HESI Acute

Trapeze use

*Answer: Check for upper strength extremities

Discharge teaching to a patient with heart failure what parameter is most important for weight monitoring

*Answer: Weight the patient at the same time, Same Scale, same cloth type)

WHEN BP IS HIGH

- ADMINISTER (LASIX)

RESTLESS LEG SYNDROME

- ASSESS FOR IRON AND FERRITIN.

PT WITH AN EXTERNAL DEVICE COMPLAINING OF PAIN:

- ASSESS FOR PHERIPHERAL PULSES.

FEMALE PATIENT HOW HAVE EPIGASTRIC PAIN FOR 3 DAYS HAVE BEEN TAKIN ANTACIDS AND NO RESOLVE ARRIVE TO HOSPITAL W/HR;128 BPM, BP110/70 WHAT IS THE MOST IMPORTANT INTERVENTION FINDING IN ASSESSMENT:

- ASSESS FOR RADIATING JAW PAIN.

PATIENT ALLERGIC TO BANANA (LATEX):

- CALL TO MD AND OR STAFF TO BE CHANGE EVERYTHING FOR SINTHETIC MATERIALS,

Pt. DIAGNOSED RECENTLY W/ DM HAVE NOT BEEN ABLE TO CONTROL GLUCOSE LEVEL DURING 3 MONTH WHAT SHOULD BE DONE:

- CHECK FOR A1C LEVEL - (OTHER SAY ASSESS FOR WHAT SHE HAVE BEEN EATING 3 DAYS AGO).

PT VOMITING BLOOD LIKE THE PICTURE SAME AS HEMATENSIS:

- CHECK VITAL SIGNS - AUSCULTATE LUNGS SOUNDS

PT W/ A EXPRESSIVE APHASIA IS ANGER WHAT SHOULD DO THE NURSE:

- CVA- COMMUNICATE W/ PICTURE BOARDS.

DISCHARGE FOR VENOUS ULCERS SELECT ALL APPLY?

- ELEVATE THE FEET WHEN LAYING DOWN - CHECK BROWNISH SKIN AROUND THE ANKLES - VITAMINS

NGT proper tube procedure

- Elevate dead 60 to 90 degree....

PT W/ OPEN ANGLE GLAUCOMA SELECT ALL THAT APPLY:

- FREQUENT EYE EXAM TO ASSES FOR VISSION, - USE DROPS TO DIMINSH IOP, - AVOID EXTRENOUS EXERCICES LIKE JOGGING OR RUNNING

PT W/ SIADH:

- HARD CANDY FOR THIRST.

PATIENT THAT HAVE THE K= 6.7 WHAT MEDICATION PROVIDE:

- KAYELAXATE (TREATS HYPERKALEMIA).

PT WITH LEFT LEF ULCER:

- KEEP LEG ELEVATED AS MUCH AS HE CAN.

TRACHESTOMY CARE:

- LEAVE OLD TIES ON UNTIL NEW ONES BE ON PLACE OR SECURE.

EXAMPLES OF DASH DIET:

- PEEL FRUITS AND VEGETABLES.

INTESTINAL BOWEL OBSTRUCTION

- PLACE THE PT 90 DEGREES SITTING

PT W/ HYPERTHYROIDISM DEVELOPING EXOSPHTALMUS:

- PRESCRIBE TEAR EYE DROPS.

Pt. W. RADIACTIVE THERAPY WHAT TO TEACH/ RECOMMEND TO

- PROTECT THAT PART OF THE SKIN SPECIALLY FROM THE SUN

PT W/ RAYNAUD SYNDROME WHICH WORK AS A DATA ENTRY CLERK:

- PROVIDE A SPACE TO WARM THE ENVIROMENT NEXT TO HER

PATIENT W/ ESOPHAEGAL VARICES HAVE NOT BE BLEEDING FOR 3 DAYS:

- PROVIDE LUKE WARM BROTH, ICE TEA AND LEMON POPSICLE.

