Name: Score:
27 Multiple choice questions
Term 1 of 27
nurse is providing teaching for pt who has experienced an acute episode of gastritis. what should pt teach?
- reduce foods high in potassium
- limit phosphorus intake to 700mg/day
- restrict protein intake to 0.55-0.60 g/kg/day
- reduce foods high in sodium
- teach to avoid alcohol
- avoid NSAIDs
- drink milk as a snack
- increase exercise which decreases stress
- increase fluids to prevent dehydration
- check the pts urine specific gravity to monitor urine concentration (pt w DI has a USP of < 1.005)
monitor serum albumin levels and notify provider if below 3.5g/dL
- The nurse should monitor the client's serum albumin levels because a lack of protein increases the
risk for a delay in wound healing and infection.
Term 2 of 27
Hyperkalemia is associated with what changes on an ECG?
Changes to the T-wave
cardiac dysrhythmias
- This client's potassium level is below the expected reference range. Hypokalemia can cause a
number of cardiac effects including flattened T waves, prominent U waves, and S-T depression.
Seizures
fatigue
,Term 3 of 27
Hyponatremia places pt at risk for?
Changes to the T-wave
muscle weakness, hyporeflexia (depressed DTRs), weak/irregular pulse, muscle weakness, fatigue,
ventricular dysrhythmias
fatigue
Seizures
Term 4 of 27
which lab value is priority for a pt with HIV?
cardiac dysrhythmias
- This client's potassium level is below the expected reference range. Hypokalemia can cause a
number of cardiac effects including flattened T waves, prominent U waves, and S-T depression.
admin sublingual nitroglycerin
- The priority for a client with unstable angina is treatment of the chest pain to decrease the risk of
cardiac tissue damage.
also important to:
- get IV access, auscultate heart sounds, obtain cardiac enzymes
BUT the nitro is #1 priority
an air leak
- Continuous bubbling in the water seal chamber indicates an air leak. If this is observed, the nurse
should attempt to locate the source of the air leak and intervene accordingly (tighten the
connections, replace drainage system).
CD4-T-cell count 180 cells
- A CD4-T-cell count of less than 180 cells/mm3 indicates that the client is severely
immunocompromised and is at high risk for infection. Therefore, this value is the priority for the nurse
to report to the provider.
, Term 5 of 27
Teaching pt following surgical removal of a cataract
cardiac dysrhythmias
- This client's potassium level is below the expected reference range. Hypokalemia can cause a
number of cardiac effects including flattened T waves, prominent U waves, and S-T depression.
an air leak
- Continuous bubbling in the water seal chamber indicates an air leak. If this is observed, the nurse
should attempt to locate the source of the air leak and intervene accordingly (tighten the
connections, replace drainage system).
- Avoid NSAIDs (can cause bleeding at the surgical site)
- Creamy white drainage is a n expected finding (green/yellow drainage should be reported
immediately)
- mild itching is normal (if pain occurs with N/V it can indicate increase in intraocular pressure)
- wear dark glasses while outdoors
- reduce foods high in potassium
- limit phosphorus intake to 700mg/day
- restrict protein intake to 0.55-0.60 g/kg/day
- reduce foods high in sodium
27 Multiple choice questions
Term 1 of 27
nurse is providing teaching for pt who has experienced an acute episode of gastritis. what should pt teach?
- reduce foods high in potassium
- limit phosphorus intake to 700mg/day
- restrict protein intake to 0.55-0.60 g/kg/day
- reduce foods high in sodium
- teach to avoid alcohol
- avoid NSAIDs
- drink milk as a snack
- increase exercise which decreases stress
- increase fluids to prevent dehydration
- check the pts urine specific gravity to monitor urine concentration (pt w DI has a USP of < 1.005)
monitor serum albumin levels and notify provider if below 3.5g/dL
- The nurse should monitor the client's serum albumin levels because a lack of protein increases the
risk for a delay in wound healing and infection.
Term 2 of 27
Hyperkalemia is associated with what changes on an ECG?
Changes to the T-wave
cardiac dysrhythmias
- This client's potassium level is below the expected reference range. Hypokalemia can cause a
number of cardiac effects including flattened T waves, prominent U waves, and S-T depression.
Seizures
fatigue
,Term 3 of 27
Hyponatremia places pt at risk for?
Changes to the T-wave
muscle weakness, hyporeflexia (depressed DTRs), weak/irregular pulse, muscle weakness, fatigue,
ventricular dysrhythmias
fatigue
Seizures
Term 4 of 27
which lab value is priority for a pt with HIV?
cardiac dysrhythmias
- This client's potassium level is below the expected reference range. Hypokalemia can cause a
number of cardiac effects including flattened T waves, prominent U waves, and S-T depression.
admin sublingual nitroglycerin
- The priority for a client with unstable angina is treatment of the chest pain to decrease the risk of
cardiac tissue damage.
also important to:
- get IV access, auscultate heart sounds, obtain cardiac enzymes
BUT the nitro is #1 priority
an air leak
- Continuous bubbling in the water seal chamber indicates an air leak. If this is observed, the nurse
should attempt to locate the source of the air leak and intervene accordingly (tighten the
connections, replace drainage system).
CD4-T-cell count 180 cells
- A CD4-T-cell count of less than 180 cells/mm3 indicates that the client is severely
immunocompromised and is at high risk for infection. Therefore, this value is the priority for the nurse
to report to the provider.
, Term 5 of 27
Teaching pt following surgical removal of a cataract
cardiac dysrhythmias
- This client's potassium level is below the expected reference range. Hypokalemia can cause a
number of cardiac effects including flattened T waves, prominent U waves, and S-T depression.
an air leak
- Continuous bubbling in the water seal chamber indicates an air leak. If this is observed, the nurse
should attempt to locate the source of the air leak and intervene accordingly (tighten the
connections, replace drainage system).
- Avoid NSAIDs (can cause bleeding at the surgical site)
- Creamy white drainage is a n expected finding (green/yellow drainage should be reported
immediately)
- mild itching is normal (if pain occurs with N/V it can indicate increase in intraocular pressure)
- wear dark glasses while outdoors
- reduce foods high in potassium
- limit phosphorus intake to 700mg/day
- restrict protein intake to 0.55-0.60 g/kg/day
- reduce foods high in sodium
