MS1 Midterm

Nurse Joy is caring for a client after a bronchoscopy and biopsy. Which of the following signs, if noticed in the client, should be reported immediately to the physician?

Blood-streaked sputum

The nurse is caring for a patient who has peripheral arterial disease. Which of the following statements by the patient indicates understanding of how to manage the pain of peripheral arterial disease

" I will sit with my legs down"

Which is the best explanation by a nurse for why a physician did not prescribe antibiotics for influenza

" Influenza is caused by viruses"

A nurse provides instructions to a client at risk for thrombophelbitis regarding measures to prevent its occurrence. Which statement by the client indicates an understanding of the measures to prevent thrombophlebitis?

"I should avoid sitting or standing in one position for long periods of time."

The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

"I will eat a snack around three o'clock each afternoon."

The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

"I will make sure I eat breakfast within 10 minutes of taking my insulin."

The nurse in charge is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide?

"It helps prevent early airway collapse."

The nurse is evaluating patient teaching for Mitral Valve prolapse. The patient shows understanding of the prognosis of MVP by stating

"There are often no symptoms"

A nurse is suctioning fluids from a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of: ______ seconds

10

A therapeutic theophylline level is _____ mcg/ml.

10 - 20

With relation to orthostatic hypertension, in response to the drop in BP the pulse increase _______ bpm to maintain cardiac output.

15-20

Orthostatic hypotensiohn is a drop in systolic BP greater than ___mmhg; and an increase in heart rate greater than _____ bpm in response to the drop in BP.

15; 20

A client with a diagnosis of congestive heart failure is seen in the clinic. The client is being treated with a variety of medications, icnluding digoxin (alnoxin) and furosemide (Lasix). Which finding? on data collection would lead the nurse to suspect that the client is hypokalemic.

Muscle weakness and leg cramps

Which of the following interventions is most appropriate for the patient with an ineffective breathing pattern

teach the patient controlled diaphragmatic breathing

The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

the vital signs

While reviewing a clients lab results, the nurse recognizes that a fasting glucose value of ________________ is within normal limits.

80

A client arrives in the emergency department complaining of chest pain began 4 hours ago. A troponin T blood specimen is obtained, and the results indicate a level of 0.69ng/mL. The nurse interprets that this result indicates

A level that indicates angina pectoris

A nurse is caring for a client with respiratory insufficiency. The ABG results indicate a pH of 7.50 and a PC02 of mm Hg, and the nurse is told that the client is experiencing respiratory alkalosis. Which of the following additional lab values would the nurse expect to note?

A potassium level of 3.2 mEq/L

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

A tracheotomy set

_____ released from the posterior pituitary, directly increases water reabosorption by the kidneys, thus increasing blood volume and blood pressure

ADH antidiureitc hormone

What increases the amount of water reabsorbed by the kidney tubules, which decreases urine output?

ADH-antidiuretic hormone

______ increases the rexcretion fo sodium by the kidneys

ANP arterial natriuretic peptide

After a laryngectomy, which of the following assessments takes priority

Airway patency

At 11 p.m., a male client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He's anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86% and he's still wheezing. The nurse should plan to administer:

Albuterol (Proventil).

A client is scheduled for cardiac catheterization using radiopaque dye. The nurse checks which most critical item before the procedure?

Allergies to iodine or shellfish

Which of the following symptoms would the nurse identify as a priority to report for a patient with aortic stenosis

Angina

In which area should the nurse assess a patient who is on bed rest for the presence of edema?

Ankles

ACTH(adrenocorticotropic hormone) and Prolactin are secreted from which gland?

Anterior pituitary gland

FSH(follicle-stimulating hormone) and LH(luteinizing hormone) are secreted from what gland?

Anterior pituitary gland

Growth hormone and TSH(thyroid stimulating hormone) are secreted from what gland?

Anterior pituitary gland

________ is the deposition of lipds in the walls o ateries' lemens and form rough surfaces that may stimulate intravascular clot formation, and decreases blood flow to the afected organ.

Artherosclerosis

The physician has ordered a thyroid scan to confirm the diagnosis. Before the procedure, the nurse should:

Assess the client for allergies

20. A male client with chronic obstructive pulmonary disease (COPD) is recovering from a myocardial infarction. Because the client is extremely weak and can't produce an effective cough, the nurse should monitor closely for:

Atelectasis.

Which phrase is used to describe the volume of air inspired and expired with a normal breath?

Tidal volume

A 28 year old male has been found wandering around in a confused pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first?

Blood Sugar test

The nurse is doing an admission assessment on a new residne to an extended care facility. The patients face and shoulders seem to have a lot of fat, but the patients arms and legs are thin. Excess of which hormone might be involved. T

Cortisol

Which medication would the nurse teach a patient to wear protective clothing, sunglasses, and a hat.

Captopril (Capoten)

What part of the cardiac cycle does the "lubb" of the characteristic lubb-dupp" heart sound indicate?

Closure of the AV valves

If it take longer than 3 seconds for the color to return when assessing capillary refill, which of the following may be indicated?

Decreased arterial flow to the extremity

A female client must take streptomycin for tuberculosis. Before therapy begins, the nurse should instruct the client to notify the physician if which health concern occurs?

Decreased hearing acuity

Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find:

Deposits of adipose tissue in the trunk and dorsocervical area

A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

DiabeticNeuropathy

Accurate teaching for a Cardiac Holter monitor is:

Do not take a shower or bath while on the monitor.

