Adult II Final Flashcards
The nurses recognize the importance of testing intraocular pressure in the diagnosis of which disorder
Glaucoma
The nurse assesses several patients in the outpatient clinic, which pt has the greatest risk for developing cancer
Farmer
The nurse is constructing a teaching plan about fatigue management for a pt who is taking radiation treatments. Which information should the nurse include?
Prioritize activities and alternate rest with periods of activity
Nurse is providing discharge education to a pt and family after cataract surgery which includes which of these?
Use sunglasses
Nurse reviewing a pts chart and notes pt’s vision in his left eye is 20/70 uses information to make which interpretation of the patient’s vision
Or can read the line on the chart labeled 70 and 20 ft
Nurse recognizes that smoking is a prompter that although not a carcinogen itself, allows cancer to occur
Heavy alcohol intake
Pt arrives at ED via EMS w/ stroke-like symptoms, from the time the pt arrives at the hospital how much time should be given to get the pt to CT?
25 minutes
The nurse is caring for a pt who has had a cochlear implant. The nurse understands cochlear implants are appropriate for which type of hearing loss?
Sensorineural hearing loss
Pt who is post op after esophageal resection. Shortly after the nurse starts feeding, the pt suddenly becomes dyspneic and complains of substernal pain. What should the nurse do first?
Stop the feeding
The 40 yr old female who was diagnosed w/ a benign growth in her colon is concerned about the growth spreading. Which explanation best allays the pt’s anxiety?
Surrounded by fibrous tissue that prevents spread
A pt w/ Meinier disease is being treated with furosemide. Following administration of the medication, the nurse should note which reaction?
Tinnitus
Conductive hearing
Loud noise, trauma
rTPA is used to dissolve clots and emboli in a hemorrhagic stroke? True or False
False
The nurse is educating the 45 year old female pt about the ACS recommendation for early detection of cancer. Which information should she include when teaching?
Obtain mammogram every year
The nurse is caring for an adult pt w./ a history of seizures. In the event of a seizure, the nurse should document which information?
Location, presence of incontinence, duration of seizure, description of movements
The nurse is caring for a pt admitted w/ a transient ischemic attack (TIA). A carotid ultrasound reveals a 40% obstruction. The nurse anticipates that the treatment will likely consist of which factors? SATA
Diet modification, lifestyle alteration, aspirin
The nurse is caring for a pt who is being treated for extensive burns. The nurse notes the presence of coffee-ground material in the Salem sump catheter. The nurse correctly recognizes which factor as the likely cause?
A physiologic stress ulcer
A physiologic stress ulcer
What routes are ways in which sexually transmitted infections (STIs) are transmitted? Select All That Apply
Contact infected bodily fluids, sexual intercourse, placenta to infant, contact infected, oral-genital route
The nurse is caring for a pt w/ a salem sump tube for decompression. The pt displays dyspnea and reports feeling full and nauseated. What action should the nurse take first?
Irrigate the tube with normal saline
The nurse is caring for a pt 1-day postoperative after transverse colostomy. When assessing the stoma, which finding requires the nurse’s immediate action?
A purplish-red stoma
The nurse is caring for a pt w/ 4-day old ileostomy. The pt complains of cramping, the nurse notes a drop in the effluent for the ileostomy, and the bowel sounds are rapid w/ a “tinkling” sound. What action should the nurse take?
Notify the charge nurse
The nurse is caring for a pt who presents to the ED w/ severe nausea and vomiting w/ stomach pain that radiates to his right scapula. The pt has a temp of 101.2. The nurse anticipates that the pt will undergo workup for which problem?
Cholecystitis
Gastric ulcer anticipates pain at what time?
At bed time
A nurse is caring for a pt who is 4 hours postoperative after a laparoscopic cholecystectomy. The pt reports abdominal fullness and mild discomfort. After verifying that the pts vital signs are stable, which action is most important for the nurse to take next?
Ambulate the patient
The nurse is caring for a pt w/ Hep B, a nurse would employ which precautions?
Standard precautions
A nurse is educating a young woman newly diagnosed w/ genital herpes. Which information is most important for the nurse to include in the teaching plan?
Avoid all sexual contact until lesions are completely healed
HPV
I am relieved that the vaccine protects me from HPV infections
A pt has been diagnosed w/ chlamydia for the second time in a 5 month period. Date collection complaint w/ the plan of treatment w/ the last infection. Which medication does the nurse anticipate that the provider will prescribe?
Azithromycin
The nurse is caring for a pt w/ a tentative diagnosis of the polycystic ovarian syndrome (PCOS). When reviewing the pt’s health history, which finding supports the diagnosis?
Elevated serum glucose levels
The nurse reminds a 68 year old man that a man of any age can reproduce if he is able to perform which function?
they can participate in intercourse
The nurse is educating a patient who has been given a prescription for tadalafil (Cialis). The nurse warns the pt about which potential complication?
Priapism
A young man who has been diagnosed as sterile says to the nurse, “I am not much of a man or a husband.” Which response is most therapeutic?
What about this sterility diagnosis concerns you the most?
The nurse is caring for an older male pt. Which pt statement would alert the nurse to a probable presence of benign prostatic hyperplasia (BPH)?
takes a long time to urinate
Take a long time to urinate
The nurse is caring for a pt who returns to the unit after undergoing a transurethral resection of the prostate (TURP). The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag. What should the nurse do next?
Document the findings
The nurse has provided discharge instructions to a pt who underwent a vasectomy. Which statement indicates the pt understands the nurse’s teaching?
Ice
The nurse is caring for a pt in the initial jours after having surgery to manage an enlarged prostate. The pt’s postoperative care includes continuous bladder irrigation. Which statements indicate the patient understands the nurse’s teaching?
Bladder irrigated for the first 2-3 days
Primary dysmenorrhea
oral contraceptive seasonal
Long-term estrogen replacement for osteoporosis prevention
Pelvic examination
The nurse educates a pt about the difference between primary and secondary infertility. Which statement accurately describes primary infertility?
Inability to conceive after 1 year of active unprotected sex