UROLITHISIS O LITHOTRIPSY PROCEDURE

- RESTRICT PHYSICAL ACTION

PT WITH OSTEOMALCIA

- RISK FOR INJURY

OSTEOARTHRITIS

- RISK FOR INJURY RELATED TO JOINT PAIN

ADDISON DISEASE

- TAKE CORTICOSTEROID MEDS

ALLOPRINOL FOR GOUT

- TAKE MEDS ALWAYS

Pt WITH ALS WHAT TO DO TO PREVENT RESPIRATORY COMPLICATIONS:

- TEACH BREATHING TECNIQUES, USES SPIROMETER, AUSCULTATE FOR BREATH OR LUNG SOUNDS.

NURSE IS TEACHING THE WIFE IF A PATIENT DIAGNOSED W/ SEIZURE WHAT TO DO:

- TEACH HER HOW TO POSITION HIM

SBAR—EXPLAIN SPECIFIC REASON FOR URGENT NOTIFICATON

- TEMPERATURE

Carpel tunnel syndrome

- WEAR BRACE BOTH WRIST

The family suspects that AIDS dementia is occurring in their son who is HIV positive. Which symptom confirms their suspicions

A change has recently occurred in his handwriting

ISOLATION PRECAUTIONS (ORDER):

1. WASH HANDS 2. PUT ON AN ISOLATION GOWN 3. APPLY A SURGICAL MASK 4. DON GLOVES

Glasgow Coma Scale

14 = Monitor neuro status every 2 hrs eyes, verbal, motor Max- 15 pts, below 8= coma and intubate

Pt with V-fib

1st START CPR

A client who had a biliopancreatic diversion procedure (BOP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?

Gastroccult positive emesis

A client with multiple sclerosis has urinary retention related to sensorimotor deficits. Which action should the nurse include in the client's plan of care?

Teach the client techniques for performing intermittent catheterization

The healthcare provider prescribes an IV solution of regular insulin (Hummulin-R) 100 units in 250 ml of 0.45% saline to infuse at 12 units/hour. The nurse should program the infusion pump to deliver how many ml/hour?

30

rule of nines

A system that assigns percentages to sections of the body, allowing calculation of the amount of skin surface involved in the burn area.

Patient with influenza. Dehydrated and pneumonia:

A. Droplet precaution B. Family member wear mask NOTE: Droplet precautions should be implemented for patients with suspected or confirmed influenza for 7 days after illness onset or until 24 hours after the resolution of fever and respiratory symptoms, whichever is longer, while a patient is in a healthcare facility.

10.A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium 25,000 unit in 5% dextrose injection 250ml. The prescription indicates the dosage should be increase 900 units/hr. The nurse should program the infusion pump to deliver how many ml/hr?

9

A type 1 diabetic adolescent is checking his sugar before playing a soccer game. His BGL comes back at 180. What should the nurse do?

Allow the patient to play in the game

Pancreatitis: Which enzyme increases in 1st 24 hours

Amylase

The school nurse is implementing standards to manage students and provide a safe and healthy school setting. Which action is most important for the nurse to implement? A- Maintain student immunization records B- Develop an emergency plan for the school C- Ensure that medical supplies are available D- Conduct annual student health assessments

A- Maintain student immunization records

A patient is diagnosed with MALIGNANT HYPERTENSION, patient likes skiing and asks if is ok to continue: A. "COLD WEATHER MAY CONSTRICT YOUR BLOOD VESSELS AND INCREASE BP" B. "SKIING MIGHT PRODUCE TOO MUCH EXERTION" C. "SHOULD BE OK AS SOON AS YOU CONFINE SKIING D. "GO FOR IT IS A TERRIFIC WORKOUT

A. "COLD WEATHER MAY CONSTRICT YOUR BLOOD VESSELS AND INCREASE BP"

THE NURSE IS PLANNING CARE FOR A CHILD WHO IS COMPLAINING OF PERSISTENT ITCHING DUE TO SCABIES. WHICH MEASURE SHOULD THE NURSE IMPLEMENT TO MINIMIZE THE CLIEDS RISK FOR COMPLICATION? A. KEEP THE CHILDS NAILS SHORT AND ENCOURAGE USE OF HAND MITTENS. B. MONITOR FOR DESQUAMATION AND NORMAL FLORA OVERGROWTH C. SHAVE THE BODY HAIR BEFORE APPLYING THE SCABICIDE LOTION D. WAS SKIN BETWEEN APPLICATION OF TOPICAL ANTI PARASITIC DOSIS? NOTE: WHEN YOU SEE MITTEN THAT IS THE ANSWER

A. KEEP THE CHILDS NAILS SHORT AND ENCOURAGE USE OF HAND MITTENS.

A male client complains of pain in his right calf, and the nurse determines that his calf is edematous and deep red. What intervention has the highest priority?

