Gut Feeling
A patient with cirrhosis is prescribed lactulose. The finding that indicates the medication is effective is
What is increased bowel movements / decreased ammonia levels?
A nurse is taking care of four patients:
A. A patient with COPD on 2 L nasal cannula with SpO₂ of 90%
B. A patient with asthma who is restless and has no audible wheezing
C. A patient with pneumonia with a temperature of 102.2°F
D. A patient with TB who removed their mask while alone in a negative pressure room
The priority patient is
What is patient B?
Signs of impending respiratory failure
The medication the nurse would expect to administer for fluid overload in heart failure is
What is Furosemide (Lasix)?
A patient is hospitalized with viral pneumonia and is having difficulty clearing secretions. To help with clearing the secretions the nurse may
What is raise HOB to high Fowler's position?
A conscious patient has a blood glucose of 58 mg/dL. The priority intervention is
What is give 15 g of fast-acting carbohydrates (juice, glucose tabs)
A patient with peritonitis is restless and has a sudden drop in blood pressure. The complication the nurse should suspect is
What is sepsis?
A patient is experiencing a seizure. Three priority actions when a patient is having a seizure include
Turn patient on side, clear any hazards, time when it starts, do not place anything in their mouth, lower them to the floor, etc
Lifestyle modifications for a patient with hypertension include (name three)
Smoking cessation, exercise, low sodium diet, stress coping, avoid alcohol, avoid caffeine, etc
A patient with asthma is prescribed albuterol. The expected effect of this medication is
What is bronchodilation?
Three differing symptoms between hypothyroidism and hyperthyroidism are
What is fatigue, weight gain, bradycardia for hypothyroidism. Tremors, weight loss, tachycardia for hyperthyroidism. (Others answers acceptable)
A patient with ulcerative colitis is having a flare. The diet appropriate for the nurse to educate the patient is
What is a low-fiber / low-residue diet?
The nurse is caring for clients in a surgical unit. The client the nurse should assess first is
A) client 4 hours after inguinal hernia repair with absence of voiding
B) client admitted with abd pain who suddenly has no pain
C) client 4 hours postop abd surgery with no bowel sounds
D) client 1 day post-appendectomy who is being discharged
What is B?
A patient with PAD reports leg pain when walking that is relieved with rest. This symptom is called
What is intermittent claudication?
A patient with TB is admitted. The isolation precautions and PPE required are?
What is airborne precautions (negative pressure room, N95 mask)?
This type of isolation precautions should be taken with patient who have leukemia... Name three things that are included with this precaution
What is neutropenic precautions?
Includes hand hygiene, no fresh flowers, private room, no raw vegetables, avoid standing water, etc
The type of hepatitis that is most commonly transmitted through contaminated food and water is
What is Hepatitis A?
A patient is 1 day post-op from a total hip replacement. The action by the patient that requires immediate intervention is
A. Using an abduction pillow while in bed
B. Sitting in a chair with knees slightly lower than hips
C. Bending forward to tie their shoes
D. Keeping legs slightly apart while lying down
What is C?
A patient with pericarditis develops hypotension, jugular vein distention, and muffled heart sounds. What could be happening and the nurse’s priority action is
What is notify provider immediately (cardiac tamponade)?
ABG results: pH 7.52, PaCO₂ 30, HCO₃⁻ 24. The patient is anxious and tachypneic. The priority intervention is... and this imbalance is called...
The types of urinary incontinence include
What is stress, urge, and overflow?
Patient education for gastroenteritis may include these three things
What is drink extra fluids, take antibiotics, avoid toilet paper, use sitz baths, use incontinence pads, etc.
A patient is experiencing a sickle cell crisis. The priority intervention is
What is administer oxygen and fluids?
A patient with heart failure may experience this symptom which involves waking up at night feeling short of breath causing the patient to need to sit up
What is paroxysmal nocturnal dyspnea (PND)?
Rapid shallow respiration, wheezes, tri-pod, and loss of muscle mass are consistent with this condition
What is COPD?
One of the drugs that may cause drug-induced SLE is
What is Procainamide, Isoniazid, or Hydralazine?