Which of the following statements related to the care of a patient with a chest tube is
TRUE?
(A) Clamp the tube during patient transport.
(B) Position the tubing in a dependent loop.
(C) Avoid high airway pressures.
(D) Place the collection chamber onto the cart during transport.
Give this one a try later!
, (C) Avoid high airway pressures.
A patient with chronic alcohol abuse is admitted with a serum phosphorus of
1.8 mEq/L. The nurse will need to observe this patient closely for:
(A) massive diarrhea.
(B) hypoventilation.
(C) tetany.
(D) ventricular arrhythmias.
Give this one a try later!
(B) hypoventilation.
A patient has been admitted to the ICU with a diagnosis of esophageal varices and
upper GI bleeding, the third such admission in the last year. She is hemodynamically
stable, and there is no evidence of active bleeding at this time. Which of the following
questions will provide the nurse with the information needed to ensure that her
patient understands her diagnosis?
(A) Why do you think you are sick?
(B) When did you experience your first symptoms?
(C) Does anyone else in your family have this bleeding problem?
(D) Do you consume alcohol on a regular basis?
Give this one a try later!
(A) Why do you think you are sick?
A patient has acute renal failure secondary to septic shock, had prolonged
hypotension, and now requires hemodialysis (since his BUN is 90 mg/dL and his
,creatinine is 9.2 mg/dL). Which of the following findings would the nurse expect this
patient to have?
(A) low urine osmolality, high urine sodium
(B) high urine osmolality, high urine sodium
(C) low urine osmolality, low urine sodium
(D) high urine osmolality, low urine sodium
Give this one a try later!
(A) low urine osmolality, high urine sodium
A patient is admitted with bleeding esophageal varices. Which of the following is a
sign of compensation for hypovolemic shock?
(A) a decrease in renin secretion
(B) an increase in the reabsorption of sodium and water
(C) vasodilation
(D) a capillary fluid shift to the interstitial space
Give this one a try later!
(B) an increase in the reabsorption of sodium and water
A patient was admitted with diabetic ketoacidosis, a serum glucose of 450 mg/dL, and
a pH of 7.12. An IV insulin infusion was initiated. The latest serum glucose is 160 mg/dL
(it was 275 mg/dL 1 hour previously), the anion gap is 22 mEq/dL, and the venous CO2
is 14 mmol/kg. Which of the following interventions is most appropriate at this time?
(A) Discontinue the insulin infusion.
(B) Lower the insulin infusion dose.
(C) Administer sodium bicarbonate.
(D) Increase the insulin infusion dose.
Give this one a try later!
, (B) Lower the insulin infusion dose.
A 74-year-old female reports explosive diarrhea for several days. She is lethargic, her
mucous membranes are dry and sticky, she has had dark amber urine with 40 mL
output in the past hour, her urine specific gravity is 1.035, her BUN is 65, and her
creatinine is 2.9. Her vital signs are a temperature of 38°C, a heart rate of 130
beats/minute, a respiratory rate of 24 breaths/minute, and a BP of 90/40. Which of the
following should the nurse anticipate administering?
(A) antibiotics
(B) nutrition
(C) isotonic fluids
(D) furosemide
Give this one a try later!
(C) isotonic fluids
During initial shift rounds, the nurse notices that the patient has edema on her left
hand (about 2 inches in diameter) above the insertion site of an IV that is infusing 0.9
normal saline. The patient also has blanched skin, and she denies having any pain.
Which of the following is the appropriate assessment and intervention in addition to
stopping the infusion?
(A) The patient has a stage 2 infiltration. Restart the IV in her right extremity.
(B) The patient has a stage 0 infiltration. Elevate the left extremity, and apply
warm compresses.
(C) The patient has a stage 1 infiltration. Check for blood return.
(D) The patient has an extravasation. Contact the pharmacist for an antidote.
Give this one a try later!
TRUE?
(A) Clamp the tube during patient transport.
(B) Position the tubing in a dependent loop.
(C) Avoid high airway pressures.
(D) Place the collection chamber onto the cart during transport.
Give this one a try later!
, (C) Avoid high airway pressures.
A patient with chronic alcohol abuse is admitted with a serum phosphorus of
1.8 mEq/L. The nurse will need to observe this patient closely for:
(A) massive diarrhea.
(B) hypoventilation.
(C) tetany.
(D) ventricular arrhythmias.
Give this one a try later!
(B) hypoventilation.
A patient has been admitted to the ICU with a diagnosis of esophageal varices and
upper GI bleeding, the third such admission in the last year. She is hemodynamically
stable, and there is no evidence of active bleeding at this time. Which of the following
questions will provide the nurse with the information needed to ensure that her
patient understands her diagnosis?
(A) Why do you think you are sick?
(B) When did you experience your first symptoms?
(C) Does anyone else in your family have this bleeding problem?
(D) Do you consume alcohol on a regular basis?
Give this one a try later!
(A) Why do you think you are sick?
A patient has acute renal failure secondary to septic shock, had prolonged
hypotension, and now requires hemodialysis (since his BUN is 90 mg/dL and his
,creatinine is 9.2 mg/dL). Which of the following findings would the nurse expect this
patient to have?
(A) low urine osmolality, high urine sodium
(B) high urine osmolality, high urine sodium
(C) low urine osmolality, low urine sodium
(D) high urine osmolality, low urine sodium
Give this one a try later!
(A) low urine osmolality, high urine sodium
A patient is admitted with bleeding esophageal varices. Which of the following is a
sign of compensation for hypovolemic shock?
(A) a decrease in renin secretion
(B) an increase in the reabsorption of sodium and water
(C) vasodilation
(D) a capillary fluid shift to the interstitial space
Give this one a try later!
(B) an increase in the reabsorption of sodium and water
A patient was admitted with diabetic ketoacidosis, a serum glucose of 450 mg/dL, and
a pH of 7.12. An IV insulin infusion was initiated. The latest serum glucose is 160 mg/dL
(it was 275 mg/dL 1 hour previously), the anion gap is 22 mEq/dL, and the venous CO2
is 14 mmol/kg. Which of the following interventions is most appropriate at this time?
(A) Discontinue the insulin infusion.
(B) Lower the insulin infusion dose.
(C) Administer sodium bicarbonate.
(D) Increase the insulin infusion dose.
Give this one a try later!
, (B) Lower the insulin infusion dose.
A 74-year-old female reports explosive diarrhea for several days. She is lethargic, her
mucous membranes are dry and sticky, she has had dark amber urine with 40 mL
output in the past hour, her urine specific gravity is 1.035, her BUN is 65, and her
creatinine is 2.9. Her vital signs are a temperature of 38°C, a heart rate of 130
beats/minute, a respiratory rate of 24 breaths/minute, and a BP of 90/40. Which of the
following should the nurse anticipate administering?
(A) antibiotics
(B) nutrition
(C) isotonic fluids
(D) furosemide
Give this one a try later!
(C) isotonic fluids
During initial shift rounds, the nurse notices that the patient has edema on her left
hand (about 2 inches in diameter) above the insertion site of an IV that is infusing 0.9
normal saline. The patient also has blanched skin, and she denies having any pain.
Which of the following is the appropriate assessment and intervention in addition to
stopping the infusion?
(A) The patient has a stage 2 infiltration. Restart the IV in her right extremity.
(B) The patient has a stage 0 infiltration. Elevate the left extremity, and apply
warm compresses.
(C) The patient has a stage 1 infiltration. Check for blood return.
(D) The patient has an extravasation. Contact the pharmacist for an antidote.
Give this one a try later!
