422 final

A nurse in a clinic is reviewing the laboratory values of. client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values? A. Thyroid stimulating hormone (TSH) B. Free T4 C. Serum T4 D. Serum T3

ANS: A

A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe? A. Troponin I B. Lipase C. BNP D. Aspartate amniotransferase (AST)

ANS: A

A nurse is assessing a client who is reaceiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? A. Systolic blood pressure is increased B. Cardiac output is reduced C. Apical heart rate is increased D. Urine output is reduced

ANS: A

A nurse is teaching the partner of a cleint who had an acute MI about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies A. these tests help determine the degree of damage to the heart tissue B. Cardiac enzymes will identify the location of the MI C. These tests will enable the provider to determine the heart structure and mobility of the heart valves D. Cardiac enzymes assist in diagnosing the presence of pulmonary congestion

ANS: A

A patient with diabetic ketoacidosis is brought to the emergency department. Which prescribed action should the nurse implement first? A. Infuse 1 L of normal saline per hour B. Administer regular insulin 10 U by IV push C. Start a regular insulin infusion a 0.1 units/kg/hr D. Give Sodium bicarbonate 50 mEq IV push

ANS: A

When planning the resonse to the potential use of smallpox as a biological weapon, the ED nurse manager will plan to obtain adequate quantities of A. Vaccine B. Atropine C. Antibiotics D. Whole blood

ANS: A

a nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority? A. Defibrillation B. Airway management C. Epinephrine administration D. Amiodarone administration

ANS: A

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2. Which of the following neurologic disorders should the nurse suspect? A. Transient ischemic attack B. Hemmorrhagic stroke C. Thrombotic Stroke D. Embolic stroke

ANS: B

A nurse is assessing a client who is receiving a continuous iv infusion of dopamine. Which of the following findings should the nurse recognize as a therapeutic effect? A. Increased pulse B. Increased urine output C. Decreased blood pressure D. Decreased dysrhythmias

ANS: B

A nurse is caring for a client who has had a hemmorhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect? A. Gradual onset of several hours B. Manifestations preceded by a severe headache C. Maintains conciousness D. History of neurologic deficits lasting less than 1 hr

ANS: B

Family members of a patient who has a traumatic brain injury ask the nurse about the purpose of the ventriculostomy system being used for intracranial pressure monitoring. Which response by the nurse is best? a. "This type of monitoring system is complex and it is managed by skilled staff." b. "The monitoring system helps show whether blood flow to the brain is adequate." c. "The ventriculostomy monitoring system helps check for alterations in cerebral perfusion pressure." d. "This monitoring system has multiple benefits including facilitation of cerebrospinal fluid drainage."

ANS: B

The nurse admits a patient to the hospital in Addisonian crisis. Which patient statement supports the need to plan additional teaching? a. "I frequently eat at restaurants, and my food has a lot of added salt." b. "I had the flu earlier this week, so I couldn't take the hydrocortisone." c. "I always double my dose of hydrocortisone on the days that I go for a long run." d. "I take twice as much hydrocortisone in the morning dose as I do in the afternoon."

ANS: B

The nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify that which of the following findings indicates that the medication is affective? A. Increased heart rate B. Increased urine output C. Decreased blood pressure D. Decreased blood glucose level

ANS: B

A nurse in the emergency room is caring for a client who presents with manifestations that indicate a MI. Wich of the following prescriptions should the nurse take first? A. Attach the leads for a 12-lead ECG B. Obtain a blood sample C. Initiate oxygen therapy D. Insert the IV cathetar

ANS: C

The nurse is caring for a patient who has a head injury and fractured right arm after being assaulted. Which assessment information requires rapid action by the nurse? A. The apical pulse is slightly irregular B. The patient complains of a headache C. The patient is more difficult to arouse D. The blood pressure increases to 140/62

ANS: C

Which information about a 30-year-old patient who is hospitalized after a traumatic brain injury requires the most rapid action by the nurse? A. Intracranial pressure of 15 mm Hg B. Cerebrospinal fluid (CSF) drainage of 25 mL/hr C. Pressure of oxygen in brain tissue (PbtO2) is 14 mm Hg D. Cardiac monitoring shows sinus tachycardia at 120 bpm

ANS: C

a nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia? A. Epinephrine B. Magnesium C. Atropine D. Sodium bicarbonate

ANS: C

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider? A. Glucocorticoid medications B. Dextrose 5% is 0.45% sodium chloride C. Oral hypoglycemic medications D. 0.9% Sodium chloride IV bolus

ANS: D

A nurse is caring for a client who is experiencing cushing's triad following a subdural hematoma. Which of the following medications should the nurse plan to administer? A. Albumin 25% B. Dextran 70 C. Hydroxyethyl glucose D. Mannitol 25%

ANS: D

The nurse is caring for a patient who was admitted the previous day with a basilar skull fracture after a motor vehicle crash. Which assessment finding indicates a possible complication that should be reported to the health care provider? A. complaint of a severe headache B. Large contusion behind left ear C. Bilateral periorbital ecchymosis D. Temperature of 101.4

ANS: D

Which prescribed medication should the nurse expect will have rapid effects on a patient admitted to the emergency department in thyroid storm? A. Iodine B. Methimazole C. Propylthiouracil D. Propranolol

ANS: D

`A nurse is caring for a client who is in a myxedema coma. Which of the following actions should the nurse take? A. Turn the client every 4 hrs B. Check the client's blood pressure every 2 hr. C. Initiate measures to cool the client D. Place the client on aspiration precautions

ANS: D