Quick check answers H371 Exam 3 + Final Exam
Which of the following is considered an expected pH in healthy person?
7.44
There are several children in the ER waiting area who all have asthma. The nurse has only one room left in the ER. Based on the following information, which child should be seen first?
A 12 month old who has a mild cry, is pale in color, has diminished breath sounds, and has an oxygen saturation of 92%
The nurse is caring for a client who has admitted for asthma. The client has O2 sats of 91 % exhibits audible wheezes and is using accessory muscles. Which class of medication would the nurse anticipate administering?
A beta2 agonist
Which client is most at risk for cancer ?
A client with a body mass index of 35 kg/m2 and smoked cigarettes for 20 years
Which of the following definitions best describes cystic fibrosis?
A multi-symptom disorder affecting the exocrine or mucus producing glands - affects many other organs as well
Primary etiology reponsible for the development of emphysema in non-smokers
A1 antitrypsin deficiency
Which of the following assessment findings is the result of structural changes?
AP diameter 1:1
The home health nurse visits a patient with metastatic breast cancer receiving palliative care. The patient is experiencing pain at a level 9/10. In prioritizing acivites for the visit, what should the nurse complete first?
Administer PRN pain medication
What is a nursing intervention that is indicated for a client during a sickle cell crises?
Administration of large doses of continuous opioid analgesics
Pain control is often a concern of dying children and their parents. Which strategy should the nurse use to help them deal with this concern?
Adopt a medication schedule that will prevent the pain from escalating.
Placement of the chest tube determines the purpose of the chest tube. A chest tube placed in the second intercostal space is designed to remove_______
Air
Tumor markers
Antigens that can indicate cancer growth
Anemia may be a side effect of chemotherapy treatment. Children with profound anemia should:
Be allowed to regulate their own activity level with adult supervision to balance activity and rest
What is the gold standard for a definitive diagnossis of children with leukemia?
Bone marrow biopsy
Radiographic studies
CT and mammography to indicate tumor
Metastasis refers to?
Cancer cells that have spread to another location
The primary medication given for symptomatic clients (With Parkinson's)
Carbidopa/Levadopa
Typically the first known symptom of MS is
Changes in visual field
Which intervention is appropriate for care of the child with cystic fibrosis?
Complete chest physiotherapy two to four times per day - help loosen secretions and move secretions to facilitate expectoration
Which statement is best describes the Tumor, Node, Metasisis (TNM )classification system?
Determines the anatomical extent of the disease involvement according to three parameters
Which of the following is a characteristic of empysema?
Development of bullae and blebs
Which statement best describes a neuroblastoma?
Diagnosis is usually made after metastasis occurs (known as "silent tumor")
A 10 year old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates worsening of the condition?
Diminished wheezing (this is called SILENT CHEST)
Clients taking tamoxifen need to be aware of which of the following side effects:
Disturbances in visual acuity
Identify possible causes of respirator acidosis (select all that apply)
Drug OD Hypoventilation
T or F - Clients who have lumpectomy do not require additional interventions.
FALSE
T or F - Palliative care and Hospice Care are the same thing.
FALSE
T or F - When transporting the client the nurse should clamp the tube.
FALSE
T or F - Central nervous system brain tumors are easy to treat with a good prognosis
FALSE - difficult to treat, poor prognosis
Parkinson's Disease is considered an inherited disease
False
Medication compliance can cure MS
False, no cure only mgmt
Which of the following statements is appropriate for the nurse to address to the parents of a child with CF who are planning to have a second child?
Genetic counseling is recommended
Which of the following are characteristics of chronic bronchitis?
Hyperplasia of mucus secreting glands
Which of the following best describes the etiology of sickle cell anemia?
Increased red blood cell (RBC) destruction
When a patient has neutropenia, they are at risk for which complication?
Infection
The nurse is with a client using an albuterol MDI. The client takes two puffs in rapid succession. Which intervention is the priority?
Instruct the client about proper techniques for using and MDI inhaler
The nurse is caring for a client with colon cancer who is being evaluated for possible metastasis. Which of the following is one of the most common metastasis sites for cancer cells?
Liver
A child with asthma states, "I want to play some sports like my friends. What can I do?" The nurse responds to the child based on the understanding of which of the following?
