CDC B (part 2)

100問 • 2年前

問題一覧

SITUATION: You are assigned to a client who is a victim of a motor vehicular accident. The following questions pertain to the statement: The nurse is assessing the client for a possible pituitary complication. Which among the following should the nurse assess?

Diabetes Insipidus

SITUATION: You are assigned to a client who is a victim of a motor vehicular accident. The following questions pertain to the statement: The patient was sent by the physician for blood work up to help monitor the patient’s condition and check how well the organs are working. The nurse monitors which laboratory value critical to the patient diagnosed with posterior pituitary gland problem?

Serum sodium

SITUATION: You are assigned to a client who is a victim of a motor vehicular accident. The following questions pertain to the statement: The patient was admitted for further assessment and management by the healthcare professionals. The nurse implements which among the following intervention?

Assess tissue turgor regularly

A patient with cranial tumor developed SIADH. This affects the patient’s water and electrolyte balance causing hyponatremia. The nurse is closely monitoring the patient for a possible complication. Severe hyponatremia may mostly likely lead to:

Seizure

The patient was instructed to increase his food intake high in sodium. The nurse agrees to what the dietician suggested when she include

Cereal, Bacon & canned soups

SITUATION: Ms. Ester, 63-year-old woman is diagnosed with cervical cancer and is admitted in the tertiary hospital of Mabini General Hospital. Nurse Kring was assigned to the patient. The relative of the patient is asking about the risk factors of having a cervical cancer. Nurse Kring does not need any further teaching when she said that the risk of acquiring cervical cancer is increased when:

A patient is sexually exposed to more partners

SITUATION: Ms. Ester, 63-year-old woman is diagnosed with cervical cancer and is admitted in the tertiary hospital of Mabini General Hospital. Nurse Kring was assigned to the patient. The attending physician explained to Ester her possible medical management which includes the brachytherapy. The nurse is aware about this treatment when she recalls:

It is a type of internal radiation that uses radiation to destroy cancer cells and shrink tumors

SITUATION: Ms. Ester, 63-year-old woman is diagnosed with cervical cancer and is admitted in the tertiary hospital of Mabini General Hospital. Nurse Kring was assigned to the patient. Nurse Kring was doing her rounds to Ester when she saw the patient’s internal cervical radial implant to be on the floor. The nurse should immediately perform which action?

Use long-handled forceps to pick-up the implant and place it in a lead container

After the hysterectomy to the patient with cervical cancer, the postoperative intervention that the nurse should implement is monitoring vaginal bleeding. What is an indication that the patient is experiencing excessive bleeding?

More than 1 saturated pad per hour

The client is having sessions of radiation therapy to manage her cancer. Which among the precautions should nurse Kring NOT implement?

Rub the irradiated area to dry using a clean, soft towel

SITUATION: You are assigned to take care of Lester, a 27- year-old man working as a jeepney driver. He has history of high blood pressure and family history of kidney disease. At a very young age, he developed acute renal failure. The nurse is assigned to patients with problems in renal system. The nurse reviews her anatomy and was incorrect when she states:

It is located behind and inside the peritoneal cavity

SITUATION: You are assigned to take care of Lester, a 27- year-old man working as a jeepney driver. He has history of high blood pressure and family history of kidney disease. At a very young age, he developed acute renal failure. Which laboratory values should the nurse look into for monitoring the progression of Lester’s renal condition?

BUN and creatinine

SITUATION: You are assigned to take care of Lester, a 27- year-old man working as a jeepney driver. He has history of high blood pressure and family history of kidney disease. At a very young age, he developed acute renal failure. Cardo is admitted to the emergency department after obtaining a gunshot wound to his abdomen. The client bleeds profusely and is prone to what type of AKI?

Pre-renal

The client went to routine blood extraction and was found out that his serum potassium level is 6.8 mEq/L. The nurse works collaboratively with the other healthcare professionals and expects to provide which intervention to the client?

Prepare the client for possible dialysis

Which among medications should the nurse anticipate to administer to manage potassium level (6.8mEq/L) of the patient?

