ABGs
Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg.
B
Which of the following is NOT a role of the liver?
C
Intestines absorb water
A patient, who has recovered from cholecystitis, is being discharged home. What meal options below are best for this patient?
A
low fat
A 76 year old female is admitted due to a recent fall. The patient is confused and agitated. The family members report that this is not normal behavior for the patient. They explain that the patient is very active in the community and cares for herself. Based on the information you have gathered about the patient, which physician's order takes priority?
A
Elderly patients do NOT exhibit the typical signs and symptoms of a UTI. Instead, they may become confused, experience falls, become agitated etc.
In patients who are experiencing acute glomerulonephritis, the glomerulus is permeable to what substances?
A
Measurement of arterial blood gas shows pH 7.0, PaO2 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results are Na+ 126 mmol/L, K+ 5 mmol/L, and Cl- 95 mmol/L. What is your assessment?
D
You're providing an in-service to new nurse graduates about esophageal varices in patients with cirrhosis. You ask the graduates to list activities that should be avoided by a patient with this condition. Which activities listed are correct: Select all that apply
A, D, E, F
Which statements below are CORRECT regarding the role of bile? Select all that apply:
B, C, D
Which of these occurs when a pt has a strong, sudden, & intense need to urinate that is difficult to delay and followed by an involuntary loss of urine?
A. Stress incontinence
B. Functional incontinence
C. Urge incontinence
D. Mixed incontinence
C
Filler xD
hehe
Measurement of arterial blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L. What does this mean?
A
A patient with late-stage cirrhosis develops portal hypertension. Which of the following options below are complications that can develop from this condition? Select all that apply:
A. Increase albumin levels
B. Ascites
C. Splenomegaly
D. Fluid volume deficient
E. Esophageal varices
B, C, E
You’re providing a community in-service about gastrointestinal disorders. During your teaching about cholecystitis, you discuss how cholelithiasis can lead to this condition. What are the risk factors for cholelithiasis that you will include in your teaching to the participants? Select all that apply:
C, D, G, H, I
More common in native American and Mexican descent
The physician orders a urine culture on your patient in room 5505 with a urinary tract infection. In addition, the patient is ordered to start IV Bactrim (Sulfamethoxazole/Trimethoprim). How will you proceed with following this order?
C
The most common cause of acute glomerulonephritis is:
A. Uncontrolled Hypertension
B. Step A infections
C. Diabetes
D. UTI
B
occurs weeks after a Strep A infxn, proper treatment key for preventing glomerulonephritis
The results from the ABG results show pH 7.39, PaCO2 27 mmHg, and HCO3 19 mEq/L. What does this mean?
C
You are receiving shift report on a patient with liver failure. The nurse tells you the patient’s bilirubin levels are very high. Based on this, what assessment findings may you expect to find during your head-to-toe assessment? Select all that apply:
B,C,E
. Your patient is diagnosed with acute cholecystitis. The patient is extremely nauseous. A nasogastric tube is inserted with GI decompression. The patient reports a pain rating of 9 on 1-10 scale and states the pain radiates to the shoulder blade. Select all the appropriate nursing interventions for the patient:
Lithotripsy is a treatment for:
A. UTI
B. Acute Nephrotic Syndrome
C. Urolithiasis
D. Pyelonephritis
C.
Freebie
:)
The ABG results are pH 7.35, PaCO2 72 mmHg, and HCO3 38 mEq/L. What acid-base disorder is shown?
B
A patient is admitted with hepatic encephalopathy secondary to cirrhosis. Which meal option selection below should be avoided with this patient?
A
Patients who are experiencing hepatic encephalopathy are having issues with toxin build up in the body, specifically ammonia. Remember that ammonia is the byproduct of protein breakdown, and normally the liver can take the ammonia from the protein breakdown and turn it into urea (but if the cirrhosis is severe enough this can’t happen).
A patient is being transferred to your unit with acute cholecystitis. In report the transferring nurse tells you that the patient has a positive Murphy’s Sign. You know that this means:
A
his occurs when the patient is placed in the supine position and the examiner palpates under the ribs on the right upper side of the abdomen. The examiner will have the patient breathe out and then take a deep breath in. The examiner will simultaneously (while the patient is breathing in) palpate on this area under the ribs at the midclavicular line (hence the location of the gallbladder). It is a POSITIVE Murphy’s Sign when the patient stops breathing in during palpation due to pain.
A patient, who is having spasms and burning while urinating due to a UTI, is prescribed "Pyridium" (Phenazopyridine). Which option below is a normal side effect of this drug?
D
Orange colored urine is a normal side effect of Pyridium which acts as a pain reliever to decreasing frequent urination and pain associated with a UTI.
What are s/sx of glomerulonephritis? SATA
A. Decreased BUN & creatinine levels
B. Polyuria
C. Azotemia
D. Proteinuria
E. Hyperalbuminemia
F. Coca cola urine
A, C, D, F