term 2 remediation

After your patient has been told that they have Cushing's syndrome, the patient asks you what Cushing's syndrome is. How would you respond to this patient's question?

"Cushing's syndrome is a disorder of the adrenal gland."

Findings in Paget's disease

-cranial enlargement -skeletal pain -waddling gait

Betaxolol adverse effects

-high blood pressure -decreases effects of insulin - NOT safe for PTs with cardiac heart failure

A 78-year-old patient is scheduled for transition to home after treatment for heart disease. The patient's spouse, who has chronic obstructive pulmonary disease, plans to care for the patient at home. The spouse says that their grown children, who live nearby, will help. The best approach to discharge planning is to: A) arrange nursing home placement for the couple. B) consult the spouse's healthcare provider about the spouse's ability to care for the patient. C) contact the children to ascertain their commitment to help. D) discuss community resources with the spouse and offer to make referrals.

D) discuss community resources with the spouse and offer to make referrals.

If a PT has just undergone a liver biopsy what would be the nurses priority when checking/assessing for bleeding?

Frank bleeding

The nurse is providing patient education for a patient with peptic ulcer disease secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use. The patient has been newly prescribed misoprostol (cytotec). What would the nurse be most accurate in informing the patient about the drug?

Protects the stomach's lining

what type of precautions are needed for a client with Hep A

Standard precautions

The nurse is caring for a patient with liver failure. The nurse understands that patients in liver failure often require vitamin therapy. Which vitamin does the liver require for the synthesis of prothrombin?

Vitamin K

Prior to administration of IV immunoglobulin what interventions should the nurse implement?

Weigh the patient before administration to determine onset of edema.

overstretching of a muscle is called?

a strain

The most common, preventable complication of abdominal surgery is: a) atelectasis. b) fluid and electrolyte imbalance. c)thrombophlebitis. d) urinary retention.

a) atelectasis.

a nurse is caring for a school aged child with acute glomerulonephritis who has peripheral edema and is producing 35 mL of urine/hr. the client should be placed on which of the following diets a) low sodium, fluid restricted b) regular diet, no added salt c) low carb, low protien d) low protein, low potassium

a) low sodium, fluid restricted

A 32-year-old patient who has had an open reduction and internal fixation (ORIF) of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine. Pulses are faintly palpable and the foot is cool. Which action should the nurse take next? a. Notify the health care provider. b. Assess the incision for redness. c. Reposition the left leg on pillows. d. Check the patients blood pressure.

a) notify the HCP

a nurse is discussing indications for the use of a urinary catheterization with a newly licensed nurse. which of the following should the nurse identify as an appropriate indication? SATA a) relief of urinary retention b) convenience for the nursing staff or PT family c) measurement of residual urine after urination d) routine acquisition of a urine specimen e) presence of an open perineal wound

a) relief of urinary retention c) measurement of residual urine after urination e) presence of an open perineal wound

During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the development of slurred speech and disorientation to time and place. The nurse's initial action is to: a) continue the hourly neurologic assessments. b) inform the neurosurgeon of the patient's status. c) prepare the patient for emergency surgery. d)recheck the patient's neurologic status in 15 minutes.

b) inform the neurosurgeon of the patient's status.

A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects: a) justice. b) paternalism. c) pragmatism. d) veracity.

b) paternalism.

A patient returns to the floor after a laparoscopic cholecystectomy. The nurse caring for the patient is aware that the most serious potential complication is what?

bile duct injury

The nurse is administering cephalic lactulose to a client with a history of cirrhosis of the liver. The client asks the nurse why this medication is needed because the client is not constipated. What is the best response the nurse could give? a) "This medication helps you to stop drinking so much alcohol." b) "This medication helps you to relax and not feel anxious.". c) "This medication helps you to lower your high ammonia level caused by your liver disease." d) "This medication helps you to keep your abdomen from being so distended."

c) "This medication helps you to lower your high ammonia level caused by your liver disease."

The main goal of treatment for acute glomerulonephritis is to: a) encourage activity. b) encourage high protein intake. c) maintain fluid balance. d) teach intermittent urinary catheterization.

c) Maintain fluid balance

a nurse is caring for a PT w/BPH which of the following types of medications should the nurse plan to administer? a) anabolic steroid b) conjugated estrogen c) alpha-adrenergic blocker d) broad-spectrum antibiotic

c) alpha-adrenergic blocker

For the evaluation feedback process to be effective, the medical-surgical nurse who is a manager: a) conducts weekly meetings with staff members. b) considers staff members' interests and abilities when delegating tasks. c) informs staff members regularly of how well they are performing their jobs. d) provides goals for staff members to meet.

c) informs staff members regularly of how well they are performing their jobs.