Humulin R

SITUATION: The following questions pertain to obtaining consent and ethical principles which guides the nurse to look the patient’s individual regard and human rights while maintaining health care advancement and social justice. Who among the health care team can best give the disclosure to patient about informed consent regarding her future medical care?

Doctors

The results of diagnostic tests came out and revealed a blockage in a patient’s heart. The doctor recommends a surgery immediately. Who should give the consent?

The patient

The patient stated as if an elephant is sitting on his chest. He asks for pain medication which the nurse gives immediately, as ordered by the physician. The nurse implies what ethical principle?

Beneficence

The physician prescribed a medication. The nurse noticed that the dose is a bit high for the patient’s age. The nurse clarified and suggested a lower dose. What ethical principle when the nurse asks

Non-maleficence

When the nurse entered the room, the nurse told the patient that the doctor is incompetent to have overlooked the dosage of the drug and might have caused problems to him in case the nurse did not suggest for a lower dose. In turns out that the patient is a relative of the doctor. The nurse can be sued for:

Defamation

SITUATION: You are a nurse providing safe, effective and efficient care to the patient in the operating room. The patient will have his appendix removed. This is categorized as what type of surgery according to purpose?

Ablative

Which among the medication is used to prevent aspiration by reducing the fluid in the respiratory tract during surgery?

Atropine sulfate

When the nurse is admitting a patient in operating room, the nurse keeps in mind that which of the following should be attached to the chart of all patients regardless of the type of surgery and anesthesia to be used?

A physical examination reports

The patient is for operation this afternoon and was seen wearing accessories. Which of the following may be left in place when a patient is sent to the operating room?

Hearing Aid

As the operation is on-going, the nurse noticed that there is a break in sterile technique. The best thing that the nurse should do is which among the following?

Inform the person involved of the observation

SITUATION: The Nursing student from a prestigious university is having a report and case presentations about the Respiratory system problems. The following questions apply: The first-year nursing student studied his respiratory system assessments well when she states that pneumonia is not a possibility when she auscultates:

increased breath sound

In the student nurse’s case presentation, a patient with emphysema was discharged home and was expected to instruct the patient and significant other to maintain a normal spo2 level around what value?

88–92%

The nurse is tackling about the causes of the reemerging cases of TB and multidrug-resistant strains of M. tuberculosis. The discussion is in right track when it concluded that it occurred in what of the following reasons?

A person is not compliant with therapeutic regimen

The next topic they discussed is Asthma. The students are correct when they determined that the most accurate test for diagnosing asthma and determining the response to treatment is which among the following?

PFT

The clinical instructor asked the students about their health promotion and disease prevention for patients diagnosed with asthma. The clinical instructor does not need further teaching when the students did not include which among the following:

Use protective equipment such as mask all time

SITUATION: As part of the nurse’s physical assessment of their patient. The nurse should compare their findings with the results of the laboratory assessments. This will serve as the basis for the nursing care plan. The physician is considering that the patient might have a spinal cord tumor. He ordered for a diagnostic procedure of pantopaque myelography. After the procedure, the nurse should put the patient in which best position?

Lie flat

The patient is scheduled for EEG. The nurse is preparing the client correctly when she includes which among the following intervention?

remove coffee for at least 24 hours before the test

A postoperative patient is being assessed by the nurse. The nurse went to assess the client’s gag reflex. He needs further teaching when he includes which of the following materials?

Safety pin

The client is having a hard time distinguishing color from one another. The nurse uses which diagnostic assessment of the eyes for clients with Color blindness?

Ishihara plate

The client is scheduled for Lumbar tap. The nurse assists the client to lateral recumbent position with back arched where head and knees flexed on chest. This is to facilitate insertion of spinal needle in which specific location?

Subarachnoid space

SITUATION: Romeo, a 68-year-old obese, is living a sedentary lifestyle, fond of eating fast foods and smoker. He went to the emergency room with presenting symptoms of chest pain. He is assessed and was instructed by the doctor to undergo cardiac catheterization assess heart’s condition. Cardiac catheterization involves radiographic examination of the heart structures after administration of contrast medium via a catheter. What is true about cardiac catheterization? i. It requires a patient consent ii. The patient requires to be NPO for 4-8 hours prior the procedure iii. After the procedure, Immobilization of the affected extremity, in extension, is necessary iv. Monitor extremities for color,temperature and tingling

i, ii, iii, iv

The physician ordered an echocardiogram for further assessment and detected cardiac rhythm abnormalities. As a knowledgeable nurse, what permanent ECG finding detects that the patient had previous MI attack?

