Show:
Acute Inflammation of GI
Inflammation/Wound Healing
Potpourri 1
Potpourri 2
Inflammation of the brain
100
The patient has persistent and continuous pain at McBurney’s point. The nursing assessment reveals rebound tenderness and muscle guarding with the patient preferring to lie still with the right leg flexed. What should the nursing interventions for this patient include? a. Laxatives to move the constipated bowel b. NPO status in preparation for possible appendectomy c. Parenteral fluids and antibiotic therapy for 6 hours before surgery d. NG tube inserted to decompress the stomach and prevent aspiration
What is NPO status in preparation for possible appendectomy
100
A patient had a complication vaginal hysterectomy. The student nurse provided perineal care after the patient had a bowel movement. The student nurse tells the nurse there was a lot of light brown, smelly drainage seeping from the perianal area. What should the nurse suspect when assessing the patient? a. Dehiscence b. Hemorrhage c. Keloid formaiton d. Fistula formation
What is fistula formation
100
Application of RICE is indicated for the management of which type of injury? a. muscle spasms b. sprains and strains c. repetitive strain injury d. dislocations and subluxations
What is sprains and strains
100
A break in sterile technique occurs during surgery when the scrub nurse touches: a. The mask with sterile gloved hands b. Sterile gloved hands to the gown at chest level c. The drape at the incision site with gloved hands d. The lower arms to the instruments on the instruments tray
What is the mask with sterile gloved hand
100
A patient is admitted to the hospital with possible bacterial meningitis. During the initial assessment, the nurse questions the patient about a recent history of what? a. mosquito or tick bites b. chicken pox or measles c. cold sores or fever blisters d. an upper respiratory infection
What is an upper respiratory infection
200
The patient has peritonitis, which is a major complication of appendicitis. What treatment will the nurse plan to include? a. Peritoneal lavage b. Peritoneal dialysis c. IV fluid replacement d. Increased oral fluid intake
What is IV replacement fluid
200
A patient has been provided with a compression dressing in an attempt to facilitate rapid healing of an ankle sprain. What is a priority nursing assessment? a. Frequent examination of the character and quantity of exudate b. Monitoring for signs and symptoms of local or systemic infections c. Assessment of the patient’s circulation distal to the location of the dressing d. Assessment of the ROM of the ankle and the patient’s activity tolerance
What is Assessment of the patient’s circulation distal to the location of the dressing
200
When transporting an inpatient to the surgical department, which area from another area of the hospital is the nurse able to access? a. Clean core b. Holding area c. Corridors of surgical suite d. Prepared operating room
What is holding area
200
What are key manifestations of bacterial meningitis? a. papilledema and psychomotor seizures b. high fever, nuchal rigidity, and severe headache c. behavioral changes with memory loss and lethargy d. jerky eye movements, loss of corneal relflex, and hemiparesis
What is high fever, nuchal rigidity, and sever headache
300
A patient with cholecystitis asks the nurse whether she will need to continue a low-fat diet after she has a cholecystectomy. What is the best response to the nurse? a. “a low-fat diet will prevent the development of further gallstones and should be continued.” b. “Yes; because you will not have a gallbladder to store bile, you will not be able to digest fats adequately. c. “A low-fast diet is recommended for a few weeks after surgery until the intestine adjusts to receiving a continuous flow of bile.” d. “Removal of the gallbladder will eliminate the source of your pain associated with fat intake, so you may eat whatever you like.”
What is“A low-fat diet is recommended for a few weeks after surgery until the intestine adjusts to receiving a continuous flow of bile.”
300
In a patient with leukocytosis with a shift to the left, what does the nurse recognize as causing this finding? a. The complement system has been activated to enhance phagocytosis b. Monocytes are released into the blood in larger-than-normal amounts c. The response to cellular injury is not adequate to remove damaged tissue and promote healing d. The demand for neutrophils causes the release of immature neutrophils from the bone marrow
What is the demand for neutrophils causes the release of immature neutrophils from the bone marrow
300
The nurse is admitting a patient to the same-day surgery unit. The patient tells the nurse that he was so nervous he had to take java last evening to help him sleep. Which nursing action would be most appropriate? a. tell the patient that using kava to help sleep is often helpful b. Inform the anesthesiologist of the patient’s recent use of kava c. Tell the patient that the kava should continue to help him relax before surgery d. Inform the patient about the dangers of taking herbal medications without consulting his healthcare provider.
