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Exam (elaborations)

Readiness Assessment

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Readiness Assessment

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Readiness Assessment
Study online at https://quizlet.com/_blv126

1. The patient is using top- **Liver toxicity
ical glucocorticoids. The
nurse should assess for Choice C is correct. Liver toxicity is not a systemic effect associated with
all the following systemic the use of glucocorticoids. Topical glucocorticoids or corticosteroids
effects of the medication, are used in cases of dermatitis and eczema to treat symptoms of burn-
except: ing, itching, and inflammation. They may also be used in conjunction
with other medical therapies for the treatment of psoriasis.
Choices A, B, and D are incorrect. In cases of long-term use, adverse
effects of glucocorticoids may include irritation, redness, and thinning
of the skin membranes. Also, if absorption occurs, topical glucocor-
ticoids may produce undesirable systemic effects including adrenal
insufficiency, mood changes, bone defects, and serum imbalances.

2. The nurse knows that B. Decreased neutrophil count
her patient with acute C. Increased blast percentage
myeloid leukemia (AML) D. Decreased platelet count
is neutropenic. When re-
viewing their CBC results B is correct. The patient with AML will show a decreased neutrophil
in the morning, which of count. The question tells you that the patient is neutropenic, meaning
the following does she ex- that they have a lower than an average number of neutrophils. Due
pect? to the proliferation of blast cells, healthy, mature neutrophils are de-
Select all that apply. creased. This leads to a reduced ability for the body to fight infection.
C is correct. The patient with AML will have an increased percentage
of blast cells. Blast cells are immature neutrophils. There is a prolifer-
ation of these immature neutrophils, or blasts, in the bone marrow in
patients with AML. This is what causes other healthy cells to die and
leads to many signs and symptoms.
D is correct. The patient with AML will have a decreased platelet count.
This is because of the proliferation of blast cells and suppression of
other standard and healthy cells in her bone marrow. The decrease in
platelets often can lead to longer clotting times, increased bleeding,
and increased bruising in AML.


, Readiness Assessment
Study online at https://quizlet.com/_blv126

Choice A is incorrect. The patient with AML will likely experience a
decrease in erythrocytes or red blood cells. This is because of the
proliferation of blast cells and suppression of other standard and
healthy cells in her bone marrow. The decrease in erythrocytes often
leads to anemia as part of the AML.

3. The nurse in the burn A. Administering COX2 inhibitors orally 10 minutes before the dressing
unit is about to per- change.
form a dressing change
on a patient that Choice A is correct. This is an incorrect nursing intervention and
has deep-partial thick- therefore the correct answer to this question. The drug of choice for
ness and full-thickness controlling pain in patients with burns is morphine sulfate. Any other
burns. The nurse under- pain medication aside from opioids would not provide enough pain
stands that during the relief. Pain medications should be given to the client 30 minutes before
dressing change, mini- any activity (i.e. Dressing change)
mizing pain on the pa-
tient is of top priority.
All of the following are
correct nursing interven-
tions, except:

4. The nurse is giving a C. Excessive lung secretions
lecture on the complica-
tions of positive pressure The presence of excessive lung secretions is associated with alveolar
ventilation. Which should hypoventilation. due to the lungs inability to fully expand properly.
be included as a poten-
tial cause of alveolar hy-
poventilation?

5. The nurse is teaching a A. Fever
group of student's con- E. Infection
tributing factors for delir-
Choices A and E are correct. Delirium is an alteration in mental status

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