Cardiovascular
Where would you assess the dorsalis pedis pulse?
The anterior portion of the foot at the first intermetatarsal space.
The nurse notes pallor of the skin and nail beds in a newly admitted patient. The nurse should ensure that which laboratory test has been ordered?
a. Platelet count
b. Neutrophil count
c. Hemoglobin level
d. White blood cell count
c. Hemoglobin level
What is a progressive neurodegenerative disorder that affects movement control and occurs due to the gradual loss of dopamine-producing nerve cells in a region of the brain called the substantia nigra?
Parkinson's Disease
What manifestation is the best early indicator that a patient may be experiencing an anaphylactic reaction?
Angioedema
The nurse is preparing to write a care plan for the patient with fibromyalgia. Which problem/nursing diagnosis best addresses this disorder?
a. Fatigue
b. Pain, chronic
c. Impaired physical mobility
d. Activity intolerance
b. Pain, chronic
What are the key nursing interventions for a patient diagnosed with an abdominal aortic aneurysm (AAA)?
Nursing interventions for a patient with an abdominal aortic aneurysm (AAA) focus on monitoring the aneurysm's size and growth, preventing complications, and promoting patient education. Key interventions include: Monitoring vital signs, pain management, smoking cessation, activity restriction, HTN management, education, regular follow up.
A nurse reviews the laboratory date for an older patient. The nurse would be most concerned about which finding?
a. Hematocrit of 35%
b. Hemoglobin of 11.8
c. Platelet count of 400,000
d. White blood cell count of 2800
d. White blood cell count of 2800
What are 3 potential side effects of anti-parkinson's medications?
Dyskinesias, orthostatic hypotension, falls, nausea/vomiting, hallucinations and psychosis, sleep disturbances, dysphagia, peripheral edema
What are the modes of transmission of HIV?
HIV can be transmitted through unprotected sexual intercourse, sharing contaminated needles or syringes, mother-to-child transmission during pregnancy, childbirth, or breastfeeding, and less commonly through blood transfusions or organ transplantation.
Which of the following is a clinical manifestation of Rheumatoid Arthritis (RA)?
a. Flare-ups of urticaria rash
b. Swelling and tenderness in the affected joints
c. Sudden onset of sharp, stabbing pain
d. Persistent headache accompanied by photophobia
b. Swelling and tenderness in the affected joints
What is the resistance to ejection of blood from the ventricle, the second determinant of stroke volume?
Afterload
The complete blood count indicates that a patient is thrombocytopenic. Which action should the nurse include in the plan of care?
a. Avoid intramuscular injections
b. Encourage increased oral fluids
c. Check temperature every 4 hours
d. Increase intake of iron-rich foods
a. Avoid intramuscular injections
A patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
a. Observe for agitation and paranoia
b. Assist with active range of motion (ROM)
c. Give muscle relaxants as needed to reduce spasms
d. Use simple words and phrases to explain procedures
b. Assist with active range of motion
What is passive immunity?
Passive immunity refers to the transfer of pre-formed antibodies or immune cells from one individual to another, providing immediate but temporary protection against specific pathogens.
What assessment finding(s) indicate that a patient may have fibromyalgia?
A pain response to nonpainful stimuli, hyperalgesia
Which information is most important for the nurse to include when teaching a patient with newly diagnosed hypertension?
a. Most people are able to control BP through dietary changes
b. Annual BP checks are needed to monitor treatment effectiveness
c. Hypertension is usually asymptomatic until target organ damage occurs
d. Increasing physical activity alone controls blood pressure for most people
C.
Hypertension is usually asymptomatic until target organ damage occurs
A patient who had a total hip replacement had an intraoperative hemorrhage 14 hours ago. Which laboratory test result would the nurse expect?
a. Hematocrit of 46%
b. Hemoglobin of 13.8
c. Elevated reticulocyte count
d. Decreased white blood cell count
c. Elevated reticulocyte count
Which of the following is a characteristic symptom of Huntington's disease?
a. Muscle weakness and wasting
b. Tremors at rest
c. Choreiform movements
d. Slowness of movement (bradykinesia)
c. Choreiform movements
A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose?
200 mg/dose
The nurse is instructing a patient with rheumatoid arthritis about a prescribed exercise program. Which information should the nurse include?
a. Perform exercises everyday, 3 to 10 times for every joint
b. Perform exercises even if inflammation is present
c. Perform exercises past the point of pain
d. Perform twice the number of exercises the next day if one day is missed
a. Perform exercises everyday, 3 to 10 times for every joint
The nurse is caring for a patient with peripheral vascular disease (PVD). The nurse understands that which age-related changes may cause PVD? (Select all that apply)
a. Decreasing blood viscosity
b. Loss of elasticity in vessel walls
c. Atherosclerotic changes in vessels
d. Sedentary practices
e. Weakened leg muscles
B, C, D, E
Age-related changes that can lead to PVD include: loss of elasticity in vessel walls, atherosclerotic changes in vessels, sedentary practices, and weakened leg muscles. Blood viscosity increases with age.
A patient is to receive an infusion of 250mL of platelets over 2 hrs through tubing that is labeled: 1 mL equals 10 drops. How many drops per minute will the nurse infuse?
21 gtt/min
A patient with Parkinson's disease is admitted to the hospital for treatment of pneumonia. Which nursing interventions will be included in the plan of care? (Select all that apply)
a. Provided an elevated toilet seat
b. Cut patient's food into small pieces
c. Serve high-protein foods at each meal
d. Place an armchair at the patient's bedside
e. Observe for sudden exacerbation of symptoms
A, B, D
The nurse is caring for a patient with systemic lupus erythematosus (SLE). The patient complains of severe fatigue, a butterfly rash, and joint pain. Which nursing intervention(s) is/are most appropriate for this patient? (Select all that apply)
a. Encourage the use of a sun lamp to help with the rash
b. Assess pain control measures that have helped the patient in the past
c. Assist the patient with planning rest periods throughout the day
d. Remind the patient to avoid contact with people who have an infection
e. Ensure the patient understands the importance of her medication regimen
B, C, D, E
A nurse is preparing to administer an IV fluid bolus of 200 mL dextrose 5% in water over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
100 gtt/min