last

Question 1

3 s/s of LATEX

Answer 1

stridor, dizziness, tachycardia

Question 2

4 interventions for SIADH

Answer 2

fluid restriction, flat
HOB, dly weight, diuretics

Question 3

4 s/s of DI

Answer 3

polydypsia, low BP ,high HR and high Na

Question 4

after hypophyecotmy what is education

Answer 4

no vigorous coughing

Question 5

priority assessment after hypophosectomy

Answer 5

CSF leak - clear discharge from banadages

Question 6

CL care SATA 4

Answer 6

10ml syringe,
only IV meds,
do NOT change dressing EVERYDAY,
use heparin or NSS to flush

Question 7

neutropenic education SATA 2

Answer 7

electric razor, avoid crowds

Question 8

4 education after new ostomy

Answer 8

obtain supplies,
sexual activity,
how to contact ostomy nurse,
diet,

Question 9

post op bariatric surgery 6

Answer 9

full liquids after 48 hours,
small amt of low sugar liquids first 25 hours,
early mobility,
no straws,
HOB elevated

Question 10

diverticulitis lab

Answer 10

inc WBC

Question 11

4 education to prevent dumping syndrome

Answer 11

no fluids w meals, lie down after eating, low carb, low sugar

Question 12

central line safety

Answer 12

don’t pick acetaminophen answer and don’t pick the one where you can mix meds and nutrition formula

Question 13

for cirrhosis what labs to monitor 3

Answer 13

platlet, albumin, Pt time

Question 14

who cannot take OCP

Answer 14

36 year old smoking 2 packs

Question 15

cystocele SATA discharge 4

Answer 15

constipation
kegel
no heavy lifting
report fever

Question 16

most concering for pt with pancreatitis

Answer 16

shallow resp

Question 17

epoietin alfa MOA and ed

Answer 17

rises Hgb.hct
will turn stool black

Question 18

gemfibrozil moa

Answer 18

lowers triglcycerides and inc HDL

Question 19

Which assessment finding for a patient who has just been admitted with acute pyelonephritis is most important for the nurse to report to the health care provider?
a. Foul-smelling urine
b. Complaint of flank pain
c. Blood pressure 88/45 mm Hg
d. Temperature 100.1° F (57.8° C)

Answer 19

c -think urosepsis

Question 20

A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient?
a. Administration of immunosuppressant medications
b. Insertion of an arteriovenous graft for hemodialysis
c. Placement of the patient on the transplant waiting list
d. A blood draw for human leukocyte antigen (HLA) matching

Answer 20

a

Question 21

The nurse is providing postoperative care for a patient with human immunodeficiency virus (HIV) infection after an appendectomy. What type of precautions should the nurse observe to prevent the transmission of this disease?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Standard precautions

Answer 21

d

Question 22

8 ss of SIADH

Answer 22

low urine output
high ADH
hyponatremia
hypoosmolality
concentrated urine
hypochloremia
over hydrated
fluid retention

Question 23

positioning for SIADH patient

Answer 23

flat hob

Question 24

The nurse determines that additional instruction is needed for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient makes which statement?
a. “I need to shop for foods low in sodium and avoid adding salt to food.”
b. “I should weigh myself daily and report any sudden weight loss or gain.”
c. “I need to limit my fluid intake to no more than 1 quart of liquids a day.”
d. “I should eat foods high in potassium because diuretics cause potassium loss.”

Answer 24

a

Question 25

Which intervention will the nurse include in the plan of care for a patient with syndrome of inappropriate antidiuretic hormone (SIADH)?
a. Encourage fluids to 2 to 3 L/day.
b. Monitor for increasing peripheral edema.
c. Offer the patient hard candies to suck on.
d. Keep head of bed elevated to 30 degrees.

Answer 25

c

Question 26

What should the nurse teach the patient with diverticulosis to do?
a. Use anticholinergic drugs routinely to prevent bowel spasm.
b. Have an annual colonoscopy to detect malignant changes in the lesions.
c. Maintain a high-fiber diet and use bulk laxatives to increase fecal volume.
d. Exclude whole grain breads and cereals from the diet to prevent irritating the bowel.

