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NUR 206
NUR 206 Final
| Question | Answer |
|---|---|
| What is palliative surgery used for? | Used to make patient comfortable and to help with pain |
| You have a patient that has cirrhosis of the liver with ascites. The patient asks why do I have ascites? | Low Albumin causes increases portal pressure that causes fluid to collect in the abdomen. |
| To assess a distended bladder, the nurse will | palpate the suprapubic area |
| Post Op Day 1-What intervention should a nurse do to prevent Atelectasis (lung collapse)? | You want the patient to huff cough every 2 hrs |
| Erythropoietin is produced by the kidneys; when a patient is in chronic renal failure, a loss of this hormone will cause | Anemia |
| You are taking care of a hospice patient and the wife tells you that she is very nervous that the patient is going to have horrible pain and she asks the nurse how will she manage the patient's pain? | oral/sublingual morphine and transdermal pain patches |
| Which foods should a patient with gluten enteropathy (Celiac disease)be instructed to stay away from? | Wheat/ Rye/ Oats/Barley |
| A T-tube is connected to | The Common Bile Duct |
| Procedural sedation/anesthesia consist of | Local or/ regional anesthesia plus IV sedation |
| Ms. Jones is going to be having a Cholecystogram, before administering the oral contrast tablet, what will you ask the patient? | Ask if the patient is allergic to shellfish. |
| Best way to manage Symogi Effect? | Give less insulin at night. Symogi-BS deceases during the night, but the blood sugar will be high in the morning. |
| Bariatric surgery is used for | Morbid Obesity |
| Normal creatine level | 0.5-1.2 |
| Why would Carafate be used? | To activate acid in the stomach to produce a protective gel to coat the peptic ulcer |
| What is the dawn phenomenon? | When counter regular hormones cause elevated glucose levels in the morning. |
| Acute Glomerulonephritis can be caused by | Strep infection |
| A patient presents to the ER. What symptoms would cause a nurse to suspect a patient has kidney stones when the patient is denying pain? | Increased pulse diaphoresis(sweating) grimacing guarding nausea and vomiting |
| A patient recently diagnosed with type 1 diabetes asked why she is experiencing increased thirst. Which explanation is most appropriate? | Elevated blood sugars pull the cellular water into the circulation system |
| Circulating nurse notice that a patient is diaphoretic, tachycardic, and has an increase temp, she notifies the anesthesiologist and surgeon because the patient | has malignant hyperthermia |
| Three things to assess for a patient with DKA | Fruity breath Polydipsia abdomen pain |
| You are a nurse working in PACU and you notice a patient has a blood sugar of 52, what do you do? | Give the patient 15 grams of a simple carbohydrate. |
| Patient would like to know when they can eat after surgery; what do you tell them? | When active bowel sounds can be assessed when the patient is able to pass gas able to tolerate clear liquids No N/V able t advance as tolerated. |
| What type of output would you see from a Ileostomy? | Liquidy |
| Which hormone promotes water re-absorption? | ADH-Anti-Diuretic Hormone |
| Patients presents to the Er complaining f nausea, vomiting and right flank pain. What test would you use to confirm Kidney stones? | IVP-intravenous pyelogram |
| True or False Malfunctioning beta cells are the root cause of Type 1 diabetes. | TRUE |
| What medication would you use to treat incontinence related to an overactive bladder? | Oxybutynin-Anti-spasmodic |
| What foods should be avoided with a patient that has diverticulitis? | Popcorn and seeds |
| True or False Malignant tumors can spread to tissues and organs and this a major difference between malignant and benign. | True |
| Patient states that they are not feeling well and then vomits up bright red blood, what do you do first? | Check Vital signs |
| Your a patient has neutropenia and family members come with flowers and fresh peaches what do you do? | remove the flowers and peaches |
| A patient has recently had been diagnosed with cholecystitis, what history might have precipitated this problem? | The patient ate a hamburger and fries |
| Patient had chemo therapy last week and the patient that has a platelet count of 55; what would you do monitor for ? | Monitor for bleeding mouth and gums. |
| 56 yrs old presents to ER with acute acute diverticulitis. Pt has fever of 101, and elevated WBC's. What symptoms would you assess that will alert you to septic shock? | Tachycardia Hypotension |
| You are working in the PACU and a patient wakes up disoriented and confused, what do you do? | reassure and re-orient the patient. |
| The nurse is preparing to administer morning prescription of insulin to a patient with a prescription with 14 units of regular and 28 units of NPH insulin. What is total number of units a nurse should prepare? | 42 units |
| The nurse is preparing for a patient suspected to have ketoacidosis. Which manifestations are characteristics with early ketoacidosis? | thirst, fruity breath, polyuria |
| The patient comes into the emergency room complaining of abdominal pain. The nurse assesses dry skin, hot skin, fruity breath and deep respirations. To which problem should the nurse contribute these findings? | Ketoacidosis |
| True or false When drawing up regular insulin and NPH insulin, you draw regular insulin 1st | True |
| Patient is unconscious recovering in the PACU, you notice that the patient is hypoxic, with low O2 sats and low BP; what do you do? | Check and clear airway |
| What organ carries urine to the bladder? | Ureters |
| What side effects would a patient have from external radiation? | Dry , itchy skin Fatigue |
| Oncology emergency with Hypercalcemia | fragile bone, and bone pain |
| Yu have a oncology clinic patient with breast cancer that is frustrated w/ fatigue after 2 month of radiation treatments. what is the best response? | This is normal. Fatigue can last for months after treatment has stopped. |
| You are caring for a patient with prostate cancer at a short term rehab facility and preparing oral chemo meds. What should you do before giving the medication? | Give the patient an anti-emetic 1 hr before. |
| What facial characteristics are a sign of fluid retention in a patient with renal impairment? | Pre-orbital edema (puffy eyes) |
| A patient is complaining of excessive gas after GI surgery. What will the nurse do? | The nurse will ambulate the patient. |
| You are reviewing a patient's records and notice that the patient has an increased risk of cervical cancer based on what history? | Pt has HPV-Human papillomavirus |
| A patient comes to the clinic complaining of urgency, frequency and pain in the pubis area with cloudy urine. What do you suspect the patient has? | Cystitis (UTI) |
| A patient presents with abdominal pain and elevated temp. The physician suspects that the patient has a perforated bowel. The patient is most likely developing | peritonitis |
| To provide optimal nursing care, the nurse knows that the standard of pain and pain control is best determined by | the patient |
| A nurse caring for a patient post-op day 1 with an ileostomy and are creating a nursing care plan; it is important for the nurse to provide | emotional support |
| You are a pregnant LPN and have been assigned a patient that has an unsealed, internal radiation. What should you do? | You tell the nurse that you can not take the assignment. |
| Pre-op[ patient just received Lorazepam 20 minutes ago, and the nurse is leaving the room. She will check on what in regards to this medication? | Raise the side rails |
| When drawing up insulin, NPH and regular insulin. Which insulin gets drawn first? | Regular get drawn before NPH (clear to cloudy) |