Advanced clinical concepts
List at least 3 signs and symptoms of shock
weak pulse
rapid shallow breathing
rapid breathing
oliguria/anuria
pale skin
rapid heart rate
Name the 3 P's of hyperglycemia
polyuria
polydipsia
polyphagia
What does the T wave represent in EKG
repolarization of the ventricles
A 55-year-old male with a history of hypertension is admitted to the hospital with acute kidney injury (AKI). The nurse is monitoring the client's laboratory values. Which of the following findings is consistent with AKI?
X
a) Increased blood urea nitrogen (BUN) and creatinine
b) Decreased urine specific gravity
c) Elevated serum potassium
d) Decreased blood pressure
how should the nurse administer pancreatic enzymes?
with meals, powered forms should be mixed with fruit juice or applesauce
Nitroglycerin can be given by?
sublingually or by spray
What are the primary nursing interventions for thyroid storm?
maintaining an airway and adequate ventilation
What does a U wave represent
hypokalemia
Normal kidney function excretes how many ml of urine per Kg of body weight per hour?
1 ml of urine
list symptoms GI bleeding
dark tarry stool
coffee ground emesis
bright red rectal bleeding
how long should you listen for breath sounds before starting CPR
10 seconds
A 32-year-old female is admitted to the medical-surgical unit with a diagnosis of Cushing's syndrome. The nurse is assessing the client for clinical manifestations associated with this disorder. Which of the following findings would the nurse expect to observe in a client with Cushing's syndrome?
X
a) Hypotension and weight loss
b) Hyperpigmentation and hyperkalemia
c) Moon-shaped face and buffalo hump
d) Bradycardia and decreased appetite
Name at least 3 signs of fluid overload
tachycardia
Juglar vein distention
pulmonary edema
dyspnea
edema
Normal drainage after prostate surgery is what color
reddish pink clearing to light pink within 24 hours
A 55-year-old male is admitted to the hospital with gastrointestinal (GI) bleeding. The nurse is monitoring the client's vital signs and laboratory results. Which finding should be reported immediately to the healthcare provider?
X
a) Blood pressure of 140/90 mm Hg
b) Heart rate of 88 beats per minute
c) Hemoglobin level of 8.5 g/dL
d) Respiratory rate of 18 breaths per minute
what is the most common cause of shock?
Septic shock
diagnosed with hypothyroidism what are the T3 and T4 low or high?
What should you do if the chest tube becomes disconnected
Immediately place the end of the tube in a container or sterile saline or water until a new drainage symptom can be connected
A 65-year-old male undergoes a Transurethral Resection of the Prostate (TURP) procedure for benign prostatic hyperplasia (BPH). The nurse is providing postoperative care and monitors for potential complications. Which of the following complications is a priority concern after a TURP?
X
a) Bradycardia
b) Hypotension
c) Hematuria
d) Respiratory distress
A 45-year-old female is admitted to the hospital with complaints of severe abdominal pain, nausea, and vomiting. The healthcare provider suspects acute pancreatitis. In planning care for the client, which nursing intervention takes the highest priority?
X
a) Administering pain medication as ordered
b) Encouraging the client to maintain a low-fat diet
c) Monitoring serum amylase and lipase levels
d) Providing antiemetic medications for nausea and vomiting
Why should you watch for empty IV fluid containers and ensure all central lines are capped and locked if not in use, Why?
to prevent air embolism
list at least 2 foot care interventions that should be taught to the client with diabetes
feet checked daily, washed daily, well fitted shoes, socks should be warm, corns calluses should be removed, cut toe nails Stright across
how is MI pain different from angina pain?
its sudden onset
pain not relieved by rest
pain not relieved by nitroglycerin
pain last for hours or days
pain may occur at night
A 60-year-old male with a history of diabetes mellitus is admitted to the hospital with acute renal failure. The nurse is planning care for the client. Which of the following interventions is a priority in managing acute renal failure?
X
a) Administering pain medication for discomfort
b) Initiating a low-protein diet
c) Monitoring blood glucose levels closely
d) Ensuring adequate hydration with intravenous fluids
A 60-year-old female is diagnosed with diverticular disease and is seeking guidance on managing her condition. Which of the following instructions should the nurse include in the teaching plan for the client?
X
a) Increase intake of high-fiber foods, such as fruits and vegetables.
b) Consume a low-residue diet to minimize bowel irritation.
c) Avoid fluid intake to prevent excessive bowel movements.
d) Take over-the-counter laxatives regularly to prevent constipation.