Pathologic Q-wave

A patient who had recent heart attack developed congestive heart failure, where the heart cannot pump blood properly. Which among the following sign is caused by left-sided CHF?

Dizziness

The ICU nurse conducted a clustered randomized controlled trial on the patients diagnosed with heart failure in Philippine Heart Center. He researched about the effect of an educational intervention to improve self-care adherence. In this study, what is the independent variable?

Educational Intervention

Self-care adherence

Situation: A group of nurse managers have just completed a course on evaluation methods as part of their management functions. The following questions apply. Nurse Paul McCartney is evaluating how the staff nurses perform the step-by-step procedure of medication administration. This evaluation is called:

Process

Nurse John Lennon opened the box containing the slips with responses of patients in terms of their satisfaction from the care delivered. This evaluation is called:

Outcome

Nurse George Harrison examined how the head nurse of the ward balances the staffing mix to make sure that each shift has adequate personnel to provide quality care to patients in the area. This evaluation is called:

Structure

Nurse Ringo Starr noticed that the mechanical ventilators being used in the intensive care unit are due for replacement. The reports show that the incidence of the machines being sent for repair is increasing. This evaluation is called:

Structure

Nurse George Martin looked at the reports in the surgical ward and made notes about the number of admissions, discharges, transfers, and expired patients. He will use these data to perform an evaluation called:

Outcome

Situation: In professional nursing practice, the nurse is exposed to different liabilities especially when adverse events such as patient injuries or deaths arise from medical care. The following questions apply. The new registered nurse is independently performing blood transfusion to a patient with severe hemorrhage. While the blood is transfusing, the patient developed difficulty of breathing and severe hypoxia. The nurse is aware that the liability is not limited to her alone. This liability is called:

Respondeat superior

A nurse is part of the attending team when an incident occurred in the operating room. A patient went decerebrate during a simple, elective operation. The team could be liable for:

Res ipsa loquitur

A patient post-exploratory laparotomy is complaining of sudden fever upon returning to the ward. An abdominal ultrasound revealed an operating gauze inside his body cavity. The liability that applies is:

Res ipsa loquitur

A patient post-exploratory laparotomy is complaining of sudden fever upon returning to the ward. An abdominal ultrasound revealed an operating gauze inside his body cavity. Considering the situation above, who among the team is considered liable?

Surgeon

Malpractice

Situation: Mr. Bean a clinical instructor is reviewing his nursing students about Acute kidney Injury. During their clinical rotation a student nurse is reviewing a urinalysis report for a client with acute kidney injury and notes that the results are highly positive for proteinuria. The student nurse determines that this client has which type of renal failure?

Intrinsic renal failure

A client with glomerulonephritis is at risk of developing acute kidney injury. Which is a sign of this complication?

Hypertension

During their post conference Mr, Bean asked Anna, one of his student regarding postrenal AKI. Anna is right, if she answered.

“Post Renal Aki is the mechanical obstruction of urine Outflow that causes reflux of urine to renal pelvic impairing Function”

Mr. Bean discussed that the first choice diagnostic procedure in determining postrenal AKI is?

Ultrasound, bladder scan

In creating a nursing care plan for patients diagnosed with AKI. Nursing students must include the following. Select all that apply. I. Fluid Volume Excess II. Risk for decreased III. cardiac output IV. Imbalanced Nutrition V. Deficient Knowledge

All of the above

Situation: During them review of the Philippine Nursing Licensure Examination (PNLE) one of the Medical-Surgical Nursing lecturers prepared several questions about ABG analysis to make sure that the students are well-equipped for the upcoming National Exams Which arterial blood gases (ABGs) values should the nurse anticipate in the client with a nasogastric tube attached to continuous suction?

pH 7.49, PCO2 38, HCO3 30

For a client with a nasogastric tube that is attached to low suction. Which acid-base disorder is most likely to occur in this client?

