MED SURG EXAM 2 JEOPARDY GAME - JUNE 6, 2022

laboratory reports for chronic kidney disease - review video

High BUN/CREATININE 2 QUESTIONS AND YOU NEED TO MEASURE URINE OUTPUT NEED TO KNOW NORMAL LAB VALUES

Which of the following findings indicates increased ICP? (SATA) - check video

CONFUSE LETHARGIC LOSS OF CONSCIOUSNESS RESTLESSNESS AND IRRITABILITY DISORIENTATION TO TIME AND PLACE UNEQUAL PUPILS HEADACHE

s/s of adrenal crisis question

CONFUSION AND TACHYCARDIA

what your specific gravity when your patient is dehyrated

high - 1.030

A nurse is reinforcing discharge teaching about self-administered peritoneal dialysis with a client. Which of the following statements by the client indicates an understanding of the teaching?

"The amount of the liquid output should be greater than what was put in."

A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? SATA

-Document Vital signs - Obtain the client's weight - Check the graft site for a palpable thrill

a nurse is caring for a client who has a thyroidectomy to treat hyperthyroidism caused by an adenoma. which of the following findings should the nurse report to the provider

-tachycardia and hypertension -laryngeal stridor and hoarseness - positive trousseau's sign

A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

0900

Your patient's blood glucose level is 215 mg/dl. the patient is about to eat lunch. Per sliding scale, you administer 4 units of insulin Lispro (humalog) subcutaneously at 1130. As the nurse, you know the patient is most at risk for hypoglycemia at what time?

1230

What diagnostic and lab tests are used to confirm the diagnosis of meningitis?

CAT Scan Lumbar puncture

A nurse is assessing a client who has a seizure disorder. The client tells the nurse, "I am about to have a seizure." Which of the following actions should the nurse implement? (select all that apply)

A. provide privacy B. ease the client to the floor if standing C. move furniture away from the client D. loosen the client's clothing E. protect the client's head with padding

A 7-year-old male patient is being evaluated for seizures. While in the child's room talking with the child's parents, you notice that the child appears to be daydreaming. You time this event to be 10 seconds. After 10 seconds, the child appropriately responds and doesn't recall the event. This is known as what type of seizure?

Absence

A nurse is caring for a client following an open reduction and internal fixation of a fractured femur. Which of the following findings is the nurse's priority?

Altered level of consciousness

A patient has been given an antithyroid drug called propylthiouracil. What appropriate nursing implementations should be included?

Answer: Teaching her to watch for and report any signs and symptoms of hypothyroidism or infections. if they dont take PTU they at risk for thyroid storm

A nurse is reinforcing teaching with a client who has neutropenia. Which of the following instructions should the nurse include in the teaching?

Avoid crowded places

A nurse is collecting data from a client who has meningitis, when passively flexing the client's neck the nurse notes an involuntary flexion of both legs. which of the following conditions is the client displaying?

BRUDNIZKI SIGN OR KERNIG AND BRUDNIZKI SIGN

Cushing syndrome

BUFFALO HUMP , PURPLE STRIATIONS, AND MOON FACE

A nurse is reviewing the laboratory reports for a client who has chronic kidney disease which of the following laboratory report should the nurse expect to find?

BUN 35mg/dL andserum creative 8 mg/dL

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (SATA)

Blurry vision, Tachycardia, Sweating

a nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?

Body weight we weigh the patient

A nurse is assisting with the plan of care for a client who has Cushing's syndrome due to chronic corticosteroid use. Which of the following actions should the nurse include in the plan of care?

Check for hypertension

30.A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority?

Check the client's blood glucose level

The lpn is caring for a client at risk for increased intracranial pressure. This prudent nurse knows which finding is first indicate increased intracranial pressure?

Confusion AND altered level of consciousness

S/S hypoglycemia

Cool, clammy, anxious, nervous, confusion, weakness, blurry vision, hunger, tachycardia, palpitations hypotention irritability take glucagon

WHAT POSITION IS IN THE IMAGE?

DECORTICATE

SIADH SATA

DECREASED SERUM OSMOLALITY INCREASED IN URINE OUTPUT FLUID VOLUME EXCESS

METFORMIN

DO NOT GIVE IT IV DYE 24-48 hours before or after

left-sided stroke and recommend a referral to assist the client to

Speech therapist

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is about 200 mg/dL. Which of the following information should the nurse include?

