Endocrine
A patient with Type 1 Diabetes presents with Kussmaul respirations and fruity breath. What is the nurse’s priority intervention?
Administer insulin IV
The nurse identifies ST-segment elevation. This indicates:
Myocardial infarction
Clients with COPD use this breathing technique to prevent alveolar collapse
pursed-lip breathing
A client with a recent stroke has expressive aphasia. The nurse should implement which communication strategy
using simple questions that require “yes” or “no” answers
Crohn’s disease complications include
Fistula formation
Chemotherapy patient reports mouth sores. Nurse should
Rinse with normal saline
What lab result confirms uncontrolled Type 2 diabetes?
FBS 90 mg/dL
This complication causes chest pain that radiates to the jaw and is unrelieved by rest
unstable angina
Early sign of respiratory acidosis
Restlessness
A client with a left-hemispheric stroke is most likely to exhibit which deficit
aphasia (difficulty with language expression or comprehension)
Appendicitis pain is located
RLQ (McBurney’s point)
Which lab result indicates disease progression in HIV
CD4+ count 180/mm³
Which symptom indicates hypoglycemia?
Diaphoresis and tremors
This ECG interval represents ventricular depolarization
QRS complex
The nurse should instruct a TB client to continue medication therapy for this length of time
6 to 12 months
The Romberg test evaluates
Balance
Clients with peptic ulcer disease should avoid these two substances to reduce recurrence
NSAIDs and caffeine
Clients with HIV should be taught to avoid eating these two food types to reduce infection risk
raw fruits/vegetables and undercooked meats
A client with hyperthyroidism is at risk for this life-threatening complication characterized by high fever, tachycardia, and hypertension
thyroid storm
For angina, nitroglycerin is administered:
One tablet every 5 min, up to 3 doses
After 3 weeks of tuberculosis treatment, this finding indicates that the client is no longer infectious
three consecutive negative sputum cultures obtained on different days
A client with a stroke suddenly becomes more drowsy and develops unequal pupils. This indicates this emergent complication
increased intracranial pressure
Which finding is consistent with Crohn’s disease
Cobblestone lesions in the GI tract
This lab test measures the amount of HIV in the blood and monitors therapy effectiveness
Viral load testing
Clients with hypothyroidism are instructed to take levothyroxine at this time for best absorption
in the morning on an empty stomach
This class of medications should be avoided in clients taking Losartan who have elevated potassium levels
potassium-sparing diuretics
A patient with TB is started on Rifampin. What teaching is essential
orange-colored urine/secretions
A nurse is caring for a client who has left homonymous hemianopsia. Which of the following actions should the nurse take?
Place the client's bedside table on the right side of the bed
After surgery for appendicitis, the nurse should prioritize monitoring for these two post-op complications
peritonitis and infection
Unintentional weight loss, fatigue, and changes in bowel habits may indicate this type of cancer
colorectal cancer