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Stack #4654574
| Question | Answer |
|---|---|
| #separator:tab | |
| #html:true | |
| <div>The pt was presented with abdominal distention, constipation, and vomiting, this is indicative of</div> | <div>Intestinal obstruction</div> |
| <div>The pt. had Crohn’s disease, reporting GI bleeding. What assessment finding would indicate colorectal cancer</div> | Polyps |
| <div>Manage the NGT for decompression</div> | <div>Monitor drainage</div> <div><br></div><div>Ensure patency, irrigate q4hrs</div> <div><br></div><div>Check placement q4hrs, keep pt. semi fowler, secure tube to gown</div> <div><br></div> |
| <div>The pt was diagnoses with colorectal cancer. Which assessment finding would confirm?</div> | abdominal mass |
| <div>Identify standard diagnostics tests for colorectal cancer</div> | <div>The pt. should avoid NSAID before a fecal occult blood test</div> |
| <div>What is a definitive test to diagnose colorectal cancer</div> | <div>Colonoscopy is the definitive test for diagnosis of colorectal cancer</div> |
| <div>The stoma was dark in color, the nurse knows this is showing</div> | <div>Poor perfusion to the stoma</div> |
| <div>Identify standard diagnostics test for ulcerative colitis</div> | <div>Urea breath test to diagnose for h. pylori</div> |
| <div>Histamine blockers are used for?</div> | prevent stress ulcers |
| <div>The pt ask why am I still on glucocorticoids, the nurse responds with</div> | <div>You must be weaned off of this drug</div> |
| <div>The patient has bright red blood in the stool, this indicates what GI bleed?</div> | lower intestinal bleed |
| <div>The patient has been diagnosed with colorectal cancer. What symptoms would be indicative?</div> | Melena |
| <div>The patient needs further teach by stating</div> | <div>I’ll take the medication when I remember</div> |
| <div>The patient was tested with the third generation and needed western blot. The nurse’s response to the patient is</div> | <div>You will need to be tested again within a couple weeks</div> |
| <div>CDC recommends 4th generation HIV assay</div> | once the first test is negative no further testing is needed |
| <div>Viral load testing:</div> | <div>the higher the viral load.... the greater the risk for transmission </div> |
| <div>The patient who has HIV comes in with coughing, night sweats, and a fever. The nurse suspects TB. What would be the next step?</div> | <div>Place pt. on airborne precautions</div> |
| <div>Nurse notices the patient only eats 10% of plate and has low albumin with white lesions in their mouth</div> | <div>Call doctor and recommend pain meds</div> |
| <div>The patient with AIDS, what symptom should be reported for infection?</div> | temp of 100.1 F |
| <div>The patient is immunocompromised and in isolation. The patient ask why they are in isolation, the nurse responds</div> | <div>Isolation helps you from acquiring infection</div> |
| <div>Hypothyroidism/Hashimoto</div> | <div>insufficient thyroid hormones = slow metabolism.</div> |
| <div>Levothyroxine?</div> | <div>Assess for a HR of 80 to indicate effective drug therapy</div> <div><br></div><div>Take lifelong</div> |
| <div>After a thyroidectomy, the pt. showing mouth tingling & numbness is indicative of</div> | <div>Trousseaus sign</div> |
| <div>The patient has a follow-up from a thyroidectomy, what symptoms would the nurse expect?</div> | <div>Decreased energy & decreased appetite</div> |
| <div>The patient has been on long term glucocorticoids, which symptoms would the patient have? SATA</div> | <div>Hyperglycemia</div> <div><br></div><div>Weight gain</div> <div><br></div><div>Immunosuppression</div> |
| <div>Priority problem for Cushing’s is</div> | <div>Excess fluid volume</div> |
| food option for a cushings pt? | <div>eat a salad with salmon</div> |
| <div>Thyroidectomy</div> | <div>s/s of hypocalcemia = muscle spasms, high pitch inspiratory sound</div> <div>(stridor), or hoarseness in post op</div> <div><br></div><div><br></div><div>CALL RRT</div> |
| <div>If there is indication of a latex allergy NOTIFY</div> | DOCTOR |
| <div>What is needed to be available with a pt. with history of malignant hyperthermia?</div> | <div>Dantrolene</div> |
| <div>A pt had abdominal surgery is coughing, nauseated, and vomiting. What is the nurses priority?</div> | auculate lungs |
| <div>After any immobilizing surgery, encourage use of incentive spirometer to promote</div> | Pulmonary status |
| <div>Protein in the urine is the best indicator of </div> | <div>reduced kidney function</div> |
| <div>When the pt is unconscious, consent should be given by?</div> | <div>medical power of attorney</div> |
| <div>If pt has not initialed correct surgical site before transfer we do?</div> | notify surgeron |
| <div>Insulin will be determined administration before/after surgery?</div> | BEFORE |
| what is used decompression of gastric pressure? | NGT tube |
| we want what color of aspirate? | green! |
| <div>A client comes from surgery 2 hrs ago and additional bleeding is seen on dressing, what is the appropriate nursing action?</div> | <div>Reinforce dressing and document</div> |
| <div>A pt has intestine protruding out of incision, what is the immediate nursing action?</div> | <div>Raise HOB and have pt. flex their knees (evisceration position)</div> |
Created by:
llmartinz