Expect the NPH insulin to peak in 6 to 14 hr.* NPH insulin is an intermediate-acting insulin. Its onset of action is 1 to 2 hr, peaking at 6 to 14 hr. Its duration of action is 16 to 24 hr. The client is at risk for hypoglycemia during the peak time.

A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

Frequent mood changes

Somogyi effect and takes intermittent-acting insulin - review video

Give a snack

A nurse is caring for a client who is in skeletal traction following a femur fracture. The nurse finds the client has slid down toward the foot of the bed and the traction weight is resting on the floor. Which of the following actions should the nurse take?

Have the client use a trapeze to pull himself up while ensuring the weight hangs freely. ALWAYS CHECK

A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling light headed and shaky. Which of the following complications should the nurse suspect

Hypoglycemia

The nurse identifies the patient who is receiving rapid acting insulin is at risk for _____ during peak times. What is the peaktime?

Hypoglycemia peak time: 30 minutes-3hours 7:30 between 8 and 10 which is the best option? choose 8 or 0800

1. A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?

Implement droplet precautions.

A nurse notes that a client's laboratory findings reveal agranulocytosis. The client is taking propylthiouracil to treat hyperthyroidism. The nurse should monitor the client for which of the following?

Infection

A patient with newly diagnosed Type-I diabetes asks the nurse what type "type I" means in relation to diabetes

It is totally dependent on an outside source of insulin

SOMEONE HAS ALTERED LEVEL OF CONSCIOUSNESS - check video

LETHARGY

A client presents to the emergency department status post seizure. The physician wants to know what the pressure is in the client's head. What test might be ordered on this client?

LUMBAR PUNCTURE

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

Monitor intake and output hourly

A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL. Which of the following client findings should the nurse expect?

Muscle tetany

A nurse is collecting data on a client for manifestations of parkinson's disease. Which of the following are expected findings? SATA

Pill-rolling tremors of the fingers Shuffling gait Drooling Lack of facial expression

A nurse is caring for a client who has dysphagia following a stroke. Which of the following is the priority action for the nurse to take when the feeding the client?

Place the client in the upright position

A nurse is assisting with the care of a client who is undergoing his initial peritoneal dialysis treatment. Which of the following findings is the nurse's priority?

Purulent dialysate outflow

PEAK TIME FOR HUMOLOG

RAPID ACTING: 30 MINUTE TO 3 HOURS

A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription of which of the following types of insulin to treat the client?

REGULAR

A nurse is caring for a client who has myasthenia gravis(MG). Which of the following is a complication of MG for which the nurse should monitor?

Respiratory difficulty

A patient arrives to the ER and is unable to give you a health history due to altered mental status. The family reports the patient has gained over 10 lbs in 1 week and says it is mainly "water" weight. In addition, they report the patient hasn't been able to urinate or eat within the past week as well and was recently diagnosed with small cell lung cancer. On assessment, you note the patient's HR is 115 and BP 180/92. Patient sodium level is 90. Which of the following conditions do you suspect the patient is most likely presenting with?

SIADH

Which of the following findings should the nurse expect to find when collecting data on a patient with parkinson's disease? SATA

Shuffling gait Pin-rolling tremor of the fingers Lack of facial expressions

Client preparing for lumbar puncture. Nurse will assist client into which position for procedure?

Side-lying with legs pulled up and head bent down onto chest.

Which nursing technique best allows the client with slight expressive aphasia to communicate his feelings about using adaptive equipment in public?

Sit beside client and patiently assist in interpreting communication.

WHY YOU ENCOURAGE PATIENT EXERCISE FOR PATIENT WITH OSTEOPOROSIS

TO STRAIGHTEN THE BONES

The nurse is caring for a patient with myxedema. Which is an important teaching to include in discharge plan?

Take thyroid hormone therapy for life monitor airway and coma

MG take to prevent complications secondary to ptosis?

Tape eyelid down

A patient being treated for hyperparathyroidism is to receive calcitonin (Calcimar). Which patient assessment should occur before this medication is administered?

