INDIVIDUALS II FINAL EXAM

Which of the following statement(s) is correct?

A & B -px w pt w active TB will have positive TB skin result, and symptoms, chest xray showing active tb results -pt w latent tb will have...

After change-of shift report, which patient should the nurse assess first?

A 23 year old with type 1 diabetes who has a blood glucose of 40 mg/dL

The nurse receives change-of-shift report on the following four patients. Which patients should the nurse assess first?

A 46-year-old patient on bed rest who is complaining of sudden onset of shortness of breath

When caring for a patient who is hospitalized with active tuberculosis (TB), the nurse observes a student nurse who is assigned to take care of a patient. Which action, if performed by the student nurse, would require an intervention by the nurse?

A surgical face mask is applied before visiting the patient.

A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a patient with congestive heart failure. Which instructions would the nurse provide to the UAP when delegating care for this patient? (Select all that apply.) a. reposition the client every 2 hours b. teach the client to perform deep breathing exercises c. accurately record intake and output d. use the same scale to weight the client each morning e. place the client on oxygen if the client becomes short of breath

A,C,D

Nurse Jane has been asked by the doctor to provide teaching to a patient on risk factors for primary hypertension, nurse Jane decided to focus her teaching on the modifiable risk factors, which include

ALL OF THE ABOVE

A nurse is assessing a patient with peripheral artery disease (PAD). The patient states that walking five blocks is impossible without pain. What question asked next by the nurse will give the best information?

"Could you walk further than that a few months ago?

The nurse is assessing a 22-year old patient experiencing the onset of symptoms of type 1 diabetes. Which question is most appropriate for the nurse to ask?

"Have you lost weight lately?"

A nurse assesses a patient in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure?

"I must stop halfway up the stairs to catch my breath."

The nurse has been teaching a patient with type 2 diabetes about managing blood glucose levels and taking glipizide (Glucotrol). Which patient statement indicates a need for additional teaching?

"My Diabetes won't cause complications because I don't need insulin"

The nurse teaches a patient about prevention of transmission of pulmonary tuberculosis (TB) to household. Which statement, if made by the patient, indicates that teaching was effective?

"My husband will sleeping in the guest bedroom."

A 26-year-old female clerk with H/O frequent UTI asked the nurse what she can do to prevent having more UTI, the nurse responds by educating the patient to do which of the following to prevent UTI?

-Drink a lot of fluids -Empty bladder fully and frequently -wipe your perineal area or yr area in general from front to back

An emergency room nurse admitting a patient with myocardial infarction among other interventions understands that her role would include which of the following?

-elevating head of bed -administering oxygen -administrating nitroglycerin and morphine as ordered

Cipro 250 mg by mouth q12h has been prescribed to treat urinary tract infection. Available is cipro 500mg tablets. How many tablets will the nurse give for each dose?

1/2 tablet

A patient receives aspart (NovoLog) insulin at 8:00 am. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?

10:00 am

A nurse promptly refers a patient with symptoms of appendicitis to emergency room to avoid a major complication associated with appendicitis, which is?

Abdominal abscess and something else

A 19-year-old college male presents to the emergency room 2 weeks after a recent pharyngeal strep infection with periorbital edema,elevated BP, oliguria, the nurse suspects this patient may have which of the following:

Acute glomerulonephritis

A patient who had a subtotal thyroidectomy earlier today develops laryngeal stridor and a cramp in his right hand upon returning to the surgical nursing unit. Which collaborative action will the nurse anticipate next?

Administer IV calcium gluconate

In caring for a patient diagnosed with pneumonia and without history of any other medical problems, the nurse anticipates that his/her role would include the following except.

Administering warfarin

A home health nurse is at the home of an ashtmatic patient for a visit when the patient started having dry cough, wheezing,and records a peak flow meter reading within 50 to 80%, as a nurse familiar with asthma medications and interpretation of peak flow meter reading, the nurse advises or helps the patient use which asthma medication for rescue?

Albuterol inhaler and monitor patient

A nurse's physical examination of a patient with neurological problems would include:

All of the above

A patient is in the hospital after suffering a myocardial infarction and has bathroom privileges. The nurse assist the patient to the bathroom and notes the patient's O2 saturation to be 95%, pulse 88 beats/min, and respiratory rate 16 breaths/min after returning to bed. What action by the nurse is best?

