CORRECT ANSWERS
A patient has been admitted with acute liver failure. Which assessment data are
most important for the nurse to communicate to the health care provider?
a. Asterixis and lethargy
b. Jaundiced sclera and skin
c. Elevated total bilirubin level
d. Liver 3 cm below costal margin
a. Asterixis and lethargy
Which focused data should the nurse assess after identifying 4+ pitting edema on a
patient who has cirrhosis?
a. Hemoglobin
b. Temperature
c. Activity level
d. Albumin level
d. Albumin level
Which information will a patient ‘s glycosylated hemoglobin (A1C) result provides
to the nurse?
a. Fasting pre-prandial glucose levels
b. Glucose levels 2 hours after a meal
c. Glucose control over the past 90 days
d. Hypoglycemic episodes in the past 3 months
c. Glucose control over the past 90 days
Patient has partial-thickness burns, what indicates that fluid resuscitation has been
effective? //During the emergent phase of burn care, which assessment is most
useful in determining whether the patient is receiving adequate fluid infusion?
Measure hourly urine output
After a patient who has septic shock receives 2 L of IV normal saline, the central
venous pressure is 10 mm Hg and the blood pressure is 82/40 mm Hg. Which
medication would the nurse anticipate being prescribed?
a. Furosemide
b. Nitroglycerin
, c. Norepinephrine
d. Sodium nitroprusside
c. Norepinephrine
Parkland formula 65kg, 55% med math in ml/hr.
894
A patient with circumferential burns of both legs develops a decrease in dorsalis
pedis pulse strength and numbness in the toes. Which action should the nurse take
first?
a. Monitor the pulses every hour.
b. Notify the health care provider.
c. Elevate both legs above heart level with pillows.
d. Encourage the patient to flex and extend the toes.
b. Notify the health care provider.
The nurse will plan discharge teaching about the need for prophylactic antibiotics
when having dental procedures for the patient who?
a. Patient admitted with a large acute myocardial infarction
b. Patient being discharged after an exacerbation of heart failure
c. Patient who had a mitral valve replacement with a mechanical valve
d. Patient being treated for rheumatic fever after a streptococcal infection
c. Patient who had a mitral valve replacement with a mechanical valve
Which assessment data collected by the nurse who is admitting a patient with chest
pain suggests that the pain is caused by an acute myocardial infarction (AMI)? //
diagnosis for myocardial infarction
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes
c. The pain is relieved after taking nitroglycerin.
d. The pain is reproducible when the patient raises the arms.
b. The pain has lasted longer than 30 minutes
What are early signs of hypoxemia with a patient with anemia?
Restlessness