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pt taking ipratropium reports nausea, blurred vision, has, insominia after using the
inhaler. RN action to implement - Answerwithhold med and report symptoms
.primary reason for teahing pt pursed lip breathing - Answerpromote CO2 elimination
.additional finding that RN should assess for bronchitis - Answerphlegm production and
wheezing
.lung cancer s/sx - Answerhypoptysis (new cough) or changes in persistent cough
.tuberculosis s/sx - Answernight sweats
.s/sx of PUD - Answer- hematemesis
- gastric pain on an empty stomach
- intolerance to spicy foods
.which finding should RN assess for a pt for a risk of DI (diabetes insipidus) -
Answerpolydipsia
.forms of communication of RN to a hearing impaired pt - Answer- face pt
- rephrase information if pt misunderstood
- check if pts hearing aids are working
- reduce env noise surrounding the pt
.RN reviews new prx of MAOI for a pt w/ depression. Which info is most imp for RN to
assess - Answer- consumption of any alcohol or tyramine rich foods
.young pt having an oral tolerance tests (OGTT). which lab result should RN assess as
normal value for the two hour postprandial result - Answer- 140 mg/dl
.pt dx with acute pancreatitis. what lab value should the RN anticipate being elevated w/
dx - Answer- amylase
.RN is teaching a pt being dx after treatment of TB. which cultural issues should the RN
assess when preparing the pat - Answer- native language
- education level
- type of lifestyle
- financial resources
.incomplete fracture of the humerus - Answer- fracture that bends or splinter part of the
bone
, .RN intervention w/ highest priority that should be anticipated by RN after removal of
chest tube - Answerprepare pt for chest xray at the bedside
.assessment findings to document that are consistent with diminished peripheral
circulation - Answer- diminished hair on legs
- skin cool to touch
.muslim male pt refuses to let female RN listen to breath sounds. How should the RN
respond - Answer- request a male RN or HCP to perform exam
.RN assesss pt who is at risk for interaction w/ OTC decongestant. Which pt health
history should the RN report to the HCP - Answer- closed angle glaucoma
- chronic hypertension
.OTC decongestants - Answer- can increase IOP
- can Increase HR and BP
.RN assessing pt who was discharged after management of chronic HTN. Which
equipment should the RN instruct pt to use at home - Answer- sphygmomanometer
.which statemnt by pt conveys understanding of etiology of diverticula - Answerchronic
constipation causes weakening of colon wall which result in out pouching sacs
.sarcoidosis most commonly occurs with which ehtnic group of women - Answerafrican
american women
.sarcoidosis - Answerautoimmune inflammatory disease affecting multiple organs
.pt with acute asthma attack. beta 2 receptor agonist agent. which client response
should the RN expect - Answer- rapid resolution of wheezing
- improved pulse oximetry values
.cardiac biomarker should RN anticipate to be elevated if pt experienced myocardial
damage - Answerserum troponin
.RN is administering haloperidol to a pt for the first time. What side effects should RN
assess the client for during the initial dose - Answer- dystonia
.dystonial - Answer-sudden adverse reaction to haloperiodl, HCP should be notified
immediately
.pt w/ SLE (lupus). which symptom should RN instruct the pt to report immediately -
Answer- fever related to infection
.pt with emphysema. Which finding is consistent w/ resp acidosis - Answer- ph: 7.32