What is Inform the anesthesiologist of the patient’s recent use of kava
300
In caring for the postop patient on the clinical unit after transfer from the PACU, which care can be delegated to the unlicensed assistive personal (UAP)? Monitor the patient’s pain Do the admission’s vital signs Assist the patient to take deep breaths and cough Change the dressing when there is excess drainage
What is assist the patient to take deep breaths and cough
300
Vigorous control of fever in the patient with meningitis is required to prevent complications of increased cerebral edema, seizure frequency, neurologic damage, and fluid loss. What nursing care should be included? a. administer analgesics as ordered. b. monitor LOC related to increased brain metabolism. c. rapidly decrease temperature with a cooling blanket. d. assess for peripheral edema from rapid fluid infusion
What is monitor LOC related to increased brain metabolism
400
Nursing management of the patient with chronic gastritis includes teaching the patient to a. Take antacids before meals to decrease stomach acidity b. Maintain a nonirritating diet with six small meals a day c. Eliminate alcohol and caffeine from the diet when symptoms occur d. Use NSAIDs instead of aspirin for minor pain relief
What is maintain a nonirritating diet with six small meals a day
400
What does the mechanism of chemotaxis accomplish? a. causes the transformaiton of monocytes into macrophages b. involves a pathway of chemical processes resulting in cellular lysis c. attracts the accumulation of neutrophils and monocytes to an area of injury d. slows the blood flow in a damaged area, allowing migration of leukocytes into tissue
What is attracts the accumulation of neutrophils and monocytes to an area of injury
400
What should be included in the management during the first 48 hours after an acute soft tissue injury of the ankle? (select all that apply) a. Use of elastic wrap b. Initial immobilization and rest c. Elevation of ankle above the heart d. Alternating the use of heat and cold e. Administration of antiinflammatory drugs
What is use of elastic wrap, initial immobilization and rest, elevation of ankle above the heart, and administration of antiinflammatory drugs
400
An early sign of increased ICP that the should assess for is a. Cushing’s triad b. Unexpected vomiting c. Decreasing LOC d. Dilated pupil with sluggish response to light
What is decreasing LOC
500
A patient is admitted to the emergency department with acute abdominal pain. What nursing intervention should the nurse implement first? a. Measurement of vital signs b. Administration of prescribed analgesics c. Assessment of the onset, location, intensity, duration, and character of the pain d. Physical assessment of the abdomen for distension, bowel sounds, and pigmentation changes
What is measurement of vital signs
500
A patient had abdominal surgery 3 months ago and calls the clinic with complaints of severe abdominal pain and cramping, vomiting, and bloating. What should the nurse most likely suspect as the cause of the patient’s problem? a. Infection b. Adhesion c. Contracture d. evisceration
What is adhesion
500
When assessing a patient’s surgical dressing on the first postoperative day, the nurse notes new, bright-red drainage about 5 cm in diameter. In response to this finding, what should the nurse do first? a. Recheck in 1 hour for increased drainage b. Notify the surgeon of a potential hemorrhage c. Assess the patient’s BP and HR d. Remove the dressing and assess the surgical incision
What is assess the patient's BP and HR
500
A patient with MS has a nursing diagnosis of self-care deficit related to muscle spasticity and neuromuscular deficits. In providing care for the patient what is most important for the nurse to do? a. Teach the family members how to care adequately for the patient’s needs b. Encourage the patient to maintain social interactions to prevent social isolation c. Promote the use of assistive devices so the patient can participate in self-care activities d. Perform all activities of daily living (ADLs) for the patient to conserve the patient’s energy.
What is promote the use of assistive devices so the patient can participate in self-care activities
500
Which of the following descriptions are characteristic of encephalitis? (select all that apply) a. CSF production is increased b. Almost always has a viral cause c. Is an inflammation of the brain d. Most frequently caused by bacteria e. May be transmitted by insect vectors f. Involves inflammation of tissues surrounding the brain and spinal cord
What is almost always has viral cause, is an inflammation of the brain, and may be transmitted by insect vectors