Metabolic alkalosis

The nurse reviews the arterial blood gas results of a client and notes the following: pH of 7.30, PCO2 of 50 mm Hg, and HCO3 − of 22 mEq/L. The nurse analyzes these results as indicating which condition?

Respiratory acidosis, uncompensated

A client with diabetes mellitus has a blood glucose level of 644 mg/dL. The nurse interprets that this client is most at risk of developing which type of acid-base imbalance?

Metabolic acidosis

A client at risk for respiratory failure is receiving oxygen via nasal cannula at 6 L per minute. Arterial blood gas (ABG) results indicate: pH 7.29, PCO2 49 mm Hg, PO2 58 mm Hg, HCO3 18 mEq/L. What should the nurse anticipate that the health care provider will prescribe for respiratory support?

Intubation and mechanical ventilation

Which therapeutic communication technique is most helpful when working with transgender persons?

Using open-ended questions

Situation: Maintaining a safe environment reflects a level of compassion and vigilance for patient welfare that is as important as any other aspect of competent health care. The nurse is developing an educational session on client advocacy for the nursing staff. The nurse should plan to tell the nursing staff that which interventions are examples of the nurse acting as a client advocate? Select all that apply. I. Obtaining an informed consent for a surgical procedure II. Providing information necessary for a client to make informed decisions III. Providing assistance in asserting the client’s human and legal rights if the need arises IV. Ignoring the client’s religious or cultural beliefs when assisting the client in making an informed decision V. Defending the client’s rights by speaking out against policies or actions that might endanger the client’s well-being

II, III and V

The nurse manager is reviewing with the nursing staff the purposes for applying wrist and ankle restraints to a client. The nurse manager determines that further education is necessary when a nursing staff member states that which is an indication for the use of a restraint?

Keep the client in bed at night.

The nurse is reading the history and physical examination of an older client admitted to the hospital. Which findings documented in the history should require the nurse to implement an accident prevention protocol? Select all that apply. I. Range of motion is limited. II. Peripheral vision is decreased. III. Transmission of hot impulses is delayed. IV. The client denies complaints of nocturia. V. High-frequency hearing tones are perceptible. VI. Voluntary and autonomic reflexes are slowed

I, II, III and VI

The nurse prepares to insert an indwelling Foley catheter into a client. To maintain the integrity of the Foley catheter and client safety, which interventions should the nurse perform? Select all that apply. I. Use strict aseptic technique. II. Place the drainage bag lower than the bladder level. III. Advance the catheter after urine appears in the tubing. IV. Inflate the balloon with 4 to 5 mL beyond its capacity. V. Test the balloon for patency before catheter insertion

I, II and III

A family friend telephones the home health nurse to inquire if there is anything she can do, as a friend, to assist her neighbors, the parents of a newborn with congenital tracheoesophageal fistula. The parents had expressed nervousness about giving enteral feedings. What should be the best nursing action at this time?

Inform the friend to directly contact the family and offer assistance to them.

The nurse identifies which clinical situation as slander?

The health care provider tells a client that the nurse “does not know anything.”

The nurse has been assigned to care for a client recovering at home from a disabling lung infection. While obtaining a nursing history, the nurse learns that the infection is probably the result of human immunodeficiency virus (HIV) contracted through homosexual activity. The nurse is morally opposed to homosexuality and cannot care for the client. The nurse then leaves the client’s home. Which is acceptable regarding the nurse’s actions? Select all that apply. I. The nurse has the moral right to leave the client’s home at any time. II. The nurse has a legal right to inform the client of any barriers to providing care. III. The nurse has a duty to protect self from client care situations that are morally repellent. IV. The nurse has a duty to provide competent care to assigned clients in a nondiscriminatory manner. V. The nurse has the right to refuse to care for any client on religious grounds if competent care coverage is arranged.

IV and V

The nurse must place a wrist restraint on a client. The client tells the nurse that he does not want to wear the restraint. Which is the best nursing action to implement at this time?

Reconsider alternative measures.

