Med surg final 2

The nurse is providing care for a patient after surgery for a treatment of trichomonas neuralgia. Which action should the nurse take when providing care?

Check the ion surgery side for corneal sensation

The nurse is preparing to assist a patient with eating who is recovering from a stroke. What action should the nurse take?

Check the patient's mouth periodically for presence of pocketed food

The nurse is reinforcing teaching provided to patient with a history of calcium oxalate kidney stones. The nurse recognize as a teaching has been effective if the patient avoid which foods

Cocoa, spinach, instant coffee

The nurse is reinforcing teaching provided to patient with peptic ulcer. Which patient statement indicates understanding of medication famotidine?

It inhibits gastric acid secretion

The nurse is assessing a patient recently diagnosed with chronic Mylogenous leukemia. What priority should a nursing included when caring for this patient?

Monitor vital signs every shift

The patient is admitted to the hospital with a hyperosmolar hyperglycemia. The patient has BG value of 987 which is priority focus while providing care?

Monitoring BG level

The nurse is employed at a diabetes outpatient clinic, which patient is identified by having the greatest risk for requiring dialysis?

The older adult with type two DM, unstable, BG, and hypertension

The LVN is to assist th

The patien

The nurse is providing care for a patient with expressive aphasia. Which intervention does the nurse expect to find that in the patients care plan?

Use a picture board. Provide pencil and paper.

What causes aphthous stomatitis?

Vitamin B 12 deficiency

The nurse is monitoring the sex of a water deprivation test on a patient suspected of diabetes and stepless related to pituitary dysfunction. Which test results support the diagnosis?

Weight loss occurs due to large amount of urine voided

The nurse is caring for a patient who comes to a clinic with severe hypertension, tachycardia, palpations, diaphoresis, and feeling of apprehension. What question should the nurse ask?

What is your normal blood pressure?

nurse is caring for a patient who comes to the clinic with severe hypertension, tachycardia, palpitations, diaphoresis, and feeling of apprehension. What questions should the nurse asked?

What is your normal blood pressure?

A patient is stabilized after having an allergic reaction what teaching should occur before discharge?

Where medical alert identification

A patient who is prescribe neostigmine for a newly diagnosed MG ask how the medication works. Which response would the nurse provide to the patient?

It makes more neurotransmitters available, so your muscles can contract

The nurse is speaking with the family of patient diagnosed with Guillian Barr syndrome. They ask what can cause something like this. How should the nurse reply?

It may be an auto immune reaction to a virus

LVN is monitoring a patient with a goiter who is scheduled for surgery. Physical inspection reveals only slight swelling in the anterior base doesn't it. Which finding a prompt, the LVN to notify the RN?

It whistling sound when breathing

A patient with GPS has stopped having progression of symptoms. The family ask the nurse how much longer will it be before the patient begins to improve. How should the nurse reply?

It will take a week or two before there is improvement

The nurse is teaching the family of a child who is allergic to peanuts about important topics regarding allergy. Name statements made by parents indicating understanding of the teaching.

1. I will make sure my child wears a medical alert bracelet at all times. I will notify my child's school of peanut allergy. I am going to ensure my child carries an EpiPen all the time. 3. 2.

The nurse is reinforcing teaching for a patient who is on two injections of regular Humulin R insulin daily. How many hours after each injection should the nurse monitor for signs of hypoglycemia?

2 hours

how soon can HIV virus be transmitted to others?

2-4 weeks

What should the nurse consider is being a normal amount of urine with another ladder after urination?

25ml

A patient who is one day postoperative, thyroidectomy reports feeling numb around the mouth and has experience random muscle twitches. Which IV medication does a nurse anticipate being prescribed by the healthcare provider?

Calcium gluconate

The nurse is caring for a patient with glomerulonephritis. which form of kidney injury should the nurse realize has occurred with this patient?

Intrarenal

The nurse is caring for a patient who is diagnosed with MG. What is the nurses priority of care?

Monitor the patient's respiratory function and ability to swallow effectively

The nurse is caring for a patient admitted with malnutrition and place on parenteral nutrition. Which information should the nurse consider regarding insulin therapy for this patient?

A combination of insulin's is used for control

The nurse is preparing to provide care for a client diagnosed with peptic ulcer disease. Which considerations should the nurse make?

