Last Years Test 3 Flashcards
The practical nurse is reinforcing teaching for a patient who has chronic kidney disease and is on dialysis. Which patient statement indicates the need for further teaching?
As long as I don’t eat protein I’ll be ok
The nurse is providing care for a patient who has guillian barre syndrome. Which of the following laboratory results should the nurse evaluate first.
Arterial blood gas
The practical nurse is reinforcing teaching for a patient who has been diagnosed with RA. Which of these symptoms indicates to the nurse correct understanding of symptoms of RA?
Fatigue
A patient diagnosed with hunting tons disease has developed severe depression. What would be most important of the nurse to assess for?
Suicidal ideations
A patient is recently diagnosed with crowns disease and is beginning treatment. What first line treatment does the nurse expect that the patient will be placed on to decrease the inflammatory response?
Azathioprine or imuran
A patient is receiving treatment for RA but states that he allergic to eggs. What medication would the client. To be able to receive?
Synvisc
A patient with chronic pain is on a sustained release opioid that is ordered every 12 hours. After 6 hours the patient complains of increasing pain. Which of the following interventions by the nurse is most appropriate?
Request an order for a medication order for breakthrough pain relief.
A patient with fa has infiltration of the lacrimal and salivary glands with lymphocytes as a result of the disease. The nurse understands this clinical manifestation is consistent with?
Sicca syndrome
A patient scheduled to have an oleo story asks the nurse. Will I have to wear a bag on my abdomen after my ileostomy? What is the most appropriate response by the nurse?
Your stool will be liquid so you will need a bag
The nurse is caring for a patient with terminal cancer pain. His family is very supportive.
Teach the family how to help provide for the patients basic needs
The Lon is making rounds on the unit. Which patient should the nurse assess first?
The patient who is 1 day post of abdominal surgery with a hard rigid abdomen.
The nurse is caring for a patient who has amottrophic lateral sclerosis. The patient has difficulty swalling and has copious pulmonary secretions. What equipment is most important to have at the bedside at all times?
Suction
You are the nurse caring for a patient with GBS. The patient also has an ascending paralysis. Knowing the potential complications of the disorder, what should you ensure is ready at the bedside if needed?
Intubation a tray and suction apparatus
The nurse is assisting with admission of a patient with GBS to a medical unit. The patients legs are weak, making it impossible to walk without assistance. The patient says how did I get this I am not usually sick. Which response by the nurse is most accurate
It is believed to be an autoimmune reaction to a virus
The nurse is preparing a patient with RA for a surgical procedure that will allow visualization of the extent of joint damage of the knee and also obtain a sample of synovial fluid. What procedure will the nurse prepare the client for?
Arthroscopy
Which of the following are benefits that support the use of a closed method wound care in the management of a patient burns select all that apply
Creates antimicrobial barrier
Discourage hypertrophic scarring
Which assessment finding is most important in determining nursing care for a patient with acute glomerulonephritis
Dark smoky urine
The nurse is caring for a patient with RA who suffers with chronic pain in the hands. When would be the best time for the nurse to perform range of motion exercises?
After the patient has had a warm paraffin hand bath
A patient with Crohn’s disease informs the nurse that he is allergic to aspirin. What medication ordered for the treatment of Crohn’s does the nurse know is contraindicated when a patient is allergic to asipirin.
Mesalamine
A patient has had several diagnostic tests to determine if he has SLE. What result is a very specific indicator of this diagnosis.
Positive Ana
During data collection on a postoperative patient which finding are indicative of sepsis
Mental confusion
Hypotension
Tachycardia
A 30 year old was diagnosed with ALS. Which statement by the patient would indicate a need for more teaching from the nurse
My children are at greater risk to develop this disease
A patient comes in the ER pith signs and symptoms of smoke inhalation, which of the following signs And symptoms indicate smoke inhalation
Hoarseness
Sob
Soren throat
Stridor
A client with renal calculi is advised to restrict calcium in the diet. The nurse determines that the client understands the restriction when the client states to avoid which types of foods
Chocolate, smoked fish, and low fat milk
The hrs is caring for a patient who has a nephronstomy tube. What action should the nurse take to ensure adequate urinary drainage?
Ensure tube is not kinked or clamped
The patient recently diagnosed with GBS is drooling and having difficulty swallowing secretions. When the family asks why this occurs, the nurse indicates that which of the following is the cause
Demyelination of cranial nerves responsible for swallowing and gag reflex
A burn victim comes into the emergency department and it is determined that he has a full thickness burns on the body. What characteristics of the burn would indicate that this is a full thickness burn
Charring
Scarring
The nurse is completing an assessment on a patient with myasthenia gravis. Which of the following historical assessment findings provides the most significant evidence regarding when the disorder began
Drooping eyelids
Which is the initial intervention in the care of. Client with burns exceeding 20% of total body surface area
Fluid resuscitation
A patient is experiencing symptoms that are suspected to be related to SLE. What cutaneous symptom occurs in about 50% of clients affected by the diasese
Butterfly shaped rash on the face over the bridge of the nose and cheeks
The patient with glomerulonephritis is exhibiting gross peri orbital edema. Which is the best nursing intervention to relieve this symptoms
Monitor intake and output
A patient has a blockage of the passage of bile from a stone in the common bile duct. What type of jaundice does the nurse suspect this client to have
Obstructive jaundice