Allow continued bathroom privileges

Which eating disorder is characterized by self-starvation, intense fear of being fat, refusal to eat and extreme thinness:

Anorexia nervosa

When a 74-year-old patient is seen in the health clinic with new development of a stooped posture, shuffling gait, and pill rolling-type tremor, the nurse will anticipate teaching the patient about

Antiparkinson's disease

A patient had a femoral-popliteal bypass graft with a synthetic graft. What action by the nurse is most important to prevent wound infection?

Appropriate hand hygiene before giving care

An alcoholic and homeless patient is diagnosed with active tuberculosis (TB). Which intervention by the nurse will be most effective in ensuring adherence with the treatment regimen?

Arrange for a daily noon meal at a community center where the drug will be administered

A male patient in an outpatient clinic provides a urine sample that is orange in color. Which action should the nurse take first?

Ask about what medications the patient takes

An older adult is on cardiac monitoring after a myocardial infarction. The patient shows frequent dysrhythmias. What action by the nurse is most appropriate?

Assess for any hemodynamic effects of the rhythm

The nurse observes a patient ambulating in the hospital hall when the patient's arms and legs suddenly jerk and the patient falls to the floor. The nurse will first

Assess for head injury

The nurse taking care of a 65 year old patient who had just returned from EGD (esophagogastroduodenoscopy) testing plans to do which of the following first before feeding him by mouth

Assess gag reflex

A nurse admits a patient who is experiencing an exacerbation of heart failure. Which action would the nurse take first?

Assess the client's respiratory status

P wave represents which of the following?

Atrial depolarization- Passage of impulse from SA node through atria causing atrial depolarization (contraction)

When caring for a patient with a left arm arteriovenous fistula, which action will the nurse include in the plan of care to maintain the patency of the fistula?

Auscultate the fistula site for a bruit .

The nurse is evaluating a 3-day diet history with a patient who has an elevated lipid panel and coronary artery disease (CAD). What meal selection indicates that the patient is following the right diet?

Baked chicken breast, broccoli, tomatoes

The nurse advises her 20 yr old college athlete with history of exercise-induced asthma who is about to engage in sport activity to take her albuterol inhaler at what point?

Before sports

Admission vital signs for a brain-injured patient are blood pressure 128/68, pulse 110, and respirations 26. Which set of vital signs, if taken in 1 hour after admission, will be of most concern to the nurse?

Blood pressure 154/68, pulse 56, respirations 12

Which eating disorder is characterized by episodes of binge eating and purging, inappropriate behaviors to avoid weight gain (vomiting, laxative abuse, over exercise)and persistent concern with body image?

Bulimia nervosa

Which disease is likely to cause a patient to have a barrel chest, pursed lip breathing, assume tripod position, retain high level of carbon dioxide and develop hypoxemia (O2 saturation < 88%)?

COPD

A patient with newly diagnosed lung cancer tells the nurse, "I don't think I'm going to live to see my next birthday." Which response by the nurse is best?

Can you tell me what it is that makes you think you will die so soon?

Nurse Mary understands that her brain injury patient with severe balance and coordination problem likely have damage in which part of the brain?

Cerebellum

Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is correct?

Changes in diet and exercise may control blood glucose levels in type 2 diabetes

A patient has arrived for a scheduled hemodialysis session. Which nursing task is most appropriate for the RN to delegate to a dialysis technician?

Check blood pressure before starting dialysis

A 38-year old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM. The clinic nurse will plan to teach the patient to

Check glucose level before, during, and after swimming

During routine hemodialysis, the 68-year-old patient complains of nausea and dizziness. Which action should the nurse take first?

Check the patient's blood pressure.

Which information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

Choose flat soled leather shoes that fully cover the feet

Which one of the following is a modifiable cause of lung cancer, head and neck cancer and COPD?

Cigarette smoking

A 59 yr old patient presents to the clinic with complaints of constipation the past 6 months that doesn't go away even after eating high fiber foods, drinking plenty of water and took over the counter stool softener. He reports he does strain with bowel movement, and now his stool comes out looking narrow and ribbon or pencil-like. He also complained of unexplained weight loss. The nurse makes sure to inform the healthcare provider of these symptoms as she is concerned this patient's complaint is suggesting which of these diseases?

Colon cancer

A patient who has neither been hospitalized nor resided in a long-term care facility in the past 14 days presents to the outpatient clinic with symptoms of pneumonia, which type of pneumonia would this patient likely have? .