Test for sensitivity

A nurse is caring for a client who is 4 hr postoperative following a transurethral reaction of the prostate (TURP), which of the following is the priority for the nurse report to the provider?

Thick, red-colored urine.

A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a client who has had a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse have available at the bedside for this client? Or patient taking regular insulin

Tracheostomy tray or food tray

A Nurse is reinforcing teaching with a client who has Diabetes mellitus about using glucometer to monitor her blood glucose which of the following actions should the nurse identify as an Indication of the client understands the instructions?

Uses the side of the finger tip as the puncture site

A nurse is reinforcing teaching with a female client about preventing UTIS. Which of the following instructions should the nurse include? SATA

Wear underwear made from cotton Void after sexual-intercourse Wipe front to back Drink Cranberry Juice (NO CITRUS)

the nurse is caring for a patient with myxedema. Which is an important teaching to include in the discharge plan?

You will take medication for life

hypoglycemia

always at peak times

A NURSE IS ADMITTING A CLIENT WHO REPORTS RECURRENT FLANK PAIN AND NAUSEA FOR 24 HR. which of the following findings should the nurse findings the nurse report to the physician?

an output of 150ML in the past 8 hours

A nurse is caring for a client who has a spinal cord injury. The nurse suspects that the client has autonomic dysreflexia. Which of the following actions should the nurse take first?

bladder is too full or check the clients bladder for distention

A nurse is caring for a client who is receiving hemodialysis. answer is

body weight

S/S hypothyroidism

bradycardia, weight gain, depression, dry skin

A patient hospitalized with hypoparathyroidism is about to order lunch. Which food selection is best for this patient based on their dietary needs at this time?

broccoli salad, cottage cheese, and peaches

A nurse is performing an admission assessment of a client who has acute glomerulonephritis. The nurse should expect which of the following findings?

c. dark-colored urine

A nurse is reviewing laboratory findings for a client admitted with multiple myeloma. The nurse should expect to see an increase in which of the following laboratory tests?

calcium

a nurse is caring for a client who is postoperative following a parathyroidectomy to treat hyperparathyroidism. which of the following lab values should the nurse expect to decrease as a therapeutic effect of the procedure?

calcium

While assessing a patient with Type-I diabetes, the patient reports feeling anxious, nervous and sweaty. Based on the patients information, the nurse's first action is to check - check video

check Blood glucose level

what's the easiest to do with the kidney working

check I AND O

A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the nurse an understanding of the instructions?

check your feet daily

what do we assess for good circulation?

color of their skin 6 P's

A nurse is caring for patient diagnosed with addison disease. Which S/S should lead the nurse to suspect an adrenal crisis?

confusion and tachycardia

what is the most appropriate nursing diagnosis for the patient recently diagnosed with hyperthyroidism?

disturbed sleep pattern, related to metabolic disturbance

S/S of hyperthyroidism - check video

everything is fast! Nutritional support because they lose weight, eye care because of exophthalmos, provision of a cool environment because they are always hot!, and prevention of diarrhea. Care for a pt with hyperthyroidism should include a cool environment, eye care, nutritional support, & prevention of diarrhea

A nurse is caring for a client who had a cerebrovascular accident (CVA). The client appears alert and engaged during the visit but does not verbally to questions. The nurse should document this finding as which of the following alterations?

expressive aphasia

hyperparathyroidism S/S

fatigue, muscle weakness, constipation,

S/S of meningitis

fever, headache, irritability, altered LOC, nuchal rigidity, increased ICP

Alzeihemer's / Parkinson's disease food choice

finger foods

peritoneal dialysis they are at risk for

infection

How do you know if someone kidney failing?

low urine output

What should we educate patient about metformin. Side effect only thing we spoke about?

no dye for 24-48 hours before and after for procedures. Will kill kidney

A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. which of the following interventions should the nurse take to prevent autonomic dysreflexia?

provide bladder distention have them pee make sure foley is not kink

signs of blood loss for which the nurse observes when a patient with kidney disease returns from undergoing angiography

restlessness, dyspnea, bleeding at injection site

how to check Chvostek's sign

tapping on the facial nerve triggers facial twitching

you go to your patient and you already check their blood sugar 50

u give them fruit juice

A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?

weight gain

A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

will be more thirsty than usual."