Renal
Hematology/Oncology
Shock/Burns
100
A client is complaining of severe flank and abdominal pain. A flat plate of the abdomen shows urolithiasis. Which intervention is important?
What is strain all urine
100
Wha are risk factors for development of skin cancer?
What is?
Sun exposure
Irritants and allergens
Radiation
Occupational history of chemical carcinogens
history of severe skin injury
Immunosuppression therapy
Exposure to ultraviolet light( natural light or indoor tanning) over long periods of time
Chronic skin inflammation, burns, or scars
100
What is the treatment of shock?
1L NS over 15 min restore vascular volume
oxygen
high head of bed
antibiotics
vasopressor press bp up- epinephrine and atropine inotropic heart deeper contraction-dobutomine
cath
abg
200
The most common early sign of kidney disease is?
What is Elevated BUN
200
Which statement about how sickle cell anemia is passed to offspring is CORRECT?*
What is autosomal recessive disease.
An autosomal recessive disorder means two copies of an abnormal gene must be present in order for the disease or trait to develop
200
A method for estimating the percentage of body surface area affected by a burn.
What is the Rule Of Nines
300
A patient who received a kidney transplant returns for a follow-up visit to the outpatient clinic and reports a lump in her breast. Transplant recipients are:
1) At increased risk for cancer due to immunosuppression caused by cyclosporine (Neoral)
2) Consumed with fear after the life-threatening experience of having a transplant
3) At increased risk for tumors because of the kidney transplant
4) At decreased risk for cancer, so the lump is most likely benign
What is Answer 1
300
A potentially life-threatening complication that occurs when cancer cells rapidly break down, releasing large amounts after chemotherapy
What is TLS
It is more common in certain types of cancer, such as: Acute lymphoblastic leukemia (ALL), Acute myeloid leukemia (AML), Burkitt's lymphoma, and Non-Hodgkin's lymphoma
uric acid, potassium, phosphate, increase
calcium decreases
300
Which of the following MOST accurately describes septic shock?
Which is Bacterial damage to the vessel wall, leaking blood vessels, and vasodilation
400
You suspect kidney transplant rejection when the patient shows which symptoms?
1) Pain in the incision, general malaise, and hypotension
2) Pain in the incision, general malaise, and depression
3) Fever, weight gain, and diminished urine output
4) Diminished urine output and hypotension
What is Answer 3
400
A newly admitted client has sickle cell crisis. The nurse is planning care based on assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is 89. Which of the following interventions would be implemented first? Assume that there are orders for each intervention.
a. Adjust the room temperature
b. Give a bolus of IV fluids
c. Start O2
d. Administer meperidine (Demerol) 75mg IV push
What is c
400
The early signs of shock, a life-threatening condition where the body does not receive enough blood flow, may include:
What is:
Rapid or irregular heartbeat, Low blood pressure, and Weak or absent pulse.
Weak
cold clammy
a life-threatening medical emergency that occurs when the body's organs do not receive enough blood flow and oxygen. This can lead to cell damage and organ failure
500
You're developing a care plan with the nursing diagnosis risk for infection for your patient that received a kidney transplant. A goal for this patient is to:
1) Remain afebrile and have negative cultures
2) Resume normal fluid intake within 2 to 3 days
3) Resume the patient's normal job within 2 to 3 weeks
4) Try to discontinue cyclosporine (Neoral) as quickly as possible
What is Ans 1
500
A condition in which there is an abnormally low number of neutrophils in the bloodstream.
Neutrophils are a type of white blood cell that play a crucial role in the body's immune system by fighting off bacterial and fungal infections
Increased risk of infections, Fever, Chills, Fatigue, Sore throat, and Mouth ulcers.
What is: Netrapenia
Increased risk of infections, Fever, Chills, Fatigue, Sore throat, and Mouth ulcers.
- Chemotherapy and radiation therapy
- Bone marrow disorders (e.g., leukemia)
- Autoimmune diseases
- Viral infections
- Certain medications
500
This type of burn Involve both the epidermis and part of the underlying layer (dermis)
- Appear as red, blistered, and painful areas
- Can heal within 2-3 weeks, but may leave scars
What is Second Degree BURN
1. Superficial (First-Degree) Burns:
- Effect only the outer layer of skin (epidermis)
- Characterized by redness, pain, and mild swelling
- Typically heal within 5-7 days without scarring
- Full-Thickness (Third-Degree) Burns:
- Destroy all layers of skin and may extend into underlying tissues (muscle, fat, bone)
Appear as white, charred, or leathery area
- Require medical attention and may require skin grafting for healing
- Destroy all layers of skin and may extend into underlying tissues (muscle, fat, bone)
4. Fourth-Degree Burns:
- Extend through all layers of skin and damage deeper structures (muscle, bone)
- Require immediate medical attention and may require extensive surgery and rehabilitation