Exam 1 Quiz Bowl Flashcards
A patient with hypovolemic shock has a urinary output of 15 ml/hr. The nurse understands that the compensatory physiologic mechanism that leads to altered urinary output is:
Release of aldosterone which causes sodium and water retention.
Which of the following laboratory values could indicate that a client has leukemia?
WBCs 32,000/mm3
A male patient’s X-ray result reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from:
Increased pulmonary capillary permeability
Which nursing/medical order would be MOST HELPFUL in determining whether a patient with a brain injury may be developing diabetes insipidus?
Measure urine specific gravity hourly
A nurse is teaching a group of older adults about the value of including foods containing antioxidants in their diet. Which of the following statements best captures the rationale underlying the nurse’s advice?
Antioxidants inhibit the actions of reactive oxygen species.
A 68-year-old male client with aortic stenosis secondary to calcification of the aortic valve is receiving care. Which of the following statements best captures an aspect of this client’s condition?
The client has possibly undergone damage as a result of calcification following cellular injury.
In report from a transferring facility you receive information that your patient’s Magnesium level is 1.2. When the patient arrives, you are ordered by the doctor to administer Magnesium Sulfate via IV. Which of the following interventions takes priority?
Monitor the patient’s for reduced deep tendon reflexes and initiate seizure precautions
ABG results are: pH 7.50, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What acid-base disorder is shown?
Metabolic Alkalosis, Uncompensated with Normal Oxygenation
ABG results are: pH 7.39, PaO2 90 mm Hg, PaCO2 27 mmHg and HCO3 19 mEq/L. What acid-base disorder is shown?
Metabolic Acidosis, Fully Compensated with Normal Oxygenation
A client suffering from a narcotic overdose is seen in the Emergency Department. The client is confused, with warm, flushed skin, headache, and weakness. Vital signs of noted are T 98.9 °F, HR 128, RR 10, and BP 130/86. A blood gas analysis sample was drawn on room air, and the results are as follows: pH 7.33, PaCO2 53, PaO2 72, HCO3 24. This client is at risk for:
Respiratory acidosis due to hypoventilation
Which of the following would account for cellular injury due to cellular swelling?
Reduction in Na+, K+- ATPase pump activity
Typical AGB results in the patient with acute respiratory failure are:
PaO2 less than 50 mmHg and PaCO2 greater than 50 mmHg
A client was admitted to the hospital 24 hours ago after sustaining blunt chest trauma. The nurse monitors for which earliest clinical manifestation of acute respiratory distress syndrome (ARDS)?
Increased respiratory rate
While waiting to perform x-rays on a client with an injured right hand, according to non-pharmacological pain management practice, pain can be modulated or reduced if the nurse:
Applies ice to the right elbow
A 32-year-old client with a history of sickle cell anemia is admitted to the hospital during a sickle cell crisis. The physician orders all of these interventions. Which order will you implement first?
Administer oxygen at 100% per non-rebreather mask
