CLO Combined
When a patient complains of severe dyspnea but hasn't exerted himself in anyway, what physical assessment question should the nurse ask?
1-10 how bad is his SOB
What ventilation-perfusion would correlate with acute respiratory distress syndrome?
A silent unit
What is the best action if you notice your patient is distracted and tense prior to a diagnostic breast biopsy?
Acknowledge fear they are experiencing
What is the most important point that the nurse should address when teaching a patient about glaucoma?
Adhere to medication regimen
What is the most important factor to include on a females reproductive hx?
Age of menarche
What factors can influence an erythrocyte count?
Age, gender, altitude, exercise
If a patient has a hx of seizure and shows up with fatigue, headaches, and a sore beefy-red tongue; what may be causing this patients issues?
Alcoholism & intestinal disorders
What ambulation technique is most beneficial for ambulation of a client who is visually impaired?
Allow patient to follow your lead
The nurse is caring for a client who has history of thrombosis. The client asks, "i never want to have another pulmonary embolus in the lung again. Is there something that can be done to prevent them?" Which options would the nurse state and encourage discussion with the physician?
Anticoagulant therapy, vena-cava filter, vena caval plication
What nursing intervention should be in the plan of care to manage delayed clotting due to leukemia?
Apply prolonged pressure to the site
What does a creatine clearance test?
Assess kidneys functions
The nurse in the walk-in clinic obtains a history of an upper respiratory infection with a red, sore throat. The client has been febrile for 3 days. Which nursing assessment should be stressed?
Assess voiding pattern & listen to lungs
Which drugs would be ordered post-op prostatectomy on a client who is having continuous bladder irrigation due to slowed infusion rate and increased bladder pressure and pain?
Belladoma & opioid suppository
The nurse is employed in a ear, nose, and throat (ENT) physicians office, obtaining a client history. The nurse documents the following client statements, which symptoms may indicate a diagnosis of otoscelorsis?
Bilateral hearing loss, ringing in the ears when laying down, can hear best when the tuning fork is behind the ear
What diagnostic test definitively confirms iron deficient anemia?
Bone marrow aspiration
A nurse assesses a client with crackles. What medical condition should the nurse suspect?
Bronchitis, pulmonary fibrosis, asthma, collapsed alveoli
What can happen with the use of topical corticosteroids on psoriasis lesions near the eye?
Cataract
An audible S3 sound would be considered an expected finding for what aged patient?
Child-20 y/o
What are some post stapedectomy teaching for independent patients?
Clean technique to clean wound
When assessing using output from surgical drains, what a parameters should be assessed?
Color, characteristics, quantity
What should be included in teaching for a patient diagnosed with prostatitis?
Complete antibiotic course, avoid liquids, foods that contain a diuretic action, increase prostate secretions
Which urinary procedures require antibiotics post-procedure?
Cystometrography
A patient is given amitriptyline for incontinence, the nurse knows this antidepressant is good because it is effective in aiding with what?
Decreased involuntary bladder contractions, increased bladder neck resistance
What does providing pertinent information and appropriate explanations of diagnosis procedures so for patients?
Decreases anxiety/fears
A client is being treated for glaucoma. What is the rationale for the nurses instruction to maintain regular bowel habits?
Decreases pressure in the eyes (IOP)
What response would indicate a patient is talking the loss of independence and self-care well?
Demonstrating the concept of loss....
What would be a priority nursing intervention for someone diagnosed with paroxysmal positional vertigo?
Encourage bed rest
How can a nurse best address the diagnosis of "disturbed body image" for a patient who has just undergone the creation of an Indiana pouch for the treatment of bladder cancer?
Encourage patient to speak openly
What nursing diagnosis should be included for a patient with nephrotic syndrome?
Excess fluid r/t generalized edema
What would you tell a client who has concerns about mucous in their urine after the creation of a illegal conduit for treatment of invasive bladder cancer?
Expected finding
A client with autosomal dominant hematologic disorder is likely to have what disease?
Factor 5 leiden
If the production of progesterone by the corpus luteum begins to decrease until it changes from yellow to a white spot on the ovary, it is likely that what hasn't happened?
Fertilization
What medication should you not give with progressive female hair loss?
Finasteride (Propecia)
Define hematopoesis:
Formation & development of blood cells
What is the preferred test for diagnosing thrombi in deep veins?
Impedance plethysmography
What is the best time to collect a sputum culture & why?
In the morning
What needs to happen for a patient with a baseline creatine level of 2.3 to be able to undergo a CT scan with contrast?
