PN3

PN3 EXAM 3 QUESTIONS AND ANSWERS A pt with hyperaldosteronism is being treated w/ spironolactone before surgery. Which precautions does the nurse teach this pt? Read the label before using salt substitutes A nurse assess a pt w/ anterior pituitary hyperfunction. Which clinical manifestation would the nurse expect? - Protrusion of the lower jaw - Enlarged hands & feet - Barrel-shaped chest An emergency nurse cares for a pt who is experiencing an acute adrenal crisis. What action would ...

PN3 EXAM 3 QUESTIONS AND ANSWERS DIC signs and symptoms body clotting too much, body compensates and begins bleeding too much, clotting begins again, hard to reverse, high mortality rate. Eventually run out of clotting factors DIC Treatment Fluid replacement and blood transfusion treat the cause Addisonian Crisis Treatment • Start rapid infusion of normal saline or dextrose 5% in normal saline. • Initial dose of hydrocortisone sodium (Solu-Cortef) is 100 to 300 mg or dexamethasone...

PN3 EXAM 3 QUESTIONS AND ANSWERS Which treatment is used to manage hyperthyroidism? Select all that apply. Irradiation of the thyroid and Thyroidectomy Which problem is most likely to develop if hyperthyroidism remains untreated? Heart failure A client who has just had a thyroidectomy returns to the unit in stable condition. What equipment is it essential for the nurse to have readily available? Tracheostomy set Which finding would be the greatest cause for concern to the nurse during...

PN3 EXAM 3 QUESTIONS AND ANSWERS Emergency care of the client in Addisonian crisis includes which of the following? A) Hydrocortisone sodium IV bolus Following a traumatic brain injury, a client is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The finding for this client would include which of the following? (SATA) A) Oliguria B) Fluid volume excess C) Hypernatremia A client is diagnosed with cardiac tamponade from pericarditis. Which of the following is the...

PN3 EXAM 3 QUESTIONS AND ANSWERS Which of the following interventions are appropriate for a client experiencing hypovolemic shock (SATA) A) Increase IV fluid delivery per order B) Monitor vital signs C) Monitor hemoglobin and hematocrit levels D) Admin oxygen per protocol What laboratory values does the nurse recognize as an indicatory of acute heart injury? Increase levels of myoglobin and Troponin Which of the following actions would the nurse perform to assess the patency of arter...

PN3 EXAM 3 QUESTIONS AND ANSWERS hypovalemic shock Lack of circulating blood volume cardiogenic shock weakened forward pumping function of the heart neurogenic shock hypoperfusion due to nerve paralysis (sometimes caused by spinal cord injuries) resulting in the dilation of blood vessels that increases the volume of the circulatory system beyond the point where it can be filled. septic shock a serious condition that occurs when an overwhelming bacterial infection affects the body Ma...

PN3 EXAM 3 QUESTIONS AND ANSWERS As a cook chops red onions he begins to tear up due to activation of the lacrimal grand. Which cranial nerve provided the stimulus? The Facial nerve (VII) A doctor asks her patient to follow the motion of her finger as she moves it up and down, left and right. Which of the following cranial nerve is NOT being tested? A. The Abducens (VI) B. The Vestibulocochlear nerve (VIII) C. The Oculomotor nerve (III) D. The Trochlear nerve (IV) B. The Vestibuloc...

PN3 EXAM 3 QUESTIONS AND ANSWERS Signs and symptoms of hypovolemic shock tachycardia, tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor circulation, decreased kidney function less than 10ml/hour. if not corrected, can lead to change in LOC Care of pt in cardiogenic shock with hypotension Place in trendelenburg if systolic less than 80. Monitor VS including I&O Physiological changes in anaphylaxis Airway closes due to edema and bronchospasms. Angioedema #1 sign of ...

PN3 EXAM 3 QUESTIONS AND ANSWERS What is happening in shock? Shock is a life-threatening condition that occurs when the body is not getting enough blood flow. Lack of blood flow means the cells and organs do not get enough oxygen and nutrients to function properly Manifestations for acute MI · Nausea · Diaphoresis · Tachycardia . ST elevation on ECG (STEMI) . chest pain -women may present differently with Jaw pain and indigestion Discharge instructions for cardiac catheterizatio...

PN3 EXAM 3 QUESTIONS AND ANSWERS Main types of shock hypovolemic, cardiogenic, septic, neurogenic, and anaphylactic Hypovolemic shock decrease in circulating blood volume Shock is classified as a CONDITION - not a disease Who needs to be monitored for shock? EVERYONE Hypovolemic shock leads to inadequate tissue perfusion - hypoxia What leads to neurogenic shock acute spinal chord injury, temporary spinal shock or permanent paralysis Septic shock infection What causes hypovolem...