A common cause of infection from H. pylori

The nurse is providing care for a group of patients. Which patient should be monitored for serum sickness?

A patient who receives anti-venom for snakebite

A patient is admitted from the emergency department to the hospital following the diagnosis of it is a Mattick stroke. The patient did not qualify for TPA therapy. What findings indicate the patient may have developed a complication?

A warm, Reddened area on the calf

The LVN is monitoring patient for goiter, or who is scheduled for surgery. Physical inspection reveals only slight swelling in the anterior base of the neck. Which finding a prompt, the LVN to notify the RN?

A whistling sound heard, when breathing

The nurse provides care for an older adult residence in an extended care facility. One resident is experiencing diarrhea, loss of appetite, weakness, and drowsiness. In which area focus should the nurse collect data?

Cardiovascular system

A patient comes into the emergency department with unilateral paralysis, aphasia, and inability to follow directions. Which emergency management should the nurse question?

Careful monitoring it changes and patience level of consciousness

A patient comes to the emergency department with sudden onset, severe headache. That is the worst pain of my life. What diagnosis should the nurse assume Intel providing otherwise?

Cerebral aneurysm, rupture

A patient is brought to the ER after being hit by a baseball bat during a game. Which findings is priority concern, and should be immediately reported to the HCP or RN.

Change in heart and respiratory rate, fever, and diaphoresis

The nurse is caring for a patient was serum sickness. Which action should the nurse take?

Administer antibiotics, analgesics, anti-inflammatories as prescribed

The nurse is planning care for a patient diagnosed with chronic renal failure. The nurse notes that the patient's outfit is 620 ML for the last 24 hours. The patient has pre-orbital, edema and cockles and all lung fields upon auscultation. which intervention is the most important for the nurse to implement during the care of this patient?

Administer oxygen therapy

The nurse is aware that a 12 year old male client is at a 5th percentile on the growth chart for height. Which medical intervention does the nurse expect that HCP to prescribed?

Administration of growth, hormone therapy for adult height

The nurse is reviewing the medical records of a patient and an HCP's practice. Which patient does the nurse recognize as the greatest risk for stroke?

An older, female patient who has osteoporosis, as teamer fracture, and hyper lipidemia

The nurse is reviewing laboratory values for a patient that nuts, red blood cell count of2.9 x10(6) cells/microL. how should the nurse document this finding?

Anemia

A nurse is caring for a patient with a T tube for the biliary drainage. over an hour the patient developed significant right upper quadrant, pain, nausea, and vomiting. Which action should the nurse take first?

Check the T tube for kinks

The nurse is collecting data from a patient with liver failure to detect hepatic, and encephalopathy. which instruction should the nurse give to the patient to collect data?

Hold out your arms and hands

Patient comes to the ER exhibiting confusion and manifestations related to dementia. Records from previous visits indicate history of treatment for STDs. Which lab test should the nurse question?

Anticholinesterase testing with antibodies

The nurse is taking care of a patient in sickle cell crisis. What action should the nurse take to reduce vasoconstrictive effects for the patient?

Apply, warm, compresses, and a blanket for warmth

The nurse is assisting with care of a patient following a asthmatic stroke who does not qualify for TPA therapy. The patient's current BP is 190/110mm Hg. for which reason will the patient's hypertension remain untreated?

Are permissive hypertension is being therapeutically used to salvage brain tissue

The nurse is assisting with care for a patient in the ICU with extreme head injury and suspected brain herniation. What should the nurse anticipate for care?

Arranging for the family to be approached about possible organ donation

The nurse is caring for a patient who has Gerd. Which complication should the nurse monitor for?

Barrett esophagus

The nurse is gathering data from a patient who voices concerns about feeling dizzy upon standing, CT, and recent weight loss. What additional finding supports adrenal insufficiency?

Bronzed skin colorization

The nurse is assisting with care for a patient who underwent surgery for removal of the thyroid gland. Which electrolyte should the nurse monitor?

Calcium

The nurse is assisting with care for a patient who underwent surgery for removal of thyroid gland. Which electrolyte should the nurse monitor?

Calcium

A patient is one day, postoperative, thyroid, ectomy, and reports feeling numb around the mouth and is experiencing random muscle twitches. Which ID medication does the nurse anticipate being prescribed by the healthcare provider?

