PNR201 Med Surg 1 comprehensive exam
Questions and Answers
What should the nurse prioritize to include at the client's bedside when the client has a cuffed tube with
an inner cannula inserted?
Obturator and extra tracheal tube
What is Cor pulmonale? And what type of clients do we see with this condition?
Chronic bronchitis, emphysema, COPD. (full neck veins, edema and weight gain)
Based on their dietary choices, what are the dietary recommendations for iron deficiency anemia?
Foods high in iron: beef/chicken liver, egg yolks, kidney/lima beans, lean beef, whole grains, prune
juice, spinach/green leafy vegetables.
If iron supplements are taken, take with vitamin C.
Which medications are linked to the development of anemia by interfering with the absorption of folic
acid?
Oral contraceptives, Phenytoin (Dilantin), Primidone (Mysoline)
What are the laboratory findings associated with an allergic reaction using serum complete blood count
(CBC) with differential.
Increased numbers of eosinophils
, What is Hemarthrosis?
bleeding in the joints
What is the client teaching regarding the oral administration of iron?
Take with Vitamin C to aid in absorption, if iron is liquid take with a straw
What is the vital signs indicative of severe blood loss and shock?
Low BP, Tachycardia, possible organ failure, cold clammy skin
Clients lacking the production of intrinsic factors in their gastrointestinal tract are at greatest risk for
which type of vitamin deficiency?
Vitamin B12 deficiency
What would a care plan include for a client diagnosed with sickle cell anemia and is experiencing sickle
cell crisis?
Morphine per providers prescription (pain management)
What is Preload?
The amount of blood in the ventricles before systole
What are the modifiable risk factors for coronary artery disease?
Smoking, obesity, stress, hyperlipidemia, hypertension
Questions and Answers
What should the nurse prioritize to include at the client's bedside when the client has a cuffed tube with
an inner cannula inserted?
Obturator and extra tracheal tube
What is Cor pulmonale? And what type of clients do we see with this condition?
Chronic bronchitis, emphysema, COPD. (full neck veins, edema and weight gain)
Based on their dietary choices, what are the dietary recommendations for iron deficiency anemia?
Foods high in iron: beef/chicken liver, egg yolks, kidney/lima beans, lean beef, whole grains, prune
juice, spinach/green leafy vegetables.
If iron supplements are taken, take with vitamin C.
Which medications are linked to the development of anemia by interfering with the absorption of folic
acid?
Oral contraceptives, Phenytoin (Dilantin), Primidone (Mysoline)
What are the laboratory findings associated with an allergic reaction using serum complete blood count
(CBC) with differential.
Increased numbers of eosinophils
, What is Hemarthrosis?
bleeding in the joints
What is the client teaching regarding the oral administration of iron?
Take with Vitamin C to aid in absorption, if iron is liquid take with a straw
What is the vital signs indicative of severe blood loss and shock?
Low BP, Tachycardia, possible organ failure, cold clammy skin
Clients lacking the production of intrinsic factors in their gastrointestinal tract are at greatest risk for
which type of vitamin deficiency?
Vitamin B12 deficiency
What would a care plan include for a client diagnosed with sickle cell anemia and is experiencing sickle
cell crisis?
Morphine per providers prescription (pain management)
What is Preload?
The amount of blood in the ventricles before systole
What are the modifiable risk factors for coronary artery disease?
Smoking, obesity, stress, hyperlipidemia, hypertension