A nurse is implementing a bladder training program. which of the following actions by the AP who is assisting in the client care indicates a need for further instruction? a) assists the PT to the bathroom every 2 hrs b)encourage oral fluid intake during waking hours c) instructs the PT to void whenever the urge occurs d) offers the opportunity to void 15 min prior to bathing

c) instructs the PT to void whenever the urge occurs

For a patient with Crohn's disease, the medical-surgical nurse recommends a diet that is: a) high in fiber, and low in protein and calories. b) high in potassium. c) low in fiber, and high in protein and calories. d) low in potassium.

c) low in fiber, and high in protein and calories.

To prepare a patient on the unit for a bronchoscopic procedure, the medical-surgical nurse administers the IV sedative. The nurse then instructs the licensed practical/vocational nurse to: a) educate the patient about the pending procedure. b) give the patient small sips of water only. c) measure the patient's blood pressure and pulse readings. d) take the patient to the bathroom one more time.

c) measure the patient's blood pressure and pulse readings.

Nursing diagnoses mostly differ from medical diagnoses, in that they are: a) dependent upon medical diagnoses for the direction of appropriate interventions. b) primarily concerned with caring, while medical diagnoses are primarily concerned with curing. c) primarily concerned with human response, while medical diagnoses are primarily concerned with pathology. d) primarily concerned with psychosocial parameters, while medical diagnoses are primarily concerned with physiologic parameters.

c) primarily concerned with human response, while medical diagnoses are primarily concerned with pathology.

An 80-year-old patient is placed in isolation when infected with methicillin-resistant Staphylococcus aureus. The patient was alert and oriented on admission, but is now having visual hallucinations and can follow only simple directions. The medical-surgical nurse recognizes that the changes in the patient's mental status are related to: a) fluid and electrolyte imbalance. b) a stimulating environment. c) sensory deprivation. d) sundowning

c) sensory deprivation.

a nurse is planning to teach a PT who is scheduled for an IVP, which of the following statements should he include in the teaching? a) "the procedure will be cancelled if the UA indicated the presence of RBC's" b) " high frequency sound waves will be used to identify renal system structures" c) " you will be able to resume your regular diet as soon as the test is complete" d) " After the procedure you will be encouraged to drink plenty of fluids"

d) " After the procedure you will be encouraged to drink plenty of fluids"

Which statement by a patient with diabetes mellitus indicates an understanding of the medication insulin glargine (Lantus)? a) "Lantus causes weight loss." b) "Lantus is used only at night." c) "The duration of Lantus is six hours." d) "There is no peak time for Lantus

d) "There is no peak time for Lantus

expected labs for a PT who has chronic renal failure a) BUN: 10 mg/dL ; Serum creatinine: 0.3 mg/dL b) BUN: 45 mg/dL ; Serum creatinine: 1.0 mg/dL c) BUN: 11 mg/dL ; Serum creatinine: 10 mg/dL d) BUN: 35 mg/dL ; Serum creatinine: 8 mg/dL

d) BUN: 35 mg/dL ; Serum creatinine: 8 mg/dL

.Which physiological response is often associated with surgery-related stress? a) Bronchial constriction. b) Decreased cortisol levels. c) Peripheral vasodilation. d) Sodium and water retention.

d) Sodium and water retention.

a nurse is planning care for a PT who has urolithiasis which of the following is an appropriate nursing action? a) apply cold compress to the flank area b) restrict protein intake to 80 mg/day c) discourage ambulation d) encourage at least 2 L of fluid/ day

d) encourage at least 2 L of fluid/ day

To prevent a common, adverse effect of prolonged use of phenytoin sodium (Dilantin), patients taking the drug are instructed to: a) avoid crowds and obtain an annual influenza vaccination. b) drink at least 2 L of fluids daily, including 8 to 10 glasses of water. c) eat a potassium-rich, low sodium diet. d) practice good dental hygiene and report gum swelling or bleeding.

d) practice good dental hygiene and report gum swelling or bleeding.

Neomycin is prescribed for a client with cirrhosis. What should the nurse explain is the reason for taking this medication? a) Prevents an infection b) Minimizes intestinal edema c) Limits abdominal distention d) Reduces the blood ammonia level

d) reduces the blood ammonia level **hepatic Encephalopathy

which is a contributing factor in the development of metabolic acidosis

diarrhea

Which electrolyte is essential for enzyme and neurochemical activities?

magnesium