Question Patient Returning Explained for Students (Easy Guide)
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Original Question
Question 1. A patient returning from the cardiac cauterization lab following an acute MI has a slight increase in the following laboratory results: Creatine Pre-procedure – 1.0mg/dl, Post procedure: 1.2mg/DL BUN pre-procedure ;22mg/dl, Post procedure: 30mg/dl Hgb pre-procedure: 14mg/dl, post procedure :15.5mg/dl Glucose pre-procedure: 89mg/dl, post procedure: 95mg/dl Based on this information the nurse will anticipate an order for which of the following interventions from the healthcare provider: a. schedule the patient for hemodialysis b. Administer a diuretic c. Begin a nitroglycerin infusion d. Administer a fluid bolus. Question 2. A client is receiving radiation treatment by teletherapy. Which of the following is a correct statement of external radiation teletherapy? a. The client is radioactive for 48-72hrs after treatment b. The client is radioactive for the first 24-48hrs after treatment c. The client is not radioactive and there are no hazards. d. The client is radioactive until the radioactive isotope seeds pass. Question 3. The emergency care for the client with Addisonian crisis includes which of the following intervention? a. Hydrocortisone sodium IV bolus b. Desmopressin IV c. Dextrose 25mg IVP d. Potassium chloride IVPB Question 4. A client with chemotherapy induced nausea and vomiting(CINV) wats to know if there is an alternative prescription medications. Which of the following would the nurse correctly identify to decrease nauseas and vomiting (CINV) ? a. Gingko b. Bilberry c. Ginger d. Garlic Question 5. The nurse is caring for a client with new onset of elevated blood urea nitrogen (BUN) and creatinine, oliguria, hypotension and diarrhea for one week. The nurse suspects which disease process? Question 6: A nurse is caring for a client with suspected septic shock. Which of the following clinical manifestation would the nurse identify in septic shock? Select all that apply. a. Heart rate of 110 beats per minute b. Respiratory rate of 16 breath per minute c. Temperature of 98.6F (37C) d. WBC count of 13,000/mm e. Elevated lactic acid levels. Question 7: Following a traumatic brain injury, a client is diagnose with syndrome of inappropriate antidiuretic (SIADH). The expected findings for this client would include the following? Select all that apply. a. Fluid volume excess b. Dehydration c. Hypernatremia d. Oliguria e. Hyponatremia Question 8: The nurse is developing plan of care for a client experiencing neutropenic secondary to chemotherapy, which of the following will be included in plan of care? a. Avoid eating fresh fruits b. Ensure good hand hygiene before anyone has contact with client c. Inspect the client’s mouth for sores d. Avoid sharing a bathroom and ensure cleanliness. Question 9: A client with chronic renal failure has been prescribed a restricted potassium diet, which of the following snack is most appropriate? a. Dried dates b. Banana c. Applesauce d. Orange juice Question 10: A client present with the following vital signs; temp. 38.3C, Bp 90/60mmHg, Heart rate 116 beats/mins, respiratory rate 24breath /minute. The client has pos-up abdominal incision site that is warm red and draining, what type of shock is the client in? a. Hypovolemic shock b. Neurogenic shock c. Anaphylactic shock d. septic shock Question 11: The nurse would incorporate which of the following primary prevention strategies into the client plan of care? a. Yearly mammography for women aged 40 years and older b. Administering human papillitis’s (HPV) vaccine to teens c. Colonoscopy at age 50 and every 10years as follow up d. Yearly prostate specific antigen(PSA) and digital rectal exam for men age 50 and older. Question 12: The nurse is caring for a client with Addison disease, which of the following laboratory findings with Addison disease? a. Elevated antidiuretic hormone (ADH) Levels, hyponatremia, hyperglycemia, decreased lymphocyte count. b. Decreased cortisol level, low fasting glucose, hyponatremia, hyperkalemia c. Decreased antidiuretic hormone(ADH) levels, hypernatremia, hypercalcemia d. Elevated cortisol levels, hyperglycemia, hypernatremia, hypokalemia.
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