MEG SURG FINAL

अब Quizwiz के साथ अपने होमवर्क और परीक्षाओं को एस करें!

Which assessment data support that the client has a venous stasis ulcer? a. A superficial pink open area on the medial part of the ankle. b. A deep pale open area over the top side of the foot. c. A reddened blister area on the heel of the foot. d. A necrotic gangrenous area on the dorsal side of the foot.

A superficial pink open area on the medial part of the ankle

Which assessment data would the nurse recognize to support the diagnoses of abdominal aortic aneurysm (AAA)? A. Shortness of breath B. Abdominal bruit C. Ripping abdominal pain D. Decreased urinary output

Abdominal bruit

The nurse in the intensive care unit cares for a client with primary adrenocortical insufficiency (Addison's disease). The client reports nausea and abdominal pain. The blood pressure suddenly drops from 120/74 mm Hg to 88/48 mm Hg, heart rate increases from 80 to 100/min, and the client appears confused. Which action should the nurse take first? 1) Administer as-needed dose of hydrocortisone intravenous (IV) push 2) Complete a head-to-toe assessment to identify any sources of infection 3) Document the findings in the client's electronic medical record 4) Take blood pressure sitting and standing to assess for orthostatic hypotension

Administer as-needed dose of hydrocortisone IV push treatment of choice for adrenal deficiencies

What hormone is elevated in Conn's Syndrome? Vasopressin ACTH Aldosterone Cortisol

Aldosterone Aldosterone is a hormone which functions primarily to manage blood pressure by regulating the amount of sodium and potassium in the blood. An increase in the level of aldosterone causes the body to retain more water and sodium

client is admitted to the hospital with a diagnosis of renal calculi. The client is experiencing severe flank pain and nausea; the temperature is 100.6 ° F (38.1 ° C). Which of the following would be a priority outcome for this client? A) Prevention of urinary tract complications. B) Alleviation of nausea. C) Alleviation of pain. D) Maintenance of fluid and electrolyte balance.

Alleviation of pain

The client is one day postoperative coronary artery bypass surgery. The client complains of chest pain. Which intervention should the nurse implement first? a Medicate the client with intravenous morphine b Assess the client chest dressing and vital signs c Encourage the client to turn from side to side d check the client's telemetry monitor.

Assess the client chest dressing and vitals

A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease? A) Palmar erythema B) Hypotension C) Asterixis D) Stroke

Asterixis

The nurse assesses a female client with a diagnosis of primary adrenal insufficiency (Addison disease). The nurse recognizes which finding associated with the disease? 1) Bronze pigmentation of skin 2) Increased body or facial hair 3) Purple or red striae on the abdomen 4) Supraclavicular fat pad

Bronze pigmentation of skin

You are providing care to a patient with a chest tube. On assessment of the drainage system, you note continuous bubbling in the water seal chamber and oscillation. Which of the following is the CORRECT nursing intervention for this type of finding? a. A. Reposition the patient because the tubing is kinked. b. Continue to monitor the drainage system. c. Increase the suction to the drainage system until the bubbling stops. d. Check the drainage system for an air leak.

Check the drainage system for an air leak

The nurse is caring for a client with ulcerative colitis. Which finding does the nurse determine is consistent with this diagnosis? A. Hypercalcemia B. Hypernatremia C. Frothy, fatty stools D. Decreased hemoglobin

Decreased hemoglobin

Which ECG finding is most indicative of severe myocardial infarction? A. peaked P wave B. long QT interval C. ST segment elevation D. PR interval elevation

ST segment elevation

6. Which type of precaution should the nurse implement to protect from being exposed to any of the Hepatitis viruses? A) Airborne precautions B) Standard precautions C) Droplet precautions D) Exposure precautions

Standard precautions

4. After receiving change of shift report in the coronary care unit, which client should you assess first? A. The client with acute coronary syndrome who has a 3 pounds weight gain and dyspnea b The client with percutaneous coronary angioplasty who has a dose of heparin scheduled. C The client who had bradycardia after a myocardial infarction and now has a paced heart rate of 64 D A client who has first degree heart block ,rate 68, after having an inferior myocardial infarction.

