Respiratory System
The respiratory system allows oxygen into the cells while allowing ____________ to move out.
Carbon dioxide
Name one emergency medication that client with angina should always carry with them.
Nitroglycerin spray or tablets
Which organ of the lymphatic system is responsible for T- cell maturation?
The thymus
You are caring for a patient admitted with a diagnosis of acute kidney injury. When you review your patient's most recent laboratory reports, you note that the patient’s magnesium levels are high. You should prioritize assessment for which of the following health problems?
A) Diminished deep tendon reflexes
B) Tachycardia
C) Cool, clammy skin
D) Acute flank pain
Acute flank pain
A 64-year-old client with a history of hypertension is admitted to the emergency department with sudden onset right-sided weakness, facial droop, and difficulty speaking. Which nursing intervention is the highest priority in the initial management of this client?
What does the acronmy FAST means?
F-face
A- arms
S- Speech
T- time
Abnormal rapid breathing
Tachypnea
The nurse receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level indicates what?
Myocardial Infraction
Detection of myoglobin is one diagnostic tool to determine whether myocardial damage has occurred. Myoglobin is generally detected about one hour after a heart attack is experienced and peaks within four (4) to six (6) hours after infarction (Remember, less than 90 mg/L is normal). Myoglobin is a heme protein found in skeletal and cardiac muscle that has attracted considerable interest as an early marker of MI. Its low molecular weight accounts for its early release profile: myoglobin typically rises 2-4 hours after onset of infarction, peaks at 6-12 hours, and returns to normal within 24-36 hours
A patient is admitted with iron- deficiency anemia and has been receiving iron supplementation. The patient voices concern about how their stool is dark black. As the nurse, you would?
The nurse is caring for a client who is experiencing diarrhea and weight loss. Which of the following nursing interventions is appropriate for him?
Encourage fluids with meals.
Substitute a milkshake for lunch.
Offer small, frequent meals.
Suggest he eat more sweets.
Encourage fluids with meals.
A 68-year-old male patient who had a left-sided stroke is admitted to the hospital. The patient has right-sided weakness and is unable to perform activities of daily living without assistance. The nurse is providing oral hygiene to the patient and is preparing to use a padded tongue blade to open the patient’s mouth. Which nursing measure is inappropriate when providing oral hygiene to the patient who had a stroke?
a. Placing Patient on their back with a small pillow under their head.
b. having a suction machine near by
c. cleaning the patient mouth and teeth with a tooth brush.
d. opening the patient mouth with a padded tongue blade.
Placing Patient on their back with a small pillow under their head.
postural Drainage is necessary for a patient with expectorant challenges. The best intervention would be....
Mrs. X was recently diagnosed with a myocardial infarction. Two days ago you observed severe pedal edema to her extremities... the most appropriate nursing intervention would be:
a) Call the kitchen and have all protein restricted
b) review Intake and output for the past two days.
3) restrict sodium and potassium
Review intake and output for the past 2 days,
Which type of hemoglobin is present in a patient who has sickle cell anemia?
Hemoglobin AA
Hemoglobin AS
Hemoglobin SS
Hemoglobin AS
Hemoglobin SS
A client has been admitted for chronic pyelonephritis. She is jittery and states she is concerned. Which of the following signs would indicate potential kidney damage?
Urine output is 100 mL on your shift
Blood pressure is decreased with a rapid pulse
Blood pressure is elevated with a decreased pulse
BUN and creatinine clearance are within normal limit
Urine output is 100 mL on your shift
A client arrives in the emergency department with an ischemic stroke. What is your priority Nursing intervention?
A. Complete your physical assessment
b. assertain the time of onset of the stroke
c. adminster medication
d. prepare for surgery
b. assertain the time of onset of the stroke
A patient with a TB diagnosis, who is compliant with the medication regime, should not be infectious after _________ time.
2 to 3 weeks of medication therapy
A 60-year-old male client comes into the emergency department with complaints of crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction. Immediate admission orders include oxygen by NC at 4L/minute, blood work, chest X-ray, an ECG, and two (2) mg of morphine given intravenously. The nurse should first:
A. order chest x-ray
b.Administer morphine
c. obtain 12 lead ECG
d. obtain blood works
patient with an acute exacerbation of systemic lupus erythematosus (SLE) is hospitalized with incapacitating fatigue, acute hand and wrist pain, and proteinuria. The health care provider prescribes prednisone (Deltasone) 40 mg twice daily. Which nursing action should be included in the plan of care?
a. seizure precaution
b. re-orintation to time and place
c. Monitor urine output
d. have ECG done
Monitor urine output.
SLE patients are prone to Lupus Nephritis. Additionally, when placed on corticosteroids it is important to monitor kidney function.
A male client, age 29, had impetigo 2 weeks before his noting a decrease in urine output and urine that “did not look right.” His admission diagnosis is acute glomerulonephritis. He is on intake and output with fluid restriction. Which of the following comments indicates knowledge of his nursing care?
“I had my wife empty my urinal.”
“My urine still looks pretty bad.”
“I put my call light on so you can empty my urinal.”
“My wife helped me out of bed, so I urinated in the bathroom.”
“I put my call light on so you can empty my urinal.”
The client’s wife asks the nurse what she thinks of memory training and reality orientation for a client with Stage 2 Alzheimer’s disease. The nurse responds that those interventions should be used with caution because:
reality is painful.
they are very costly.
they can accelerate the disease process.
they might trigger anger and agitation
they might trigger anger and agitation
The most commonly reported symptom of pulmonary embolism is
sudden onset of chest pain
The doctor ordered for a patient to receive Heprin IV, before commencing with this order, what medication should the nurse ensure is readily available?
A client is suspected of having systemic lupus erythematous. The nurse monitors the client, knowing that which of the following is one of the initial characteristic sign of systemic lupus erythematous?
a. Subnormal Temperature
b. Weight Gain
C. Rash on face across the bridge of nose
d. Elevated RBCs
Rash on face across the bridge of nose
A woman presents to the urgent care center with dysuria and hematuria and states that she has a history of cystitis. The nurse assesses which of the following symptoms are indicative of cystitis.
Frequency and urgency of urination, flank pain, nausea, and vomiting.
Chills and flank pain.
Fever, nausea, vomiting, and flank pain.
Frequency and urgency of urination, suprapubic pain, and foul-smelling urine.
Frequency and urgency of urination, suprapubic pain, and foul-smelling urine.
Assessment of intellectual function requires that the nurse:
have knowledge of the client’s previous ability to function.
administer a written test to determine the client’s IQ level.
utilize auscultation, percussion, and palpation skills.
observe the client’s behavior, posture, and expression
have knowledge of the client’s previous ability to function.