Answer 26

c

Question 27

Q
A young adult patient is admitted to the hospital for evaluation of right lower quadrant
abdominal pain with nausea and vomiting. Which action should the nurse take?
a. Assist the patient to cough and deep breathe.
b. Palpate the abdomen for rebound tenderness.
c. Suggest the patient lie on the side, flexing the right leg.
d. Encourage the patient to sip clear, noncarbonated liquids.

Answer 27

c

Question 28

7 s/s of UTI

Answer 28

fever
chills
dysuria
hematuria
cloudy foul smelling urine
loss of appetite
confusion

Question 29

pylenophritis s/s 1 distinguished

Answer 29

CVA tenderness and flank pain

Question 30

what is most important to monitor for in pylenophiritis

Answer 30

urosepsis so vitals q 4 hours

Question 31

4 s.s of renal colic

Answer 31

kindey stone dance
cool moist skin
flank pain
n/v

Question 32

food to avoid for kidney stones

Answer 32

Ca
oxalate
purines

Question 33

7 r/f for CKD

Answer 33

cardiovascular disease
diabetes
ethnic minority
nephrotxic drugs
fam hx
HTN

Question 34

how tx acute hyperkalemia

Answer 34

IV glucose and insulin or IV 10% calcium gluconate

Question 35

5 things to control for CKD

Answer 35

HTN,
hyperparathyroid,
CKD-MBD,
anemia,
dyslipidemia

Question 36

3 tx for CKD-MBD

Answer 36

limit phosphates(meat and dairy)
give phosphate binders
supplement Vitamin d

Question 37

if there is cloudy effluent during periotoneal dialysis

Answer 37

abx

Question 38

primary vs secondary response to pathogen

Answer 38

primary: igG and igM raise
secondary: igG raises drastically

Question 39

SIADH
DI
cushings
addisons
DKA
HHS

Na and K

Answer 39

Na: K:
low / high
high/ low
high /low
low / low
low K

Question 40

what to monitor for with vasopressin

Answer 40

LFT

Question 41

if pt has bucchal swelling, salivating, n/v what is happening and what to do

Answer 41

too much iodine, discontinue it

Question 42

9 ss of cushings

Answer 42

HIGH BP (HTN)
edema
purple striae
increased infection risk
buffalo hump
trunchal obesity
thin arms and legs
moon face
HYPERNATREMIA

Question 43

2 labs for addisons

Answer 43

low cortisol and low aldosterone

Question 44

5 ss of addisons

Answer 44

bronze skin
N/v
exhaustion
cramps
salt cravings

Question 45

what is most important to monitor after adrenalectomy

Answer 45

f and e

Question 46

how to dx diabetes

Answer 46

H1ac (2-3 mo fasting)
or 8 hour fast and <99 is normal and 100-125 is prediabetes

Question 47

exercise teaching for diabetics

Answer 47

dont exercise if BG > 300
exercise 1 hr after meal
monitor before during after exercise

Question 48

5 triggers to SCD

Answer 48

low O2
infection (most common)
stress
altitude
surgery

Question 49

cause and incidence of hemophillia

Answer 49

autosomal recessive genetic

if mom has it then sons have 50% chance

if dad has it and he has daughters then the daughters are carriers and their sons have 50%

Question 50

thrombocytopenia vs hemophillia labs

Answer 50

thrombo: low platlets , normal labs

hemophillia : no clotting factors, normal PT and platlets but prolonged PTT

Question 51

what to do if occlusion in CL 3

Answer 51

looks like precipitate- change position, flush w/ NSS, thrombolytic therapy

Question 52

SCD crisis s/s 4

Answer 52

pallor
joint swelling
fever
abdominal pain

Question 53

priority intervention for peritonitis

Answer 53

IV access to prevent hypovolemic shock

Question 54

if someone is vomiting bright red blood

Answer 54

priority is NPO and IV access to prevent hypovolemic shock