Calcium gluconate

The nurse is caring for a patient with iron deficiency anemia. What action should the nurse take?

Instruct the patient to notify the HCP of nausea or constipation

The nurse is researching information for a patient newly diagnosed with diabetes mellitus. Damn. Which hormone impacts glucose levels?

Cortisol

The nurse is researching information for a patient newly diagnosed with diabetes mellitus. Which hormone impact glucose levels?

Cortisol

The nurse is caring for a patient with clotting disorder from lack of clotting factors. Which should the nurse plan to administer?

Cryoprecipitates

The nurse is caring for a patient who has CLL when the patient suddenly developed large bruise is, bleeding at the guns, and severe back pain. The nurse recognize as this is a life-threatening event, as which of the following?

DIC

The nurse is caring for a patient who recently underwent a colostomy due to bowel, perforation and Peritonnitis. which treatment should the nurse anticipate to prevent the development of DIC?

Delivery of antibiotics

The nurse is caring for a patient experiencing an acute exacerbation of multiple sclerosis. Which pathological change leads to the symptoms of MS.?

Demyelinization and destruction of nerve fibers

The nurse is reviewing orders for an older patient with systematic lupus erythematosus (SLE). For which medication should the nurse request clarification?

Diltiazem

A patient is being scheduled for a barium swallow test to rule out, esophagus strictures in gastric ulcer. Which pre-testing information will the nurse provide for the patient?

Do not smoke on the morning of testing

The nurse reinforces teaching to a patient prescribe budesonide for Crohn's disease inflammation. which recommendations does the nurse make to the patient to prevent further exasperation?

Do not use tobacco. Reduce exposure to stress. Read food labels to avoid food additives. Avoid ingesting food sprayed with pesticides.

The nurse is caring for a patient with stage one Hogkins disease who has cerebral lymph node enlargement. Which finding is most concerning?

Dysphagia

The nurse is assisting care of a patient with ankylosing spondylitis. What medications might be included in treatment?

Etanercept adalimumab (Humira) Certolizumab pegol (Cimzia) Etanercept (Enbrel) Infliximab (Remicade)

The nurse is caring for a patient receiving abacavir sulfate (Ziagen). Which symptom should be reported immediately?

Flu like symptoms

A patient with ulcerative colitis is scheduled for colostomy with formation of an ileoanal pouch. which comment by the patient requires correction?

Formation of the pouch is part of the cure for my condition

The formation of urine is critical physiological function. The nurse is aware that multiple processes are involved. Which process does the nurse recognize as part of the formation of urine?

Glomerular filtration

The nurse is aware that Pam TBS is the only planet is earth in the kind a nap so fine. Which situation is related to the endocrine function of the pancreas?

Glucagon

The nurse is aware that the pancreas is the only gland that is both endocrine and exocrine. Which situation is related to endocrine function of the pancreas?

Glucagon

A young adult. Patient reports flank pain and decrease in urination. The nurse notice Peri orbital edema in your analysis is very dark in color and contains protein. What question should the nurse ask?

Have you had a sore throat recently?

The nuWhat symptoms should the nurse monitor for when concerned about hyperthyroidism?

Heart failure, arterial, fibrillation, and depression

A patient is being treated for acute cholecystitis. The patient is instructed on dietary measures to reduce possibility of reoccurring episodes. Which statement comment indicates need for additional teaching?

I need to follow a very low calorie diet

The nurse is reinforcing teaching with a patient about appropriate diet modifications to help prevent exacerbation of inflammatory bowel disease. Which patient statements indicate that teaching has been effective?

I should avoid caffeine and spicy foods. High fiber, foods should not be included in my diet. Milk and other dairy products should be limited in my diet.

The nurse enters a room of a patient has recently experienced. The nurse discovers the patient lying flat Chao's King, Insul Hwy. What action should the nurse take first?

I will be at the head of the bed

The nurse is reinforcing teaching to a patient who is being discharged with a new colostomy. Which comments by the patient indicate understanding of the discharge teaching?

I will empty the pouch when it is less than half full. I can spray deodorant into the pouch after I clean it. I will always check the seal and tape around the stoma after I shower.

The nurse is teaching a patient recently diagnosed with SLE about avoiding triggers. Which statement mean by the patient indicates a need for further teaching?

