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28 Cards in this Set
- Front
- Back
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A patient with kidney failure reports to the E.R. with fatigue and shortness of breath. Upon lab results it is discovered that the patient is anemic. The astute nurse would know that the most likely cause of this is the insufficient production of which hormone? (Chris, Renal question, Iggy pg. 1619)
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Erythropoietin
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A renal patient is going to have a renal biopsy procedure. What statement suggests that the nurse needs further teaching? (Karen, Renal question, Iggy pg. 1547-1548)
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Hypertension drugs and dialysis should be held until 2 hours after
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The pt newly diagnosed with CKD recently has begun hemodialysis. knowing that the pt is at risk for disequilibrium syndrome the nurse assess the pt during dialysis for:
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headache, deteriorating LOC, and twitching.
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A 35 year old patient had a subtotal gastrectomy related to gastric cancer. Two hours post-op the nurse notes 10 mL of bloody discharge from the NG tube and abdominal distention. What does the nurse do? (Sadie, GI question,Iggy pg.1285)
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notify the MD
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Which statement made by the 47 year old male patient recently diagnosed with esophageal cancer shows teaching was effective?
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“I will eat small, frequent meals containing high calorie, high protein foods that are soft and easily swallowed”
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After esophageal dilation of the patient, which intervention does the nurse perform?
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Monitors the patient for subcutaneous emphysema, hemoptysis, fever and signs of perforation
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Which drugs can cause life-threatening seizures, particularly in the older adult, because of an accumulation of toxic metabolites? (Select all that apply)
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Meperidine (Demerol)
Codeine |
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A nurse is caring for a client who has a terminal illness. The client is restless and reports severe pain but refuses the prescribed opioid pain medication. Which of the following is the first action the nurse should take?
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Inquire why the client refused the pain medication.
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Which description best describes the gate control theory?
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Pain transmission is regulated by specialized cells located in the spinal column.
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The nurse is carefully monitoring the patient with a severe case of encephalitis for signs of increased intracranial pressure. What vital sign changes are associated with increased intracranial pressure?
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Widened pulse pressure and bradycardia
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The client has clear fluid leaking from the nose following a basilar skull fracture. The nurse assesses that this is cerebrospinal fluid if the fluid:
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Separates into concentric rings and tests positive for glucose
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The nurse is evaluating the status of the client who had a craniotomy 3 days ago. The nurse would suspect the client is developing meningitis as a complication of surgery if the client exhibits:
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A positive Brudzinski sign
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A patient comes into the ER complaining of chest pain. An EKG is ordered and the rythm has a prolonged QRS with a double R wave. What does the nurse suspect due to these findings?
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bundle branch block
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A client with acute HF is receiving IV antibiotics mixed in 100-ml bags of fluid every 4 hr. the nurse should monitor the client for signs and symptoms of:
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Increase in cardiac workload.
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The nurse is interviewing the patient with a history of high blood pressure and heart problems. Which statement by the patient causes the nurse to suspect the patient may have heart failure?
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I had to take off my wedding ring last week.
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The patient comes to the walk-in clinic reporting left anterior chest discomfort with mild shortness of breath. The patient is alert, oriented, diaphoretic, and anxious. What does the nurse do next?
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Place the patient in Fowler’s position and start supplemental oxygen.
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Which of the following patients would you not expect to present with respiratory acidosis?
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The anxious patient who is hyperventilating
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A client has been admitted with chest trauma after a motor vehicle accident and has undergone subsequent intubation. A nurse checks the client when the high-pressure alarm on the ventilator sounds, and notes that the client has absence of breath sounds in the right upper lobe of the lung. The nurse immediately assesses for other signs of:
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Right pneumothorax
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While assessing the client, the nurse notices that the client’s chest tube has become dislodged. Which of the following actions should the nurse take first?
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Apply sterile gauze to the site.
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A client with a chest injury has suffered flail chest. A nurse assesses the client for which most distinctive sign of flail chest?
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Paradoxical chest movement
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21. A nurse is monitoring for signs and symptoms related to superior vena cava syndrome. Which of the following is an early sign of this oncological emergency?
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Periorbital edema
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Which of the following are side effects of radiation. Select all that apply:
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Injury to bone marrow
Mucositis Pericarditis with effusion Permanent sterility |
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What is the rationale for chemotherapy as a cancer treatment?
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Systemic treatment for cancer cells that may have escaped from the primary tumor
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The oncology nurse recognizes a need for further patient education when the patient states:
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My mammogram indicated I have a malignant tumor in my left breast.
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A nurse is assessing a client with suspected diagnosis of hypocalcemia. Which of the following clinical manifestations would the nurse expect to note in the client?
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Twitching
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A nurse reviews a client's laboratory report and notes that the client's serum phosphorus level is 2 mg/dL. Which condition most likely caused this serum phosphorus level?
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Alcoholism
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The time is 2100 on 5/17 when the nurse notes that there is 400ml left in the patient’s TPN bag that was hung at 1800 on 5/16. What would be the appropriate action to take next?
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Remove the bag of TPN and hang a new one
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A nurse reviews the electrolyte results of an assigned client and notes that the potassium level is 5.8 mEq/L. Which of the following would the nurse expect to note on the electrocardiogram as a results of the laboratory value?
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Tall peaked T waves
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