Deck 3

Question 1

Nursing Action: pt EOL & unresponsive

Answer 1

• Still talk to them
• Explain what you’re doing
• Use therapeutic communication

Question 2

Dietary restriction recommendation pt w/ gout.

Answer 2

• Avoid alcohol/wine

Question 3

NGN drag & drop.- pt post-op day 1 hip replacement.

Answer 3

• Monitor for infection
• Purulent drainage
• Monitor lab values (HCT/HGB)
• Neurovascular assessment
• Early ambulation
• Don’t turn patient on operative side

Question 4

[NGN|- Findings require immediate action: pt admitted to Med-Surg from ER.

Answer 4

Orders decide plan of action

Question 5

[NGN]- Findings require immediate action: pt 8 days s/p Kidney transplant.

Answer 5

• Urine output < 30/hr
• Abrupt decrease in output
• Monitor for fluid volume
• Monitor for infection
• Rejection = fever, hypertension, pain at transplant site
• Excessive diuresis

Question 6

Nursing action: CHF pt on digoxin.

Answer 6

• Halos
• Green/yellow color in vision
• Muscle weakness
• GI Upset
• N/V
• Lethargic
•Check vitals ***

Question 7

Nurse teaching: Gout pt, new med colchicine

Answer 7

Bone marrow depression → muscle weakness/muscle pain

Question 8

Classic manifestation of SLE.

Answer 8

• Butterfly rash on nose and cheeks (raised, dry, scaly)

Question 9

Nurse mentor describing subculture.

Answer 9

• Culture within a culture
• a smaller group within a larger society that has its own unique beliefs, habits, and style. They often have their own way of speaking, dressing, and doing things that make them different from the larger group.

Question 10

Teaching plan: pt w/ psoriasis.

Answer 10

• Autoimmune disorder
• Periods of exacerbation and remission
• Stress can trigger it - try to eliminate stress
• No cure, just symptom management