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,QUESTION 1.
Acute Kidney Injury due to aminoglycoside antibiotic moved from oliguric phase to the
diuretic phase. Which parameters are most important to monitor? - ANSWER- Vital sign
changes and ECGs- Priority parameters are vital sign changes related to hypovolemia and
ECG changes due to serum electrolyte loss, which can be life threatening.
QUESTION 2
Patient has a calcium oxalate renal stone. Which food are you going to teach the patient to
avoid? ANSWER- Nuts, chocolate, dark greens, and spinach.
QUESTION 3
A patient had a cholecystectomy 2 days ago, the patient is febrile, abdominal pain
radiating to the back and has had 3 episodes of vomiting in the last 8 hours. The patient is
exhibiting symptoms for which condition? - ANSWER-Pancreatitis- complications include
pancreatitis that may manifest with upper left quadrant or mid-epigastric pain which
radiates to the back and accompanied by nausea, vomiting, and fever.
QUESTION 4
Patient has a bowel obstruction and ABGs read ph- 7.50 PaCO2-42 and HCO3-33. How
would you define this acid base balance? - ANSWER-Uncompensated Metabolic Alkalosis
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,QUESTION 5
Prescription strength Corticosteroids- decrease inflammation and help manage psoriasis
plaques. Psoriasis is a skin cell proliferation of the surface of the skin causing thick silvery
scales or itchy red patches. - ANSWER-Psoriasis with silvery, scaly areas on elbows and
palms that burn and bleed.
QUESTION 6
Which prescription should the nurse teach the client to use for skin condit. Patient with
AIDS and oral candidiasis has several painful mouth ulcers. The nurse delegates oral care
to the UAP and discusses how to assist client. What instructions do you give to the UAP? -
ANSWER-Provide a soft bristled toothbrush- allows for gentle cleaning with less risk of
trauma than a hard bristled brush. Candidiasis often called oral thrush which is a fungal
infection of the mouth, it is common in babies, people with immune deficiency, and those
who use steroid sprays for asthma.
QUESTION 7
A young adult with osteoarthritis of both knee's desires to continue daily walks at the park
with friends. how should the nurse respond? - ANSWER-Continue maintenance regimen
and walks
QUESTION 8
Patient with diabetes mellitus with upper respiratory infection. Which changes in blood
glucose management should the nurse tell the client to expect? - ANSWER-Increase insulin
dose.
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, QUESTION 9
Which cue would lead the nurse to further assess the client for other symptoms of right
sided heart failure in a patient with sinus tachycardia? - ANSWER-Signs of FVE- sx/sy of
right sided heart failure include jugular venous distension, liver engorgement
(hepatomegaly) with ascites, and peripheral edema, loss of appetite, and nausea and
vomiting.
QUESTION 10
Patient reports the nodes are painful in degenerative joint disease observed Heberden's
nodes, large and prominence on patient fingers that are red? - ANSWER-Chronic pain
management strategies- Patient may require chronic pain management strategies such as
use of analgesic therapy.
QUESTION 11
While caring for a client with full thickness burns covering 40% of the body, the nurse
observes purulent drainage from the wounds. Before reporting the finding, what is the best
lab value to evaluate? - ANSWER-Neutrophil count- The patient is experiencing infection,
so a nurse should review the neutrophil count before contacting the HCP.
QUESTION 12
An older woman who experienced a cerebrovascular accident (CVA) has difficulty with
visual perception and she only eats half of the food on her meal tray. Her family expresses
concern about her nutritional status. How should the nurse respond to the family's
concern? - ANSWER- Demonstrate the use of visual scanning during meals to the client
and family.
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