If I get plenty a sunlight, it will help reduce symptoms

The nurse is reinforcing teaching to a client who is preparing to preform intermittent self catheterization at home. Which comment are the patient requires additional instruction?

If I go out all, we are a urinary incontinence pad

The nurse is collecting data on a patient admitted for symptoms of renal insufficiency. Which factor will cause the nurse to suspect prerenal injury?

Impaired blood flow to the kidneys

A patient is admitted to the hospital with hyperosmolar hyperglycemia. The patient has a BG value of 987. Which is priority focus while providing care?

Improving hydration status

The nurse is caring for the patient with pernicious anemia. The patient is asked why this happened when they have regularly taking iron supplements. Well, following a strict vegetarian diet. How should the nurse respond?

Increase dairy products, such as yogurt to increase your intake of vitamin B 12

The nurse is preparing to reinforce discharge, teaching for a patient who underwent a cholecystectomy. Which information does the nurse plan to cover?

Increase high-quality protein to promote healing. Avoid dietary fats to prevent postoperative nausea or pain. Call HCP if fever, redness or drainage indicates infection. increase high-quality protein to promote healing. Avoid dietary fats to prevent postoperative nausea or pain. Call HCP if fever, redness or drainage indicates infection. Read. re-introduce fat slowly back into the diet to prevent rebound effects.

The nurse is assisting a patient with multiple myeloma in arranging a meal plan to lower the risk of kidney stone development. What should the nurse recommend?

Increase intake of fluids

The nurse is assisting with care of a patient with a brain tumor. Who is exhibiting increased ICP. What safety action should the nurse take?

Increase systolic blood pressure

A patient presents at the HPC's office with epigastric pain. The patient's temperature and pulse and respiration rates are all elevated. Which additional symptom will the nurse associate as a possible sign of cholelithiasis?

Jaundice

The nurse is teaching a patient about newly diagnosed latex allergy. What food should be avoided because of latex reactivity?

Kiwi

The nurse is assisting and development. All of the care plan for the patient with pernicious anemia. What is the cause of this?

Lack of intrinsic factor in the stomach

The nurse is providing care for an older adult patient with a diagnosis of small noncalcified does stones. Which medical treatment is most likely prescribed?

Laparoscopic cholecystectomy

A patient is diagnosed with bacterial encephalopathy. Which symptoms exhibited by the patient indicate late signs of patient's diagnosis?

Lethargy and seizures

The nurse is caring for a patient with stage one Hodgkin's disease. Where should the nurse expect to find enlargement of lymph nodes during the assessment?

Localized in the cervical neck only

The nurse is inspecting a patient's oral cavity prior to surgery and notice is written areas on the gums are bleeding several teeth with cavities and multiple loose teeth. Which finding is the greatest concern?

Loose teeth can lead to aspiration in airway blockages

The nurse is caring for a patient being evaluated for lymphoma. The nurse should plan to prepare the patient for which Tess.

Lymphangiography

Caring for someone with stage two Alzheimer's disease. Which action related to safety is most important for the nurse to implement?

Make sure that all doors are locked where potential risk exits

A patient with Caesar activity exhibits the manifestations of generalized seizures, which does not respond to prescribed treatment. Seizure activity has continued over 30 minutes without return to responsiveness. What action should the LVN respect the RN to take?

Making immediate arrangements to transfer the patient to intensive care unit

The nurse is evaluating the understanding of a new graduate LVN about topic of eternal feedings. What information by new nurse requires correction?

Measurement of residual volumes, reflect, gastric, emptying, and aspiration risk

What is the risk for gastric cancer?

Medical history has iron deficiency anemia

The nurse is caring for a patient who is one day status post splenectomy. The patient is experiencing pain with breathing, especially with inspiration. What action should the nurse take?

Medicate with opiates for pain and assess a patient to deep breath, cough, and ambulate

The nurse is collecting data for a patient who is taking pantoprazole for peptic ulcer disease. Which finding requires nursing action?

Melena

A patient with type 1DM has ongoing episodes of hypo glycemia despite self monitoring a BG, which type of self monitoring should the nurse recommend?

Monitor BG continuously

The nurse is caring for a patient with mucosal swelling, urticaria, and swollen face and eyes. Which nursing action should have the highest priority?

