Adult Proctored 2 Flashcards
a) pt who is at risk for seizures. What action should take?
b) PT who is post-op following a total hip arthroplasy. what lab should the nurse report?
c) PT reveiving TPN but new bag is not available. what to do?
d) a) hypothyroidism and is receiving levothyroxine.which supplements can interfere with the effectiveness of this med?
a) ensure the pt has a patient IV
b) Hgb 8
below normal,this indicates postop hemorrhage or anemia
males is 14 to 18 g/dl; that for females is 12 to 16
c)administer dextrose 10%
d) Calcium
a) Pt taking enalapril,what ADR?
b) pt in ICU who has TBI. what finding should the nurse identify as component of Cushing’s triad?
a) teaching about skin cancer with a group of clients. What factors is the risk cause of non-melanoma skin cancer?
b) pt is beginning menopause. What questions should the nurse ask to confirm?
a) Orthostatic hypotension
b) Bradycardia, severe hypertension, widened pulse pressure
Causes pt is inc ICP.
c) Sun exposure.
d) “Do you sleep well at night?”
a) teaching pt about cancer prevention. What foods high in antioxidants?
b) pt who has a new concussion following a motor-vehicle crash. should monitor what s/s of inc intracranial pressure?
a) Fresh berries
b) Lethargy(Fatigue)
a) teaching about a tonometry examination with a client who has manifestations of glaucoma. What this test for?
b) glaucoma?
c) cataract?
a) “This test will measure the intraocular pressure of the eye.
b) vision loss and blindness/close,open
c) Clouding of the normally clear lens of the eye.
a) checking for paradoxical blood pressure on a client who has constrictive pericarditis. what findings should the nurse expect?
b) pt who has Alzheimer’s disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. what action?
c) pt immediately following a cardiac catheterization with a femoral artery approach. what action?
a) Drop in systolic BP more than 10 mm Hg on inspiration
b) Attempt to determine what the client was looking for
c) Check pedal pulses every 15 min.
a) teaching about primary dementia. what s/s of dementia should the nurse include in the teaching?
b) pt who has labyrinthitis. what care should include?
c) labyrinthitis?
a) Forgetfulness gradually progresses to disorientation
b) Monitor client’s cardinal fields of vision
c) inflammation of the labyrinth — part of your inner ear
a) pt who is admitted with a deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?
b) pt tested for TB, after a close family contact tests positive. What preparing for this client?
a) Monitor platelet levels
b) Chest x-ray
a) pt who has a head injury. what finding might have diabetes insipidus?
b) metformin should take?
c) acute asthma exacerbation. When auscultating to expect?
a) Urine output 650 mL/hr
b) with meal
c) Expiratory wheeze(exhalation)
a) changing abdominal dressing for incision with a drain. What action?
b) pt who is scheduled to undergo thoracentesis. what position?
c) pt newly diagnosed with ovarian cancer.what reaction to expect?
a) Don clean gloves to remove the dressing.
b) Sitting, leaning forward over the bedside table.
c) Denial
a) pt is receiving a unit of packed RBCs. About 15 min,pt is flushed and febrile, and reports chills. To help confirm acute hemolytic transfusion reaction,what s/s?
b) pt who has a seizure disorder and reports experiencing an aura. The nurse should recognize the client is experiencing which of the what conditions?
c) aura?
a) Hypotension
b) A sensory warning that a seizure is imminent
c) alerts them to an upcoming seizure before it happens.
A nurse caring for a client at risk for increased intracranial pressure is monitoring the client for manifestations that indicate that the pressure is increasing. To do this, the nurse should check the function of the third cranial nerve by performing which of the following data-collection activities?
Checking pupillary responses to light
A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?
Reducing anxiety
a) pt who has hyperthyroidism. what s/s the client will report?
b) hypoglycemia s/s?
c) pt who exacerbation of gout.s/s?
a) Frequent mood changes
b) Blurry vision, Tachycardia, Sweating
c) Edema,Erythema(reddening of the skin),Tophi(deposit of monosodium urate crystals),Tight skin
a) PT who has myasthenia gravis (MG) What complication is concern?
b) PT who is experiencing an acute exacerbation of ulcerative colitis. what sction is priority?
a) Respiratory difficulty
droopy eyelids.
double vision.
difficulty making facial expressions.
problems chewing and difficulty swallowing.
slurred speech.
weak arms, legs or neck.
shortness of breath and occasionally serious breathing difficulties.
b) Evaluate fluid and electrolyte levels
A chronic, inflammatory bowel disease that causes inflammation in the digestive tract.
A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?
“You should wear glasses instead of contacts while taking this medication.”
a) pt following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. What action?
a) Irrigate the catheter as prescribed.
a combined visual and surgical instrument (resectoscope) is inserted through the urethra where it’s surrounded by prostate tissue.
a) pt was bitten by a tick one week ago. What s/s should the nurse identify as an indication of the development of Lyme disease?
a) pt who 45-year-old having manifestations associated with perimenopause. s/s?
a) An expanding circular rash
b) dryness with vaginal intercourse