PN3 EXAM 3 QUESTIONS AND ANSWERS What is perfusion? Exchange of o2 and Co2 at the alveolar-capillary level. How do we know if we have adequate perfusion? O2 sat, LOC, pulses, skin color, ABG's, Respiratory assessments, Cardio assessments, normal rate and rhythym of heart, normal RBCs and Hgb, adequate fluid balance, adequate BP and CVP, UO What are the two types of perfusion? Central and tissue Normal value for calcium? 8.5-10.5 Normal value for magnesium? 1.3-2.1 Causes of hyper...

PN3 EXAM 3 QUESTIONS AND ANSWERS A nurse is caring for a client using therapies instead of conventional or mainstream medical treatments. The nurse is aware that the clients caring include? Alternative therapies The nurse can encourage a client to visualize a soothing mental picture in combination with traditional medical intervention. A client is practicing which self-regulatory technique? Imagery What is the fundamental concept of reflexology? Foot is the microcosm of the entire body...

PN3 EXAM 3 QUESTIONS AND ANSWERS The nurse is assessing a client with a diagnosis of Prerenal acute kidney injury (AKI). Which recent condition in the clients history would cause a prerenal AKI Septic shock A client is on intravenous heparin to treat a pulmonary embolism. which lab value would the nurse to monitor? aPTT A client with prostate cancer is receiving chemotherapy. The client develops thrombocytopenia. The nurse that will educate the client on which of the following topics? ...

PN3 EXAM 3 QUESTIONS AND ANSWERS A client, complaining of weight gain, has thin extremities, a buffalo hump, and a protruding abdomen. The nurse realizes that this client is most likely to be diagnosed with which disease process? 1. Addisons disease 2. SIADH 3. Cushings syndrome 4. Diabetes Insipidus 3 A client tells the nurse that he is so thirsty that he has already consumed four pitchers of water. The clients urine output is 3500 mL in an 8-hour period. The client is recove...

PN3 EXAM 3 QUESTIONS AND ANSWERS What is shock? a condition, not a disease Main types of shock hypovolemic, cardiogenic, septic, neurogenic, and anaphylactic CHANS cardiogenic, hypovolemic, anaphylactic, neurogenic, and septic Hypovolemic Shock decrease in circulating blood volume. Deprives cells from oxygen resulting in inadequate tissue perfusion and hypoxia Causes of hypovolemic shock most common cause: acute blood loss from trauma, fluid loss from burns, severe diarrhea/vomiting ...

PN3 EXAM 3 QUESTIONS AND ANSWERS Main types of shock hypovolemic, cardiogenic, septic, neurogenic, and anaphylactic Hypovolemic shock decrease in circulating blood volume Shock is classified as a CONDITION - not a disease Who needs to be monitored for shock? EVERYONE Hypovolemic shock leads to inadequate tissue perfusion - hypoxia What leads to neurogenic shock acute spinal chord injury, temporary spinal shock or permanent paralysis Septic shock infection What causes hypovolemic...

PN3 Exam 1 Questions 1. Which assessment data would prohibit the use of imagery with a client? 1. No previous history of using imagery techniques 2. States anxiety level of 6 on a 0–10 scale 3. Client feels reluctant to close eyes for the imagery session 4. Client has a history of psychosis 2. The nurse has determined that music therapy may be appropriate for use with a client. Which strategies should the nurse consider when choosing the music? Select all that apply. 1. Choose only mus...

PN3 Exam 3 Questions and Answers|100% verrified Nursing III Exam III Cardiac 1. A client is learning about cholesterol. The nurse explains that the good cholesterol transports plasma cholesterol away from plaques and to the liver for metabolism. This type of cholesterol is called: • high-density lipoprotein 2. A client has a blood pressure of 124/78 mmHg and a triglyceride level of 160 mg/dL. Based on these results, the nurse knows that the client has: • a prehypertensive blood...

PN3 Exam 3 Questions and Answers|100% verrified Nursing III Exam III Cardiac 1. A client is learning about cholesterol. The nurse explains that the good cholesterol transports plasma cholesterol away from plaques and to the liver for metabolism. This type of cholesterol is called: • high-density lipoprotein 2. A client has a blood pressure of 124/78 mmHg and a triglyceride level of 160 mg/dL. Based on these results, the nurse knows that the client has: • a prehypertensive blood...

PN3 Exam2 Questions and Answers|100% 1. A client who is being mechanically ventilated has positive end respiratory pressure (PEEP) set at 20 cm of water. Which of the following should the nurse assess for the client? Pneumothorax 2. A nurse is completing discharge teaching with a client who has a pacemaker. Which of the following statements by the client is correct? I will call my doctor about prolonged hiccups 3. In order to reduce afterload in a client with HTN and HF, the nurse will ...