A patient with chronic obstructive pulmonary disease requires ...

[tuffie]

A patient with chronic obstructive pulmonary disease requires intubation
 
  After the physician intubates the patient, the nurse auscultates for breath sounds. Breath sounds are questionable in this patient. Which action would best assist in determining endotracheal tube placement in this patient?
 
  a. Stat chest radiographic examination
  b. End-tidal CO2 monitor
  c. V/Q scan
  d. Pulmonary artery catheter insertion

Question 2

Surgical placement of a ventriculoperitonea l shunt is used to treat
 
  a. hyponatremia.
  b. intracerebral hemorrhage.
  c. spontaneous intracerebral hemorrhage.
  d. hydrocephalus.

[makaylafy]

Answer to Question 1

B
Although a stat chest radiography examination would be helpful, it has a long turnaround time, and the patient's respiratory status can deteriorate quickly. An end-tidal CO2 monitor gives an immediate response, and the tube can then be reinserted without delay if incorrectly placed. The other tests are not for endotracheal tube placement.

Answer to Question 2

D
Treatment for hydrocephalus consists of placing a drain to remove cerebrospinal fluid. This can be accomplished temporarily by inserting a ventriculostomy or permanently by placing a ventriculoperitonea l shunt. Treatment for hyponatremia is sodium replenishment with isotonic fluids.

[tuffie]

Excellent

[juliaf]

TYSM