Pentagon Questions

33問 • 3年前

問題一覧

A patient with chronic kidney disease has a GFR of 10ml/min. Which signs and symptoms may this patient present with? Select all that apply 1. Hypervolemia 2. Hypokalemia 3. Tetany 4. Gout 5. Metabolic alkalosis 6. Metabolic acidosis 7. Hypomagnesemia 8. Graying,metallic skin

1,2,3,4,6,&8

What is the goal collaboratively made by the Nurse Physician, Physical Therapist and Nutritionist to Parkinson’s Disease?

To maintain joint flexibility

A client is suffering from epiglotittis. What is the nursing priority?

Assists in tracheostomy

Patient Rocky, 23 years old us admitted with Addison’s disease. The nurse diagnosed the client with fluid volume deficit related to inadequate fluid intake and fluid loss secondary to adrenal hormone secretion. As follow the client’s oral intake increases, which of the fluids would be most appropriate?

Bouillon and juice

The nurse us admitting a client suspected of having Cushing’s syndrome. Which of the ff assessments supports the diagnosis of Cushing’s syndrome? Select all that apply. 1. Slender trunk with enlarged arms and legs 2. Postural hypertension 3. Hyperglycemia 4. Decreased body and facial hair 5. Hyperpigmentation of the skin on the breasts and abdomen 6. Fat pad accumulations above the clavicles 7. Mood swings 8. Thick, fragile skin

3, 6, 7

Jeffrey, 24 y.o pt has excessive catecholamines in the urine. Which of the ff signs and symptoms would the patient NOT exhibit. SATA 1. Tachycardia 2. Anxiety 3. Hypogylcemia 4. Thermogenesis 5. Decreased basal metabolic rate

3, 5

When caring for a client w/ a diagnosisof benign prostatic hyperplasia it is importantforthe nurse to understand that it:

Predispose to hydrophroses

Which of the ff are considered obstructive disorders characterized by a loss of elastic recoil of the alveolar wall leading to Respiratory acidosis? SATA A. Hemothorax B. Pleural effusion C. Bronchial asthma D. Hydrothorax E. Emphysema F. Chronic bronchitis G. Gunshot wound H. Pink Puffer

Emphysema, Pink Puffer

A client who has a history of seizuredisorderisnewly diagnosed with a gastric ulcer. The client has maintained seizure-free status using phenytoin (Dilantin). the nurse would question an new order for which of the ff drugs to treat symptoms caused by the ulcer?

Cimetidine (tagamet)

During the first 24hrs, the nurse manages one of the most common complications associated with the burned client by administering which of the ff medications as ordered?

Pepcid 20 mg IV q12h

The nurse monitors a client signs of dumping syndrome. Which of the ff does the nurse evaluate as early clinical manifestations? Sata 1. hemetemesis 2. Abdominal muscle rigidty 3. Tachycardia 4. Vertigo 5. Sweating 6. Diarrhea

3, 4, 5, 6

A client is resuming a diet after a Billroth 2 procedure. To minimize complications from eating, the nurse tells the client to avoid doing w/c of the ff:

Drinking liquids with meals

The nurse tells a client who is post operative after a gastrectomy that dumping syndrome is significant for

5-10% of clients having gastrectomies

A 58 y.o female pt has superficial partial thickness burns to the anterior head face and neck, front and back of the left arm, front of the right arm, posterior trunk, front and back of the right leg. Using the rule of nine, calculate the total body surface area percentage that is burned

54%

The ff are the clinical manifestations of pernicious anemia. Sata 1. Erythema 2. Parathesia of the hands andfeet 3. Racing thought 4. Extreme hunger 5. Depression 6. +romberg’s test 7. Shortness of breath w/ activity

2, 5, 6, 7

An adult type I diabetic tell the clinic nurse that she plans to accompany her husband on a business trip. When travelling, the client can use w/c food or beverage as a substitute for a delayed meal?

Raisins

A doctor suspects pernicious anemia in patient presenting with a beefy red tongue. The patient reports feeling extremely fatigued, numbness and tingling in the hands. How will the the red blood cells appear in the peripheral blood smear if pernicious anemia is present?

Large and oval shaped

The nurse understand that theclient w/ PAwillhave w/c distinguishing lab findings?

Intrinsic factor, absent

The nurse is assessing a client admitted in ketoacidosis. The nurse can expect the client’s skin to be

Flushed

A nurse who is caring for a 32 years old client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client?

Pallor tachycardia sore tongue

A patient with hypothyroidism is having pain 6 on 1-10 scale in the right hip due to recent hip surgery. Which of the ff medicine are not appropriate for this pt? SATA 1. Sublimaze 2. Tylenol 3. Morphine 4. Dilaudid

1,3,4

Emergency medical technicians transport a 28 years old iron worker to the ED. They tell the nurse he fell from a 2 story building. He has a large contusion on his left chest and a hematoma in the left parietal area. He has compound fracture of his left femur and he’s comatose. We intubated him and hes maintaining an SpO2 of 92% by pulse oximeter w/manual resuscitation bag. W/c intervention by the nurse has the highest priority

Assessing the left leg

The nurse receives a telephone call from the blood bank and is informed that the unit of blood is ready for administration. Place in order of priority the actions that the nurse would take to administer the blood 1. Ask a LPN to assist in confirming blood compatibility and verifying client identity 2. Ensure that an informed consent has been signed 3. Insert an 18 or 19 gauge catheter into the client 4. Obtain the unit of blood from the blood bank

2, 3, 4, 1

A nurse is caring for a client w/ COPD who is receiving aminophylline (theophylline) IV. Atheophylline blood serum level is drawn on the client. The nurse monitors the result of this blood test and expects the findings to be at w/c therapeutic level

18mcg/ml

George Kent is a 54 y.o widower w/ a history of COPD and was rushed in the ED w/ increasing shortness of breath,pyrexia and a productive cough w/ yellow green sputum. He has difficulty in communicating because of his inability to compelete sentence. One day his sons, jacob says he has been unwell for 3 days. Upon examination, crackles and wheezes can be heard in the lower lobes, he has a tachycardia anda bounding pulse. Measurement of arterial blood gas shows pH 7.30 PaCO2 68mmHg, HCO3 28 mmol/L and PaO2 60mmHg. Howwouldyou interpret this?

Respiratory acidosis, partially compensated

Ricky’s grandmother is suffering from persistent vomiting for 2 days now. She appears to be lethargic and weak and myalgia. She is noted to have dry mucus membranes and her capillary refill takes 4 seconds. She is diagnosed as having gastroenteritis and dehydration. Measurement of PaCo 240 mmHG has HCO3 34 mmol/L. what acid base disorder is shown?

Metabolic alkalosis, uncompensated

The major goal of therapy for a client with heart failure and pulmonary edema would be to:

Increase cardiac output

Can your right sided heart failure lead to left sided heart?

Can your left sided heart failure leads to right sided heart failure?

Yes

To whom will you give diuretics? Right or left sided heart failure?

Both

A nurse is working in an occupational health clinic when a male employee walks in and states that he was struck by a lightning while working on his truck bed. He is alert but reports feeling faint. What assessment will the nurse perform first

Pulse characteristics

Which of the ff categories would be appropriate for a nurse to include in a rehabilitation teaching plan of a patient who is paraplegic?

Self catheterization

Which of the ff should a client with leukemia avoid?

Carrot sticks

Pathognomonic sign

Castle Aranza · 60問 · 3年前

Pathognomonic sign