Tell the client to remain in bed

s/s dyspnea tachycardia hbp chest pain

Tension pneumothorax : insert 14 gage large bore needle or a chest tube insert. This procedure aloud immediate realizes of air plural space. Because is to air in a plural space and the lung collapsed

Diabetic, renal no function, decrease urine or not urine, septic shock, check urine specific Gravity and osmolarity urine.

Acute Renal Failure: Low Protein Chronic Renal Failure: NOT Protein at all Asw possible:Urine claude and check input and output

For Dysrhythmias

Administer Epinephrine

An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis. What is the priority nursing action?

Administer IV antibiotics as prescribed (Acute pyelonephritis, a bacterial infection in the kidney and renal pelvis, requires prompt treatment with antibiotics to prevent worsening infection and related sequelae. A broad spectrum antibiotic is initiated until urine culture results are obtained. Additional nursing actions are important to maintain homeostasis, but are of less immediacy than initiating IV antibiotics).

A patient is diagnosed with stomatitis as a side effect of chemotherapy. The patient complains of pain in the mouth. What should the nurse do first to assist the patient?

Administer a PRN topical analgesic

A client with stage IV bone cancer is admitted to the hospital for pain control. The client verbalizes continuous, severe pain of 8 on a 1 to 10 scale. Which intervention should the nurse implement?

Administer opioid and non-opioid medication simultaneously

HIV

The # of T-CELLS decrease and die

The nurse is assessing a client who has returned from surgery following a thoracotomy. Which finding indicates the client is experiencing adequate gas exchange?

The client demonstrates effective coughing and deep breathing exercises

A 16yo male patient is seen in a clinical for a check-up. The patient was diagnosed with hemophilia 10 years ago. Which statement shows that the patient is coping well with his diagnosis?

The patient volunteers at a summer camp for other children with hemophilia

Ineffective airway clearance

Thin secretions to remove easily

The healthcare provider prescribes methotrexate 7.5 mg PO weekly, in 3 divided doses for a child with rheumatoid arthritis whose body surface area (BSA) is 0.6 m2. The therapeutic dosage of methotrexate PO is 5 to 15 mg/m2/week. How many mg should the nurse administer in each of the three doses given week?

Answer: 2.5

DOPAMINE 198 LBS 7mcg/kg/minute, 500 mg and 400 ml. ml/hour?

Answer: 47 198:2.2=90 7x60x90=37800mcg 37800mcg:1000 to mlg=37.8 mlg 500mg:400ml=1.25 37.8:1.25=30.24

NOTE: The Multiple Organ Dysfunction Syndrome (MODS) can be defined as the development of potentially reversible physiologic derangement involving two or more organ systems not involved in the disorder that resulted in ICU admission, and arising in the wake of a potentially life-threatening physiologic insult.

Answer: Shock

A fair-skinned female client who is an avid runner is diagnosed with malignant melanoma, which is located on the lateral surface of the lower leg. After wide margin resection, the nurse provides discharge teaching. It is most important for the nurse to emphasize the need to observe for changes in which characteristic?

Appearance of any moles

A patient begins to complain of chest pain and shortness of breath. What is the nurses best first response?

Apply 2 L NC

An adolescent broke his ulnar bone at school. The school nurse has assessed for radial pulses and splints the fractured arm for stabilization. What is the nurses next best action?

Assess for motor function and sensation of the fingers

Pulmonary artery wedge pressure (SWAN GANZ)

Assess/monitor for dysrhythmias

*Two days following abdominal surgery a client begins to report cramping abdominal pain, and the nurse's inspection of the abdomen indicates slight distention. Which action should the nurse implement first?

Auscultate the client's abdomen

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops

B) Light housekeeping is permitted but avoid heavy lifting

The nurse is reinforcing home care instructions with a client who is being discharged following transurethral resection of the prostate (TURP). Which intervention is most important for the nurse to include in the clients discharge instructions? A- Avoid strenuous activity for 6 weeks B- Report fresh blood in the urine C- Take acetaminophen for fever 101 D- Consume 6 to 8 glasses of water daily

B- Report fresh blood in the urine

A client with unstable asthma had an emergent cardiac catheterization. Which complication should the nurse monitor for in the initial 24 hours after the procedure?