The client with acute coronary syndrome who has a 3 pound weight gain and dyspnea

While caring for a client with a chest tube, which nursing assessment would alert the nurse to a possible complication? a. Skin around tube is pink b. The tissues give a crackling sensation when palpated c. Bloody drainage is seemed in the collection chamber d. Absence of bloody drainage in the anterior/upper tube

The tissues give a crackling sensation when palpated

This complication is associated with inflammation which extends into the GI muscles resulting in a collection of fecal matter and fluid and causes abdominal pain and distension. A. Perforation B. Abscesses C. Toxic megacolon D. Appendicitis

Toxic megacolon

The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour A. Urinary output of 20 mL/hour B. Temperature of 37.6°C (99.6°F) C. Blood pressure of 100/70 mm Hg D. Serous drainage on the surgical dressing

Urinary output of 20mL/hr

While reading an EKG strip, what does the T wave represent? A. Atrial depolarization B. Ventricular Repolarization C. Atrial Repolarization D. Ventricular Depolarization

Ventricular Repolarization

A patient comes into the clinic with a fever and concerns of a palpable mass in his abdomen. He complains of excruciating pain at the top of his abdomen radiating to his right shoulder. Which of the following questions is best for the nurse to ask the patient? A) "Have you played baseball recently?" B) "Have you noticed recent weight gain?" C) "Has anyone in your family had a heart attack?" D) "Does your diet consist of lots of fatty foods?"

"does your diet consist of a lot of fatty foods"

A nurse is participating in diabetes screening program. Who are at risk for developing type 2 diabetes? Select all that apply. A. A 32-year-old female who gave birth to a 91/2- lb infant. B. A 44-year-old Native American who has a body mass index (BMI) of 32. C. An 18-year-old immigrant from Mexico who jogs four times a week. D. A 55-year-old Asian who has hypertension and two siblings with type 2 diabetes. E. A 12-year-old who is overweight

-32yo female who gave birth to a 9lb baby -44yo Native American who has the BMI of 32 -55yo Asian who has HTN and 2 siblings with type 2 -A 12yo who is overweight

A client with ulcerative colitis (UC) reports abdominal pain, 10 bloody stools per day, and decreased appetite. The client states, "What's the point of taking medication? It doesn't help anyway." Which nursing diagnoses (NDs) are appropriate to include in the patient's plan of care? Select all that apply. A. Acute pain B. Altered nutritional status C. Hopelessness D. Noncompliance E. Risk for deficient fluid volume

-Acute pain -Altered nutritional status -Hopelessness -Risk for deficient fluid volume

A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic work up, which reveals gallbladder cancer. Which nursing diagnosis is appropriate for this client? 1. Disturbed body image 2. Anticipatory grieving ○ Few clients with gallbladder cancer live more than 1 year after diagnosis 3. Impaired swallowing 4. Chronic low self esteem

-Anticipatory grieving Few clients with gallbladder cancer live more than 1 year after diagnosis

A patient presents with SOB, nonpitting edema of lower extremities, and distended neck veins. PMH includes hyperlipidemia and asthma. What are appropriate nursing actions? select all the apply. A. Assess medication regimen for asthma B. Check peripheral pulses. C. Administer Oxygen D. Administer Nitro E. Restrict fluid and sodium

-Check peripheral pulses -Administer oxygen -Restrict fluid and sodium

The nurse has assessment findings of dusky appearance with bluish mucus membranes and production of large amounts of mucus. The nurse suspects which illness? a. asthma b. emphysema c. chronic bronchitis d. acute bronchitis

-Chronic Bronchitis

A patient is diagnosed with Crohn's disease, which of the following characteristics would signify the accurate diagnosis of this disorder. Select all that apply: A. Cobblestone appearance B. Unrelieved defecation C. 10 to 20 liquid stools D. Hypotension E. Fistulas

-Cobblestone appearance -Unrelieved defecation -Fistulas

A client had undergone external radiation therapy. The expect side effects include the following except: 1. Hair loss 2. Ulceration of oral mucous membranes 3. Constipation 4. Headache

-Constipation Diarrhea is a side effect not constipation

4. A client with diabetes mellitus asks the nurse to recommend something to remove corns from the toes. The nurse should advise the client to: A. Apply a high-quality corn plaster to the area. B. Consult a healthcare provider about removing the corns. C. Apply iodine to the corns before peelings them off. D. Soak the feet in baking soda solution to peel off the corns.

