Hematologic Disorders
A client comes to the outpatient clinic and tells the nurse that he has had legs pains that begin when he walks but cease when he stops walking. Which of the following conditions would the nurse assess for?
a. An acute obstruction in the vessels of the legs
b. Peripheral vascular problems in both legs
c. Diabetes
d. Calcium deficiency
What is b. peripheral vascular problems in both legs
A hospital nurse has experienced percutaneous exposure to an HIV-positive patient's blood as a result of a needlestick injury. The nurse has informed the supervisor and identified the client. What action should the nurse take next?
a. Flush the wound site with chlorhexidine.
b. Report to the emergency department or employee health department.
c. Apply a hydrocolloid dressing to the wound site.
d. Follow up with the nurse's primary provider
What is B. Report to the emergency department or employee health department.
Mike, a 43-year old construction worker, has a history of hypertension. He smokes two packs of cigarettes a day, is nervous about the possibility of being unemployed, and has difficulty coping with stress. His current concern is calf pain during minimal exercise that decreased with rest. The nurse assesses Mike’s symptoms as being associated with peripheral arterial occlusive disease. The nursing diagnosis is:
a. Alteration in tissue perfusion related to compromised circulation
b. Dysfunctional use of extremities related to muscle spasms
c. Impaired mobility related to stress associated with pain
d. Impairment in muscle use associated with pain on exertion
What is a. Alteration in tissue perfusion related to compromised circulation
Assessing the laboratory findings, which result would the nurse most likely expect to find in a client with chronic kidney disease?
A. BUN 30 mg/dl, potassium 4.0 mEq/L, decreased GFR, creatinine 2.3 mg/dl
B. Serum creatinine 0.8 mg/dL, potassium 5.8 mEq/L
C. BUN 15 mg/dl, increased serum calcium, creatinine l.0 mg/dl
D. BUN 20 mg/dl, potassium 3.5 mEq/L, pH 7.35, increased GFR
What is A. BUN 10 to 30 mg/dl, potassium 4.0 mEq/L, decreased GFR, creatinine 2.3 mg/dl
A client with a history of atrial fibrillation has contacted the clinic saying that she has accidentally overdosed on her prescribed warfarin. The nurse should recognize the possible need for what antidote?
a. IVIG
b. Factor X
c. Vitamin K
d. Factor VIII
What is c. Vitamin K
Effectiveness of antiretroviral therapy is determined by:
a. a fall in the plasma viral load and an increase in the CD4 count.
b. a rise in red blood cell count and hemoglobin level.
c. a rise in plasma HIV antibodies level.
d. a reduction in opportunistic infections.
What is a. a fall in the plasma viral load and an increase in the CD4 count
An older adult client has symptoms of osteoporosis and is being assessed during her annual physical examination. The assessment shows that the client will require further testing related to a possible exacerbation of her osteoporosis. The nurse should anticipate what diagnostic test?
a. Bone densitometry
b. Hip Bone Radiography
c. Computed tomography (CT Scan)
d. Magnetic Resonance Imaging (MRI)
What is A. Bone densitometry
The nurse is caring for a client who is admitted to the medical unit for the treatment of a venous ulcer in the area of her lateral malleolus that has been unresponsive to treatment. What is the nurse most likely to find during an assessment of this client's wound?
a. Hemorrhage
b. Pale colored wound bed
c. Heavy exudate
d. Deep wound bed
What is c. Heavy exudate
To prevent the spread of HIV, the nurse should know that transmission is through body fluids such as:
A. breast milk
B. Lacrimal tears
C. Sweat
What is A. Breast milk
The nurse is helping to set up Buck's traction on an orthopedic client. How often should the nurse assess circulation to the affected leg?
a. Within 30 minutes, then every 1 to 2 hours
b. Within 30 minutes, then every 4 hours
c. Within 30 minutes, then every 8 hours
d. Within 30 minutes, then every shift
What is A. Within 30 minutes, then every 1 to 2 hours
A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in instructions?
a. Walk barefoot whenever possible.
b. Use a heating pad to keep feet warm.
c. Avoid crossing the legs.
d. Use antibacterial ointment to treat skin lesions at risk of infection.
What is c. avoid crossing legs
What is the value of CD4+ T cells/uL that indicates a person has AIDS?
a. greater than 600cells/uL
b. 500-600cells/uL
c. 300-400cells/uL
d. less than 200cells/uL
What is d. less than 200cells/uL