NRSG337 QUESTIONS ADND VERIFIED SOLUTIONS

NRSG337 What additional information would be helpful to the nurse as related to Shanda's presentation? a) "Can you tell me more about your mission work?" b) "Have you ever been diagnosed with anemia?" c) "Do you have any underlying chronic illnesses?" d) "Tell me about your family history" ANSWER: "Can you tell me more about your mission work?" After a more thorough history and assessment, the healthcare provider (HCP) notes that Shanda reports being a little bit sore under her right rib cage. Based on this information, the nurse anticipates which priority lab test? a) CXR b) ALT, AST c) Serum electrolytes d) Complete blood count ANSWER: ALT, AST Shanda's lab results reveal an elevated liver enzymes. The healthcare provider (HCP) sends blood for hepatitis screening. The results indicate that Shanda has hepatitis. Based on her history, which type of hepatitis does the nurse suspect? a) Hepatitis C b) Hepatitis A c) Hepatitis D d) Hepatitis B ANSWER: Hepatitis A When Shanda receives the diagnosis, she is upset and asks, "I am scared, does this mean I am dying?" What is the best response by the nurse? a) I would feel that way too if I were you. This has to be a shock. b) Why would you think something like that? c) Would you like me to contact your roommate? d) You must feel scared and afraid. Tell me more about that. ANSWER: You must feel scared and afraid. Tell me more about that. The HCP prescribes NS for hydration. The nurse sets up a 1000 mL bag of normal saline to administer the prescribed dose of normal saline of 100 mL/hr per IV. The IV tubing has a drop factor of 12 drops/mL/min. The IV should infuse at home many drops per minute? (Enter the numerical value only. If rounding is required, round to the whole number.) ANSWER: 20 Shanda is admitted to the hospital for further workup and teaching. While performing a physical assessment, the nurse notes that her skin has a slight yellow cast. How should this finding be documented? a) Pruritus b) Jaundice c) Cyanosis d) Purpura ANSWER: Jaundice Since Shanda has jaundice, the nurse carefully observes his urine and stool. Which observation about the stool is consistent with the presence of jaundice?