-Consult a HCP about removing corns

The nurse is developing teaching materials for a client diagnosed with ulcerative colitis (UC). The client will receive sulfasalazine. Which of the following instructions are included in the discharge teaching plan? Select all that apply. a. Avoid small, frequent meals b. Can have a cup of coffee with each meal c. Eat a low-residue, high-protein, high-calorie diet d. Increase fluid intake to at least 2,000 mL/day e. Medication should be continued even after the resolution of symptoms f. Take vitamin and mineral supplements

-Eat a low-residue, high-protein, high-calorie diet -Increase fluid intake to at least 2,000mL/day -Medications should be continued even after resolution of symptoms -Take vitamin and mineral supplements

7. Which disease is an alveoli problem that causes loss of lung elasticity and hyperinflation that results in dyspnea and increased respiratory rate? a. chronic bronchitis b. COPD c. asthma d. emphysema

-Emphysema

3. Before supper, an adult client who has type 2 diabetes and requires insulin tells the nurse about having tremors and being weak and anxious. The nurse should: A. Tell the client to lie down for 30 minutes. B. Have the client drink a glass of milk or orange juice. C. Contact the client's healthcare provider to decrease insulin dose. D. Administer the next dose of insulin.

-Have the client drink a glass of milk or OJ HYPOGLYCEMIA

A patient has been admitted to the medical unit with a diagnosis of ureteral colic secondary to urolithiasis. When planning the patients admission assessment, the nurse should be aware of the signs and symptoms that are characteristic of this diagnosis? Select all that apply. A) Diarrhea B) High fever C) Hematuria D) Urinary frequency E) Acute pain

-Hematuria -Urinary frequency -Acute pain presence of a urinary stone, leading to a severe urinary system pain

The nurse assesses a client with Cushing syndrome. Which clinical manifestations should the nurse expect? Select all that apply. 1) Hyperglycemia 2) Hypertension 3) Hyponatremia 4) Truncal obesity 5) Weight loss

-Hirsutism -Sodium of 154 -Truncal obesity

The nurse assesses a client with Cushing syndrome. Which clinical manifestations should the nurse expect? Select all that apply. 1) Hyperglycemia 2) Hypertension 3) Hyponatremia 4) Truncal obesity 5) Weight loss

-Hyperglycemia -Hypertension -Truncal obesity

A nurse is screening clients at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer? Select all that apply. 1. "For the past few years, I get a productive cough in the winter that goes away in spring." 2. "I occasionally have heartburn an hour after I eat fried foods and sausage." 3. "Last month when I was doing my breast self-examination, I noticed a marble-sized lump." 4. "My mole is itchy, and the borders have become uneven with a blackish to bluish color." 5. "Recently I have noticed that my bowel movements appear black."

-Last month when I was doing a self exam, I noticed a marble-size lump -My mole is itchy with borders have become uneven with blackish/bluish color -Recently I have noticed that my BM appear black ● CAUTION: ○ Change in bowel or bladder habits (Option 5) ○ A sore that does not heal ○ Unusual bleeding or discharge from a body orifice ○ Thickening or a lump in the breast or elsewhere (Option 3) ○ Indigestion or difficulty in swallowing that does not go away ○ Obvious change in a wart or mole (Option 4) ○ Nagging cough or hoarseness

The nurse assesses a client 5 minutes after initiating a blood transfusion. The client has shortness of breath, itching, and chills. The nurse immediately turns off the transfusion and disconnects the tubing at the catheter hub. What action should the nurse take next? 1. Check vitals 2. Maintain IV access with normal saline 3. Notify HCP 4. Recheck ID labels and numbers

-Maintain IV access with normal saline Transfusion Reaction- 1-stop transfusion 2-maintain IV access with NS and new tubing to prevent hypotension/vascular collapse 3-notify HCP 4- monitor VS

The blood gases of a patient with severe COPD are: pH 7.34, PaO2 80 mmHg, PaCO2, 47 mmHg, HCO3 28 mEq/L. Based on these findings, what is the priority action of the nurse? a. no action is required at this time b. administer an IV corticosteroid c. Perform vigorous suctioning d. Administer oxygen 4L/min via nasal cannula

-No action is required at this time patient has COPD!!!!!!!!!!!!!!!!! Partial pressure of oxygen (PaO2): 75 to 100 mmHg. Partial pressure of carbon dioxide (PaCO2): 35-45 mmHg. Bicarbonate (HCO3): 22-26 mEq/L.

