CRITICAL CARE NURSING EXAM BANK WITH
VERIFIED ACCURATE SOLUTIONS TO ACE YOUR
EXAMS.
Patient education following trans-ureteral resection of the prostate
Correct Answer -avoid sex for 2-6 weeks after the surgery, rest if
hematuria, avoid caffeine and other bladder stimulants, stool softener,
avoid NSAIDS
info on the DXA scan
Correct Answer -no contrast, get baseline when 40, uses the spine and hip
most commonly, bone pain and fractures warrant the scan
Post op for knee arthroplasty
Correct Answer -CPM machine
avoid knee gatch and pillows placed below the knee
can place a pillow under the calf
Education following a knee arthroplasty
Correct Answer -use raised seats
externally (not internally) rotate the toes
avoid hip flexion >90
dont cross the legs
pillow b/w knees while sleeping
How do we manage phantom limb pain?
Correct Answer -- calcitonin for prevention
,- beta blockers relieve dull burning
- anti-epileptics relieve sharp, stabbing pain
- antispasmodics and antidepressants help some
- pushing the residual limb down toward the bed
What medications are used for OP?
Correct Answer -(cause can be hyperparathyroidism as this increased the
available calcium in the blood)
- human calcitonin: prevents bone resorption, must be given sq
- teriparatide: increases bone mass by stimulating osteoblasts, sq, watch
for hypotn
- estrogen
- calcium and vita d:watch for constipation
- bisphosphonates: inhibits bone resorption, ie alendronate and
ibandronate, take with 8 oz of water and sit upright for 30 mins after
taking, rf esophagitis, dental checkups to minimize the risk of
osteonecrosis of the jaw
-monoclonal antibodies: denosumab, use in clients that are at high risk
for fractures
T/F: Heberden's and buchard's nodes are seen with RA.
Correct Answer -False! OA, with OA will also see swelling of affected
joints, larger body mass, enlarged joint size, pain with palpation and
movement, and a limp
RA- all joints painful, small body size
What is the KOH test used for?
Correct Answer -fungal skin infections
,Instructions for psoriasis cream
Correct Answer -occlusive dressing after application, apply 2 times per
day, wear gloves after application on the hands, dont apply to skin folds
as yeast infection may develop, medication vacations
What cream should be applied before PUVA treatment for psoriasis?
Correct Answer -psoralen
What are the findings expected with SLE?
Correct Answer -fatigue
alopecia
blurred vision
anorexia
depression
swollen painful joints
pericarditis
raynaud's
SLE butterfly rash
What is an ANA titer positive for?
Correct Answer -SLE, RA, autoimmune
What are the manifestations of RA?
Correct Answer -morning pain and stiffness, pain at rest and with
movement, pleuritic pain, xerostomia, anorexia, fatigue, paresthesias,
recent illness and stressors, joint pain, lack of function, joint deformity
, with sq nodules, low grade fever, muscle weakness and atrophy, reddened
sclera and abnormal pupil shape
T/F: Aspirin and celocoxib can reduce the risk of developing colon
cancer. Tamoxifen can reduce the risk of developing breast cancer.
Correct Answer -T
Explain the TNM system of grading cancer.
Correct Answer -TUMOR
TX: unable to evaluate primary tumor
TO: no evidence of primary tumor
TIS: tumor in situ
T 1-2: size and extent of tumor
NODE
NX: unable to evaluate regional lymph nodes
N0-N3: number of nodes involved and extent of the spread
Metastases
MX: unable to evaluate distant mets
M0-M1
What are the complications associated with cancer?
Correct Answer -malnutrition
constipation, gastritis, IO
paraneoplastic syndrome (neuro deficits from t cells attacking normal
cells rather than cancer cells)
SIADH
VERIFIED ACCURATE SOLUTIONS TO ACE YOUR
EXAMS.
Patient education following trans-ureteral resection of the prostate
Correct Answer -avoid sex for 2-6 weeks after the surgery, rest if
hematuria, avoid caffeine and other bladder stimulants, stool softener,
avoid NSAIDS
info on the DXA scan
Correct Answer -no contrast, get baseline when 40, uses the spine and hip
most commonly, bone pain and fractures warrant the scan
Post op for knee arthroplasty
Correct Answer -CPM machine
avoid knee gatch and pillows placed below the knee
can place a pillow under the calf
Education following a knee arthroplasty
Correct Answer -use raised seats
externally (not internally) rotate the toes
avoid hip flexion >90
dont cross the legs
pillow b/w knees while sleeping
How do we manage phantom limb pain?
Correct Answer -- calcitonin for prevention
,- beta blockers relieve dull burning
- anti-epileptics relieve sharp, stabbing pain
- antispasmodics and antidepressants help some
- pushing the residual limb down toward the bed
What medications are used for OP?
Correct Answer -(cause can be hyperparathyroidism as this increased the
available calcium in the blood)
- human calcitonin: prevents bone resorption, must be given sq
- teriparatide: increases bone mass by stimulating osteoblasts, sq, watch
for hypotn
- estrogen
- calcium and vita d:watch for constipation
- bisphosphonates: inhibits bone resorption, ie alendronate and
ibandronate, take with 8 oz of water and sit upright for 30 mins after
taking, rf esophagitis, dental checkups to minimize the risk of
osteonecrosis of the jaw
-monoclonal antibodies: denosumab, use in clients that are at high risk
for fractures
T/F: Heberden's and buchard's nodes are seen with RA.
Correct Answer -False! OA, with OA will also see swelling of affected
joints, larger body mass, enlarged joint size, pain with palpation and
movement, and a limp
RA- all joints painful, small body size
What is the KOH test used for?
Correct Answer -fungal skin infections
,Instructions for psoriasis cream
Correct Answer -occlusive dressing after application, apply 2 times per
day, wear gloves after application on the hands, dont apply to skin folds
as yeast infection may develop, medication vacations
What cream should be applied before PUVA treatment for psoriasis?
Correct Answer -psoralen
What are the findings expected with SLE?
Correct Answer -fatigue
alopecia
blurred vision
anorexia
depression
swollen painful joints
pericarditis
raynaud's
SLE butterfly rash
What is an ANA titer positive for?
Correct Answer -SLE, RA, autoimmune
What are the manifestations of RA?
Correct Answer -morning pain and stiffness, pain at rest and with
movement, pleuritic pain, xerostomia, anorexia, fatigue, paresthesias,
recent illness and stressors, joint pain, lack of function, joint deformity
, with sq nodules, low grade fever, muscle weakness and atrophy, reddened
sclera and abnormal pupil shape
T/F: Aspirin and celocoxib can reduce the risk of developing colon
cancer. Tamoxifen can reduce the risk of developing breast cancer.
Correct Answer -T
Explain the TNM system of grading cancer.
Correct Answer -TUMOR
TX: unable to evaluate primary tumor
TO: no evidence of primary tumor
TIS: tumor in situ
T 1-2: size and extent of tumor
NODE
NX: unable to evaluate regional lymph nodes
N0-N3: number of nodes involved and extent of the spread
Metastases
MX: unable to evaluate distant mets
M0-M1
What are the complications associated with cancer?
Correct Answer -malnutrition
constipation, gastritis, IO
paraneoplastic syndrome (neuro deficits from t cells attacking normal
cells rather than cancer cells)
SIADH
