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Nursing year 2 > AH remediation. > Flashcards

AH remediation. Flashcards

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1
Q

the nurse is caring for a patient with fluid volume excess. Which medication can the nurse expect to administer ?

A

Furosemide (Lasix)

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2
Q

The nurse is told to administer IV fluid the same osmolarity as blood. Which fluid can the nurse expect to administer ?

A

0.9% normal saline

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3
Q

As older adult with gastroenteritis is disoriented and weak and has the following laboratory test :
Hematocrit (Hct) 56%
Blood Urea Nitrogen 32 mg/dL
Which nursing diagnosis should the nurse select for this patient ?

A

Deficient fluid volume

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4
Q

An older adult patient has an IV infusion of 0.45% normal saline infusing at 150 mL/hr. Which assessment finding should cause the nurse to be most concerned ?

A

Newly noted crackles in the lungs

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5
Q

The nurse is reviewing laboratory results for a group of patients. Which value should be of most concern to the nurse ?

A

Magnesium level 1.0 mEq/L

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6
Q

The nurse is caring for a group of patients. Which patient most warrants a phone call to the HCP ?

A

A patient with abdominal cramping and hyperactive deep tendon reflexes

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7
Q

The nurse is preparing to administer furosemide (Lasix) to a patient with a potassium level of 2.8 mEq/L. Which action should the nurse take ?

A

Administer the medication as ordered

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8
Q

A patient developed an irregular heart rate, abdominal cramping, and diarrhea after a thyroidectomy. Which emergency medication should the nurse anticipate being prescribed for this patient ?

A

Calcium gluconate

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9
Q

The nurse is concerned that an older patient is at risk for dehydration. What reduced function did the nurse assess in this patient ?

A

Sensation of thirst

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10
Q

An older patient is admitted for treatment of fluid volume excess. For which serious respiratory complication of fluid volume excess should the nurse assess this patient ?

A

Pulmonary edema

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11
Q

The nurse is caring for a patient who is being treating for fluid volume excess. Which assessment finding indicates that treatment has been effective ?

A

Weight loss of 5 lbs in 24 hours

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12
Q

A patient with uncontrolled diabetes mellitus developed metabolic acidosis. Which assessment finding indicates that the patients compensatory mechanisms are working ?

A

Deep rapid breathing

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13
Q

The nurse is caring for a patient who is receiving PN. The patient developed increased thirst, blurred vision, and a headache. Which action should the nurse take ?

A

Check the patients blood glucose level

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14
Q

The nurse suspects the patient has developed septicemia as a complication of peripheral IV therapy. Which clinical manifestation supports the nurses suspicion ?

A

Fever and chills

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15
Q

Which patient would benefit most from hypodermoclysis ?

A

A 5-year-old patient with poor venous access receiving normal saline

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16
Q

A patient who is NPO for scheduled surgery has been on a long-term oral steroid therapy and should receive a dose of Prednisone by mouth at 0600. Which action should the nurse take ?

A

Notify the RN

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17
Q

The nurse is caring for a patient who underwent a colostomy yesterday morning. The nurse removed the catheter 1 hour after surgery and the patient has not yet voided. Which action should the nurse take ?

A

Notify HCP

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18
Q

The nurse is caring for a patient who has developed an increase in temperature during the first 24 hours post-op. Which action should the nurse take ?

A

Encourage coughing and deep breathing

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19
Q

The nurse is taking a medication history of a patient who is to undergo surgery the next morning. Which medication requires immediate notification of the surgeon ?

A

Warfarin (coumadin)

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20
Q

A patient is preparing to undergo an appendectomy for a ruptured appendix. Which level of urgency is this surgery ?

A

Emergency

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21
Q

The nurse in the emergency department is caring for a patient with a partial-thickness burn. Which treatment should the nurse expect to be prescribed for this patient ?

A

Application of silver sulfadiazine cream

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22
Q

The HCP tells the nurse that a patient has blood leaking into the intrapleural space and has caused collapse of the lung. The nurse suspects which diagnosis ?

