BURNS
A patient in the emergent/resuscitative phase of a burn injury has had blood work and arterial blood gases drawn. Upon analysis of the patients laboratory studies, the nurse will expect the results to indicate what?
A) Hyperkalemia, hyponatremia,elevated hematocrit,and metabolic acidosis
B) Hypokalemia, hypernatremia, decreased hematocrit,and metabolic acidosis
Test Bank - Brunner Suddarth Medical Surgical Nursing (15th by Hinkle) 1633
C) Hyperkalemia, hypernatremia, decreased hematocrit,and metabolic alkalosis
D) Hypokalemia, hyponatremia,elevated hematocrit,and metabolic alkalosis
A) Hyperkalemia, hyponatremia, elevated hematocrit, and metabolic acidosis
A clinic nurse is caring for a patient with suspected gout. While explaining the pathophysiology of gout to the patient, the nurse should describe which of the
following?
A) Autoimmune processes in the joints
B) Chronic metabolic acidosis
C) Increased uric acid levels
D) Unstable serum calcium levels
C) Increased uric acid levels
The nurse is assessing a new patient with complaints of overwhelming fatigue and a sore tongue that is visibly smooth and beefy red. This patient is demonstrating signs and symptoms associated with what form of what hematologic disorder?
A) Sickle cell anemia
B) Hemophilia
C) Megaloblastic anemia
D) Thrombocytopenia
C) Megaloblastic anemia
A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte cell count drops below what threshold?
A) 75 cells/mm3 of blood
B) 200 cells/mm3 of blood
C) 325 cells/mm3 of blood
D) 450 cells/mm3 of blood
B) 200 cells/mm3 of blood
A nurse is preparing a patient for allergy skin testing. Which of the following precautionary steps is most important for the nurse to follow?
A) The patient must not have received an immunization within 7 days.
B) The nurse should administer albuterol 30 to 45 minutes prior to the test.
C) Prophylactic epinephrine should be administered before the test.
D) Emergency equipment should be readily available.
D) Emergency equipment should be readily available.
A patient has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of the body. After ensuring cardiopulmonary stability, what would be the nurses immediate, priority concern when planning this patients care?
A) Psychosocial coping
B) Risk of infection
C) Nutritional status
D) Fluid status
Apatient has been admitted to a burn intensive care unit with extensive full-thickness
burns over 25% of the body. After ensuring cardiopulmonary stability, what would be
the nurses immediate, priority concern when planning this patients care?
D) Fluid status
A nurse is providing care for a patient who has just been diagnosed as being in the early stage of rheumatoid arthritis. The nurse should anticipate the administration of
which of the following?
A) Hydromorphone (Dilaudid)
B) Methotrexate (Rheumatrex)
C) Allopurinol (Zyloprim)
D) Prednisone
B) Methotrexate (Rheumatrex)
A nurse is providing education to a patient with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?
A) Take the iron with dairy products to enhance absorption.
B) Increase the intake of vitamin E to enhance absorption.
C) Iron will cause the stools to darken in color.
D) Limit foods high in fiber due to the risk for diarrhea
C) Iron will cause the stools to darken in color.
During the admission assessment of an HIV-positive patient whose CD4+ count has recently fallen, the nurse carefully assesses for signs and symptoms related to opportunistic infections. What is the most common life-threatening infection?
A) Salmonella infection
B) Mycobacterium tuberculosis
C) Clostridium dificile
D) Pneumocystis pneumonia
D) Pneumocystis pneumonia
A nurse is caring for a teenage girl who has had an anaphylactic reaction after a bee sting. The nurse is providing patient teaching prior to the patients discharge. In the event of an anaphylactic reaction, the nurse informs the patient that she should self-administer epinephrine in what site?
A) Forearm
B) Thigh
C) Deltoid muscle
D) Abdomen
B) Thigh
A patient has experienced an electrical burn and has developed thick eschar over the burn site. Which of the following topical antibacterial agents will the nurse expect the physician to order for the wound?
A) Silver sulfadiazine 1% (Silvadene) water-soluble cream
B) Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream
C) Silver nitrate 0.5% aqueous solution
D) Acticoat
B) Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream
The nurse is preparing to care for a patient who has scleroderma. The nurse refers to resources that describe CREST syndrome. Which of the following is a component of CREST syndrome?
A) Raynaud's phenomenon
B) Thyroid dysfunction
C) Esophageal varices
D) Osteopenia
A) Raynaud's phenomenon
A patient lives with a diagnosis of sickle cell anemia and receives frequent blood transfusions. The nurse should recognize the patients consequent risk of what complication of treatment?
