     D. Obstructive

 
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