Nursing staff members are sitting in the lounge taking their morning break. An assistive personnel (AP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The registered nurse should inform the AP that making this accusation has violated which legal tort?

Slander

The nurse is caring for an older client in a long-term care facility. Which action contributes to encouraging autonomy in the client?

Allowing the client to choose social activities

An individual from the community is admitted to the hospital with a diagnosis of Parkinson’s disease. The nurse gives medical information regarding the client’s condition to a person who is assumed to be a family member. Later the nurse discovers that this person is not a family member and realizes that this violated which legal concepts of the nurse–client relationship? Select all that apply. I. Duty to provide care II. Client’s right to privacy III. Nurse’s lack of experience IV. Client’s right to confidentiality V. Failure to communicate to the health care provider

II and IV

The nurse is in the cafeteria and tells a physical therapist about a client who is physically abused. During the next visit to physical therapy, the client discovers that the nurse told the therapist about the abuse and is emotionally harmed. As a result of the events in the cafeteria, which legal ramification do the nurse and physical therapist potentially face? Select all that apply.

They can be charged with slander.

A client diagnosed with leukemia asks the nurse questions about preparing a living will. Which recommendation from the nurse should be the best method of preparing this document?

Discuss the request with the health care provider (HCP).

A nursing instructor delivers a lecture to nursing students regarding the issue of clients’ rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right?

Observing care provided to the client without the client’s permission

Situation: Nurse Jules Winnfield is floating at the neurology ward where he is assigned with a patient with ischemic stroke. The following statements are true about ischemic stroke except:

Embolic strokes are associated with development of atherosclerosis in intracranial arteries.

When teaching patients about common modifiable factors that contribute to the risk of stroke, which is not included in the material?

Occasional drinking of beer

The following assessment findings can be seen in a patient with ischemic stroke, but not in hemorrhagic stroke, except:

Sanguineous cerebrospinal fluid

Which among the following diagnostic or imaging tests is best for a patient being suspected with ischemic stroke?

Computed tomography (CT) scan

Recombinant tissue plasminogen activator (rtPA) is the drug of choice for treatment of acute ischemic stroke. When providing thrombolytic therapy, Nurse Jules must keep in mind the following except:

Place indwelling urinary catheter.

Situation: Nurse Violet is assigned to care for a patient with Human Immune deficiency Virus (HIV) infection and AIDS. When teaching the patient about this disease, she will include all of the following in the teaching material except:

Everyone who has HIV infection has AIDS.

HIV can be transmitted most often in the following ways except:

French kiss

The patient is diagnosed with AIDS. This condition can be described in terms of the CD4+ cell count, which falls at:

<200 cells/mm3

Opportunistic respiratory infections are highly likely to occur among patients with HIV. These include the following causative agents except:

Pneumocystis carinii

This is the most common AIDS-related malignancy, occurring in 1% to 21% of patients with AIDS.

Kaposi’s sarcoma

Situation: Nurse Freddie Mercury is assigned in the Emergency Department where he is given an adult patient, Brian May. Brian suffered from a chemical burn that led to 2nd and 3rd degree burns on the face, upper arms, and anterior thorax and abdomen. His weight upon admission is 69 kg. Upon admission, the priority of Nurse Freddie when providing care for Freddie is:

Checking for airway obstruction

Situation: Nurse Freddie Mercury is assigned in the Emergency Department where he is given an adult patient, Brian May. Brian suffered from a chemical burn that led to 2nd and 3rd degree burns on the face, upper arms, and anterior thorax and abdomen. His weight upon admission is 69 kg. Nurse Freddie will expect Brian to manifest the following clinical manifestations and laboratory findings, except:

pH: 7.47

Situation: Nurse Freddie Mercury is assigned in the Emergency Department where he is given an adult patient, Brian May. Brian suffered from a chemical burn that led to 2nd and 3rd degree burns on the face, upper arms, and anterior thorax and abdomen. His weight upon admission is 69 kg. Considering Brian’s burn injuries, what is the total body surface area (TBSA) affected of the patient?

31.5%

How much lactated ringer’s solution does Nurse Freddie expect to administer to Brian May for the first 8 hours from time of injury?

