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Terms in this set (32)
The pt is admitted to the -apical pulse of 110 and 4+ edema of feet
telemetry unit diagnosed
with acute exacerbation of
CHF. What s/s would the
nurse expect to find when
assessing this client?
-apical pulse of 110 and 4+
edema of feet
-thick white
sputum/crackles that clear
w/coughing
-pt sleeping with no pillow
and eupnea
-radial pulse rate of 90 &
CRT <3
the pt diagnosed w/ an -assist the pt into a sitting position at 90 degrees
exacerbation of COPD is in
respiratory distress. Which
intervention should the
nurse implement first?
-assist the pt into a sitting
position at 90 degrees
-admin. O2 at 6L via nasal
cannula
-monitor VS w/ pt sitting
upright
-notify the HCP about pt's
status
,the pt is diagnosed with -joint stiffness
OA, which s/s should the
nurse expect the pt to
exhibit?
-severe bone deformity
-joint stiffness
-waddling gait
-swan neck fingers
a pt in the ED begins to a, c, d, e
experience a severe
anaphylactic reaction after
an initial dose of IV PCN.
Which interventions should
the nurse implement?
Select all that apply
-prepare to admin solu-
medrol
-request a STAT CXR
-initiate the rapid response
team
-admin epinephrine SQ
then IV continuous
-assess the pts HR/RR
, The nurse is discussing the -Perform warmup and cool down exercises
importance of exercising to
a client diagnosed with
Type 2diabetes whose
diabetes is well controlled
with diet and exercise.
Which information should
the nurse include in the
teaching about diabetes?
-Eat a simple carbohydrate
snack before exercising.
-Carry peanut butter
crackers when exercising.
-Encourage the client to
walk 20 minutes three (3)
times a week.
-Perform warmup and cool
down exercises
a pt is admitted to a nursing -dehydration
unit from a long term care
facility w/ HCT of 56% and
serum sodium level of
152meq/l. Which condition
is a cause for these
findings?
-overhydration
-anemia
-dehydration
-renal failure