Monitor for dyspnea

The nurse is providing care for a patient with diabetes who experiences frequent periods of hyperglycemia. Which patient statement could contribute to this?

My job is really busy in tax season

The nurse is preparing a patient for neurological testing. Symptoms of the patient include severe pain in lower back suspected herniated disc. Which test should the nurse anticipate well in order?

Myelogram

The nurse is providing care for a patient admitted with acute liver failure related to in acetaminophen overdose. What should the nurse prepare to deliver?

N-acetylcysteine

The nurse is caring for a client in sickle cell crisis. What priority data should the nurse collect?

Neurological status

The nurse is providing care for a patient with a thoracic spinal cord injury. Which urinary concern does the nurse have for this patient?

Overflow incontinence

A patient has returned to the unit after a needle biopsy of the thyroid gland to rule out cancer. Which observation is expected by the nurse following the procedure?

Pain level of two on a 0 to 10 scale

What findings are in dissipated with a patient with anemia?

Parlor, elevated respiratory rate, clubbed fingers, and petechiae

The nurse is reinforcing teaching about the most serious side effect of peritoneal dialysis with a patient scheduled for first treatment. Which side effects stated by the patient indicates correct understanding?

Peritonitis

The nurse is providing care for a patient with suspected a plastic anemia. That HCP has completed a bone marrow biopsy. What finding is anticipated on the diagnostic report?

Petechiae, ecchymosis, and restlessness

The student comes in the clinic and says I think I have a migraine. My head hurts. I cannot stand bright light and I feel sick to my stomach. What additional finding is most concerning?

Positive Brudzinski sign

The nurse is providing care for a patient who is diagnosed with Mallory Weiss tear. What findings are consistent with this diagnosis?

Pregnancy and hyperemesis

The nurse is providing care for a patient diagnosed with obstipation. Which situation places a patient at risk for this?

Prolonged use of laxatives

The nurse is reviewing results of the patient's urinalysis which components. Does the nurse identify as being abnormal in urine?

Protein in red blood cells

A patient with trichomonas neuralgia is admitted to the hospital for a diagnostic testing and possible surgery. What should the nurse plan with care?

Provide liquid foods that body temperature at meal times

The nurse will be accompanying a patient to radiology department for CAT scan with contrast. The patient has been an exhibit signs of mild agitation. What action should not be taken by the nurse?

Provide pain medication as soon as the test is done

The nurse is caring for a patient with IDEO pathic, auto immune hemolytic, anemia. Which action should the nurse include when providing care?

Provide periods of rest

A patient shares long-standing problem of urinary incontinence with the nurse. Which intervention does the nurse recognize as taking priority?

Providing caring support to the patient

A patient is recovering from a stroke. Family reports to the nurse the patient alternates between periods of crying for no given reason to periods of laughing in appropriately. Which condition does the nurse suspect the patient is exhibiting?

Psuedobular effect

Which findings are most concerning for immune disorder?

Rash, fever, joint pain, and swollen glands

The nurse is providing care with immune thrombocytopenia purpura. Which of these activities should the patient avoid?

Receiving influenza vaccine

The nurse is providing care for a patient who had a stroke, resulting in language disorder. The nurse asked the patient to stick out their tongue and razor arms. How should the nurse document this findings?

Receptive aphasia

The nurse is caring for a client with multiple entries from a car accident. The HCP prescribes a diet as tolerated in administration of sucralfate orally. which condition angle does the nurse associate with HCP's prescriptions?

Reduce formation of stress ulcers

The nurse is providing care for a patient who is scheduled for the formation of access for hemodialysis. Which important action does the nurse take with this patient?

Refrains from drawing blood, or placing IV lines in non-dominant arm

The nurse is providing care for a client one day after major surgery. The clients abdomen is distended thousands are absent and patient is nauseated. What action should the nurse consider?

Request placement of an NG tube

The nurse is caring for a patient with chronic episodes of hypoxia secondary to chronic obstructive pulmonary disease. The nurse will monitor the patient's laboratory results for increase RBCs due to low oxygen levels. Which condition is expected?

Secondary polycythemia

The nurse is gathering data on a patient who recently treated for colon cancer with surgery to remove tumor. The patient has drain in perineal wound. which finding is anticipated after surgery?