Thrombus formation

The nurse is assessing a primigravida at 39-weeks gestation during a weekly prenatal visit. Which finding is most important for the nurse to report to the healthcare provider? A) Reports intermittent low back pain. B) Fetal heart rate of 200 beats/minutes C) Complains of early morning heartburn D) Maternal hemoglobin of 11.0 g/ dl or 110 g/l (SI) *Note: Normal FHR pregnant women: 120-160

B) Fetal heart rate of 200 beats/minutes

A patient is being treated for cancer and the nurse suspects that the patient is experiencing tumor lysis syndrome. What should the nurse ensure that the patient does?

increase fluids

RN needs to go 4 patients and which one needs to see first: A. The patient discharge yesterday and dehydrated B. The patient start a new medication and is incontinence C. The patient that doesn't want to take a shower

B. The patient start a new medication and is incontinence

Renal Failure

BUN 45%

A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client's bowel movements?

Blood in the stool

A client with pheocromocytoma reports the onset of a severe headache. The nurse observes that the client is very diaphoretic. Which assessment data should the nurse obtain first?

Blood pressure

A public health nurse receives funding to initiate a primary prevention program in the community. Which program best fits the nurse's proposal? A. Case management and screening for clients with HIV. B. Regional relocation center for earthquake victims. C. Vitamin supplements for high-risk pregnant women. D. Lead screening for children in low-income housing.

C. Vitamin supplements for high-risk pregnant women.

A client's telemetry monitor indicates ventricular fibrillation (VF). After delivering one counter shock, the nurse resumes chest compression. After another minute of compressions, the client's rhythm converts to supraventricular tachycardia (SVT) on the monitor. At this point, what is the priority intervention for the nurse?

Give IV dose of adenosine rapidly over 1-2 seconds

A pt with possible pneumonia come to the hospital and the nurse need to do an assessment but the family don't want to leave the room, what the nurse need to do first? A -Call the security B- Put the family out of the room C- Put a pneumonia droplet sign in the door D - Continue with the assessment and put mask to the family

C- Put a pneumonia droplet sign in the door

PT WITH OBESITY HIGH GLUCOSE LEVEL IS AT RISK FOR?

CARDIOVASCULAR DISEASE

PT ARRIVE TO PACU POSTOP MOANING WHAT TO DO:

CHECK PULSE, BP AND RESPIRATIONS.

Pt w/ dysrhythmias

Calcium of 7.2 (low)

Pt has increased abdominal girth Post-op surgery

Call Dr

A client in the operating room received succinylcholine. The client is experiencing muscle rigidity and has an extremely high temperature. What action should the nurse implement?

Call the PACU nurse to prepare for prolonged ventilatory support

Carpal Spasm w/ BP check

Check CALCIUM levels

Pt w/ Hysterectomy (sx to remove uterus)

Check for Hypo-tension (low BP) and check for increased bleeding

Burns: Debridement / hydrotherapy

Give Narcotics before

An older male client with long-standing lung disease is admitted to the medical unit for treatment of pulmonary infection. In assessing for signs of increasing hypoxia, which actions should the nurse include? Select all that apply.

Check for changes in mentation Observe color of skin and mucous Assess breathing patterns (Increasing hypoxia can cause changes in mentation, such as confusion and lethargy. In addition, breathing patterns are altered as the client attempts to compensate for the increasing hypoxia. Skin and nailbed color changes, such as pallor or cyanosis, also occur as the result of hypoxia. Assessment of the jugular veins and dryness of mucous membranes do not provide data about increasing hypoxia)

A 70-year-old male client with type 2 diabetes mellitus (DM) is hospitalized with an infected ulcer on his great right toe. Which instruction should the nurse emphasize during discharge teaching?

Check the insides and linings of all enclosed shoes before putting the shoes on (Peripheral neuropathy is a common complication of DM, resulting in loss of sensation. Clients with DM should wear enclosed shoes to reduce the risk of injury and check the insides and linings for potential source of excessive pressure that could cause foot ulcers).