A

Hemothorax

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23
Q

The nurse is caring for a patient with frostbite to the foot. Which intervention should the nurse implement ?

A

Elevate the foot at or above the heart level

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24
Q

The nurse is reviewing laboratory values for a patient with heat exhaustion. Which result would be of most concern to the nurse ?

A

Sodium 128 mEq/L

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25
Q

The nurse is caring for a patient who has an injury of L2 to L4 vertebrae. The nurse should anticipate the patients inability to do what ?

A

Extend and flex legs

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26
Q

The nurse is working at a sporting event when a football player is injured. What action by the nurse requires correction ?

A

Assist the patient in sitting up slowly

27
Q

The nurse is caring for a patient who reports enlarged, painful, and moveable preauricular lymph nodes, postauricular lymph nodes, and cervical lymph nodes. Which does the nurse infer from these finding ?

A

Infection

28
Q

The nurse is caring for a group of patients. Which patient is at highest risk for developing systemic lupus erythematous ?

A

An African American female

29
Q

The nurse is caring for a patient being tested for rheumatoid arthritis. In reviewing laboratory value, which should the nurse recognize as being diagnostic of rheumatoid arthritis ?

A

C-reactive protein = 12 mg/L

30
Q

The nurse is reinforcing teaching to a person who has tested positive for HIV. Which test should the nurse explain is done to confirm the diagnosis of HIV ?

A

Western blot

31
Q

The nurse is reviewing laboratory results for a group of patients and notes CD4 count of 120 cells/uL. For which patient would the nurse expect to see this result ?

A

A patient with HIV

32
Q

The nurse is caring for a patient with a diagnosis of malaria. Which antibody would the nurse expect to see increased ?

A

IgM

33
Q

The nurse is taking a medication history for a newly admitted patient. The patient states he is allergic to levofloxacin (Levaquin). Which response by the nurse is most appropriate ?

A

“What happens to you when you take the medication ?”

34
Q

The nurse has administered prescribed allergen injections twice a week for several weeks to an individual with a bee sting. The patient misses three appointments. What action should the nurse take during the patients next visit ?

A

Consult the physician to confirm the dosage to be given

35
Q

The nurse is caring for a group of patients. Which patient is at highest risk for developing a latex allergy ?

A

A nurse

36
Q

The nurse is reviewing laboratory values for a patient and notes an absolute neutrophil count 300 cells/uL. The nurse knows this is a result means the patient is experiencing which condition ?

A

Neutropenia

37
Q

The nurse is teaching a class for older adults regarding the importance of vaccinations. Which vaccine should the nurse suggest for this age group ?

A

Pneumococcal vaccine

38
Q

The nurse is contributing to a group of patients care plans. Which patient should the nurse identify as being at risk for developing serum sickness ?

A

A patient who receives IV penicillin for an infection

39
Q

The nurse is caring for a patient with idiopathic autoimmune hemolytic anemia. Which action should the nurse include in the plan of care for this patient ?

A

Assist with ambulation

40
Q

The nurse is reviewing orders for a patient with SLE. For which medication should the nurse in the plan of care for this patient ?

A

Phenytoin (Dilantin)

41
Q

The nurse is caring for a patient who underwent a liver transplant and is taking cyclosporine and azathioprine. Which important information should the nurse teach the patient regarding the medication ?

A

Report signs of infection immediately

42
Q

The nurse is caring for a patient with serum sickness. Which intervention should the nurse implement ?

A

Administer acetaminophen (tylenol) as ordered

43
Q

The nurse is teaching a patient about allergic rhinitis. Which statement indicates a need for further teaching ?

A

I can take my nasal medication any time my allergies bother me

44
Q

The nurse is caring for a group of patients. Which patient should the nurse see first ?

A

A patient stung by an insect experiencing angioedema

45
Q

The nurse is caring for a patient who developed a hemolytic reaction during a blood transfusion. The nurse should expect to implement which order from the HCP ?