Serosanguineous drainage

The home health nurse is providing teaching to a family have a patient with multiple myeloma. What monitoring is needed by the nurse?

Serum calcium levels

The nurse is gathering information from a patient in the HCP's office. The patient reports difficulty speaking and swallowing and frequent headaches. What diagnostic test is anticipated? In addition to CT of the head?

Serum growth hormone

The nurse is caring for a patient who is stung by a bee. What findings should the nurse report immediately?

Severe apprehension

The nurse is providing care for a patient who was diagnosed with Parkinson's disease 12 years prior. Which symptoms places the patient at the greatest risk for a fall?

Shuffling gait

Nurse is assisting with a patient who was injured in an accident and experienced head injury. The only cords that patient has exhibiting decorticate posturing which condition does the nurse associate with the RN finding?

Significant impairment of cerebral functioning

The nurse is providing care for a patient diagnosed with posterior pituitary tumor, resulting in under secretion of or moans. Which manifestation of this disorder will the nurse expect?

Significant increase in urinary output

The nurses employed at a diabetes outpatient clinic. Which patient is identified as having cadence list for requiring dialysis?

The older adult with type two DM, stable, BG, and hypertension

One through five steps a nurse should take for a patient with a hemolytic reaction

Stop the transfusion stay with the patient have a colleague notify HCP administer IV fluid call blood bank

The LVN is performing a physical examination on a patient in the crane system. What should be included?

Take height, weight, and vital signs

The LVN is performing a physical examination on a patient's endocrine system. What should be included?

Take height, weight, and vital signs

A patient is being prepared to receive prescribed blood transfusion. Which statement is correct in the role of the LNN?

The LVN's responsibilities very state by state

The nurse is providing care for a patient admitted with an a cute small bowel obstruction. Which findings indicate improvement?

The abdominal circumference decreases

The nurse is providing care for a patient with diagnosed with kidney disease. The patient's last laboratory results indicates metabolic acidosis. Which kidney activity is causing this condition?

The kidneys are unable to excrete hydrogen ions

A patient with HIV

The nurse is reviewing lab results for a group of patients and notes a CD4 count of 120cells/up. For which patient would the nurse expect to see for this result?

A patient has a headache, lethargic, nausea, vomiting, and a fever, which is developed over the past few days. Which information supports a concern for encephalitis being the cause?

The patient has been camping with in the last few weeks

A patient with pneumonia has a blood urea nitrogen (BUN) level of 32 mg/dL and creatine level of 0.8 mg/dL. what should the nurse realizes the most probable explanation of this finding?

The patient is dehydrated

The nurse is providing care for a patient with type two DM, who has been treated with an oral hypoglycemic agent. The HCP prescribes for addition of insulin. What is the reason that insulin is now needed?

The patient is unable to effectively follow a diabetic diet

The nurse is providing care for a patient with type two DM, who has been treated with oral hypoglycemic agent. The HCP prescribes for additional insulin. What is the reason that insulin is now needed?

The patient is unable to effectively follow a diabetic diet

The nurse is involved in a BP clinic in the community, and an individual with possible stroke symptoms as brought it in for evaluation. Which findings in the fast assessment indicate the need to call emergency personnel?

The patient is unable to repeat a stated phrase correctly it was stated the patient's face shows signs of uneven symmetry when asked to smile when asked close the eyes and hold arm straight in front, one arm drifts downward

The nurse is making a home visit for an older adult patient who lives alone. The patient was recently diagnosed with type two DM and has impaired vision. What priority information should the nurse collect?

The patient's ability to fix appropriate meals

The nurse is reviewing teaching with a patient scheduled for ileostomy and placement of a continent ostomy reservoir. Which teaching point is important?

The pouch must be emptied regularly to prevent rupture

The nurse is caring for a patient who must undergo splenectomy first treatment of idiopathic thrombocytopenic purpura(ITP). which best describes the reason for removing the spleen?

The spleen is the primary site for platelet destruction

The nurse is preparing to perform a Romberg test on a client. The nurse instructs the patient to stand with us feet together eyes class. After 20 seconds of patient leans to one side and exhibits a swing motion. Which conclusion can the nurse draw from this test result?

The test is positive and indicates cerebral dysfunction

The nurse is preparing to provide therapeutic treatment to a patient with an exacerbation of polycythemia vera PV which of the following is expected treatment for this patient?