4,347mL

Situation: Nurse Freddie Mercury is assigned in the Emergency Department where he is given an adult patient, Brian May. Brian suffered from a chemical burn that led to 2nd and 3rd degree burns on the face, upper arms, and anterior thorax and abdomen. His weight upon admission is 69 kg. Nurse Freddie would expect all the following orders from the health care provider at this time, aside from:

Administer morphine intramuscularly for severe pain.

Situation: Nurse Ely is employed in the Rural Health Unit of the Municipality of El Bimbo. He is working with Dr. Sixto Antonio in caring for patient Rayms who presents with persistent skin itchiness and scaling. Dr. Sixto assessed Rayms and diagnosed him with the most common type of psoriasis, called:

Psoriasis vulgaris

Nurse Ely uses topical therapy to treat psoriasis. These could include the following but:

Silver sulfadiazine

When Nurse Ely interacts with Rayms, he will consider the following except:

Wear gloves during social interactions with Rayms.

When teaching Rayms about the use of topical betamethasone, which is most important to improve the effectiveness of the drug?

Apply an outer wrap of plastic after applying the drug and dressing.

Rayms asked if there are any alternative treatments for him in case the betamethasone ointment doesn’t work. Nurse Ely will expect Dr. Sixto to respond that a hydrocarbon similar in action to tar, also relieves chronic psoriasis. This is called:

Anthralin

SITUATION: You have been assigned to handle patients with orthopedic impairment affecting patient’s musculoskeletal system. You receive patients with various types of joint problems. It is found out that the patient is having chronic non- systemic disorder of joints characterized by degeneration of joint cartilage. The patient is most likely having which condition?

A patient with RA raised a concern about his difficulty to move his fingers during morning and it usually last more than 30 minutes. The nurse advises the client to:

Warm bath in the morning

The occupational health nurse is teaching a class about the possible risk factors for developing osteoarthritis (OA). Which among the choice is considered to be a modifiable risk factor?

Being overweight.

The physician ordered the client diagnosed with osteoarthritis to take NSAIDs. Which among the following instruction should the nurse include in health teaching?

Inform the physician if hematemesis is experienced

100

Another patient is diagnosed with fracture on the lower extremity affects his walking. The nurse recommends the gait pattern using crutch that is applicable to be used for non- weight bearing on affected leg. Which among the following is the BEST answer?

Three-point

PALMR

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PALMR

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PALMR (Part 2)

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PALMR (Part 2)

50問 • 2年前

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BOARD QUESTION

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BOARD QUESTION

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Brigette de Leon

BOARD QUESTION 3

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BOARD QUESTION 3

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board question

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board question

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CDC B part 1

Brigette de Leon · 100問 · 2年前

CDC B part 1

100問 • 2年前

Brigette de Leon

CDC B part 3

Brigette de Leon · 51問 · 2年前

CDC B part 3

51問 • 2年前

Brigette de Leon

問題一覧

Diabetes Insipidus

Serum sodium

Assess tissue turgor regularly

Seizure

The patient was instructed to increase his food intake high in sodium. The nurse agrees to what the dietician suggested when she include

Cereal, Bacon & canned soups

A patient is sexually exposed to more partners

SITUATION: Ms. Ester, 63-year-old woman is diagnosed with cervical cancer and is admitted in the tertiary hospital of Mabini General Hospital. Nurse Kring was assigned to the patient. The attending physician explained to Ester her possible medical management which includes the brachytherapy. The nurse is aware about this treatment when she recalls:

It is a type of internal radiation that uses radiation to destroy cancer cells and shrink tumors

SITUATION: Ms. Ester, 63-year-old woman is diagnosed with cervical cancer and is admitted in the tertiary hospital of Mabini General Hospital. Nurse Kring was assigned to the patient. Nurse Kring was doing her rounds to Ester when she saw the patient’s internal cervical radial implant to be on the floor. The nurse should immediately perform which action?

Use long-handled forceps to pick-up the implant and place it in a lead container

More than 1 saturated pad per hour

The client is having sessions of radiation therapy to manage her cancer. Which among the precautions should nurse Kring NOT implement?