How to check for Carbon monoxide poisoning

Cherry red mouth or tongue

After a transurethral resection of the prostate (TURP), a client has bloody urine output with large clots. The nurse implements the postoperative prescription to irrigate the indwelling catheter PRN to maintain the catheter's patency. Which action should the nurse implement?

Clamp the catheter for 30 minutes prior to irrigating with saline

After a transurethral resection of the prostate (TURP), a client has bloody urine output with large clots. The nurse implements the postoperative prescription to irrigate the indwelling catheter PRN to maintain the catheter's patency. Which action should the nurse implement?

Clamp the catheter for 30 minutes prior to irrigating with saline

· A patient is being evaluated after an ulnar fracture that has been placed in a cast. The patient complains of irretractable pain. What should the nurse be concerned for?

Compartment syndrome

A male client with pernicious anemia takes supplemental folate and self-administers monthly Vitamin B12 injections. He reports feeling increasingly fatigued. Which laboratory value should the nurse review?

Complete blood count

More than 30% of burns

Give fluid resuscitation

Esophageal varices & portal HTN

Give them stool softeners to prevent straining

The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the best medication that the client is adhering to the prescribed diabetic regimen?

Hemoglobin A1C of 6.2%

A nurse assesses a patient and sees the following clinical findings: weakness, muscle cramping, and cardiac dysrhythmias. Which lab value does the nurse suspect?

Hypokalemia

S/S of shock

Hypotension, thready pulse

A female client is being treated for tuberculosis with rifampin (rifadin) which statement indicates that further teaching is needed?

I will take my usual contraceptive for birth control

After suctioning the patient with an endotracheal tube, which assessment finding indicates to the nurse that the intervention was effective?

Increase in breath sounds

After a computer tomography (CT) scan with intravenous contrast medium, a client returns to the room complaining of shortness of breath and itching. Which intervention should the nurse implement? A. Send another nurse for an emergency tracheotomy set B. Call respiratory therapy to give a breathing treatment C. Review the client's complete list of allergies D. Prepare a dose of Epinephrine (Adrenalin)

D. Prepare a dose of Epinephrine (Adrenalin)

A postoperative client has three different PRN analgesics prescribed for different levels. The nurse inadvertently administers a dose that is not within the prescribed parameters. What action should the nurse take first? A. Administer a prescribed antidote. B. Document the client's responses. C. Complete a medication error report. D. Report to the healthcare provider. NOTE: ALWAYS CONTACT THE HEALTHCARE PROVIDER TO VERIFY THE ORDER

D. Report to the healthcare provider.

The nurse is teaching the importance of an exercise regime that includes walking daily for a group of clients with asthma, chronic bronchitis, and emphysema at a pulmonary rehabilitation clinic. Which rationale should the nurse include when motivating the clients?

Daily exercise and walking enhances cardiovascular fitness

When caring for a client with nephrotic syndrome which assessment is most important for the nurse to obtain?

Daily weight

When planning care for a client newly diagnose with open angle glaucoma, the nurse identifies a priority nursing diagnosis of " Visual sensory/perceptual alterations". This diagnosis is based on which etiology?

Decreased peripheral vision

An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and she only eats half of the food on her meal tray. Her family expresses concern about her nutritional status. How should the nurse respond to the family's concern?

Demonstrate the use of visual scanning during meals to the client and family

A male client with a history of asthma reports having episodes of bronchoconstriction and increased mucous production while exercising. Which action should the nurse implement?

Determine if the client is using an inhaler before exercising (Using a prescribed bronchodilator inhaler 10 minutes before participating in aerobic activity can control exercise-induced asthma (EIA). The nurse should assess if the client is using their inhaler before initiating exercise)

A client with type 2 diabetes mellitus is admitted to the hospital for uncontrolled DM. Insulin therapy is initiated with initial dose of Humulin insulin at 8:00 at 16:00 the client complains of diaphoresis, rapid heart beat, and feeling shaky. What should the nurse do first?

Determine the client current glucose level

*A client with type 2 diabetes mellitus (DM) is admitted to the hospital for uncontrolled DM. Insulin therapy is initiated with an initial dose of Humulin N insulin at 0800. At 1600, the client complains of diaphoresis, rapid heartbeat, and feeling shaky. What should the nurse do first?

