Medications: The good, the bad and the ugly
The nurse would see this lab elevated on a CBC of a patient with an acute asthma exacerbation triggered by pollen.
What is elevated eosinophil count. indicates tissue inflammation
For which patients with pneumonia would the nurse suspect aspiration as the likely cause of pneumonia? (select all that apply) 1. patient w/ seizures 2. patient w/ head injury 3. patient who had thoracic surgery 4. patient who had a MI 5. patient who is receiving NG tube feeding.
What is 1, 2 and 5
A patient is diagnosed with pneumonia. As the nurse, you would expect to see this laboratory change on their CBC.
What is elevated WBC
An appropriate nursing intervention for a patient with pneumonia with the nursing diagnosis of ineffective airway clearance related to thick secretions and fatigue would be to: 1. perform postural drainage every hour 2. provide analgesics as order to promote patient comfort 3. administer oxygen as prescribed to maintain optimal oxygen levels 4. teach patient how to cough effectively to bring secretions to the mouth.
What is 4
A patient is admitted with acute exacerbation of COPD. The physician orders ABG's to be drawn. As the nurse, you would expect this type of results.
What is respiratory acidosis (decreased pH, elevated CO2, possibly elevated or normal HCO3)
When planning health care teaching to prevent or detect early head and neck CA, which people who be the priority to target (select all that apply): 1. 65 y.o. man who has used chewing tobacco most of his life 2. 45 y.o. rancher who uses snuff to stay awake while driving herds of cattle 3. 78 y.o. woman who has been drinking hard liquor since her husband died 15 years ago 4. 21 year old college students who drinks beer on weekends with his frat brothers 5. 22 year old woman who has been diagnosed with HPV of the cervix
What is 1,2,3,5
This group of medications works by reducing inflammation and causing bronchodilation, and can be used on children as young as 2 years of age.
What is leukotriene antagonist (Singulair)
BONUS QUESTION Most accurate diagnostic test for diagnosis of cystic fibrosis.
What is sweat chloride test. PEOPLE WITH CF HAVE HIGH COUNT
While in the recovery room, a patient with a total laryngectomy is suctioned and has blood mucus with some clots.Which nursing intervention would apply? 1. Notify the physician immediately 2. Place the patient in the prone position to facilitate drainage. 3. Instill 3 mL of NS into the tracheostomy tube to loosen secretions 4. Continue your assessment of the patient including O2 sat, RR, and breath sounds
What is 4
This would be a priority intervention you would expect to do for a patient diagnosed with pneumonia
What is administer antibiotics, oxygen administration, cultures (blood and sputum), etc
A patient is diagnosed with lung cancer and asks you what the "TNM" system means. You reply:
What is tumor, node, metastases (used in staging cancer)
A patient with TB has been admitted to the hospital and is placed in an airborne infection isolation room. What should the patient be taught? (select all that apply): 1. Expect routine TST to evaluate infection 2. Visitors will not be allowed while in airborned isolation 3. Take all medications for full length of time to prevent multidrug-resistant TB 4. Wear a standard isolation mask if leaving the airborne infection isolation room 5. Maintain precautions in airborne infection isolation room by coughing into a paper tissue.
What is 3, 4, 5