Er Rn Review

Front 1

a patient arrives in the ed with an ice pick protruding from his left lower abdominal quadrant. an appropriate RN action would be to

Back 1

leave the object in place until the patient is taken to the operating room

Front 2

which type of penetrating injury would the rn document in the assessment finding for a patient with a gunshot wound at the sixth intercostal space?

Back 2

thoracoabdominal

Front 3

a patient with a gunshot wound to the left lower abdominal quadrant arrives at the ed with the following vital signs : BP 110/70 mm Hg; pulse rate, 96 beats/min and respirations, 24 breaths/min what would be the highest priority at this time

Back 3

emergency exploratory laparotomy

Front 4

a patient arrives at the ed with a penetrating gunshot wound to the abdomen and hematuria which diagnostic test would the nurse expect the physician to order before surgery

Back 4

intravenous pyelography (IVP)

Front 5

when assessing a patient for potential complications from a gunshot wound to the right upper abdominal quadrant, the rn should observe the patient closely for injury to the

Back 5

Liver
Transverse colon
Stomach

Front 6

which rn action would the rn expect to perform preoperatively for a patient with a penetrating abdominal would

Back 6

establishment of 2 large bore IV lines
insertion of a nasogastric (NG) tube
insertion of an indwelling urinary catheter

Front 7

the RN would expect to note early signs of shock in a young male patient who has sustained a penetrating abdominal would after the patient has suffered a blood volume loss of

Back 7

15 %

Front 8

all of the following injuries are considered penetrating except

Back 8

a severe abdominal laceration caused by a fall

Front 9

all of the following assessment findings would lead the RN to suspect a perforated gastric ulcer

Back 9

absent bowel sounds
hypotension and tachycardia
anxiety and respiratory difficulty

Front 10

which of the following can cause chemical peritonitis in a patient with a perforated gastric ulcer

Back 10

gastric and intestinal content spillage

Front 11

perforated ulcers occur most commonly in the

Back 11

duodenum which accounts for 80%

Front 12

the nurse knows that such abdominal emergencies as obstruction, perforation, and acute intractable hemorrhage are tyupically treated by:

Back 12

Surgery

Front 13

the most common cause of upper GI bleeding include

Back 13

peptic ulcers, acute mucosal lesions, and esophageal varices

Front 14

esophageal varices are

Back 14

nearly always caused by portal hypertension

Front 15

nusing care of the patient with a three-lumen , double ballon esophageal tude incudes all of the following

Back 15

Maintaining constant observation during ballon inflation
ensuring that the ballon pressures are kept at the levels required to contorl bleeding
remaining alert for any complaints of chest pain

Front 16

a 38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

of the following history findings, the most likely cause of pancreatitis is:

Back 16

excessive alcohol intake

Front 17

38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

the RN knows that pancreatitis also may occure as a complicaiton of a perforated duodenal ulcer when?

Back 17

the perforation erodes into the pancreas

Front 18

38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

which rn diagnosis is most appropriate for a patient at risk for complications from pancreatitis?

Back 18

impaired gas exhange related to pulmonary edema

Front 19

38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

The RN normally assesses a patient with acute pancreatitis for elevated levels of serum:

Back 19

Amylase

Front 20

38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

The RN knows that meperidine hydrochloride (demerol) is typically used to treat acute pancreatitis because it

Back 20

does not cause spasm of the sphincter of Oddi

Front 21

38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

The RN should assess the pattient for all of the following symptoms of hemorrhagic pancreatitis

Back 21

Jaundice
Extreme epigastric or umbilical pain extending to the back or flank
Shock

Front 22

38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

RN interventions for a PT w/ acute hemorrhagic pancreatitis include all of the following

Back 22

administration of large volumes of colloid and electrolyte solutions
administration of calcium gluconate
monitorng of central venous pressure and urine output

Front 23

38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

over the course of several months of caring for various PTs w/ pancreatitis, the RN would expect the MD to order broadspectrum antibiotics

Back 23

Rarely

Front 24

38-yr man is admitted to the ED with complaints of severe epigastric pain. His vital signs upon admission are within normal limits. His diagnosis is acute pancreatitis.

The PT is being admitted to the medical-surgical unit for further treatmetn and observation. which dietary regimen would the RN expect the physician to order for this PT

Back 24

Low-fat
no-alcohol
no-caffeine