Nursing 130 Quizzes- Questions and Correct Answers

The purpose of parathyroid hormone is to A) increase the blood level of calcium B) maintain the calcium in the bone C) Increase calcium excretion in the glomerulus D) Increases phosphate increase the blood level of calcium Nursing interventions for a patient on prednisone would include Limiting carbohydrates in the diet Prophylactic use of antibiotics Placing the patient on Neutropenic precautions Regularly scheduled accuchecks Regularly scheduled accuchecks Match the medication to its action/class. -Etanercept (Enbrel) Binds to TNF -Infliximab (Remicade) TNF antibody -Rituximab (Rituxan) Destroys B-Lymphocytes -Abatacept (Orencia) Inhibits the action of T-Lymphocytes Osteoclasts form new bone matrix. True/False False Which of the following diagnostic tests would you expect to diagnose a patient with osteoporosis? Serum Calcium level CT scan MRI X-ray DEXA scan DEXA scan At what stage in the fracture healing process is it safe to discontinue a cast? Fracture Hematoma has formed. Granulation tissue has formed Callus formation has occurred. Ossification has begun. Consolidation is complete. Remodeling is seen on the xray. Ossification has begun. Which of the following signs and symptoms are seen in compartment syndrome? Choose all that apply. Pain Numbness & tingling Pulselessness Drainage from the wound Increased blood pressure Pallor Warmth and redness Inability to move Pain Numbness & tingling Pulselessness Pallor Inability to move Which of the following meals would be appropriate for a trauma patient healing from musculoskeletal injuries? Toast, grape jelly, yogurt and cream of wheat Scrambled eggs, sausage, yogurt, bran muffin and milk. Oatmeal with raisins, banana, and yogurt Cheerios, french toast, bacon and orange juice. Scrambled eggs, sausage, yogurt, bran muffin and milk. Which of the following medication would be appropriate to use with a sliding scale with meals? Lantus NPH Levemir Apidra Apidra A patient taking methotrexate and Enbrel for rheumatoid arthritis comes to the clinic complaining of shortness of breath with activity. The vital signs are as follows: HR 120, RR 24, BP 100/55, T 98.9, sats 98% on room air. The physician orders lab work with the following results: WBC 3.4, Hgb 7.6, platelets 125, Na 140, K 3.4, Creatinine 0.9. Which of the following statements is true? The patient is experiencing injection site reactions from the Enbrel. The patient likely has an infection. The patient is experiencing bone marrow suppression from the methotrexate. Further testing should be done to evaluate the shortness of breath. The patient is experiencing bone marrow suppression from the methotrexate. A patient is being seen in the healthcare clinic for routine monitoring. The patient denies any complaints at this time. The patient has a history of atrial fibrillation for which they are on warfarin , HTN, osteoarthritis and a recent bout of gout. The nurse practitioner reviews the patient's laboratory work and notes the INR is 4.5. Which of the following interventions is appropriate at this time? Administer vitamin K Administer fresh frozen plasma Ask the patient about recent treatment of gout, specifically allopurinol. Take the vital signs to see if the patient is experiencing and blood loss. Ask the patient about recent treatment of gout, specifically allopurinol. When evaluating an abnormal calcium, which of the following labs should also be considered? Choose all that apply. Potassium Correct! Albumin Sodium WBC Hgb Phosphorus Phosphorus