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176 Exam 2
Hondros exam 2 Study Guide
| Question | Answer |
|---|---|
| A new nurse is taking has been instructed to take vital signs for a patient who has an arteriovenous fistula on the right arm. The nurse may need further teaching if she does what action? | Takes blood pressure on the right arm. |
| LPN is taking obtaining weights for a pt undergoing dialysis. When is the most appropriate times for the weights to be taken? | Before and after dialysis |
| What is cystitis? | inflammation of the bladder |
| Mrs. Jones has cystitis and her daughter is being educated on the condition. The nurse knows she has received adequate teaching when she responds with? | My mother is prone to UTI's. She should empty her bladder often and I will encourage her to drink plenty of fluids. |
| A recent surgical patient has had less then average output in his catheter bag after your 8 hour shift. What is the first action that should be taken? | Assess vitals and I&O's |
| What is dysuria? | difficulty urinating |
| Rn is educating LPN on care for a patient with dysuria. The LPN will need more teaching if she responds with what? | I will decrease fluid intake and |
| What is Lasix and what should be taken with lasix? | This is a loop diuretic, which is potassium wasting. Potassium should be taken. |
| A patient presents to the ER with pulse - 68, BP- 85/60, temp 98.0 and the MD orders full labs and it is found that the patient has a potassium level of 2.1. The nurse review the medications brought in by the family and knows that these symptoms from? | Patient takes lasix daily but is not taking potassium |
| What is an antidote for potassium overload? | Kayexalate |
| What nursing interventions can LPN do to assist a patient with dysuria? | bedside commode, running water, hands in water, increase fluid |
| Dr instructs nurse to collect labs for a patient who is believed to be in renal failure. What labs will the pt need? | BUN and creatinine |
| What is BPH? | Benign prostatic hypertrophy |
| What medication will be used to treat BPH? | Flomax- tamsulosin Proscar- finasteride |
| A patient was recently diagnosed with BPH, he mentions to the nurse that he has recently become impotent. What medication is causing this? | Proscar- finasteride |
| Why is a TURP done? | to prevent blood clots from forming |
| a patient has peritoneal dialysis and the nurse realized that the flow is not correct. What will be done first? | reposition the patient |
| A patient asks why they must receive peri-care. What will the nurse educate the patient on? | To reduce the likelihood of acquiring and infection |
| What could a high level of PSA indicate? | greater chance of prostate cancer |
| What will we feel for on a patient with an AV graft? | Thrill |
| What will we listen for on a patient with an AV graft? | Bruit |
| What can protein in the urine indicate? | Renal disease |
| Nocturia urination, frequency, and urgency are signs of? | Normal aging process |
| Why would we perform MONA? | Patient in cardiac arrest |
| what is MONA? | Morphine, Oxygen, Nitrate, Aspirin |
| A patient is describing new symptoms to LPN. Patient has been having headaches throughout the day. His vision has been blurry and nose bleeds have been more common. The LPN knows this is a sign of what? | new onset of hypertension |
| What signs and symptoms are associated with left sided congestive heart failure? | Crackles, dyspnea- SOB, pink tinged sputum, orthopneic-tripod position |
| Why would we educate a patient on avoiding MRI's | Patient with pacemakers should not have MRI |
| A patient is being administered heparin and is has been prescribed warfarin. He asks the nurse why he would need to be on more than one blood thinner. What is the most appropriate response from the nurse? | You will be on 2 blood thinners to start because the warfarin will need time to build up in your system before becoming effective |
| Take 1 tablet by mouth PRN for up to 3 doses. Must take 5 mins apart each time. Call 911 of symptoms of chest pain persist. WARNING will cause headache and a drop in BP. What medication is this? | Nitrostat |
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