Community-Acquired Pneumonia (CAP)

Which finding by the nurse will be most helpful in determining whether a 67-year old patient with benign prostatic hyperplasia has an upper urinary tract infection?

Costovertebral tenderness

The nurse caring for a patient with CHF is about to administer digoxin to her patient, which of these should the nurse do first?

Count the heart rate

Upon physical examination, nurse Joe noticed that his 65-year old patient who had been stable, is now unable to raise eyebrow, puff cheek or wrinkle forehead on the left side of his face, thus leading the nurse to suspect that the patient may have developed Bell's Palsy, which is a damage in which cranial nerve?

Cranial nerve VII (facial)

You have received an order to discharge a patient who was admitted due to stroke, knowing the risk factors for stroke, what in this patient's admission data would prompt you to reiterate lifestyle changes he needs to make in order to help prevent another stroke?

Current cigarette Smoking and alcohol use

When a brain-injured patient responds to the nail bed pressure with flexion, internal rotation of arms and wrists, the nurse reports the response as:

Decorticate

A 23 year old male with a history of diabetes caused by genetic and environmental factors, which he manages with insulin only, presents to the ER with nausea and vomiting, abdominal pain, confusion, excessive thirst and urination, severely elevated glucose level, and fruity-smelling breath, the nurse recognizes these symptoms as:

Diabetic Ketoacidosis (DKA)

A 38 year old patient presents to an outpatient clinic for lab results conducted as part of his regular annual physical 2 weeks ago; the nurse while glancing at the lab results, noticed that this patient has a fasting glucose of 130 mg/dL, the nurse anticipates that in order to diagnose this patient with diabetes, the clinician will

Do another fasting glucose blood test

The nurse checks for swallowing ability by checking gag reflex before feeding patients with the following disease(s) because she understands the patients with this or these diseases often have difficulty swallowing and thus at risk for aspiration:

Dysphagia

A 20-year old patient with a history of seizure disorder has been admitted to your unit due to changing seizure characteristics and increased frequency within the past 2-3 months, a nurse familiar with diagnostic testing for this disorder anticipates that among other tests, the doctor is most likely to order which of these to monitor the patient's seizure activity?

Electroencephalography (EEG)

A patient with a possible pulmonary embolism complains of chest pain and difficulty breathing. The nurse finds a heart rate of 142 beats/minute, blood pressure of 100/60 mmHg, and respirations of 42 breaths/minute. Which action should the nurse take first?

Elevate the head of the bed to a semi-Fowler's position

A 60-year old patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney for hypertension. The nurse will monitor for what

Elevated serum potassium

The nurse understands that a patient with chronic kidney disease could be receiving Procrit or Epogen injection to treat anemia due to the kindey's inability to produce which of the following hormones that helps stimulate RBC production?

Erythropoietin

A patient who is taking rifampin (Rifadin) for tuberculosis calls the clinic and reports having orange discolored urine and tears. Which is the best response by the nurse?

Explain that orange discolored urine and tears are normal while taking this medication.

A 70 yr old male status post esophagectomy has developed dysphagia, thus has been started on intermittent enteral feeding through NG tube, the nurse includes the following in his care plan except

Giving parenteral IV fluids through feeding tube

A few weeks after an 82-year old with a new diagnosis of type 2 diabetes has been placed on metformin (Glucophage) therapy and taught about appropriate diet and exercise, the home health nurse makes a visit. Which finding by the nurse is most important to discuss with the health care provider?

Glomerular filtration rate is decreased

A 37 year old female with hx of lupus and chronic kidney disease is hospitalized due to worsening chronic kidney disease. Which information if reviewed by the nurse would suggest the patient has now likely has ESRD (end stage renal disease)?

Glomerular filtration rate of less than 15

Which information will the nurse include when teaching a 50-year old patient who has type 2 diabetes about glyburide (oral) (Micronase, DiaBeta, Glynase)?

Glyburide stimulates insulin production and release from the pancreas

A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now. Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?

Glycosylated hemoglobin level

A patient with a blood pressure reading of > 180 mmHg systolic and/or >DBP 110 mmHg will be considered to have.

HYPERTENSIVE CRISIS SHOULD SEEK er CARE

A client is receiving Lanoxin (digoxin) and Lasix (furosemide) twice a day. In planning the client's care the nurse should assess for which complication?

HYPOKALEMIA (low potassium level)

Which question will provide the most useful information to a nurse who is interviewing about a possible thyroid disorder?

