Clotting
Which statement provides the best description of a normal clotting process in the body?
What is decrease in blood flow, formation of a platelet plug, and activation of clotting factors.
A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse monitor for in this patient?
What are cardiac dysrhythmias
The nurse is assessing a patients' differential white blood cell count. What implications would this test have on evaluating the adequacy of a patient's gas exchange? 1. What is an elevation of the total WBC count indicates generalized inflammation OR 2. Eosinophil count will assist to identify the presence of respiratory infection.
What is an elevation of the total WBC count indicates generalized inflammation
A patient diagnosed with COPD asks the nurse why clubbing occurs. Which response is most therapeutic?
1. Your disease doesn't send enough oxygen to your fingers 2. Your disease affects both your lungs and your heart and not enough blood is being pumped
What is Your disease doesn't send enough oxygen to your fingers.
A nurse is caring for a group of patients. Which patient should the nurse see first?
1. A patient with hypercapnia wearing an oxygen mask 2. A patient with a chest tube ambulating with the chest tube unclamped
What is a patient with hypercapnia wearing an oxygen mask
Which test would be indicated for evaluation of thrombocytopenia?
1. Chemistry profile,
2. Bone marrow examination,
3. Complete blood count with differential (CBC)
What is bone marrow examination
The patient asks the nurse to explain the function of the sinoatrial node in the heart. What is the nurses' best response?
It stimulates the heart to beat in a normal rhythm
The acid-base status of a patient is dependent on normal gas exchange. What patient would the nurse identify as having an increased risk for the development of respiratory acidosis? 1. Chronic lung disease with increased C02 retention 2. Acute anxiety, hyperventilation, and decreased C02 3. Decreased C02 with increased serum lactic acid production
What is Chronic lung disease with increased C02 retention
A nurse is teaching a post op patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?
What is it is important to do breathing exercises every hour to prevent atelectasis
A nurse plans to closely monitor the oxygen status of an older adult patient under going anesthesia due to which age-related changes?
What is diminished respiratory muscle strength may cause poor chest expansion.
Which dietary selection should the nurse recommend for a patient who is on antioagulation therory with warfarin?
1. Dark green leafy vegetables
2. Consistent diet of Vitamin K vegetables and greens
3. Daily salad
What is a consistent diet of Vitamin K vegetables and greens
A nurse is explaining the concept of perfusion to a student nurse. The nurse knows the student understands the concept of perfusion when the student makes which statement?
1. Perfusion is monitored by vital signs and cap refill
2. Perfusion varies as a person ages, so expect changes in the body
What is perfusion is monitored by VS and cap refill
A 3 month old infant is at increased risk for developing anemia. the nurse would identify which principle contributing to this risk? 1. The infant is becoming more active 2. The infant is unable to manage additional iron intake 3. A depletion of fetal hemoglobin occurs
What is a depletion of fetal hemoglobin occurs
A patient's heart rate went from 94 to 164 beats/minute. What will the nurse expect as a result?
1. What is decrease cardiac output
2 What is increased cardiac output
3. What is pain
What is a decrease in cardiac output
The nurse is teaching about the process of exchanging gases through the alveolar capillary membrane. Which term will the nurse use to describe this process?
1.Diffusion 2. Perfusion 3.Surfactant 4.Ventilation
What is diffusion
Which of the six "P's" related to the description of skin being cool to touch? (arterial occlusion)
Poikilothermia
Paresthesia
Pallor
Pain
Paralysis
Pulselessness
What is Poikilothermia
The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked 2 packs of cigerettes per day for 27 years. The nurse may find which data upon assessment
1. Reflux disease 2. Night Blindness
3. Elevated BP 4. Bounding pedal pulses
What is Elevated Blood pressure
The nurse would identify which patient condition as a problem of impaired gas exchange secondary to a perfusion problem.
1. Peripheral Artery disease of the lower extremities 2. COPD 3. Chronic Asthma
What is Peripheral artery disease of the lower extremities
What determination is the nurse trying to achieve by monitoring a patient's cardiac output?
What is peripheral extremity circulation
A nurse has an order to suction a patient as needed. The pulse is 65 and pulse oximetry is 94%. Which finding will cause the nurse to start suctioning?
Pulse Ox sat: 88% Pulse Ox sat: 80% Pulse Ox sat: 91% Pulse 75
What is pulse ox saturation of 88 percent
Which components are part of the Virchow's Triad?
What are Venous stasis, endothelial damage, and hypercoagulability
The patient brought to Emergency Room after a motor Vehicle accident (MVA) and diagnosed with an internal bleed. What is the primary care
1. Perfusion 2. Mental Alteration
3. Pain 4. Medication
What is perfusion
Which critical management prevention concept would the nurse identify as a representatiave of secondary prevention? 1. Maintaining current vaccine schedule
2. Prevention of PNE in patient's with chronic lung disease
What is prevention of PNE in patient's with chronic lung disease
A nurse is caring for a patient prescribed continuous cardiac monitoring for heart dysrhythmias. Which rhythm will cause the nurse to intervene immediately?1. Ventricular Tachycardia
2. Atrial Fibrillation
What is ventricular tachycardia?
A nurse is assessing a patient who was in a motor vehicle accident (MVA) that resulted in cervical trauma to C4. Which assessment finding is the priority? 1. Respirations 2. Temperature 3. Pulse 4. Blood Pressure
What are respirations