Determine the client's current glucose level

Autonomic dysreflexia

Diaphoretic and headaches (potentially life threatening emergency!) HOB elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction, (trigger) administer antihypertensive (may cause stroke, MI, seizure)

Cholecystitis

Diet; Weight Program inflammation of the gallbladder; usually associated with gallstones

A patient is scheduled to receive whirlpool therapy for the debridement of partial thickness burns. What order should the nurse question?

Dilaudid 4mg IM injection

The nurse is assessing a client who has tinea pedis. Which question will allow the nurse to gather further information about this condition?

Do you see any improvement when using tolnaftate? Tolnaftate is used to treat skin infections such as athlete's foot, jock itch, and ringworm.

A healthcare worker with no known exposure to tuberculosis has received a Mantoux tuberculosis skin test. The nurse's assessment of the test after 62 hours indicates 5 mm of erythema without induration. What is the best initial nursing action?

Document negative results in the client's medical record

When providing care for a client following a bronchoscopy, which assessment finding should the nurse immediately report to the healthcare provider?

Dyspnea and dysphagia

Paracentesis

Empty bladder before procedure

The health care provider prescribe a medication for an older adult client who is complaining of insomnia. And instructs the client to return in 2 weeks. The nurse should question which prescription? a. Eszoplicone (Lunesta)10 mg orally at bed time b. Zolpidem 10 mg orally at bed time c. Temazepan orally at bed time d. Ramelteon orally at bedtime

Eszoplicone (Lunesta)10 mg orally at bed time

Lupus

Exacerbations of Fever

*During preoperative teaching for a male client scheduled for repair of an inguinal hernia, the client tells the nurse that he has had several surgeries and understands the need to perform coughing and deep breathing exercises after surgery. How should the nurse respond?

Explain that coughing should be avoided (Coughing exercises should be avoided following herniorrhaphy to avoid undue intra-abdominal pressure that can stress the suture line. The other actions do not reflect the need to correct the client's misunderstanding about postoperative coughing exercises related to the surgery).

*A client with draining skin lesions of the lower extremity is admitted with possible Methicillin-Resistant Staphylococcus Aureus (MRSA). Which nursing interventions should the nurse include in the plan on care? (Select all that apply.)

Institute contact precautions for staff and visitors Send wound drainage for culture and sensitivity Monitor the client's white blood cell count (MRSA infections in hospitals and other health care settings require transmission precautions to prevent the spread of Healthcare-Associated Infections (HAI). MRSA is transmitted by direct contact, so contact precautions are paramount. Sending a sample of wound draining for culture and sensitivity would confirm the type of infection. Monitoring the client's white blood cell count is helpful for assessing the severity of immune response to the infection. The client would not be receiving a bacteria diet, and standard precautions are insufficient for protecting against the spread of infection).

An older adult man recently diagnosed with chronic obstructive pulmonary disease (COPD) is admitted with shortness of breath. The nurse observes the client sitting upright and leaning over the bedside table, using accessory muscles to assist in breathing. What action should the nurse take?

Instruct the client in pursed lip breathing techniques

In assessing a client with ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?

Irregular ulcer shapes and severe edema

A patient has just been diagnosed with type 2 diabetes and is hypertensive. What finding is expected?

Ketones in the urine

Acute Renal Failure Diet

LOW Protein & HIGH CARBS; low Na & K

An adolescent is admitted to the hospital because of a suicide attempt with an overdose of acetaminophen (Tylenol). Which blood values are most important for the nurse to monitor during the first 72 hours following ingestion of this overdose? a. BUN creatinine specific gravity b. White blood count, hemoglobin hematocrit c. PH,PCO2, HC03 d. LDH OR LD, SGOT OR ALT, SGPT OR AST

Liver Function Test d. LDH OR LD, SGOT OR ALT, SGPT OR AST

A patient comes to the office and explains to the nurse that they are having symptoms of dizziness, shortness of breath on exertion, syncopal episodes, and presents with pallor in the mucous membranes. What is the likely cause of these symptoms?

Low H&H

LOW Cardiac output

MI

A diabetic patient comes to the clinic with the complaint of blurred vision and hyperglycemia. What nursing goal should the nurse implement?

Maintain a hemoglobin A1C <7%

The nurse is caring for a new ED patient who is suspected of having a cervical spine injury. What is the nurses priority intervention?