Rub the irradiated area to dry using a clean, soft towel

It is located behind and inside the peritoneal cavity

SITUATION: You are assigned to take care of Lester, a 27- year-old man working as a jeepney driver. He has history of high blood pressure and family history of kidney disease. At a very young age, he developed acute renal failure. Which laboratory values should the nurse look into for monitoring the progression of Lester’s renal condition?

BUN and creatinine

SITUATION: You are assigned to take care of Lester, a 27- year-old man working as a jeepney driver. He has history of high blood pressure and family history of kidney disease. At a very young age, he developed acute renal failure. Cardo is admitted to the emergency department after obtaining a gunshot wound to his abdomen. The client bleeds profusely and is prone to what type of AKI?

Pre-renal

Prepare the client for possible dialysis

Which among medications should the nurse anticipate to administer to manage potassium level (6.8mEq/L) of the patient?

Humulin R

Doctors

The results of diagnostic tests came out and revealed a blockage in a patient’s heart. The doctor recommends a surgery immediately. Who should give the consent?

The patient

The patient stated as if an elephant is sitting on his chest. He asks for pain medication which the nurse gives immediately, as ordered by the physician. The nurse implies what ethical principle?

Beneficence

Non-maleficence

Defamation

Ablative

Which among the medication is used to prevent aspiration by reducing the fluid in the respiratory tract during surgery?

Atropine sulfate

A physical examination reports

The patient is for operation this afternoon and was seen wearing accessories. Which of the following may be left in place when a patient is sent to the operating room?

Hearing Aid

As the operation is on-going, the nurse noticed that there is a break in sterile technique. The best thing that the nurse should do is which among the following?

Inform the person involved of the observation

increased breath sound

88–92%

A person is not compliant with therapeutic regimen

PFT

Use protective equipment such as mask all time

Lie flat

The patient is scheduled for EEG. The nurse is preparing the client correctly when she includes which among the following intervention?

remove coffee for at least 24 hours before the test

A postoperative patient is being assessed by the nurse. The nurse went to assess the client’s gag reflex. He needs further teaching when he includes which of the following materials?

Safety pin

The client is having a hard time distinguishing color from one another. The nurse uses which diagnostic assessment of the eyes for clients with Color blindness?

Ishihara plate

Subarachnoid space

i, ii, iii, iv

Pathologic Q-wave

A patient who had recent heart attack developed congestive heart failure, where the heart cannot pump blood properly. Which among the following sign is caused by left-sided CHF?

Dizziness

Educational Intervention

Self-care adherence

Process

Nurse John Lennon opened the box containing the slips with responses of patients in terms of their satisfaction from the care delivered. This evaluation is called:

Outcome

Structure

Outcome

Respondeat superior

A nurse is part of the attending team when an incident occurred in the operating room. A patient went decerebrate during a simple, elective operation. The team could be liable for:

Res ipsa loquitur

Surgeon

Malpractice

Intrinsic renal failure

A client with glomerulonephritis is at risk of developing acute kidney injury. Which is a sign of this complication?

Hypertension

During their post conference Mr, Bean asked Anna, one of his student regarding postrenal AKI. Anna is right, if she answered.

“Post Renal Aki is the mechanical obstruction of urine Outflow that causes reflux of urine to renal pelvic impairing Function”

Mr. Bean discussed that the first choice diagnostic procedure in determining postrenal AKI is?

Ultrasound, bladder scan

All of the above

pH 7.49, PCO2 38, HCO3 30

For a client with a nasogastric tube that is attached to low suction. Which acid-base disorder is most likely to occur in this client?

Metabolic alkalosis

Respiratory acidosis, uncompensated

A client with diabetes mellitus has a blood glucose level of 644 mg/dL. The nurse interprets that this client is most at risk of developing which type of acid-base imbalance?

Metabolic acidosis

Intubation and mechanical ventilation

Which therapeutic communication technique is most helpful when working with transgender persons?

Using open-ended questions

II, III and V

Keep the client in bed at night.

I, II, III and VI

I, II and III

Inform the friend to directly contact the family and offer assistance to them.

The nurse identifies which clinical situation as slander?

The health care provider tells a client that the nurse “does not know anything.”

