It's in the Numbers
A patient with liver failure has jaundice. What lab result provides evidence of this finding in the patient?
Bilirubin
A 16-year old patient with cystic fibrosis is admitted with increased shortness of breath and possible pneumonia. Which nursing activity is most important to include in the patient’s care?
Perform postural drainage and chest physiotherapy every 4 hours
A patient is admitted to the emergency department after sustaining abdominal injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic, and is not talking coherently. Vital signs upon admission are temperature 98 F (36 C), heart rate 130 beats/minute, respiratory rate 34 breaths/minute, blood pressure 50/40 mmHg. The healthcare provider suspects which type of shock?
hypovolemic shock
Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to
relax smooth muscle airways in bronchials
A patient is admitted with uncontrolled atrial fibrillation. What type of stroke is this patient at MOST risk for
ischemic
A 37-year-old female has received 2 units of packed red blood cells. What is the desired hemoglobin level range for this patient?
12-16
A patient with chronic obstructive pulmonary disease (COPD) has an oxygen saturation of 89% on their home oxygen level of 3L/min. What does the nurse do next?
Assess the patient for any symptoms of SOB, if none present then the nurse states that this finding is normal
hypotension, tachycardia, tachypneic, fever, restlessness, warm flushed skin
early indicators of septic shock
A client has been taking benzonatate as prescribed. A nurse concludes that the medication is having the intended effect if the client experiences
reduction in cough
The nurse is caring for a client who has been admitted for a femoral-popliteal bypass graft, scheduled for the following morning. The nurse answers the call light and the client informs the nurse with clearly formed speech that the left side of his face feels numb, and his left arm and leg are really weak. What is the nurse’s next priority
check the pt's BG
A patient is taking Warfarin. What is a desired INR level for this patient?
1.5-2.5 times the normal range
The high-pressure alarm on a patient’s ventilator goes off. When you enter the room to assess the patient, who has ARDS, the oxygen saturation monitor reads 87% and the patient is struggling to sit up. Which action should you take next?
Assess for possible reasons for the high-pressure alarm and check machine for accuracy.
You’re caring for a patient who is experiencing septic shock. Which lab result below demonstrates that the patient’s cells are using anaerobic metabolism?
lactic acid
An elderly client has been ill with the flu, experiencing headache, fever, and chills. After 3 days, she developed a cough productive of yellow sputum. The nurse auscultates her lungs and hears diffuse crackles. How would the nurse best interpret these assessment findings
It is likely that the client is developing a secondary bacterial pneumonia.
A doctor has ordered cardiac enzymes on a patient being admitted with chest pain. What does the nurse expect the doctor to order and what is the normal value?
troponin less than 0.03
A 65-year-old male patient, who is diabetic, has a hemoglobin A1C level drawn. What is the target hemoglobin A1C for this patient?
less than 7%
When a patient with TB is being prepared for discharge, what would be the most important education to give?
Take the prescribed medications for the entire course of 6-9 months
hypotension, tachycardia, tachypneic, hypothermic, cold clammy skin
late stages of septic shock
The most reliable assessment tool to determine the respiratory status of a client is to
listen to lung sounds
A patient is complaining of a nagging cough that is continuous. Which medication below can cause this side effect?
"pril" ace inhibitors
A patient has the following arterial blood gases (ABGs). How do you interpret these results: pH 7.38, HCO3 24, and PCO2 38
normal
When assessing a 22-year old patient who required emergency surgery and multiple transfusion 3 days ago, you find that the patient looks anxious and has labored respirations at the rate of 38 breaths/min. The oxygen saturation is 90% with the oxygen delivery at 6 L/min via nasal cannula. What is the nurses next steps?
Switch the patient to another form of oxygen administration such as a mask, assess the lungs, and call the MD.
A patient is 1 hour post-op from abdominal surgery and had lost 20% of their blood volume during surgery. The patient's blood pressure is 70/40 (50). What should be the nurses first action?
Trendelenburg
Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema
To promote carbon dioxide elimination
The emergency medical service has transported a client with severe chest pain. As the client is being transferred to the emergency stretcher, you note unresponsiveness, cessation of breathing, and unpalpable pulse. What task do you do first.
compressions