Maintain spinal alignment

What information should the nurse include in the teaching plan of a client diagnosed with gastroesophageal reflux disease (GERD)?

Minimize symptoms by wearing loose, comfortable clothing

A female client who was involved in a motor vehicle collision with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that her distal pulses are diminished in the left foot. Which interventions should the nurse implement? Select all that apply

Monitor left leg for pain, pallor, paresthesia, paralysis, pressure Verify pedal pulses using a doppler pulse device Evaluate the application of the splint to the left leg

Pulmonary contusion due to crushing of chest from an accident

Most common penetrating wound

Mechanism/action of calcitonin

Moves calcium from the blood circulation into the bone

Pancreatitis

NPO to Rest and prevent production of enzymes

FOR ANEMIA WHAT DOESN'T HAVE IRON, WHICH FOODS ARE NOT RICH IN IRON?

No: oranges

How to turn a pt w/ enteral feeding and IV

Nurse must HOLD enteral feeding than restart the feeding after

Pt has angina

Pain radiates to left arm

A client with an acute exacerbation of rheumatoid arthritis (RA) has localized pain and inflammation of the fingers and feet; swelling, redness, and restricted joint motion; and reports feeling fatigued. Which nursing diagnosis has the highest priority for this client

Pain related to joint inflammation

ARDS

Patient using abdominal muscles to breath

How should the nurse assess for a gag reflex?

Place tongue blade on back half of the tongue.

The nurse reviews the laboratory results of a client during an annual physical examination and identifies a positive guaiac test of stool. Which additional serum laboratory test result should the nurse review?

Platelet count

A client with chronic kidney disease (CDK) arrives at the clinic reporting shortness of breath on exertion and extreme weakness. Vital signs are temperature 100.4 F (38 C), heart rate 110 beats/minute, respirations 28 breaths/minute, and blood pressure 175/98 mmHg. The client usually receives dialysis three times a week but missed the last treatment. STAT blood specimens are sent to the laboratory for analysis. Which laboratory results should the nurse report to the healthcare provider immediately?

Potassium 6.5 mEq/L (mmol/L) potassium normal 3.0-5.5

The UAP has lowered the head of the bed for a client on tube feeding. What is the nurse's priority action?

Priority intervention is to ensure client's bed is elevated to reduce the risk for aspiration.

A client with Guillain-Barre syndrome has paralysis of all extremities and requires mechanical ventilation. The nurse observes that the client is not blinking. Which action should the nurse implement?

Protect cornea with lubricant and eye shields

What should the nurse put on the client before suctioning the oral cavity?

Protective gear should be worn.

An older adult with heart failure is hospitalized during an acute exacerbation. To reduce cardiac workload, which intervention should the nurse include in the client's plan of care?

Provide a bedside commode for toileting

The nurse observes an increase number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). What is the best initial nursing action?

Provide additional oral fluid intake Also with TURP you must know that 3l of water a day is needed

An older client arrives at the outpatient eye surgery clinic for a right cataract extraction and lens implant. During the immediate postoperative period, which intervention should the nurse implement?

Provide an eye shield to be worn while sleeping

A male client in skeletal traction tells the nurse that he is frustrated because he needs help repositioning himself in bed. Which intervention should the nurse implement?

Provide an overhead trapeze to the bed for the client to use

Injury to L4, T1

Pt c/o urinary retention

The nurse is providing discharge instructions to a client who is receiving prednisone (Deltasone) 5 mg PO daily for a rash due to contact with poison ivy. Which symptom should the nurse tell the client to report to the healthcare provider?

Rapid weight gain

*The nurse determines that a client who arrives in the preoperative holding area before surgery is allergic to bananas. Which action should the nurse implement prior to taking the client into the operative area?

Replace latex-containing devices in the OR with alternate synthetic materials (Many protein allergies in latex also exist in fruits, such as bananas, avocados, kiwis, and chestnuts. Those with a banana allergy can manifest specific IgE antibodies characteristic of a latex allergy, so latex-precautions using alternate synthetic materials should be used in the OR to prevent the possibility of precipitating an allergic reaction or anaphylaxis)

A client with hypothyroidism reports difficulty falling asleep because of feelings of depression. Which action should the nurse implement?

