Deck 2

Question 1

Earliest manifestation: laryngeal Cancer pt PMH smoking

Answer 1

Hoarseness

Question 2

Nursing action: Lung CA pt on radiation?

Answer 2

monitor for infection

Question 3

Expected med for pt w/ atrial fibrillation.

Answer 3

• Warfarin (coumadin)

Question 4

[NGN, SATA|- Nursing actions to take during seizure

Answer 4

• Oxygen (patent airway)
• Lay lateral side position
• Suction available
• time seizures

Question 5

[Select 3]- Nursing interventions for client post cardiac cath.

Answer 5

• Lay flat
• keep limb straight
• check pedal pulses

Question 6

Assessing 4 clients: Determine pt to assess 1”.

Answer 6

• ABCs = level one
• Level 2 = Pain, Maslow’s- (think basic needs) check patient’s catheter tubing to make sure it’s not kinked

Question 7

Expected findings: pt w/ fluid volume overload.

Answer 7

Increased blood pressure, increased heart rate, increased respiratory rate

Question 8

Pt ordered sildenafil, ID contraindicated med

Answer 8

Nitroglycerin - Isosorbide

Question 9

Common manifestation: pt w/ endometrial cancer

Answer 9

Postmenopausal bleeding

Question 10

You have a patient that is one day post-op from their
TURP, and is on CBI, what are your priority nursing actions?

Answer 10

• Monitor Fluid intake/output
• Sterile technique
• Call provider if you’re seeing lots of clots

Question 11

1” nursing action: pt complication 5hr s/p TURP w/ indwelling cath.

Answer 11

• Always check catheter to ensure no kinks

Question 12

Increased PSA lab value indicates what?

Answer 12

BPH- more tests/further investigation needs to be done

Question 13

What kind of communication do you want to use for a breast cancer patient on chemo?

Answer 13

Therapeutic communication

Question 14

Cultural competence:health fair

Answer 14

• Multicultural approach
• Diversity

Question 15

Goal: Cultural Care theory

Answer 15

Cultural competence

Question 16

Assess understanding of teaching: parent w/ child new onset type
1DM

Answer 16

• Make sure parents understand s/s of hypoglycemia
• Monitor for child being shaky/jittery/sweating - could indicate low BG

Question 17

Appropriate response: pt w/ DM-II question. “Why do I have diabetes?”

Answer 17

• Cannot produce insulin
• Insulin resistant

Question 18

ID risks(w/ pt or caregiver) for abuse/neglect in older adult

Answer 18

• Hygiene issues
• Patient left alone at night
• Financial abuse
• Malnourished
• Completely reliant for care

Question 19

[NGN-drag &drop]- caring for pt w/ HIV.

Answer 19

• Leads to AIDS
• At risk for sepsis
• At risk for nutritional deficiencies

Question 20

Community risks: that increase abuse/neglect in older adult

Answer 20

• Abandoned homes/buildings → squatting
• 1 crime