Increase preprocedure hydration, administer acetylsistine
For what conditions would you need to administer belladonna and opium suppositories post-op for a prostatectomy?
Increased bladder pressure & pain, slow/stopped confusion rate
Which assessment finding provides the best indication of urinary retention?
Increased frequency
When interpreting the results of a Mantoux test, the nurse explains to the client that a reaction occurs when the intruder Al injection site shows
Induration and redness
What are some findings associated with a decrease in hepatic function?
Irritability, drowsiness
If a patient c/o sudden onset of incapacitating vertigo, with n/v and tinnitus and states they cant hear well what do you thick may be going on?
Labryinthitis
The nurse sees a hx of a URI with a red, sore throat, and fever x3 days. What should be a nursing assessment priority?
Listen to lungs & assess voiding
A client with sickle cell disease is treated for a thrombotic event. Which organs or body systems does the nurse recognize as being at greatest risk for thrombosis in a client with sickle cell disease?
Lungs, CNS, spleen
What should an older patients rehabilitation plan focus on?
Maintaining and retaining function
What items pose a threat to a patient undergoing an MRI?
Metal
What does the developmet of fine blisters, papules, and severe itching during a patch test indicate?
Moderately positive
What can you tell your patients about ovarian cancer?
Most cases are random with no obvious cause
A nurse admits a woman reporting severe right upper quadrant pain after eating dinner. What client risk factors lead the nurse to suspect gallbladder disease?
Multiple pregnancies, DM, obesity, older than 40 years old
What is the primary source essential to allow muscle contraction?
Myofibrils
What would a client need to be assessed for if they have been diagnosed with a serous otitis media 3 times in the past year?
Nasal pharyngeal cancer
What would you do as a HH nurse after being notified the clients prothrombin time was 21 seconds?
No change in dosage
What is responsible for the process of ossicication?
Osteoblasts
The nurse observes that a client who had an arterial blood gas performed 30 minutes ago is still oozing blood from the puncture site. Pressure was held to the site for 5 minutes after the puncture and another 5 minutes when the site was still oozing. What factor does the nurse know will participate in the ability for the blood to clot?
Platelets
What can you tell me about breast self-exams?
Plays a small role in detecting
Why are axilla nodes removed during modified radical mastectomies?
Provides prognosis information
After a patient ended up with a sternal fx she has been breathing shallowly to avoid exacerbating the pain. Assessments should be prioritized related to what?
Pulmonary atalactisis
What is the role or chemoreceptors in regulating blood pressure?
Receptors in the neck sense with BP is decreasing
What action by the nurse would be appropriate if the client demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery?
Record observation
What happens during a radical mastectomy?
Removal of breast tissue & auxiliary lymph nodes dissection, leaving muscular structure intact It's a surgical treatment for breast cancer
What happens when a patient undergoes an Arthrogram?
Removal synovial fluid via fluoroscopy, send to lab, radiopaque contrast or air injected, xrays/pain control; you may hear crackling/clicking noise in joints for up to 2 days
What is the highest priority nursing diagnosis when caring for a patient with a new tattoo?
Risk for infection
When you note nonpitting edema in the right arm of a patient with a hx of phlebitis in the right arm how would document this?
Secondary edema
What test would add additional data when a patient states he had difficulty reading the newspaper and seeing detail when looking at an image?
Snellen chart
What needs to be included in the procedure room for a patient undergoing an intravenous pyelogram?
Suction
What treatment option is least likely for someone diagnosed with Hodgkin's disease?
Surgery
The nurse is caring for a group of clients. Which client does the nurse suspect is most likely to have mononucleosis?
Teenage-college
A client in the ED is a victim of a MVA which caused blunt facial trauma, especially to the orbit of the skull. Which of the cranial nerves are in danger of damage as a result of ocular injuries?
Trochlear, abducens, oculomotor
What causes the majority of cases of acute pancreatitis?
Undiagnosed chronic pancreatitis
Which of the following would be most important to determine when assessing a client being admitted for suspected toxic shock syndrome (TSS)
Use of superabsorbent tampons
An older patient with end-stage emphysema refuses physical therapy, continues to smoke, and realizes that death will probably result from emphysema. Which principle should guide this patients rehabilitation?
Values & limitations are put into prespective
What normal change due to aging does the nurse expect in the heart of an older cleint?
Widening of the aorta
As you get older why does your hair turn gray?
You begin to lose pigmentation