Dallas College BIOL 2401
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Terms in this set (75)
The nurse is taking the health history of a patient being 1. Increase in Forced Vital Capacity (FVC)
treated for Emphysema and Chronic Bronchitis. After Forced Vital Capacity is the volume of air exhaled from full inhalation
to full being told the patient has been smoking cigarettes for exhalation. A patient with COPD would have a decrease in
FVC. Incorrect.
30 years, the nurse expects to note which assessment
finding? 2. A narrowed chest cavity
A patient with COPD often presents with a 'barrel chest,' which is seen as a 1. Increase in Forced Vital Capacity (FVC)
widened chest cavity. Incorrect.
2. A narrowed chest cavity
3. Clubbed fingers 3. Clubbed fingers - CORRECT
4. An increased risk of cardiac failure Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
4. An increased risk of cardiac failure
Although a patient with these conditions would indeed be at an increased
risk for cardiac failure, this is a potential complication and not an
assessment finding. Incorrect.
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The nurse is taking the health history of a 70-year-old 1. Melena - CORRECT
patient being treated for a Duodenal Ulcer. After being Melena is the finding that there are traces of blood
which presents told the patient is complaining of epigastric pain, the as black, tarry feces. This is a commo
of Duodenal Ulcers, since nurse expects to note which assessment finding? the Duodenum is further down the ga
1. Melena 2. Nausea
2. Nausea Nausea may be present, but is a generalized symptom and by itself doesn't 3. Hernia indicate a Duod
Incorrect.
4. Hyperthermia
3. Hernia
A Hernia is a protrusion of a segment of the abdomen t
abdominal structure. It is not associated with an Ulce
condition, not an assessment finding. Incorrect.
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment
Duodenal Ulcer. Incorrect
A nurse is providing discharge teaching for a patient 1. "I'm going to limit my meals to 2-3 per day to reduc
with severe Gastroesophogeal Reflux Disease. Which of CORRECT - Large meals increase the volume and pressure
these statements by the patient indicates a need for delay gastric emptying. It's recommended instead to eat
day.
more teaching?
2. "I'm going to make sure to remain upright after meals and
1. "I'm going to limit my meals to 2-3 per day to reduce when I sleep"
acid secretion." Incorrect - This is a correct verbalization of health promotion for GERD.
2. "I'm going to make sure to remain upright after meals 3. "I won't be drinking tea or coffee or eating choc
and elevate my head when I sleep" Incorrect - This is a correct verbalization of health promotion for GERD.
3. "I won't be drinking tea or coffee or eating chocolate 4. "I'm going to start trying to lose some weight."
any more." Incorrect - This is a correct verbalization of health promotion for GERD.
4. "I'm going to start trying to lose some weight."
The nurse in the Emergency Room is treating a patient 1. Start a large-bore IV in the patient's arm
suspected to have a Peptic Ulcer. On assessing lab CORRECT - The nurse should suspect that the patient is haemorrhaging and
results, the nurse finds that the patient's blood pressure will need need a fluid replacement therapy, which requires a
large bore IV.
is 95/60, pulse is 110 beats per minute, and the patient
reports epigastric pain. What is the PRIORITY 2. Ask the patient for a stool sample
intervention? Incorrect - While this is useful in the diagnosis and assessment of Peptic Ulcer Disease, it is not the
priority intervention.
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample 3. Prepare to insert an NG Tube
3. Prepare to insert an NG Tube Incorrect - While this intervention may be used in the later stages of Peptic 4. Administer
intramuscular morphine sulphate as Ulcer Disease, it is not the first and priority intervention.
ordered
4. Administer intramuscular morphine sulphate as ordered
Incorrect - While this is an important intervention to manage pain, it
is not the priority intervention.
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A female patient with atrial fibrillation has the following 1. Hemoglobin 11 g/dl
lab results: Hemoglobin of 11 g/dl, a platelet count of This is below normal, but a normal female hemoglobin is 12-14. There
is a more 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. critical lab result.
Which result is critical and should be reported to the
physician immediately? 2. Platelet of 150,000
This is also below the normal values, but is not the most critical lab result.
1. Hemoglobin 11 g/dl
2. Platelet of 150,000 3. INR of 2.5
3. INR of 2.5 This is a therapeutic range for a patient who is taking an anticoagulant for atrial 4. Potassium of 2.7 mEq/L
fibrillation
4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a history of
dysrhythmia can be life-threatening and can lead to cardiac distress.
While receiving normal saline infusions to treat a GI 1. Stop the saline infusion immediately
bleed, the nurse notes that the patient's lower legs have CORRECT - the patient has a fluid volume overload as a result of
overly rapid become edematous and auscultates crackles in the fluid replacement. The nurse should stop the infusion and
notify the physician. lungs. What should the nurse do first?
2. Notify Physician
1. Stop the saline infusion immediately This is not the first action the nurse should take.
2. Notify Physician
3. Elevate the patient's legs 3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings This would help with the edema, but is not a
priority
4. Continue the infusion, since these are normal
findings
This
The nurse is working in a support group for clients with 1. is notmust
They a normal
informfinding
household members of their condition
HIV. Which point is most important for the nurse to Incorrect - Each patient has a right to privacy of their medical
condition. It is stress? their choice whether they inform household members.
1. They must inform household members of their 2. They must take their medications exactly as prescribed
condition CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent 2. They must take their medications
exactly as drug-resistant strains. Even missed doses can reduce the effectiveness of prescribed future treatment.
3. They must abstain from substance use
4. They must avoid large crowds 3. They must abstain from substance use
Incorrect - While substance use should be discouraged, using safe practices with needles can prevent transmission of HIV.
4. They must avoid large crowds
Incorrect - Avoiding large crowds to prevent infection is a priority
in the later stages of HIV, when the patient has AIDS.
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