AND ANSWERS VERIFIED UPDATE.
The nurse is caring for a male client admitted with a diagnosis of seizure disorder. The
nurse enters the room and finds the client actively seizing. What is the PRIORITY
assessment at this time? - C O R R E C T ; Type and progression of seizure
activity
A 78-year-old male had a total left hip replacement and returned to the PACU at 1415.
What would be the initial assessment? - CORRECT; Circulation of the lungs
The nurse is caring for a male client who is 9 days post kidney transplant.
Understanding the client is in the period when acute rejection is likely, the nurse would
monitor for: - C O R R E C T ; fever
client with osteoarthritis is experiencing difficulty with mobility. In planning care, which of
the following measures would be BEST to safeguard the client? - C O R R E C T ;
remove excess furniture
female with a diagnosis of bacterial vaginosis asks the nurse if this will cause cervical
cancer. The nurse educates the wound woman that the organism associated with 90%
of cervical malignancies is: - CORRECT; HPV
Vaccines for HPV - C O R R E C T ; Gardasil and Cervarix
HPV vaccines must be given between the ages of - C O R R E C T ; 11-26
pH 7.31; PaCO2 50; HCO3 24 - C O R R E C T ; respiratory acidosis
Treatments for Respiratory acidosis - C O R R E C T ; oxygen, lung sounds, sitting up,
A adult client has AKI and must undergo hemodialysis. Of the following medications,
which one should the nurse withhold? - C O R R E C T ; Hydralazine (vasodilator)
The nurse is caring for a client post op after an ileostomy. The ileostomy is draining
large amounts of liquid brown stool. The nurse understands the client is most at risk for
developing which acid-base disorder? - C O R R E C T ; metabolic acidosis
The nurse plans care for a client with a diagnosis of pneumonia. The nurse understands
that the client is most likely to experience what type of acid-base imbalance? -
C O R R E C T ; respiratory acidosis
, the nurse is caring for a client admitted with a diagnosis of anxiety disorder. For which
of the following acid-base imbalances should the nurse watch for? -
C O R R E C T ; respiratory alkalosis
Causes of respiratory alkalosis - C O R R E C T ; hyperventilation, CNS lesions, fever
Treatment for anxiety - C O R R E C T ; calm patient, deep breathing,
Client with a long bone fracture is at an increased risk for a fat embolism. Which of the
following is LEAST likely to be seen? - C O R R E C T ; Bradycardia
signs of fat embolism- C O R R E C T ; respiratory distress, tachycardia, fever,
confusion, decreased level of consciousness, petechiae
The client admitted with a bowel obstruction has been ordered an NG to be placed. The
nurse understands which of the following as a proper way to measure for NG
placement- CORRECT; measure from the tip of the client's nose to earlobe and from
earlobe to the xiphoid process
Nephritis - C O R R E C T ; inflammation of the kidneys
Clinical manifestations of nephritis- C O R R E C T ; flank pain, abd pain, fever,
fatigue, + hematuria, hypertension, edema,
Diagnostic tests for nephritis- C O R R E C T ; throat/skin cultures, ESR, BUN,
serum creatinine, serum electrolytes, urinalysis, antistreptolysin titer
Pharmacologic therapies for nephritis- C O R R E C T ; antibiotics, corticosteroids,
sodium- restriction (edema), diuretic, antihypertensives, fluid-restriction, protein
restriction
Prerenal Injury - C O R R E C T ; injury BEFORE the kidney
Signs of kidney failure- C O R R E C T ; low urinary output, medications (NSAIDs,
antibiotics, contrast dye), azotemia (increase level of atroginist wastes
Non-oliguric AKI- C O R R E C T ; Pt is still putting out an adequate amount of urine,
elevated BUN/creatinine
Onset Olguric Phase - C O R R E C T ; precipitating factors - vomiting, diarrhea,
Oliguric Phase of AKI- CORRECT; 48 hrs. after precipitating event - <400 cc of
urine output, fluid retention, uremia, azotemia, elevated BUN/creatinine/Mg/Ph/K
Sodium lab value - C O R R E C T ; 136-145
Potassium lab value - C O R R E C T ; 3.5-5