Samenvattingen, Notities en Examens

A side-effect of chemotherapy is renal damage. To prevent this, the nurse should: - ANSWER-Encourage fluid intake, if possible, to dilute the urine. The nurse at the clinic explains to the patient that the surgeon will be removing a mole on the patient's back that has the potential to develop into cancer. The nurse informs the patient that this is what type of procedure? - ANSWER-Prophylactic pg. 323 A client with a brain tumor is undergoing radiation and chemotherapy for treatment of ca...

A client is seen in the emergency department and reports left arm pain, fatigue, palpitations, and shortness of breath. Which condition would the nurse suspect? a. Renal Failure b. Acute Coronary Syndrome c. Diabetes Mellitus d. Diabetes Insipidus - ANSWER-b. Acute Coronary Syndrome For a client who has undergone peripheral arteriography, how should the nurse assess the adequacy of peripheral circulation? a. Hemodynamic Monitoring b. Checking for Cardiac Dysrhythmias c. Checking Pe...

The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider? a. skin cool and clammy b. heart rate of 118 beats/min c. blood pressure of 92/56 d. O2 saturation of 93% on room air - ANSWER-Answer: a Which assessment finding by the nurse caring for a patient receiving mechanical ventilation indicates the need for suctioning? a. the patient's respiratory rate is 32 breaths/min b. the patient has occ...

What is one of the very first things we should address In a burn patient - ANSWER-Fluid and electrolyte balance What is the most important thing we should be concerned about in a burn patient - ANSWER-Airway because depending on the kind of burn and where it is In burn patients to protect them from infection what can we do - ANSWER-Place a sterile sheet on them What should you do first with a burn patient - ANSWER-make sure they have an air way fix Fluid and electrolyte balance Then ...

A nurse is reviewing the serum laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following laboratory tests should the nurse expect to be elevated. (select all that apply) A. Hematocrit B. Erythrocyte sedimentation rate C. WBC D. Folic acid E. Albumin - ANSWER-B. Erythrocyte sedimentation rate C. WBC A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize wh...

1. An emergency room nurse assesses a client who has been raped. With which health care team member should the nurse collaborate when planning this clients care? a. Emergency medicine physician b. Case manager c. Forensic nurse examiner d. Psychiatric crisis nurse - ANSWER-ANS: C All other members of the health care team listed may be used in the management of this clients care. However, the forensic nurse examiner is educated to obtain client histories and collect evidence dealing with t...

expectant - ANSWER-A patient in triage who is expected to die. -You only provide comfort care -For example, fixed and dilated pupils (brain dead) non-urgent - ANSWER-A patient in triage who has minor scrapes and cuts that can be self treated Urgent - ANSWER-A patient in triage who has a broken pelvis but the patient can wait an hour in order to receive treatment -ABC's are still intact -Vital signs are stable Emergent - ANSWER-A patient in triage that needs immediate care due to a ...

Emergency surgery - ANSWER-immediate surgery needed to save life or limb without delay Ex. severe bleeding, bladder/Intestinal obstruction, fractured skull, GSW or stab wound, and extensive burns Urgent surgery - ANSWER-patient requires prompt attention within 24-30 hours. Ex. closed fractures, infected wound exploration/irrigation. Required surgery - ANSWER-patient needs to have surgery, planned within a few weeks or months Ex. prostatic hyperplasia, thyroid disorders, and cataracts ...

You're assessing your patient's morning labs. The metabolic panel shows the following results below. Which results are abnormal? Select all that apply:* A. Potassium 2 mEq/L B. Sodium 110 mEq/L C. BUN 10 D. Magnesium 2.3 mg/dL E. Phosphorus 1 mg/dL F. Glucose 96 mg/dL G. Creatinine 5 mg/dL - ANSWER-ANS: A, B, E, and G....a normal potassium level is 3.5-5 mEq/L, Sodium 135-145 mEq/L, phosphorus 2.5-4.5 mg/dL, and creatinine 0.6-1.2 mg/dL A patient with liver failure has jaundic...

The patient with COPD has a nursing diagnosis of ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision? A. Observing how well the patient performs pursed-lip breathing B. Planning a nursing care plan regimen that gradually increases activity tolerance C. Assisting the patient to sit up on the side of the bed D. Instructing the patient to cough effectively E. Teaching the patient to use incentive spirometry F. Auscultating ...