Most children with asthma can participate in sports if the asthma is controlled
Multiple Sclerosis (MS) is a chronic progressive digenerative disorder characterized by the loss of which of the following?
Myelin sheath (of nerves)
The treatment of a nervous system tumor in children consists of all of the following except:
Myelography (will use surgery, radiation, and chemo)
The nurse is caring for a terminally ill child who is receiving palliative care. When explaining the purpose of palliative care to the child's caregiver, the nurse recognizes the need for additional instruction when the caregiver makes which statement?
Palliative care interventions hasten death
Your client received chemotherapy last week and admits to the ED with a nose bleed. What lab would the nurse anticipate drawing on this client?
Platelet count
The nurse is caring for a client receiving chemotherapy. Which assessment finding would indicate the client has developed stomatitis?
Red, open sores on the oral mucosa
Secondary Progressive MS
Relapsing-remitting initial course, followed by progression with or without occasional relapses, minor remissions, and plateaus
During discharge teaching of a client with newly diagnsed sickle cell disease, what should the nurse teach the client to do?
Seek early medical intervention for upper respiratory infection
Type of lung cancer that has the most rapid growth
Small Cell
The definitive diagnosis of a nervous system tumor in children is
Surgical biopsy
Which of the following tools is the definitive diagnosis for cystic fibrosis?
Sweat Chloride test
T or F - Brain tumors are the most common type of solid tumors in children
TRUE
T or F - Cancer Incidences have decreased since the 1990s
TRUE
T or F - Fluctuation of the water in the water-seal chamber is an expected finding.
TRUE
T or F - Infants, whose fontanelles are open, may not show early signs of increased intracranial pressure.
TRUE
T or F - Leukemic cells invading the periosteum can lead to severe pain and possible fractures in the child
TRUE
T or F - Lung cancer impacts more men than women
TRUE
Which statement best describes palliation?
The use of chemotherapy and/or radiation to reduce the tumor size and relieve subsequent symptoms
Match the acronym TRAP to the associated characteristics
Tremors Rigidity Akinesia Postural instability
Identify possible causes of metabolic alkalosis (select all)
Vomiting Excess licorice Diuretic therapy
Relapse-remitting MS
clearly defined relapses of acute worsening of neurological function followed by partial or complete improvement and then stable periods of remission between attacks
Which of the following is the first symptom to develop in COPD?
cough (persistent)
Estrogen + breast cancer means:
estrogen supports growth of the tumor
In the event the chest tube becomes disconnected from the closed system, which of the following should the nurse do first?
immerse chest tube in 2 cm sterile water
PET scan
indicates metastasis throughout the body
A fully compensated ABG requires which of the following criteria?
pH is normal with 2 buffer systems out of range
Progressive-relapsing MS
progressive from onset with clear relapses with or without full recovery
Tissue biopsy
removal of tissue for pathological analysis
Primary Progressive MS
steady worsening function from onset with minor improvements but no distinct relapses or remissions
Fine needle aspiration
using a small needle to provide cells from a mass for cytologic examination
A 2-year old has just been diagnosed with CF. The parents ask the nurse what early respiratory symptoms they should initially expect to see in their child. Which is the nurses's best response?
"You can expect your child to develop a productive cough" - productive cough is common in CF
The parents of a 4-month-old with CF asks the nurse what time to begin the child's first CPT each day. Which is the nurse's best response?
"You should do the first CPT 30 minutes before feeding the child breakfast." - to prevent emesis or aspiration
Identify the average suction pressure ordered for a chest tube
-20cm
A nurse is caring for a cihld with thrombocytopenia. Which of the following actions should the nurse take?
-Avoid peripheral venipunctures -Monitor for s/s of bleeding
Which assessments would the nurse complete during a neurological assessment? Select ALL that apply.
-Level of Consciousness -Muscle strength -Pupil size and reaction
A nurse is assessing a child with leukemia. Which of the following are early manifestations of leukemia?
-Petechiae -Bruising -Fever -Fatigue
An elderly client is receiving palliative care for heart failure. The primary purposes of palliative care are to (SELECT ALL THAT APPLY)
-educate family members on how to assess their loved ones pain -improve quality of life -assess coping ability of disease
A nurse is caring for a child who has oral mucositis. Which of the following actions shold the nurse take?
-offer soft foods -soft disposable toothbrush for oral care -encourage gargling with warm saline mouth rinse
