Oxygenation
A patient returns from a thoracentesis. What complication should the nurse monitor for?
A. Respiratory Failure
B. Pneumothorax
C. Asthma attack
D. Cor pulmonale
A nurse is evaluating a client with left-sided heart failure. Which finding should the nurse expect to assess?
A. Ascites
B. Dyspnea
C. Hepatomegaly
D. Jugular vein distention
The nurse teaches a patient with newly diagnosed peptic ulcer disease to do which of the following?
A. Maintain a bland, soft, low-residue diet
B. Use alcohol and caffeine in moderation and always with food
C. Eat as normal as possible, eliminating foods that cause pain and/or discomfort
D. Avoid milk products because they stimulate gastric acid production
A nurse is caring for a patient who just experienced a generalized seizure. Which of the following actions should the nurse perform first?
A. Keep the client in a side-lying position.
B. Document the duration of the seizure.
C. Reorientate the client to the environment.
D. Insert an oral airway.
Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?
A. keep the ankle loosely wrapped with gauze
B. apply a heating pad to reduce muscle spasms
C. use pillows to elevate the ankle above the heart
D. gently move the ankle through the range of motion
A patient has returned from surgery with a tracheostomy. What precaution should nurse be aware of?
A. The physician will perform the first tube change.
B. The nurse should change the ties with in four hours after surgery.
C. The nurse should make sure there is a spare tracheostomy tube is the supply closest.
D. If the tube needs to be replaced, the nurse should leave the obturator in after replacing the tube.
A client complains of crushing chest pain that radiates to his left arm. He should be presented with the following treatment:
A. Aspirin, oxygen, nitroglycerin, and morphine
B. Aspirin, oxygen, nitroglycerin, and codeine
C. Oxygen, nitroglycerin, meperidine, and thrombolytics
D. Aspirin, oxygen, nitroprusside, and morphine
A patient present with burning and cramp like pain in her stomach. Patients states that her stomach pain is relieved when eating, these are manifestations of what problem?
A. Gastric ulcers
B. GERD
C. GI bleed
D. Duodenal ulcers
Question: A nurse is providing discharge teaching to a client who has a prescription for phenytoin. Which of the following information should the nurse include?
A. Consider taking an antacid when on this medication
B. Watch for receding gums when taking this medication
C. Take the medication at the same time everyday
D. Provide a urine sample to determine therapeutic levels of the medication
When administering alendronate (Fosamax) to a patient with osteoporosis, the nurse will?
A. ask about any leg cramps or hot flashes
B. be sure that the patient has recently eaten
C. administer the ordered calcium carbonate
D. assist the patient to sit up at the bedside
What is NOT a clinical manifestation of COPD?
A. Tripod Positioning
B. Pursed lip breathing
C. Dysuria
D. Underweight
A. Avoid drugs to treat erectile dysfunction
B. Avoid potassium based foods
C. Avoid NSAIDS
D. Take an OTC H2 receptor blocker
What can occur if metoclopramide is taken long term or in high doses
A. Stevens Johnson Syndrome
B. Liver failure
C. Severe dehydration
D. Tardive Dyskinesia
A patient was a T4 spinal cord injury has neurogenic shock due to sympathetic nervous system dysfunction. What would the nurse recognize as a characteristic of this condition?
A. Tachycardia
B. Hypotension
C. Increased cardiac output
D. Peripheral vasoconstriction
A patient is recently diagnosed with osteomyelitis. What lab values correlate to this diagnosis?
A. Positive wound culture, Increased WBC, low ESR
B. Increased WBC, Increased ESR, increased C-Reactive protein
C. Increased WBC, decreased RBC, increased ESR
D. Increased C-Reactive protein, positive blood culture, low ESR
A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the nurse recognize as risks for complications (Select all that apply)
A. Dyspnea
B. Localized bloody drainage on the dressing
C. Fever
D. Hypotension
E. Report of pain at the puncture site
A patient diagnosed with HF had been prescribed furosemide. What outcome would demonstrate effectiveness of this med?
A. Reduction of preload
B. Promote vasodilation
C. Decrease in afterload
D. Increase in contractility
Following a Bilroth II procedure, a patient develops dumping syndrome. The nurse explains that the symptoms associated with this problem are caused by?
A. Distention of the smaller stomach by too much and fluid intake
B. Movement of fluid into the small bowel because concentrated food and fluids move rapidly into the intestine.
C. Hyperglycemia caused by uncontrolled gastric emptying into the small intestine
D. Irritation of the stomach lining by reflux of bile salts because the pylorus has been removed
The nurse is caring for a patient with a halo vest after cervical spine surgery. Which care instructions should the nurse include in the patients discharge planning?
A. Keep a wrench close or attached to the vest
B. use the frame and vest to assist in positioning
C. clean around the pins using betadine swab sticks
D. Loosen both sides of the vest to provide skin care.
Which action should the nurse take before administering gentamicin to a patient who has acute osteomyelitis?
A. ask the patient about nausea
B. review the patient’s creatinine level
C. obtain the patient’s oral temperature
D. change the wet to dry dressing
A nurse is caring for a client who is experiencing respiratory distress. Which of the following manifestations of hypoxemia should the nurse recognize? Select all that apply
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevated BP
The nurse is monitoring the electrocardiograms of several patients on a cardiac telemetry unit. The patients are directly visible to the nurse, and all the patients are observed to be sitting up and talking with visitors. Which patient’s rhythm would require the nurse to take immediate action?
A. 62-yr-old man with a fever and sinus tachycardia with a rate of 110 beats/min
B. A 72-yr-old woman with atrial fibrillation with 60 to 80 QRS complexes per minute
C. A 52-yr-old man with premature ventricular contractions (PVCs) at a rate of 12 per minute
D. A 42-yr-old woman with first-degree AV block and sinus bradycardia at a rate of 56 beats/min
A patient has IBD. What is used to manage the problem (Select all that apply)………
A. High Calorie High protein diet
B. Corticosteroids
C. NSAIDS
D. Immunosuppressants
E. Physical and emotional rest
The nurse is caring for a patient admitted with a spinal cord injury after a motor vehicle accident. The patient has a complete loss of motor, sensory, and reflex activity below the injury level. The nurse recognizes this condition as:
A. central cord syndrome
B. Spinal shock syndrome
C. neurogenic shock
D. autonomic dysreflexia
An assessment finding for a 55 y.o. patient with osteoporosis is ?
A. the presence of bowed legs
B. a measurable loss of height
C. the aversion to dairy products
D. a statement about frequent falls