Medical Terminology
Define Ecchymosis
A Bruise
In a client with chronic bronchitis, which sign would lead the nurse to suspect right-sided heart failure?
A. Cyanosis of the lips
B. Bilateral crackles
C. Productive cough
D. Leg edema
D. Leg Edema
The patient had abdominal surgery yesterday. Today the lung sounds in the lower lobes have decreased. The nurse knows this could be due to what occurring? And what is one intervention we can do to help this?
A. Pain
B. Atelectasis
C. Pneumonia
D. Pleural effusion
B. Atelectasis; incentive spirometer
MD ordered 15 mg of oxycodone to be given to the patient. Available is 10 mg tabs. How many tablets will the patient receive?
1.5 tablets
List 7 Glands in the endocrine system
- Hypothalamus
- Pineal
- Pituitary
- Thyroid
- Parathyroid
- Thymus
- Adrenals
- Pancreatic islets
- Ovaries
- Testes
Define Metastasis
The spread of cancer cells from the place where they first formed to another part of the body
A client comes to the Emergency Department via ambulance to report severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, Cardiac enzyme levels, IV fluids, and a 12-lead ECG. Which of the following actions should the nurse take FIRST?
A. Initiate oxygen therapy
B. Insert the IV catheter
C. Obtain the blood sample
D. Attach the leads for a 12-lead ECG.
A. Initiate oxygen therapy
The nurse obtains the following assessment data on an older patient who has influenza. Which information will be most important for the nurse to communicate to the health care provider?
a. Fever of 100.4° F (38° C)
b. Diffuse crackles in the lungs
c. Sore throat and frequent cough
d. Myalgia and persistent headache
B. Diffuse crackles in the lungs- could be leading to pneumonia.
A health care provider prescribes ondansetron (Zofran) 8 mg p.o. t.i.d.; Available: Zofran in a 100 ml bottle labeled 4 mg/tsp.; How many ml will the nurse administer for each dose?
10mL
Acromegaly is caused by? What does it result in?
Excess of GH in adults. It results in the enlargement of peripheral body parts without an increase in height
Define Apraxia
The inability to perform learned movements or tasks, even when the person understands the request and is willing to do it.
The nurse develops a teaching plan for a client who is newly prescribed lisinopril. Which information should the nurse include based on the prescribed medication? Select all that apply.
A. Adding foods rich in potassium to the diet.
B. Dangling legs at the side of the bed prior to standing up.
C. Monitoring the apical pulse prior to medication administration.
D. Monitoring therapeutic serum drug levels.
E. Holding the medication for a pulse that is less than 60 beats/minute.
F. Monitoring blood pressure daily.
B. Dangling legs at the side of the bed prior to standing up.
F. Monitoring blood pressure daily.
A patient with a recent history of a dry cough has had a chest x-ray that revealed the presence of nodules. In an effort to determine whether the nodules are malignant or benign, what is the primary care provider likely to order?
A. Thoracentesis
B. Pulmonary angiogram
C. CT scan of the patient's chest
D. Positron emission tomography (PET)
D. Positron emission tomography (PET)
A health care provider prescribes 1,500 mL of normal saline to be infused over seven (7) hours. The drop factor is 15 drops/mL. The nurse should set the flow rate of the IV infusion pump at how many mL per hour (mL/hour) and drops per minute (drops/minute)?
214 mL/hr
54 Drops/min
List 3 reasons Diabetes insipidus my occur and 2 manifestations of the disease.
1. Head trauma
2. Brain tumor
3. Surgical removal of the pituitary gland
4. CNS Infection
5. Failure of renal tubules to respond to ADH
1. Polydypsia (2-20L/day)
2. Large volumes of dilute urine (>250mL/hr)
Define Nosocomial
A hospital-acquired infection or a disease that develops in a patient while they are receiving medical care.
A nurse in the emergency department is caring for a client with acute heart failure. Which laboratory value is most important for the nurse to check before administering medications to treat heart failure? And Why?
A. Platelet count
B. Potassium
C. Calcium
D. White blood cell count (WBC)
B. Potassium, because part of treating acute heart failure is to administer diuretics. We must carefully monitor potassium before and during the administration of diuretics.
Which patient in the ear, nose, and throat (ENT) clinic should the nurse assess first?
A. A 23-year-old who is complaining of a sore throat and has a muffled voice
B. A 34-year-old who has a "scratchy throat" and a positive rapid strep antigen test
c. A 55-year-old who is receiving radiation for throat cancer and has severe fatigue
d. A 72-year-old with a history of a total laryngectomy whose stoma is red and inflamed
A. The patient's clinical manifestation of a muffled voice suggests a possible peritonsillar abscess that could lead to an airway obstruction requiring rapid assessment and potential treatment. The other patients do not have diagnoses or symptoms that indicate any life-threatening problems.
A health care provider ordered sulfasalazine (Azulfidine) Oral Susp 500 mg q 6 hr; Directions for mixing: Add 125 mL of water and shake well. Each tbsp will yield 1.5 g of sulfasalazine. How many mL will you give?
5mL
What 3 hormones does the thyroid gland secrete?
Thyroxine-T3, triiodothyronine-T4, and Calcitonin
Define Urticaria
Itchy, raised red areas on the skin; hives
The nurse is caring for a patient in the ED who has a B-type natiuretic peptide (BNP) level of 315 pg/mL. The nurse understands that this finding is most suggestive of which of the following?
A. Heart failure
B. Pulmonary edema
C. Myocardial infarction
D. Ventricular hypertrophy
A. Heart Failure
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment has been effective?
a. Bronchial breath sounds are heard at the right base.
b. The patient coughs up small amounts of green mucus.
c. The patient's white blood cell (WBC) count is 9000/µL.
d. Increased tactile fremitus is palpable over the right chest.
C. The patient's white blood cell (WBC) count is 9000/µL.
A health care provider orders cefaclor (Ceclor) 45 mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75 ml stock medication is labeled Ceclor 125 mg/ml. How many ml would the nurse administer per dose?
3.6mL
list 5 manifestations of hypothyroidism.
1. Extreme fatigue
2. Hair loss
3. Brittle nails
4. Dry skin
5. Numbness tingling in fingers
6. Menstrual disturbances
7. Myxedema (severe hypothyroidism)