Renal
The nurse notes decreased urine output, increased BUN, and elevated creatinine. These findings are most consistent with which condition?
AKI
Which disorder is characterized by progressive demyelination of the central nervous system?
Multiple Sclerosis
A patient with Ulcerative Colitis will most likely have which stool characteristic?
Bloody diarrhea
Which screening test is most effective for early detection of colon cancer?
Colonoscopy
A patient who takes coumadin (Warfarin) for their atrial fibrillation presents to the hospital after a fall at home. The lab work shows an INR of 6.4. What reversal agent does the nurse anticipate being ordered for this patient.
Vitamin K
The nurse knows what assessment data is important for AV fistula or graft sites to ensure the are properly functioning for HD treatments?
Bruit and Thrill
What is the primary concern in the acute phase of Guillain-Barré Syndrome?
A nurse admits a patient with suspected pancreatitis. What diet order does the nurse anticipate?
NPO
A nurse is caring for a patient after a mastectomy. Important interventions include avoiding blood pressures, injections, or blood draws for the affected arm. This prevents what complication?
Lymphedema
Double Jeopardy = Double points
A post-operative patient is at risk for developing pneumonia. What key interventions does the nurse implement to prevent pneumonia?
Incentive spirometer, Cough and deep breathing, early and frequent ambulation, oral hygiene
A patient is in the diuretic phase of AKI. What electrolyte imbalance is the nurse most concerned about?
Hypokalemia
The nurse notes a recent increase in dosing of pyridostigmine for the patient with Myasthenia Gravis. During the current shift, the patient develops excessive salivation, diaphoresis, and difficulty breathing. What complication does the nurse know this patient could be having?
Cholinergic crisis
Cholecystitis
What are common early warning signs of colon cancer?
Change in bowel habits
What are two priority nursing assessments for a patient in acute kidney injury?
I&O, urine characteristics, daily weights, bp
The nurse is caring for a postoperative patient at risk for acute kidney injury (AKI). Which interventions help prevent kidney damage?
Maintain adequate hydration, monitor blood pressure, and avoid nephrotoxic substances (e.g., contrast dye, NSAIDs, aminoglycosides)
A patient with Parkinson’s disease has difficulty initiating movement and becomes frustrated. What nursing approach promotes independence and safety?
Adaptive devices, allow extra time for tasks, cueing
Double Jeopardy = Double points!!
The nurse is providing discharge teaching to a patient with peptic ulcer disease (PUD). What are some of the important topics to teach this patient?
Avoiding gastric irritants, avoid NSAIDS, using prescribed therapies consistently, and recognizing signs of GI bleeding (black stools, vomiting blood).
A patient with leukemia develops a fever of 101.4 F. What is the nurse’s priority action?
notify provider and initiate neutropenic precautions
A patient receiving chemotherapy for leukemia reports mouth pain and difficulty eating. On assessment, the nurse notes ulcerations on the oral mucosa. What is the nurse’s priority intervention?
Routine oral hygiene, avoid irritating foods/drinks
A patient has an elevated CK of 8000 U/L (normal 22-198 U/L). The nurse knows that the patient is at risk for which kind of kidney injury?
Intra-renal
Patient has rhabdomylosis
A patient with moderate Alzheimer’s disease becomes agitated in the evening (“sundowning”). Which intervention demonstrates effective management of this behavior?
Maintaining a calm environment with consistent routines and avoiding overstimulation in the late afternoon/evening.
A patient with UC presents with 3 day history of frank red stools. The patients hemoglobin is 6.5mg/dL on admission and the patient is ordered a transfusion of 1 unit of pRBCs. After initiating the transfusion, the patient develops severe back pain, fever of 101.4 F and bp 82/40. The immediate next steps are what?
STOP the transfusion and initiate saline with new tubing, notify the provider and consider a rapid response.
A patient receiving chemotherapy reports severe fatigue, nausea, and a loss of appetite. Which nursing interventions should the nurse implement to best manage these side effects?
Encourage small, frequent, high-protein, high-calorie meals.
Administer antiemetic medication prior to chemotherapy sessions as ordered.
Promote rest periods and cluster nursing care to reduce fatigue.
Monitor for signs of dehydration and weight loss.
A patient has been admitted with AKI due to dehydration and reports confusion. Labs show elevated BUN and creatinine. The patient’s skin is dry, and BP is 90/58.
List one priority nursing interventions or one expected outcome for this patient.
Interventions: Administer IV fluids as ordered; monitor urine output and vital signs
Outcome: Improved renal perfusion, increased urine output and stable BP, normal(izing) creatinine and BUN