Therapeutic phlebotomy

The nurse receives information that Anne assigned patient has suspected masses of thyroid gland. Which test should the nurse anticipate to be ordered?

Ultrasound

A patient's urinalysis results are white blood cells 100+/hpf RBCs 4/hpf bacteria moderate about of nitrate positive specific gravity, 1.025, and urine cloudy. how will the nurse report these findings to the healthcare provider?

Urinary tract infection

A patient is distressed to learned that a sibling is diagnosed with Huntington's disease. How should the nurse reply when asked by the patient about the risk of having it?

You definitely need to have genetic testing for the disease

A mother, with two young children has a one-year history of MS recently stopped helping in children's classrooms because of fatigue and weakness. What advice should the nurse give to help the patient best cope with the problem?

You made plan to be there for shorter visit so you can rest

The nurse is preparing a patient undergoes suppression test to verify adrenal cortex dysfunction. Which reply will the nurse make when the client ask about expected test procedure?

You will be injected with a steroid hormone should suppress cortisol release

The nurse is teaching a patient about antiretroviral therapy. What teaching point is important to reinforce?

Your medication's need to be taken as directed or resistance can occur

The nurse is collecting data from a patient with pancreatitis. Which symptoms should the nurse anticipate?

abdominal distention, respiratory distress, and mid-epigastric pain

The nurse is providing education to a patient with mild hemophilia on how to avoid bleeding episodes. Which of the following would be most appropriate to include in teaching plan?

administer desmopressin intranasally prior to any dental procedure or sports

The nurse is providing care for a patient who has undergone placement of a super pubic catheter. Which post procedure Nursing Care is anticipated?

apply skin barrier to prevent skin breakdown

The nurse is reinforcing teaching provided to a patient with esophageal varices. What should the nurse instruct?

avoid lifting heavy objects

The nurse is providing care for a patient with a Hemological disorder. Which findings concern the nurse about the development of disseminated intravascular, cougulation?

bleeding from Venapuncture sites

The nurse is gathering data for my patient who voices concerns about feeling dizzy upon standing fatigue and recent weight loss. What additional findings support adrenal insufficiency?

bronzed skin colonization

The nurses administered prescribed Allergan injections twice a week for several weeks to an individual with feasting allergy. The patient, Mrs. three appointments. What action should the nurse take during the patient's next visit?

consultant position to confirm the dosage to be given

The nurse is providing education to a patient newly diagnosed with iron deficiency anemia. Which of the following would be a component of the education?

consume raw citrus fruits, will taking the medication

The nurse is providing care for a client with post operative for replacement of colostomy for colon cancer. Which finding requires nurse action?

dusky blue color and dry

The nurse is caring for a patient with Folick acid deficiency anemia. What questions should the nurse ask?

how often do you drink alcohol?

The nurse is providing care for a patient scheduled for surgery for the formation of an orthotopic bladder substitution. which patient teaching is important for the nurse to review during the patient's recovery?

how to monitor the stoma

The LVN is assisting the RN and providing care for a patient with a risk for increased ICP. What findings need to be reported to the RN?

increase systolic blood pressure

The nurse is providing care for a patient with cerebral aneurysm and subarachnoid hemorrhage. Which statement by the patient requires additional teaching?

no strenuous activity until this condition is cured by surgery

Papatient receives diagnosis of pancreatic cancer with metastasis to the liver., gallbladder, and stomach. The patient shares they would like palliative care. Which medical treatment should be questioned?

performance of pancreatoduodenectomy procedure

The nurse is providing care with a patient diagnosed with posterior pituitary tumor, resulting in undersecretion of hormones. Which manifestation of this disorder will the nurse expect?

significant increase in urinary output

What does the gallbladder do?

stores bile

A patient with liver failure and esophageal variances is prescribed vasopressin. For which purpose does the nurse recognize the need for this medication?

to constrict vessel, dilation to the esophageal variances

A patient recently diagnosed with an auto immune disorder. Ask the nurse what causes somebody to begin attacking itself. What should the nurse include in the teaching?

viral infections, drugs, cross-reactive antibodies

The nurse is collecting medication information for a newly admitted patient. Patient says they are allergic to penicillin. How should the nurse respond?

what happens to you when you take the medication?