Which of the following are NOT typical signs/symptoms of right-sided heart failure? Select all that apply. A. Jugular venous distention B. Persistent cough C. Weight gain D. Crackles E. Nocturia F. Orthopnea

-Persistent cough -Crackles -Orthopnea

7. Which of the following are manifestations of Liver Disease? Select all that apply. A) Positive Babinski sign B) Portal HTN C) Low bilirubin levels D) Headaches E) Ascites

-Portal HTN -Ascites

2. A client with type 1 diabetes mellitus has diabetic ketoacidosis. Which finding has the greatest effect on fluid loss? A. Hypotension B. Decreased serum potassium level C. Rapid, deep respirations D. Warm, dry skin

-Rapid, deep respirations

. The nurse is assigned a patient with a 22 year history of bronchitis. She knows the patient's potential complication is: a. right sided heart failure b. left sided heart failure c. stroke d. renal disease

-Right sided heart failure

Which of the following diagnostic studies will be conducted on a liver failure patient? Select all that apply. A) Serum albumin B) Alanine aminotransferase (ALT) C) Serum Creatinine D) Troponin levels E) Gamma-glutamyl transferase (GGT)

-Serum albumin -ALT -GGT

A patient who is diabetic with high triglycerides levels is at risk for macrovascular complications of diabetes such as: Select all that apply. A. Partial or complete blindness B. Stroke C. Chronic renal failure D. MI E. Albumin in the urine

-Stroke -MI

Which assessment data would support that the client has experienced a pulmonary embolism? a. calf pain with dorsiflexion of the foot b. sudden onset of chest pain with dyspnea c. left side chest pain and diaphoresis d. bilateral crackles and low grade fever

-Sudden onset of chest pain with dyspnea

1. What can trigger an asthma attack? Select all that apply: a. sulfites b. smoke c. caffeine d. GERD e. cold, windy weather f. beta agonists g. cockroaches

-Sulfites -Smoke -GERD -Cold, windy weather -Cockroaches

he nurse is feeding a client with aspiration pneumonia. The client becomes dyspneic, begins to cough, and is turning blue. Which intervention should the nurse implement? a. suction the client's nares b. turn the client to the side c. place the client in Trendelenburg position d. notify the HCP

-Turn the client to the side

A client with advanced cancer makes the following comment to the nurse; "Why are you bathing me? I am going to die no matter what." What is the most appropriate response of the nurse? 1. "A bath will make you feel better." 2. "Do you want to skip the bath today?" 3. "Would you like to talk about what you are feeling?" 4. I can give you some medicine to make you feel better.

-Would you like to talk about what you are feeling? ○ By asking the client to talk it opens the door for further discussion of feelings/fears

A rock climber has sustained an open fracture of the right tibia after a 20-foot (6 meter) fall. The nurse plans to assess the client for which potential complications? Select all that apply. A. Acute compartment syndrome (ACS) B. Fat embolism syndrome (FES) C. Congestive heart failure D. Urinary tract infection (UTI) E. Osteomyelitis

-acute compartment syndrome -Fat embolism syndrome -Osteomyelitis

The nurse is caring for a patient recently diagnosed with renal calculi. The nurse should instruct the patient to increase fluid intake to a level where the patient produces at least how much urine each day? A) 1,300 mL B) 2,000 mL C) 2,850 mL D) 3,500 mL

2,000mL

What is a common problem resulting from gallbladder stones? A) Acute cholecystitis B) Renal failure C) Paresthesia D) Hip pain

Acute cholecystitis inflammation of the gallbladder

A new graduate nurse is transferring a patient from the ED to a telemetry unit. Which action by the new nurse would cause the charge nurse to intervene? a. Disconnecting the suction tubing from the wall suction unit b. Hanging the chest tube collection container under the stretcher c. Clamping the insertion site of the chest tube during transfer

Clamping the insertion site of the chest tube during transfer

The nurse just received the a.m. shift report. Which client should the nurse assess first? a. The client diagnosed with coronary artery disease who has a BP of 170/100. b. The client diagnosed with DVT who is complaining of chest pain. c. The client diagnosed with pneumonia who has a pulse oximetry reading of 98%. d. The client diagnosed with ulcerative colitis who has non-bloody diarrhea

Client diagnosed with DVT who is complaining of chest pain

When assessing an individual with peripheral artery disease, which clinical manifestation would indicate complete arterial obstruction in the lower left leg? a. Aching pain in the left calf. b. Burning pain in the left calf. c. Numbness and tingling in the left leg. d. Coldness of the left foot and ankle

Coldness of the left foot and ankle

The nurse in unable to assess a pedal pulse in the client diagnosed with arterial occlusive disease. Which intervention should the nurse implement first? a. Complete a neurovascular assessment. b. Use the Doppler device. c. Instruct the client to hang the feet off the side of the bed. d. Wrap the legs in a blanket.

