Exam 3 Questions Flashcards
Metabolic syndrome. What would we see that would tell us its metabolic syndrome?
Waist size and blood glucose
What interview question would you ask in obese patient?
What led to your weight gain?
Your patient is on prolonged prilosec therapy may experience watery stools and a fever. What interventions would you take?
Call the provider
Check vitals
give tylenol
place in contact precautions
What item should the nurse offer to the patient restarting oral intake after being NPO due to an IV?
Dish of lemon gelatin
What is an appropriate GERD diet?
No caffeine
No spicy food
3-5 small meals a day with a small bedtime snack
A 26 year old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful
Can you tell me more about the pain?
A person gets a needle stick who does not have the hep B vaccine, what do you do first?
Give the Hep B vaccine
Test for antibodies to hep b
Give hep b immunoglobulin
A young adult contracts hepatitis from contaminated food. What should the nurse
expect serologic testing to reveal during the acute (icteric) phase of the patient’s illness?
Anti-Hepatitis A virus immunoglobulin (anti-HAV IgM)
The nurse is reviewing the medical record for 5 patients who are scheduled for their
yearly physical examination in September. Which patients should receive the inactivated flu vaccination?
A 76-year-old nursing home resident
A 36-year-old female patient who is pregnant
A 30-year-old patient who takes corticosteroids for rheumatoid arthritis
The clinic nurse us teaching a patient with acute sinusitis. Which interventions should the nurse plan to include in the teaching session?
Decongestants can be used to relieve swelling
Taking a hot shower will increase sinus drainage and decrease pain
Saline nasal spray can be made at home and used to wash out secretions
You will be more comfy if you keep your head in an upright position
The nurse discusses management of upper respiratory infection (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates the need for more teaching?
“I can use nasal decongestant spray until the congestion is gone”
The nurse has just auscultated coarse crackles bilaterally on a patient with a
tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions,
what action should the nurse take?
Put on sterile gloves and use a sterile catheter to suction
A nurse obtains a health history from a patient who has a 35 pack-year smoking history. The patient reports hoarseness and tightness in the throat and difficulty swallowing. Which question is important for the nurse to ask?
“How much alcohol do you drink in an average week
Which action should the nurse take first when a patient develops epistaxis?
Apply squeezing pressure to the nostrils for 10 minutes
Which patient in the ear, nose, and throat clinic should the nurse assess first?
A patient who reports having a sore throat and a muffled voice
Which health promotion information should the nurse include when teaching a patient with a 42 pack-year history of cigarette smoking?
Resources for support in smoking cessation
Computer tomography screening (CT) for cancer
Importance of obtaining a yearly influenza vaccination
Which finding by the nurse most specifically indicates that a patient is not able to
effectively clear the airway?
Weak cough effort
A patient with a possible pulmonary embolism reports chest pain and difficulty
breathing. The nurse finds a heart rate of 142 bpm, blood pressure of 100/60 mm Hg, and respirations of 42 breaths/min. Which action should the nurse take?
Elevate the head of the bed to a semi-fowlers position
After receiving change of shift report on the medical unite, which patient should the
nurse assess first?
A patient with septicemia who has intercostal and suprasternal retractions
A patient in a mechanical vent is at risk for fluid overload. What is the best way to
monitor this?
A foley catheter
A nurse is caring for a patient who is orally intubated and receiving mechanical
ventilation. To decrease the risk for pneumonia, which action should the nurse include in the plan of care?
Elevate the head of the bed 30-45 degrees
A patient who has GERD is experiencing increasing discomfort. Which patient statement to the nurse indicates a need for teaching?
“I eat small meals and have a bedtime snack”
A patient preparing to undergo a colon resection for cancer in the colon ask about the elevated carcinoembryonic antigen CEA test result. What should the nurse explain?
Monitor the tumor status after surgery
After change of shift report, who should the nurse assess first?
A 64-year-old with lung cancer and tracheal deviation after subclavian catheter
insertion
Which finding indicates to the nurse that lactulose is effective for an older adult who has advanced cirrhosis?
The patient is alert and oriented
A patient admitted with an abrupt onset of jaundice and nausea has abnormal liver
function studies, but serologic testing is negative for viral causes of hepatitis. Which
question by the nurse is appropriate?
“Do you use any OTC drugs?”
Which action will the nurse include in the plan of care for a patient who has been
diagnosed with chronic hepatitis B?
Schedule for liver screens every 6 months
A middle aged person with cancer says I’m not ready to die, what is the appropriate
response?
“Tell me why you feel that way” or “This must be hard for you”
A young adult has diarrhea, what is the first thing you do?
Obtain a stool culture
.How would you educate a patient on how to prevent constipation?
Ambulate and increase bulk forming fiber
When is the best time for bowl movement for someone with chronic constipation?
In the morning after breakfast
Patient with ulcerative colitis who is having multiple episodes of bloody diarrhea, what do you advise them?
Do not eat (discontinue food intake)
What is Cullins sign?
Bruising around the belly button caused by pancreatitis
What topic is most important to include in teaching for a 41-year-old patient diagnosed with early alcohol cirrhosis?
Avoid all alcohol use
The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?
Identifying and avoiding environmental triggers are the best way to prevent symptoms
Which information will be most important for the nurse to communicate to the health care provider about an older patient with influenza?
Diffuse crackles in the lungs
The nurse is caring for a patient who has acute pharyngitis caused by candida albicans. Which action is appropriate for the nurse to include in the plan of care?
Teach the patient to swish and swallow
What do you teach a TB patient who is going home?
Sleep in a separate room (husband sleeps in separate room)
The er nurse notes tachycardia and absent breath sounds over the right thorax
Chest tube connected to suction
While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patients O2 stat from 94% to 88%
While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patients O2 stat from 94% to 88%
A patient with respiratory failure has a RR of 6 breaths/min and O2 of 78%
Endotracheal intubation and positive pressure ventilation
A nurse is caring for a patient with right lower lobe pneumonia who is obese. Which position will provide the best exchange?
On the left side
ARDS and PE caused by heart failure
Pulmonary artery pressure and Schwan’s scan
The nurse obtains the following VS 101.2, bp 90/56, pulse 92
Obtain oxygen saturation using pulse oximetry
After bariatric surgery, a patient who us being discharged tells the nurse “I prefer to be independent”
“Tell me what types of resources you think you might use after this surgery?”
A woman receiving chemo for breast cancer develops candida albicans oral infection
Nystatin tablets
The nurse is caring for a patient in the ED with acute respiratory distress. Which assessment findings by the nurse requires the most rapid response?
The patients PaO2 is 45 mmHG
When admitting a patient with possible respiratory failure and a high PaCO2, which assessment info should be emergency?
The patient appears somnolent
A patient reports gas pain and abdominal distention for 2 days after a small bowel resection
Encourage the patient to ambulate
Which findings indicate to the nurse that the administered Procardia was effective?
Patient reports decrease in external dyspnea
The nurse is caring for a patient with idiopathic pulmonary arterial hypertension
The epoprostenol (Flolan) infusion is disconnected
The nurse develops a plan of care to prevent aspiration in a high-risk patient
Place patient with altered consciousness in side-lying position
Patient in the ed with copd and sob
The patient’s respirations dropped to 10 breaths/min
Patient comes to ED with multiple chest traumas
Insertion of chest tube with a chest drainage system
why No NSAIDS before nasal surgery?
Risk for bleeding