Have you had any recent change in weight loss or weight gain

A RN on the renal unit knows risk factors for urinary tract infection to include all of the following except

Having asthma

The nurse is caring for a 63 year old with a possible tumor who is scheduled for a compound tomography (CT) scan with contrast. Which information about the patient is most important to discuss with the health care provider before the test?

History of renal insufficiency

A patient with which one of these diseases is likely to have profound depression, uncontrolled fits of anger and increased appetite for sweets?

Huntington's Disease

The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?

I can choose any food, as long as I use enough insulin to cover the calories

Which statement by the patient indicates a need for additional instruction in administering insulin?

I need to rotate injection sites among my arms, legs, and abdomen each day

A 68-year old male patient is brought to the emergency department (ED) by ambulance after being found unconscious on the bathroom floor by his spouse. Which action will the nurse take first?

I think it was assess patient for head injury

A 44yr old hypertensive male called the outpatient clinic to inform the doctor that he wanted to stop taking his blood pressure medication due to erectile dysfunction, what is the most appropriate instruction the nurse should give to this patient?

IT MUST BE FRUSTRATING TO DEAL WITH (something around this answer

Which nursing diagnosis is of highest priority for a patient with Parkinson's disease who is unable to move the facial muscles?

Imbalanced nutrition less than body requirements

The nurse taking care of a stroke patient with expressive aphasia expects that the patient will likely have:

Inability to talk (express oneself)

A nurse at a local college has noticed that a 20 yr old male in the nursing program often presents to the clinic complaining of diarrhea and stomach pain/discomfort that often occur on the days he has exams, the nurse recommends high fiber diet and instructed him to see his doctor for anxiety and may be diarrhea medication because she suspects this pt may have what disease?

Irritable bowel syndrome (IBS)

Which of the following illnesses can be treated with lithotripsy?

Kidney stones and Renal calculi

A 48-year old male patient screened for diabetes at a clinic has a fasting plasma glucose level of 120mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about

Lifestyle changes to lower blood glucose

A patient in the cardiac stepdown unit reports severe, crushing chest pain accompanied by nausea and vomiting. What action by the nurse takes priority?

Maintain airway patency

In prioritizing the care of a patient with stroke, which of the following would the nurse do first

Manage airway

A patient with brain injury who is having problems maintaining normal heart rate, respiration and blood pressure, likely sustained injury by which of the following parts of the brain?

Medulla Oblongata

A 21-year old college student presents to the ER lethargic with complaint of fever, nausea, and vomiting, headache and fatigue that started abruptly last night, upon physical examination, the nurse notices that the patient's neck appears stiff, the nurse immediately notifies the doctor, initiates respiratory isolation as this patient is showing signs and symptoms of which of the following:

Meningitis

A 55-year old patient with a history of headaches presents to the clinic this morning with reports of one-sided throbbing headache, sensitivity to light, nausea and vomiting that started early this morning nurse John with knowledge of different types of headache, suspects this patient may be having what type of headache?

Migraine headache

A patient has been diagnosed with hypertension but does not take antihypertensive medications because of a lack of symptoms. What response by the nurse is best?

Most people with hypertension do not have symptoms.

A nurse assesses a CHF patient admitted to the cardiac unit. Which statement by the patient alerts the nurse that this patient may have right-sided heart failure?

My shoes fit really tight lately.

Which of the following diseases causes massive proteinuria?

Nephrotic syndrome

The nurse educates his asthmatic patient to rinse his mouth after administering inhaled corticosteroid in order to reduce the risk for which of the following?

Oropharyngeal candidiasis

Which hospitalized patient will the nurse assign to the room closest to the nurse's station?

Pt with new onset confusion, restlessness, and irritability after surgery

Which of the following meal selections provides a low-cholesterol, low-saturated fat breakfast?

RICE CEREAL, skim milk, whole grain bread and orange juice

A 56-year-old female patient is admitted to the hospital with new onset nephrotic syndrome. Which assessment data will the nurse expect?

Recent weight gain

A hospitalized diabetic patient received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient has been away from the nursing unit for 2 hours, missing the lunch delivery while awaiting chest x-ray. To prevent hypoglycemia, the best action by the nurse is to

Request that if testing is further delayed, the patient be returned to the unit to eat

Which assessment is most important for the nurse to make regarding a patient with myasthenia gravis?