Complete a neurovascular assessment -remember that the use of a Doppler device is part of this assessment

A client with type 1 diabetes mellitus is admitted to the emergency department. Which respiratory pattern in a client with diabetes mellitus requires immediate action? A. Deep, rapid respirations with long expirations. B. Shallow respirations alternating with long expirations. C. Regular depth of respirations with frequent pauses. D. Short expirations and inspirations.

Deep, rapid respiration with long expirations

2. Your patient's call light is on and they inform you that something is wrong with their chest tube. Upon entering the room you note that the drainage system has fallen on its side and is leaking drainage onto the floor from a crack. What is your next PRIORITY? a. Place the client in the supine position and clamp the tubing b. Notify the physician immediately c. Disconnect the drainage system and get a new one d. Disconnect the tubing from the drainage system and insert the tubing inch into sterile water and obtain a new system

Disconnect the tubing from the drainage system, and insert the tubing inch into sterile water and obtain a new system

The nurse is assessing the functioning of a chest tube drainage system in a client who has just returned from the recovery room following a tension pneumothorax due to a gunshot wound. Which of the following are expected assessment findings? Select all that apply. a. Drainage system maintained below the client's chest b. Fluctuation of water in the tube in the water seal chamber during inhalation and exhalation c. Vigorous bubbling in the suction control chamber d. 50 mL of drainage in the drainage collection chamber e. Excessive bubbling in the water seal chamber

Drainage system maintained below the clients chest -fluctuation of water in the water seal chamber during inhalation and exhalation -50mL of drainage in the drainage collection chamber

Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? A. Fluid intake is less than 2,500 ml/day. B. Urine output measures more than 200 ml/hour. C. Blood pressure is 90/50 mm Hg. D. The heart rate is 126 beats/minute

Fluid intake is less than 2,500ml/day

A patient is 6 hours post-opt from a thyroidectomy. The surgical site is clean, dry and intact with no excessive swelling noted. What position is best for this patient to be in? A. Fowler's B. Prone C. Trendelenburg D. Semi-Fowler's

Fowlers

The client with a brain attack (stroke) has residual dysphagia. When a diet is a initiated, the nursed avoids doing the following: A. Giving the client thin liquids B. Thickening liquids to the consistency of oatmeal C. Placing food on the unaffected side of the mouth D. Allowing plenty of time for chewing and swallowing

Giving the client thin liquids

A patient is admitted with complaints of palpations, excessive sweating, and unable to tolerate heat. In addition, the patient voices concern about how her appearance has changed over the past year. The patient presents with protruding eyeballs and pretibial myxedema on the legs and feet. Which of the following is the likely cause of the patient's signs and symptoms? A. Thyroiditis B. Deficiency of iodine consumption C. Grave's Disease D. Hypothyroidism

Graves Disease

A nurse is teaching a 60 y/o man about prostate cancer. What information should the nurse provide to best facilitate the early identification of prostate cancer? A) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly. B) Have a transrectal ultrasound every 2-3 years. C) Perform monthly testicular self-examinations, especially after age 50. D) Have a complete blood count

Have a digital rectal exam and PSA test done yearly

The nurse is creating a plan of care for a client scheduled for surgery. The nurse should include which activity in the nursing care plan for the client on the day of surgery? A. Avoid oral hygiene and rinsing with mouthwash. B. Verify that the client has not eaten for the last 24 hours. C. Have the client void immediately before going into surgery. D. Report immediately any slight increase in blood pressure or pulse.

Have the client void immediately before going into surgery

The nurse is positioning a client with increased intracranial pressure. Which of the following position would the nurse avoid? A. Head midline B. Head turned to the side C. Head in neutral position D. Head of bed elevated 30 to 40 degrees

Head turned to the side

A male patient with severe rheumatoid arthritis is receiving care on your floor. While assessing the clients heart rate, you notice that his skin color is pale and that he appears lethargic. You ask the patient how he is feeling and he states "I'm very tired. When I try to get out of bed, I get short of breath easily." Which blood work finding may confirm a complication that can be experienced with rheumatoid arthritis? A. Hemoglobin 8 g/dL B. Potassium 3.2 mEq/L C. Sodium 135 mEq/L D. WBC 6,200

Hemoglobin 8 Hemoglobin - 12-17 WBC 4,000 - 11,000

After teaching a patient with chronic angina about nitroglycerin, the nurse recognizes the need for further teaching when the patient makes which statement? A "I will replace my nitroglycerin supply every six months." B "I can take up to five tablets every 3 minutes for relief of my chest pain". C "I will take acetaminophen(Tylenol) to treat the headache caused by nitroglycerine". D "I will take nitroglycerin 10 minutes before planned activities that usually causes chest pain".