IV and V

The nurse must place a wrist restraint on a client. The client tells the nurse that he does not want to wear the restraint. Which is the best nursing action to implement at this time?

Reconsider alternative measures.

Slander

The nurse is caring for an older client in a long-term care facility. Which action contributes to encouraging autonomy in the client?

Allowing the client to choose social activities

II and IV

They can be charged with slander.

A client diagnosed with leukemia asks the nurse questions about preparing a living will. Which recommendation from the nurse should be the best method of preparing this document?

Discuss the request with the health care provider (HCP).

Observing care provided to the client without the client’s permission

Situation: Nurse Jules Winnfield is floating at the neurology ward where he is assigned with a patient with ischemic stroke. The following statements are true about ischemic stroke except:

Embolic strokes are associated with development of atherosclerosis in intracranial arteries.

When teaching patients about common modifiable factors that contribute to the risk of stroke, which is not included in the material?

Occasional drinking of beer

The following assessment findings can be seen in a patient with ischemic stroke, but not in hemorrhagic stroke, except:

Sanguineous cerebrospinal fluid

Which among the following diagnostic or imaging tests is best for a patient being suspected with ischemic stroke?

Computed tomography (CT) scan

Recombinant tissue plasminogen activator (rtPA) is the drug of choice for treatment of acute ischemic stroke. When providing thrombolytic therapy, Nurse Jules must keep in mind the following except:

Place indwelling urinary catheter.

Everyone who has HIV infection has AIDS.

HIV can be transmitted most often in the following ways except:

French kiss

The patient is diagnosed with AIDS. This condition can be described in terms of the CD4+ cell count, which falls at:

<200 cells/mm3

Opportunistic respiratory infections are highly likely to occur among patients with HIV. These include the following causative agents except:

Pneumocystis carinii

This is the most common AIDS-related malignancy, occurring in 1% to 21% of patients with AIDS.

Kaposi’s sarcoma

Checking for airway obstruction

Situation: Nurse Freddie Mercury is assigned in the Emergency Department where he is given an adult patient, Brian May. Brian suffered from a chemical burn that led to 2nd and 3rd degree burns on the face, upper arms, and anterior thorax and abdomen. His weight upon admission is 69 kg. Nurse Freddie will expect Brian to manifest the following clinical manifestations and laboratory findings, except:

pH: 7.47

Situation: Nurse Freddie Mercury is assigned in the Emergency Department where he is given an adult patient, Brian May. Brian suffered from a chemical burn that led to 2nd and 3rd degree burns on the face, upper arms, and anterior thorax and abdomen. His weight upon admission is 69 kg. Considering Brian’s burn injuries, what is the total body surface area (TBSA) affected of the patient?

31.5%

How much lactated ringer’s solution does Nurse Freddie expect to administer to Brian May for the first 8 hours from time of injury?

4,347mL

Situation: Nurse Freddie Mercury is assigned in the Emergency Department where he is given an adult patient, Brian May. Brian suffered from a chemical burn that led to 2nd and 3rd degree burns on the face, upper arms, and anterior thorax and abdomen. His weight upon admission is 69 kg. Nurse Freddie would expect all the following orders from the health care provider at this time, aside from:

Administer morphine intramuscularly for severe pain.

Psoriasis vulgaris

Nurse Ely uses topical therapy to treat psoriasis. These could include the following but:

Silver sulfadiazine

When Nurse Ely interacts with Rayms, he will consider the following except:

Wear gloves during social interactions with Rayms.

When teaching Rayms about the use of topical betamethasone, which is most important to improve the effectiveness of the drug?

Apply an outer wrap of plastic after applying the drug and dressing.

Anthralin

A patient with RA raised a concern about his difficulty to move his fingers during morning and it usually last more than 30 minutes. The nurse advises the client to:

Warm bath in the morning

The occupational health nurse is teaching a class about the possible risk factors for developing osteoarthritis (OA). Which among the choice is considered to be a modifiable risk factor?

Being overweight.

The physician ordered the client diagnosed with osteoarthritis to take NSAIDs. Which among the following instruction should the nurse include in health teaching?

Inform the physician if hematemesis is experienced

100

Three-point