What is a nursing priority when administering Captopril (Capoten)?

Edema with HF and decreased BP with HTN.

the older adult is at increased risk for developing orthosatic hypotension, which could precipitate a fall is often due to,

age, immobility, chronic illness, and medication

A 25-year-old client with Grave's disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

Exophthalmos

Initiates growth of ova in ovarian follicles and increases secretion of estrogen by follicle cells?

FSH(follicle stimulating hormone)

Initiates sperm production in the testes?

FSH(follicle stimulating hormone)

Which of these assessment findings is an atypical symptom of myocardial infarction when chest pain is not present

Fatigue

Which medication is an example of an oral hypoglycemic agent?

Glypizide (Glucotrol)

Increases all of the following, cell division in tissues, rate of mitosis, transport rate of amino acids into cells, rate of protein synthesis, and use of fats for energy?

Growth hormone(GH)

An autoimmmune disorder that evenatually destroys thyroid tissue, leading to hypothyroidism?

Hashimoto's thyroiditis

A nurse is preparing to obtain a sputum specimen from a male client. Which of the following nursing actions will facilitate obtaining the specimen?

Having the client take deep breaths

The nurse is planning care for a paient with cardiomyopathy. For which of the following complications of cardiomyopathy should the nurse collect data?

Heart Failure

Releasing hormones location?

Hypothalamus

Function of the hormone ACTH(adrenocorticotropic hormone)?

Increases secretion of cortisol by the adrenal cortex.

What is the function(s) of TSH(thyroid stimulating hormone)?

Increases secretion of thyroxine and T3 by the thyroid gland

A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

Which of the following is a classic symptom of peripheral arterial occlusive disease

Intermittent claudication

A patient is returning from transesophgeal echocardiography. Which of the following would the nurse include in the patient's plan of care?

Keep the patient NPO until the gag reflect has returned.,

A male client suffers adult respiratory distress syndrome as a consequence of shock. The client's condition deteriorates rapidly, and endotracheal (ET) intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?

Kinking of the ventilator tubing

Causes all of the following: ovulation, the ruptured membranes to become corpus luteum, and increases secretion of progesterone by the corpus luteum?

LH(luteinizing hormone)

Increases secretion of testosterone by the interstitial cells of the testes?

LH(luteinizing hormone)

The increase of resting blood pressure with age may contribute to which of the following?

Left sided Heart Failure

The nurse is caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The nurse takes care not to dislodge the pacing catheter by:

Limiting the movement and abduction of the right arm.

Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude?

an air leak.

which action by nurse is most important following hypohysectomy

Neurological

A male client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely reverse the manifestations?

Non-rebreather mask

This causes contraction of smooth muscle in the uterus and mammory glands?

Oxytocin

ADH and oxytocin are secreted from which gland?

Posterior pituitary gland

A nurse is preparing to ambulate a postoperative client following cardiac surgery. The nurse plans to do which of he following to enable the client to best tolerate the ambulation.

Premedicate the paient with an analgesic prior to ambulating

This hormone stimulates milk production by the mammary glands?

Prolactin

Client diagnosed with thrombophlebitis one (1) day ago suddenly complains of chest pain and SOB and the client is visibility anxious. The nurse immediately checks the clients for signs and symptoms of _______.,

Pulmonary embolism

A male client who weighs 175 lb (79.4 kg) is receiving aminophylline (Aminophyllin) (400 mg in 500 ml) at 50 ml/hour. The theophylline level is reported as 6 mcg/ml. The nurse calls the physician who instructs the nurse to change the dosage to 0.45 mg/kg/hour. The nurse should:

Question the order because it's too low.

A slightly obese female client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client's chest wall, the nurse expects to elicit:

Resonant sounds

The patient with end stage COPD has a nursing diagnosis of impaired gas exchange. Which assessment finding shows that interventions have been effective

SP02 97% on 2L of O2

A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is the appropriate nursing intervention?

Stop the procedure and reoxygenate the client

Thyroxine(T4), triiodothyronine(T3) and calcitonin are hormones of which gland?

Thyroid

A 84 year-old male has been loosing mobility and gaining weight over the last 2 months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed?

Thyroid Function Test

The nurse is teaching a male client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching?

Use diaphragmatic breathing.

The nurse assesses a male client's respiratory status. Which observation indicates that the client is experiencing difficulty breathing?

Use of accessory muscles

A patient's chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute?

Weight Gain

______ describes a violin like sound heard on chest asuculatation

Wheezes

A vasovagal response may occur, causing _________?.

bradycardia

The common clinical manifestations of pulmonary embolism are tachypnea, tachycardia, dyspnea, and _________?

chest pain

The right atrium recieves ____ blood from the upper body by way of the superior vena cava and from the lower body by way of the inferior vena cava.

deoxygenated

A male adult client is suspected of having a pulmonary embolus. A nurse assesses the client, knowing that which of the following is a common clinical manifestation of pulmonary embolism?

dyspnea

A black client with asthma seeks emergency care for acute respiratory distress. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the:

mucous membranes

the left atrium receives _____ blood from the lungs by the way of the four pulmonary veins

oxygenated

pacemaker of the heart

sinoatrial (SA) node

A client is admitted to the hospital with possible rheumatic endocarditis. The nurse would chekc the client for signs and symptoms of concrrent _________

streptococcal infection

Epinephrine secreated by the adrenal medulla in stressful situations is ________

sympathomimetic