A

Administer diphenhydramine (Benadryl) 50 mg IV

46
Q

The nurse is reviewing information with a patient about the normal anatomy and physiology of the edocrine system. Which factor is inaccurate ?

A

All endocrine glands function independently of each other

47
Q

The nurse is researching information for a patient newly diagnosed with diabetes mellitus. The nurse wants to present the responses by hormones other than insulin. Which information does the nurse avoid ?

A

GH and GHIH are secreted to maintain bg levels and metabolism rates are normal

48
Q

The nurse is providing care for a patient diagnosed with type 2 diabetes mellitus. Which information will the nurse give the patient about the response of the pancreas to hypoglycemia ?

A

Pancreatic alpha cells are stimulated to release glucagon

49
Q

A client is indentified with a thyroid disorder resulting in hormone deficiency. The HCP prescribes a stimulation test. Which process does the nurse expect for the test ?

A

A substance will be injected into the patient

50
Q

The nurse is preparing a patient for a thyroid scan to rule out thyroid cancer. Which instruction does the nurse give the patient prior to testing ?

A

Use the bathroom before the scanning part of the test is performed

51
Q

The nurse receives information that an assigned patient is scheduled for an ultrasound of an endocrine gland. Which instruction does the nurse give the patient ?

A

Wear clothing with an elastic waistband

52
Q

The nurse is aware that the pancreas is the only gland that is both endocrine and exocrine. Which secretion is related to the endocrine function of the pancreas ?

A

Insulin

53
Q

The nurse is contributing to the plan of care for an adult patient diagnosed with GH deficiency. Which nursing intervention in appropriate for this patient ?

A

Promote a caring, supportive relationship

54
Q

The nurse is providing care for a patient who is post-op for a transsphenoidal surgery for the removal of a pituitary tumor. Which nursing care is inappropriate in the postsurgical period ?

A

Change nasal packing and moustache dressing

55
Q

A patient arrives at the emergency department and states, “I was outside shoveling snow and suddenly started to feel really bad.”The patients medical history indicates treatment for hypothyroidism for the past 10 years. Which possible condition causes the nurse the greatest concern ?

A

Myxedema coma

56
Q

A patient enters the emergency department in adrenal crisis. The patient is lethargic and vital signs are blood pressure 85/52 mm Hg and pulse 88 beats/min. Which event in the patients week most likely precipitates this crisis ?

A

Being laid off from a job

57
Q

The nurse is assigned to provide care for a patient diagnosed with diabetes insipidus. While reviewing the nursing care planned for the patient , which intervention will the nurse recognize as being least important ?

A

Determining the patients understanding of her condition

58
Q

The nurse is reviewing information with a patient about endocrine gland disorders. The patient asks, “I have a pituitary insufficiency, what is happening?” Which information from the nurse is incorrect ?

A

You may have an ectopic growth on the pituitary secreting hormones

59
Q

The nurse is assisting with the discharge of a patient with Addison disease following an adrenal crisis. Which instruction is most important for the nurse to reinforce ?

A

The importance of taking steroid replacements as prescribed

60
Q

The nurse is providing information to a patient recently diagnosed with type 1 DM. The patient expresses a desire to understand the disease. Which information provided by the nurse is accurate ?

A

Glucose is carried into cells when glucose transporters are activated in the membrane

61
Q

The nurse is providing care for a patient with type 2 DM who has been treated with an oral hypoglycemic agent. The HCP prescribes for the addition of insulin. Which situation does the nurse recognize as being the least valid reason for giving this patient insulin ?

A

The patient is unable to effectively follow a diabetic diet

62
Q

The nurse is monitoring laboratory BG levels for a patient diagnosed with type @ DM. Which test result does the nurse use to evaluate the patients compliance with treatment ?

A

Glycohemoglobin testing

63
Q
A

Nursing year 2 (1 decks)

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