abdominal aortic anuerysm
pneumthorax
meningitis
pancreatitis
mi
PE
DIC
DKA
colorectal CA
cirrhosis
100
a client is hours post abdominal aneurysm repair. Which assessment by the nurse is cause for greatest concern ?
1. diminished breath sounds in bilateral lungbases
2. hypoactive bowel sounds in all 4 quadrants
3. urinary output of 90 ml in the past 4 hours
4. warm extremities with 1+ bilateral pedal pulses
3
100
the nurse is caring for a client involved in a mvc who had a chest tube inserted to evacuate a pneumothorax caused by fractured ribs. where would the nurse observe an air leak?
c. water seal chamber
100
which meningitis is the most life threatening type of meningitis ?
bacterial
100
Which of the following are risk factors for developing acute pancreatitis?
Select all that apply.
A. Chronic alcohol use
B. Gallstones
C. Hypertriglyceridemia
D. Low-fat diet
E. Recent abdominal trauma
a, b , c, e
100
the nurse is caring for a client who had an anterior wall MI 24 hours ago. which finding is most concerning at this time ?
1. n/v
2. new s3 heart tone
3. occasional pvc
4. temp of 100.4
2. new s3 heart tone
100
The nurse is caring for assigned clients. The nurse should recognize the client at highest risk for developing pe is the client who
1. has pneumonia
2. has a subdural hematoma
3. had a cesarean birth 6 hours ago
4. is receiving hormone replacement therapy
3
100
which is correct diagnositics of DIC?
1. high pt/ptt
2.low fibrinogen
3. high fibrinogen
4. low platelets
5. high d-dimer
6. high platelets
7. high FSP/FDP
(5 answers are correct)
1, 2, 4, 5, 7
100
The nurse in the Ed is caring for a client with DKA. Which of the following actions should the nurse take first ?
1. obtain a urine specimen for urinalysis
2. administer an IV infusion of regular insulin
3. request a prescription for potassium chloride
4. administer an iv bolus of 0.9% sodium chloride
4
100
the nurse is teaching a client who is at risk for developing colorectal CA. which of the following statments by the client would indicate a correct understanding of the teaching ? select all that apply
1. i plan to join a support group to try to decrease my alcohol intake
2. i will eat less red meat and stRt including fruits and vegetables in my diet
3. because my sibling had colorectal cancer, i will begin preventive screeningat an early age
4. it is important to maintain a healthy weight for general health, but will not decrease my risk for colorectal cancer
5. although i am at increased risk due to my family history, lifestyle modifications can lower my overall risk for colorectal cancer
1,2, 3, 5
100
the nurse is evaluating the effectiveness of the treatment regiment for a client with liver cirrhosis who received IV albumin following a paracentesis. which of the following findings would indicate that the IV albumin has been effective?
1. decreased abdominal circumference
2. absence of flapping tremor with arm extension
3. client denies sob while lying down
4. blood pressure and heart rate WNL
4. blood pressure and heart rate WNL