MIDTERM Flashcards
Hemoglobin solubility results and hemoglobin electrophoresis have resulted in a diagnosis of sickle cell anemia in an African American infant. The parents of the child should be aware that their child is at a significant risk for which of the following health problems? Select all that apply. A. Respiratory disease B. Autoimmune disease C. Acute pain D. Fractures E. Stroke
Respiratory disease
Acute pain
Stroke
A patient who has anemia and a severe GI absorption disorder has been ordered iron dextran (INFeD). What is the most appropriate nursing diagnosis for the patient related to the administration of this drug?
A) Acute pain related to drug administration
B) Deficient knowledge regarding drug therapy
C) Risk for injury related to CNS effects
D) Disturbed body image related to drug staining of teeth
Ans: A
Feedback:
Iron dextran is a parenteral form of iron. It is given intramuscularly and must be given by the Z-track method. It can be very painful. Certainly, deficient knowledge and risk for injury are appropriate diagnoses for this patient but would not be related to the administration of the drug. Because this medication is not given orally, tooth staining would not be a concern.
A postsurgical client who is recovering in the postanesthetic recovery unit states that she is "freezing cold." Which of the following measures is likely to be initiated in the client's hypothalamus in an effort to reduce heat loss? A) Opening of arteriovenous (AV) shunts B) Reduced exhalation of warmed air C) Contraction of pilomotor muscles D) Decreased urine production
C) Contraction of pilomotor muscles
The patient is taking a drug that affects the body by increasing cellular activity. Where does this drug work on the cell? A. Receptor sites B. Cell membrane C. Golgi boy D. Endoplasmic reticulum
Receptor Sites
Which of the following clients is most likely to be susceptible to developing a neurogenic fever? A client who has:
A. Become delirious after the administration of benzodiazepine?
B. Stage II Alzheimer disease
C. Begun taking a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression
D. Sustained a head injury in a bicycle crash
Ans: sustained a head injury in a bicycle crash
Neurogenic fever is the result of damage to the hypothalamus caused by central nervous system trauma, intracerebral bleeding, or an increase in intracranial pressure. All these problems may be precipitated by a head injury. Alzheimer disease and drug administration are not typical causes of a neurogenic fever
A patient is being discharged home on warfarin. The discharge teaching by the nurse should include a warning to avoid what? A. St. Johns Wort B. Saw Palmetto C. Tarragon D. Ginkgo
Ans: D. Ginkgo
The nurse evaluates teaching about warfarin is successful when the patient makes what statement?
A. I will increase the dark green leafy vegetables in my diet.
B. I will check with the pharmacist before taking any herbal supplements
C. If I miss a dose, I will take two pills that next day
D. I will take a multivitamin daily.
Ans: B. I will check with the pharmacist before taking any herbal supplements
A client is undergoing a diagnostic workup to rule out multiple myeloma. Which of the following diagnostic findings would confirm the diagnosis of multiple myeloma?
A) Plasma cells greater than 10% on bone marrow biopsy
B) Decreased production of bone osteoblasts
C) T-cell lymphocyte level of 34% (normal)
D) Immunoglobulin A level of 200 mg/dL (normal)
Ans: A) Plasma cells greater than 10% on bone marrow biopsy
By what route will the nurse administer the antihemophilic agent to the patient with hemophilia following a car accident? A. Topical B. Sublingual C. IV D. Oral
Ans: C
Feedback:
All antihemophilic agents are administered IV and are not available for administration by any other route.
A public health nurse is conducting a health promotion campaign under the auspices of the local community center. Which of the following measures that the nurse is promoting are likely to influence the participants risk of hypercoagulability disorders? Select all that apply.
A. cholesterol screening and management
B. Smoking cessation
C. Blood glucose screening
D. Daily dose of vitamins and minerals
E. Eliminating consumption all alcoholic beverage
Answer:
A. cholesterol screening and management
B. Smoking cessation
C. Blood glucose screening
The angiogenesis process, which allows tumors to develop new blood vessels, is triggered and regulated by tumor-secreted: A. Growth factors B. Attachment factors C. Procoagulants D. Proteolytic enzymes
Ans: A. Growth factors
What anemia does the nurse classify as a type of hemolytic anemia? A. Sickle cell anemia B. Pernicious anemia C. Iron deficiency anemia D. Megaloblastic anemia
Ans: A. Sickle cell anemia
A 12yr old boys severe wound that he received from a dog bite has begun to heal and currently shows no signs of infection. Which of the following process occurred first during this process of repair by connective tissue disposition?
A. Deposition of the extracellular matrix
B. Angiogenesis
C. Emigration of fibroblast to the wound site
D. Reorganization of fibrous tissue.
Ans: B. Angiogenesis
The patient has been diagnoses with rheumatoid arthritis. She also reports pain in various muscle groups secondary to a diagnosis of fibromyalgia and dysmenorrhea with painful cramping during menses. What drug would be most effective in treating all three of this patients problems: A. Etanercept (Enbrel) B. Naproxen C. Acetaminophen D. Sodium hyaluronate
B. Naproxen
Which of the following wounds is most likely to heal by secondary intention?
A. A boys “road rash” that he got by falling off his bicycle
B. The incision from a teenagers open appendectomy
C. A needle stick injury that a nurse received when injecting a client medication
D. A finger laceration that a cook receiving while cutting up onions.
Ans: A. A boys “road rash” that he got by falling off his bicycle