A) Hypovolemia
B) Vitamin B12 deficiency
C) Thrombocytopenia
D) Iron overload
D) Iron overload
A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The nurse should expect the primary care provider to order what test to confirm the EIA test results?
A) Another EIA test
B) Viral load test
C) Western blot test
D) CD4/CD8 ratio
C) Western blot test
An office worker takes a cupcake that contains peanut butter. He begins wheezing, with an inspiratory stridor and air hunger and the occupational health nurse is called to the office. The nurse should recognize that the worker is likely suffering from which type of hypersensitivity?
A) Anaphylactic (type 1)
B) Cytotoxic (type II)
C) Immune complex (type III)
D) Delayed-type (type IV)
A) Anaphylactic (type 1)
A patient arrives in the emergency department after being burned in a house fire. The patients burns cover the face and the left forearm. What extent of burns does the patient most likely have?
A) 13%
B) 25%
C) 9%
D) 18%
D) 18%
A nurse is planning the care of a patient who has along history of chronic pain, which has only recently been diagnosed as fibromyalgia. What nursing diagnosis is most likely to apply to this woman's care needs?
A) Ineffective Role Performance Related to Pain
B) Risk for Impaired Skin Integrity Related to Myalgia
C) Risk for Infection Related to Tissue Alterations
D) Unilateral Neglect Related to Neuropathic Pain
A) Ineffective Role Performance Related to Pain
A patient comes to the clinic complaining of fatigue and the health interviews suggestive of pica. Laboratory findings reveal a low serum iron level and a low ferritin level. With what would the nurse suspect that the patient will be diagnosed?
A) Iron deficiency anemia
B) Pernicious anemia
C) Sickle cell anemia
D) Hemolytic anemia
A) Iron deficiency anemia
A patient with HIV infection has begun experiencing severe diarrhea. What is the most appropriate nursing intervention to help alleviate the diarrhea?
A) Administer antidiarrheal medications on a scheduled basis,as ordered.
B) Encourage the patient to eat three balanced meals and asnack at bedtime.
C) Increase the patients oral fluid intake.
D) Encourage the patient to increase his or her activity level.
A) Administer antidiarrheal medications on a scheduled basis, as ordered.
A nurse knows of several patients who have achieved adequate control of their allergy symptoms using over-the-counter antihistamines. Antihistamines would be contraindicated in the care of which patient?
A) A pregnant woman at 30 weeks gestation
B) A patient who has previously been treated for tuberculosis
C) A patient who is on estrogen-replacement therapy
D) A patient with a severe allergy to eggs
A) A pregnant woman at 30 weeks gestation
A patients burns are estimated at 36% of total body surface area; fluid resuscitation has been ordered in the emergency department. After establishing intravenous access, the nurse should anticipate the administration of what fluid?
A) Lactated Ringers
B) 0.45% NaCl with 20 mEq/L KCl
C) 0.45% NaCl with 40 mEq/L KCl
D) Normal saline
A) Lactated Ringers
A nurse is creating a teaching plan for a patient who has a recent diagnosis of scleroderma. What topics should the nurse address during health education? Select all that apply.
A) Surgical treatment options
B) The importance of weight loss
C) Managing Raynaud's-type symptoms
D) Smoking cessation
E) The importance of vigilant skin care
C) Managing Raynaud's-type symptoms
D) Smoking cessation
E) The importance of vigilant skin care
A nurse is caring for a patient with severe anemia. The patient is tachycardic and complains of dizziness and exertional dyspnea. The nurse knows that in an effort to deliver more blood to hypoxic tissue, the workload on the heart is increased. What signs and symptoms might develop if this patient goes into heart failure?
A) Peripheral edema
B) Nausea and vomiting
C) Migraine
D) Fever
A) Peripheral edema
A nurse is performing the admission assessment of a patient who has AIDS. What components should the nurse include in this comprehensive assessment? Select all that apply.
A) Current medication regimen B) Identification of patients support system
C) Immune system function
D) Genetic risk factors for HIV
E) History of sexual practices
A) Current medication regimen
B) Identification of patients support system
C) Immune system function
E) History of sexual practices
A patient has been brought to the emergency department by EMS after being found unresponsive. Rapid assessment reveals anaphylaxis as a potential cause of the patients condition. The care team should attempt to assess for what potential causes of anaphylaxis? Select all that apply.
A) Foods
B) Medications
C) Insect stings
D) Autoimmunity
E) Environmental pollutants
A) Foods
B) Medications
C) Insect stings