You Break My Heart
Which cardiac marker is specific to the heart; is not influenced by skeletal muscle trauma or renal failure; and rises 3 hours after a myocardial infarction?
Troponin
A nurse is providing education to a patient taking tetracycline for chlamydia. Which instruction would promote the growth of healthy bacteria?
Eat yogurt.
Which medication would the nurse expect the health care provider to prescribe for a patient whose thyroid-stimulating hormone (TSH) level is 8 mcg/mL (HIGH)?
Levothyroxine
Which arterial blood gas value would indicate that a patient with bronchitis is experiencing hypercapnia?
Increased CO2
A nurse is caring for a patient with benign prostatic hypertrophy (BPH) that has been refractory to treatment with medicines. The nurse anticipates that the patient will undergo which procedure?
TURP
What is the number one modifiable risk factor for cardiovascular disease?
Smoking
Which diagnostic test does the nurse expect the health care provider to order for a patient with diarrhea and an intestinal infection?
Stool culture
While observing a conscious patient who is on oral hypoglycemic drugs, the nurse finds that the patient has tremors, with rapid and shallow breathing patterns. Which nursing intervention would be most important in this situation?
Give glucose
A hospitalized patient has a positive purified protein derivative (PPD) skin test result but a negative chest x-ray examination and no symptoms of tuberculosis. Into which category does the patient fall?
Latent
A 70-year-old male patient presents to the clinic with dysuria, nocturia, difficulty starting urination, and oliguria. The health care provider performs a rectal examination and describes the prostate as enlarged and boggy. Which medication does the nurse anticipate being prescribed to shrink the patient’s prostate?
Finasteride
The nurse knows that a patient who presents with new-onset atrial fibrillation is at an increased risk for which condition?
Pulmonary embolism
Which assessment finding in a patient with gastritis indicates a need for fluid and blood replacement and nasogastric (NG) lavage?
GI bleeding
A nurse enters the room of a patient with type 1 diabetes who received an insulin injection 30 minutes ago and finds the patient unresponsive in bed. Which action would the nurse take first?
Check glucose level
A patient has an arterial blood gas with a pH of 7.21, a partial pressure of carbon dioxide (PaCO2) of 60 mm Hg, a partial pressure of oxygen (PaO2) of 60 mm Hg, and a bicarbonate (HCO3-) level of 30 mEq/L. The nurse knows that this patient has which acid–base imbalance?
Respiratory acidosis
The nurse is caring for a patient with a urinary tract infection (UTI). Using the urometer connected to a drainage system, the nurse monitors the patient’s urinary output and finds that it is 25 mL/hr. Which action would be the immediate response by the nurse?
Check drainage system
The nurse suspects that a patient has experienced a myocardial infarction (MI). Which laboratory result will be used to diagnose it?
Troponin
Which diagnostic test involves visualization of the esophagus, stomach, and duodenum via a flexible endoscope?
EGD
Which disorder is caused by the secretion of insufficient amounts of antidiuretic hormone (ADH)?
Diabetes insipidus
The nurse is caring for a 70-year-old patient with pneumonia. Which nursing intervention would promote expectoration in the patient?
Increase fluids
Which blood test is done to evaluate for impaired renal function, which is affected very little by dehydration, malnutrition, or hepatic function?
Creatinine
If a patient has a significantly elevated B-type natriuretic peptide (BNP), the nurse anticipates that the patient’s position of comfort will be which position in bed?
HOB elevated with pillows
Which advice would the nurse give to a patient reporting constipation?
Increase fluids
Which drug is useful in the management of diabetes insipidus?
Vasopressin
The nurse is performing the morning assessment of a patient with heart failure. On auscultation, the nurse notes sounds similar to hair being rolled between fingers near the ear. Which term would the nurse use to document this finding?
A 50-year-old patient has a prostate-specific antigen (PSA) level of 6 ng/mL (high). The nurse knows this patient should be evaluated for which condition?
Prostate cance