Concepts and Challenges in Patient Management 1
Interpret this ABG: pH 7.31, CO2 49, HCO3 24.
Uncompensated respiratory acidosis
Interpret the ABG: pH 7.48, CO2 35, HCO3 31.
Uncompensated metabolic alkalosis
Which of the following is an example of a result from autonomic neuropathy in a diabetic patient?
Decreased gastric motility
“decreased gastric motility may result in poor control of blood glucose caused by delayed absorption of glucose from ingested foods, which leads to increased variability in blood glucose levels and increased risk of hypoglycemia”
During a shift assessment, the nurse is assessing the pts point of maximum impulse. Where will the nurse best palpate and auscultate the PMI?
Left midclavicular line of the chest at the 5th intercostal space
A client has a history of smoking and drinking and begins to complain of feeling a lump in the throat, hoarseness, and dysphagia. What disease could the client most likely have?
Laryngeal cancer
Which serum sodium value indicated mild hyponatremia?
<135
“sodium concentrations ranges from 135-145”
Which dietary supplement should the nurse suggest to the client who needs to increase his or her intake of calcium?
Vitamin D
“calcium is absorbed from foods in the presence of normal gastric acidity and Vitamin D.”
A 33 year old client admitted to the ER with s/s of hyperglycemia was subsequently diagnosed with diabetes. The client’s blood sugars have been stabilized, and the client has begun diabetes education with a nurse educator. What should the nurse educator consider initially?
Readiness to learn
Match the order of blood flow through the heart.
1. Superior/inferior vena cava
2. R. atrium
3. Tricuspid valve
4. R. ventricle
5. Pulmonic valve
6. Pulmonary artery
7. Pulmonary vein
8. L. atrium
9. Mitral valve
10. L. ventricle
11. Aortic valve
12. Aorta
A nurse has provided discharge instructions about self-care at home to a client who has had a total laryngectomy. The nurse determines that the client has understood the instructions when the client says...
“I should wear a stoma guard or loos clothing to cover the stoma”
Why do men generally have higher water content than women?
They have more muscle mass
“men have proportionately more body fluid than women approximately 2/3 of body fluid is ICF and is located primarily in the skeletal muscle mass”
Nursing care for a client who has sleep apnea would include monitoring for signs of:
Respiratory acidosis
“respiratory acidosis is always due to inadequate excretion of CO2 with inadequate ventilation”
A community health nurse is staffing a booth at a health fair that has been sponsored by a local community center, in the course of the day, the nurse has engaged with many members of the public, several of whom have disclosed their current health complaints to the nurse. Which of the following statements should prompt the nurse to encourage the individual to be screened for diabetes?
I have been experiencing polyuria, polydipsia, and polyphagia
Thrombolytic therapy is being prepared for administration to an older adult pt. who has presented to the ED w/ an ST segment elevation MI. the nurse recognizes the primary goal of this intervention is
To prevent platelet aggregation and subsequent thrombosis, which impedes blood flow
Which diagnosis is most likely to contribute to the development of acute respiratory distress syndrome?
Massive trauma
What is the priority teaching intervention for the client with chronic hypophosphatemia?
Infection and malnutrition
Which food is highest in potassium and ones you would recommend to the client to include in her/his diet to increase potassium level?
Bananas, oranges, apricots, prunes, cooked spinach, cooked broccoli, potatoes, beans
Calculate the flow rate in mL/hour for the following order. Order: 500mL D5NS IV to infuse in 4 hours.
125mL/hr
The nurse is conducting a morning assessment of an 80 year old female pt who has a longstanding diagnosis of HF. This nurse notes JVD greater than 4 cm above sternal angle, a finding that didn’t exist the day before. What conclusion should the nurse draw from this assessment finding?
The woman may be experiencing an exacerbation of R. sided HF
The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client problem “altered communication.” Which intervention should the nurse implement?
Provide the client with a blank note pad for writing any communication to rest voice
Most electrolytes enter the body through the...
GI tract
A client arriving from the ER to the OR. ABG results: pH 7.25, CO2 40, HCO3 20.
Uncompensated metabolic acidosis
Syndrome of inappropriate antidiuretic hormone results in:
Hyponatremia and hypervolemia
A pt has been admitted w/ endocarditis. The pt asks the nurse, “how does my HCP know what meds to order that will kill the bacteria?” the nurse knows in order to find the most appropriate antibiotic treatment, which would be the most helpful?
Blood cultures
A client with sinusitis has been given prescription for antibiotics. After 3 days, the client tells the nurse she feels better and wonders if she can discontinue the antibiotic medications. The nurse should instruct the client to
Take the medication for the entire 10 day period