Respiratory Effort

Electrical impulse in the heart as seen on ECG normally begins in which one of these?

SA node otherwise known as pacemakers of the heart

A 58 yr old male that smokes 1 pack of cigarettes a day for 30 years has been admitted to the hospital due to a progressive dysphagia, weight loss and regurgitation of blood-flecked esophageal contents, the nurse anticipates that the doctor would likely order what diagnostic tests to rule out or confirm esophageal cancer:

Some type of biopsy

The nurse is taking care of a new patient admitted with tumor in the frontal lobe of the brain anticipates that the patient would likely have problems with?

Speech articulation, behavior, moral decision making and emotional outburst

The nurse educates a patient with seizure disorder to avoid abruptly stopping seizure medications as such poor self-care behavior could put the patient at risk for which of these?

Status Epilepticus

Upon entering a patient's room, the nurse notices that her 67-year old male initially admitted for pneumonia, appears confused, speech slurred, with one-sided weakness, the nurse calls for help and initiates intervention as she suspects her patient's symptoms suggest which of the following:

Stroke

Which statement by a patient who had a cystoscopy the previous day should be reported immediately to the health care provider?

Temperature of ___ (basically answer choice that shows a high temperature is the answer)

The difference between upper urinary tract infections such as pyelonephritis and lower urinary tract infection such as cystitis (bladder infection/inflammation) is that;

The one with the long answer choice that talks about upper urinary tract infections causing dysuria and etc

The nurse is caring for a hospitalized older patient who has nasal packing in place to treat a nosebleed. Which assessment findings will require the most immediate action by the nurse? a. the oxygen saturation is 86% b. the nose appears red and swollen c. the patient's temperature is 100.1F (37.8C) d. the patient complains of level 8 (0-10 pain scale)

The oxygen saturation is 86%

Which information about a 30-year old patient who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?

The patient takes oral corticosteroids for rheumatoid arthritis

Two diseases that make up inflammatory bowel disease includes:

Ulcerative colitis and crohn's disease

A 46-year-old female patient presents to the outpatient clinic with complaint of dysuria, urinary frequency and urgency for two days. The nurse anticipates the healthcare provider (physician, NP or PA) will likely order what kind of test in the clinic first?

Urinalysis or urine dipstick

A patient with myocardial infarction (MI) is likely to have the dysrhythmia depicted in the picture below as a complication, what is the name?

Ventricular tachycardia

A nurse cares for a patient with end-stage heart failure who is awaiting a transplant. The patient appears depressed and states, "I know a transplant is my last chance, but I don't want to become a vegetable." Which of the following responses is the most appropriate?

Would you like information about advance directives?

Which patient is likely to be discharged home with a prescription for warfarin (coumadin)?

a patient that was admitted for pulmonary embolism or deep vein thrombosis

A clinic nurse reading a TB skin test result interprets and records a 5 mm in duration in a patient with HIV as:

a positive TB skin test result

Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? a. weal nonproductive cough effort b. large amounts of greenish sputum c. respiratory rate of 28 breaths/minute d. resting pulse oximetry of 85%

a. weal nonproductive cough effort

A 26-year old patient with diabetes rides a bicycle to and from work every day. Which site should the nurse teach the patient to administer the morning insulin? -thighs -buttocks -upper arm -abdomen

abdomen

A nurse is caring for a patient diagnosed with TB. Which infection control precautions would the nurse use?

airborne precaution

The nurse collecting subjective data on a homeless patient in ER suspects the patient may have TB when he complains of weight loss, fatigue, productive cough, night sweats, fever and blood in sputum that started 3 weeks ago. The nurse understands that homelessness as well as which of the following are risk factors for TB: a. living or working in institutions (includes health care workers) b. IV injecting drug users c. immunosuppression d. all of the above

all of the above

Though no single risk factor accounts for most cases of colon cancer, but is more prevalent among people with which of these: a. family history b. IBS c. something else d. all of the above

all that apply (all the above

A nurse in an outpatient clinic is taking care of a patient that presents with complaints of burning, squeezing pain that radiates to the back, neck, jaw, and arms x2 days, patient was scared she could be having a heart attack, the nurse suspects this patient was having gastroesophageal reflux (GERS) when the patient states the pain is usually relieved by:

antacid

A 22 yr old female presents to the nurse's office with complaints of abdominal pain, fever of 100.3, nausea and vomiting; upon palpation, the nurse noted the patient was guarding her right lower abd quadrant due to tenderness, the nurse refers pt may have which of the following?

