NURS 4581 - EXAM 3 ESCAPE
ROOM
The nurse is administering medications to a patient that has an
elevated ammonia level due to cirrhosis of the liver. Which of the
following medications will the nurse give to bring down the ammonia
level?
A. Spironolactone
B. Cholestyramine
C. Lactulose
D. Metoprolol
E. Feedback
C. Lactulose
Which of the following are clinical manifestations consistent with
presence of ascites?
A. Diarrhea
B. Rapid weight gain
C. Increased abdominal girth
D. Foul-smelling breath
E. Visible distended veins
B. Rapid weight gain
C. Increased abdominal girth
,E. Visible distended veins
Which of the following assessment interventions can the nurse
preform to determine if the ascites is increasing? SATA
A. Perform daily weight
B. Measure urine output every 4 hours
C. Assess and document vital signs every 4 hours
D. Measure abdominal girth daily
E. Monitor for increased number of daily loose bowel movements
A. Perform daily weight
B. Measure urine output every 4 hours
C. Assess and document vital signs every 4 hours
D. Measure abdominal girth daily
Which of the following findings, if found by the nurse during an
assessment of a liver failure patient, is the most concerning?
A. Jaundice
B. Pruritus of the arms and legs
C. Fatigue during ambulation
D. Irritability and drowsiness
D. Irritability and drowsiness
After receiving report from the off -going nurse, which of the
following patients would you go see first? A patient with:
A. Altered mental status
, B. Pain rated as 8/10 in the abdomen
C. Multiple facial fractures
D. Tachycardia at a rate of 148
C. Multiple facial fractures
Chest trauma can result in which of the following? SATA
A. Fractures ribs
B. Blunt cardiac injury
C. Pneumothorax
D. Pulmonary contusions
A. Fractures ribs
B. Blunt cardiac injury
C. Pneumothorax
D. Pulmonary contusions
Which of the following are S&S of a closed pneumothorax? SATA
A. Tracheal deviation toward the affected side
B. Decreased cardiac output
C. Tracheal deviation toward the unaffected side
D. Decreased heart rate
B. Decreased cardiac output
C. Tracheal deviation toward the unaffected side
Which of the following are indications of compartment syndrome?
ROOM
The nurse is administering medications to a patient that has an
elevated ammonia level due to cirrhosis of the liver. Which of the
following medications will the nurse give to bring down the ammonia
level?
A. Spironolactone
B. Cholestyramine
C. Lactulose
D. Metoprolol
E. Feedback
C. Lactulose
Which of the following are clinical manifestations consistent with
presence of ascites?
A. Diarrhea
B. Rapid weight gain
C. Increased abdominal girth
D. Foul-smelling breath
E. Visible distended veins
B. Rapid weight gain
C. Increased abdominal girth
,E. Visible distended veins
Which of the following assessment interventions can the nurse
preform to determine if the ascites is increasing? SATA
A. Perform daily weight
B. Measure urine output every 4 hours
C. Assess and document vital signs every 4 hours
D. Measure abdominal girth daily
E. Monitor for increased number of daily loose bowel movements
A. Perform daily weight
B. Measure urine output every 4 hours
C. Assess and document vital signs every 4 hours
D. Measure abdominal girth daily
Which of the following findings, if found by the nurse during an
assessment of a liver failure patient, is the most concerning?
A. Jaundice
B. Pruritus of the arms and legs
C. Fatigue during ambulation
D. Irritability and drowsiness
D. Irritability and drowsiness
After receiving report from the off -going nurse, which of the
following patients would you go see first? A patient with:
A. Altered mental status
, B. Pain rated as 8/10 in the abdomen
C. Multiple facial fractures
D. Tachycardia at a rate of 148
C. Multiple facial fractures
Chest trauma can result in which of the following? SATA
A. Fractures ribs
B. Blunt cardiac injury
C. Pneumothorax
D. Pulmonary contusions
A. Fractures ribs
B. Blunt cardiac injury
C. Pneumothorax
D. Pulmonary contusions
Which of the following are S&S of a closed pneumothorax? SATA
A. Tracheal deviation toward the affected side
B. Decreased cardiac output
C. Tracheal deviation toward the unaffected side
D. Decreased heart rate
B. Decreased cardiac output
C. Tracheal deviation toward the unaffected side
Which of the following are indications of compartment syndrome?