Hemo
Fluid & Electrolyte
Acid-Base Imbalance
Endocrine
Immune
100
Pt. lacks intrinsic factor in their gut, lacking vitamin B12. What anemia is present?
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100
Normal blood value is between 135-145 mEq/L
100
pH 7.10, PaCO2 70 mm Hg, and HCO3 24 mEq/L
100
Signs and symptoms for Addison's disease?
100
A nurse is providing teaching to a client who has Hodgkin's lymphoma and is undergoing external radiation treatment. What instructions should the nurse include?
avoid direct sun exposure to the skin
200
An autoimmune disorder where the lifespan of platelets is decreased, which increases the risk of hemorrhaging is..
idiopathic thrombocytopenia purpura (ITP) is a blood disorder characterized by a decrease in the number of platelets in the blood. Platelets are cells in the blood that help stop bleeding. A decrease in platelets can cause easy bruising, bleeding gums, and internal bleeding
200
A lack of fluid in the body, from insufficient intake or excess loss
Dehydration
200
pH 7.61, PaCO2 22 mmHg, and HCO3 25 mEq/L compensated or uncompensated?
Respiratory alkalosis, uncompensated. It is uncompensated due to the normal HCO3 which is within 22-26 mEq/L.
200
When monitoring for development of thyroid storm in patient with Graves' disease. Which finding to report to provider?
The body is worked up causing fever, HTN, ab pain and tachycardia.
200
A nurse is assessing a client who has systemic lupus erythematosis. What findings should the nurse expect?
joint inflammation, decreased urine output, butterfly rash
300
Some nursing interventions for a patient who has neutropenia are...
-private room, mask on the client during transport, protect the client from possible sources of infection (plants), hand hygiene, avoid invasive procedures, dedicate equipment in the client's room
300
10% Dextrose in Water (D10W). 5% Dextrose in 0.9% Saline. 5% Dextrose in 0.45% saline. 5% Dextrose in Lactated Ringer's. Type of IV fluids?
300
Mother complaints that infant has been irritable and has had diarrhea for the past 3 days. ABG results show pH 7.39, PaCO2 27 mmHg, and HCO3 19 mEq/L. What does this mean?
300
What lab test should be performed if a nurse suspects that a patient with diabetes mellitus may be non-compliant with the treatment plan?
300
A nurse is providing d/c teaching for a client who is HIV positive. What instructions should the nurse include in the teaching?
discard beverages that have been unrefrigerated for 1 hr, avoid raw foods, crowded areas, adhere to medication regimen
400
A nurse is caring for a client who is receiving a unit of packed RBCs. The client states that he is experiencing flank pain and that it feels like his heart is racing. Which of the following types of transfusion reactions should the nurse identify the client is experiencing?
Hemolytic
The nurse should identify the manifestations of flank pain and tachycardia as a hemolytic transfusion reaction. Other manifestations can include fever, chills, hypotension, apprehension, and reddish or brown urine.
400
Serum K level greater than 5.0 mEq/L, inadequate renal excretion, widened QRS
400
A student nurse is nervous for a big exam and is breathing rapidly, what acid-base imbalance do you expect?
400
Pt. is experiencing Somogyi effect. Which nursing action to include in the plan?
Monitor pt night-time blood glucose levels.
When insulin lowers your blood sugar too much, it can trigger a release of hormones that send your blood sugar levels into a rebound high.
400
A nurse is planning an education program for a group of male adolescents. When is the best time to inspect for testicular cancer?
Inspect testicles immediately after showering
Easier to palpate
500
A nurse is caring for a client who has hemophilia. The client reports pain and swelling in a joint following an injury. Which of the following actions should the nurse take?
Prepare for replacement of the missing clotting factor
500
Ionized level less than 4.5, Muscle spasms, Decreased myocardial contractility, Trousseau's sign
500
A nurse is caring for a patient that has been suffering from persistent vomiting for two days now and appears to be lethargic, weak and has myalgia. What type of acid-base imbalance?
500
Excessive output of diluted urine from an antidiuretic hormone (ADH) abnormality is characteristic of
500
A nurse is performing a breast exam on a female who is pregnant. What finding should the nurse report to the provider?
breast tissue with an orange-peel appearance