appendicitis

A 25 year old male presents to the emergency room with complaint of a sudden onset of severe pain in the left flank area; pain radiate to scrotum, groin and lower abdomen; the nurse describes this pain a

appendicitis

Which of the following diseases is the most common reason for emergency abdominal surgery?

appendicitis

The first choice drug(s) used in treating uncomplicated urinary tract infection include:

bactrim and macrobid

The nurse will plan to teach a 27-year-old female who smokes 2 packs of cigarettes daily about the increased risk for:

bladder cancer

The most common complication following a MI is:

cardiac dysrhythmias

The healthcare provider in an outpatient clinic has asked the nurse to inform a 50 yr old patient who presents to the clinic today for annual physical that the healthcare provider will be returning to the room to discuss an important test that he would need to be scheduled for to screen for colon cancer, the nurse anticipates that the test would most likely be:

colonoscopy

The physician has requested that the nurse educates a patient admitted to the hospital with GERD on how to manage her disease upon discharge, the nurse knowing the lifestyle modification involved with management of this disease would educate the patient as thus a. manage weight b. don't sleep for 2-3 hours after eating c. something d. all of the above

d. all of the above

A 70 yr old male presents to the emergency room with complaint of bloating, flatulence, low grade fever, constipation and a dull crampy pain in the left lower abd quadrant x 2 days, while gathering subjective data, the nurse inquired about this patient's diet especially his fiber intake because she suspects he may have which of these diseases

diverticulitis

The nurse includes intake of high fiber diet, low fat and red meat intake and increase physical activity in discharge plan for a patient about to be discharged from the hospital because these measures reduce the risk for what disease?

diverticulitis

Joshua, a 30-year old patient with history of seizure disorder just started having a seizure while eating breakfast in a shared hospital room, nurse Mary would do all of the following except: -monitor airway -provide privacy -mental status monitoring -help to floor -[rptect head -insert tongue depressor

insert tongue depressor

Nursing interventions for a patient diagnosed with renal calculi include which of the following?

lithotripsy

A morbidly obese patient has been on bed rest since surgery two days ago, which of the following medication would the nurse anticipate the doctor would likely order to prevent deep vein thrombosis?

lovenox

While conducting a health fair, the nurse noticed that a 55 yr old male was holding his chest and complaining of severe substernal chest pain that radiates to the neck and left arm, as well as nausea and vomiting, the nurse calls 911 as she suspects this patient could be having which of the following?

myocardial infarction

The nurse receiving report from ER on a TB patient being admitted to the unit plans to place the patient in which type of room?

negative pressure from a room that would remain closed the whole time

A 48 yr old pt w/ worsening chronic kidney disease has produced less than 400mL or urine in the past 24 hrs; the nurse notifies the attending physician as she recognizes as

oliguria

The nurse preparing to change a patient's sternal dressing. What action by the nurse is most important?

perform hand hygiene

To prevent pneumonia, the nurse educates her elderly patients on the importance of receiving which of these vaccines?

pneumococcal and influenza vaccines

A nurse is assessing a patient with left-sided heart failure. For which clinical manifestation(s) would the nurse assess? Select all that apply. a-Pulmonary crackles b-Cough that worsens at night c- Confusion, restlessness d-Pulmonary hypertension

pulmonary crackles & cough that worsens at night

A 37-year-old patient is being admitted with a diagnosis of Cushing's syndrome. Which findings will the nurse expect during the assessment?

purple red striae (stretch marks) on the abdomen, breast or buttocks

A 32-year old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for meal time coverage?

rapid acting LISPRO

After the insertion of an arteriovenous graft (AVG) in the right forearm, a 54-year-old patient complains of pain and coldness of the right fingers. Which action should the nurse take?

report the patient's symptoms to the healthcare provider

A patient with injury in the parietal lobe of the brain is likely to have difficulty with

there was no answer, but something with spatial, parietal touch sensory etc...

Having inflammatory bowel disease (IBD) can be a risk factor for small intestinal and/or colon cancer: true or false

true

Treatment of patients with eating disorders would include improved nutrition as well as psychiatric care, personal and family counseling: true false

true

Ulcerative colitis is limited to the colon while Crohn's disease can involve any segment of the GI from the mouth to the anus: true false

true

Which patient is likely to have severe bloody diarrhea?

ulcerative colitis