I can take up to 5 tablets every 3 mins

The nurse is providing discharge teaching for a client with newly diagnosed Crohn's disease about dietary measures to implement during exacerbation episodes. Which statement made by the client indicates a need for further instruction? A. "I should increase the fiber in my diet." B. "I will need to avoid caffeinated beverages." C. "I'm going to learn some stress reduction techniques." D. "I can have exacerbations and remissions with Crohn's disease."

I should increase the fiber in my diet

2. A patient is undergoing a liver transplant in the upcoming week. Which of the following classes of drugs are most necessary to communicate with the patient? A) Statins B) Opioids C) Immunosuppressant's D) Analgesics

Immunosuppressants

A 52-year-old female patient is admitted to the Emergency Department with uncontrolled atrial fibrillation. The patient is currently taking vitamin D and calcium supplements. What type of stroke is she at most risk for? A. Hemorrhagic B. Ischemic thrombosis C. Ischemic stenosis D. Ischemic embolism

Ischemic embolism

patient was recently discharged home for treatment of hypothyroidism and was ordered to take Synthroid for treatment. The patient is re-admitted with signs and symptoms of the following: heart rate 42, blood pressure 70/56, blood glucose 55, and body temperature of 96.8 'F. The patient is very fatigued and drowsy. The family reports the patient has not been taking Synthroid since being discharged home from the hospital. Which of the following conditions is this patient most likely experiencing? A. Thryoid Storm B. Myxedema Coma C. Iodism D. Toxic Nodular Goiter

Myxedema coma SO DRAINED THEY FALL INTO A COMA

To determine the severity of the symptoms for a patient with benign prostatic hyperplasia (BPH), the nurse will ask the patient about A) The presence of blood in the urine. B) Any erectile dysfunction (ED). C) Occurrence of a weak urinary stream. D) Lower back and hip pain.

Occurrence of a weak urinary stream

A nurse is providing care to a new client with chest tube. Which of the client's response exhibit correct understanding of care of chest tube? a. "The drainage system must be below my level at all times" b. "Breathing will constantly be difficult while on chest tube" c. "I will prevent discomfort by keeping the bed flat at all times" d. "I should not cough in case the chest tube rips"

The drainage system must be below my level at all times

A patient presents to the ED with painful defecation, passing 10 to 20 liquid stools a day, rectal bleeding, LLQ pain and fatigue. These manifestations are associated with which disorder: A. Pancreatitis B. Ulcerative Colitis C. Bowel obstruction D. Peritonitis

Ulcerative colitis

Which patient below is at most risk for a hemorrhagic stroke? A. A 68-year-old male patient with carotid stenosis and renal insufficiency. B. An 82-year-old male with uncontrolled hypertension and a history of brain aneurysm 5 years ago. C. A 72-year-old female with atherosclerosis. D. A 45-year-old female with atrial flutter

Uncontrolled HTN and Hx of brain aneurysm

2. The nurse is teaching a client about coughing and deep-breathing techniques to prevent postoperative complications. Which statement is most appropriate for the nurse to make to the client at this time as it relates to these techniques? A. "Use of an incentive spirometer will help prevent pneumonia." B. "Close monitoring of your oxygen saturation will detect hypoxemia." C. "Administration of intravenous fluids will prevent or treat fluid imbalance." D. "Early ambulation and administration of blood thinners will prevent pulmonary embolism."

Use of incentive spirometer will help prevent pneumonia

A patient with SIADH is treated with water restriction and administration of IV fluids. The nurses evaluates that treatment has been effective when the patient experiences a. increased urine output, decreased serum sodium, and increased urine specific gravity b. increased urine output, increased serum sodium, and decreased urine specific gravity c. decreased urine output, increased serum sodium, and decreased urine specific gravity d. decreased urine output, decreased serum sodium, and increased urine specific gravity

increased u/o, increased Na, and decreased urine specific gravity


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