Review most recent thyroid function test results

A female client who received partial-thickness and full-thickness burns over 40% of her body in a house fire is admitted to the inpatient burn unit. What fluid should the nurse prepare to administer during the acute phase of the client's burn recovery?

Ringer's Lactate

Which nursing diagnosis should be selected for a client who is receiving thrombolytic infusions for treatment of an acute myocardial infarction?

Risk for injury related to effects of thrombolysis

A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage pruritus caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. Which action should the nurse implement?

Schedule an appointment for the client to see the healthcare provider.

A nurse is caring for a client with Diabetes Insipidus (DI). Which data warrants the most immediate intervention by the nurse?

Serum sodium of 185 mEq/L

A client who is receiving packed red blood cells develops nausea and vomiting. What action should the nurse take first?

Stop transfusion

Patient had a mechanical valve replacement. What does nurse teach patient?

Take antibiotics before dental procedure

A male client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about the dietary restrictions he should follow. In discussing fluid intake, the nurse should include which type of fluid limitation?

Tea and hot chocolate

A client returns to the unit following a suprapubic prostatectomy. He has a three-way catheter in place with a continuous bladder irrigation infusing. Which assessment finding warrants immediate intervention by the nurse?

Urine leaking around the meatus

An older client is admitted after falling while walking. The left leg is externally rotated and shorter than the right leg, and the client is having severe pain and tingling in the left foot. The nurse is unable to palpate the left pedal pulses. Which action is most important for the nurse to implement?

Use a doppler to assess bilateral pedal pulses

Lupus

Use heavy sunblock

A male client who had abdominal surgery 5 days ago, and hospitalized because of a surgical wound infection, tells the nurse that he feels like his insides just spilled out when he coughed. What action should the nurse take first?

Visualize the abdominal incision

*A client with a liver abscess undergoes surgical evacuation and drainage of the abscess. Which laboratory value is most important for the nurse to monitor following the procedure?

White blood cell count (Clients with a liver abscess are at high risk for sepsis. It is most important for the nurse to monitor for signs of infection, including an increase in the client's white blood cell count).

BMI (body mass index)

a person's weight in kilograms divided by the square of height in meters

A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement first? a. Obtain a sputum sample for culture b. Check his oxygen saturation level c. Administer an oral antipyretic d. Auscultate bilateral lung sound

a. Obtain a sputum sample for culture

The therapeutic effect of insulin in treating type 1 diabetes mellitus is based on which physiologic action? a. Facilitates transport of glucose into the cell b. Increases intracellular receptor site sensitivity c. Stimulates function of beta cells in the pancreas d. Delays carbohydrates digestion and absorption

a. Facilitates transport of glucose into the cell

Following involvement in a motor vehicle collision, a middle aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN prescription should be administer if the clients begins to exhibit signs and symptoms of delirium tremens (DT s)? a. Lorazepam (Ativan) 2mg IM b. Chlorpromazine (thorazine) 50 mg IM c. Prochlorperazine (Compazine) 5 mg IM d. Hydromorphone (Dilaudid) 2 mg IM

a. Lorazepam (Ativan) 2mg IM

A client subjective data includes dysuria, urgency, and urinary frequency. What action should the nurse implement next? a. collect a clean catch specimen b. palpate the suprapubic region c. instruct to wipe from front to back d. inquire about recent sexual activity

a. collect a clean catch specimen

A client with hyperthyroidism is being treated with radioactive iodine (I-131). Which explanation should be included in preparing this client for this treatment? a. describe radioactive iodine as a tasteless, colorless medication administered by the healthcare provider b. explain the need for using lead shields for 2 to 3 weeks after the treatment c. describe the signs of goiter because this is a common side effects of radioactive iodine d. explain that relief of the signs/ symptoms of hyperthyroidism will occur immediately

a. describe radioactive iodine as a tasteless, colorless medication administered by the healthcare provider

A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood cell. When notifying the healthcare provider what information should the nurse provide first using the SBAR communication process? a. explain specific reason for urgent notification b. preface the report by stating the clients name and admitting diagnosis c. communicate the pre-transfusion temperatures d. obtain prn prescription for acetaminophen for fever 101f

a. explain specific reason for urgent notification

An elderly post-operative female client is receiving morphine sulfate via a PCA pump. Which assessment finding should prompt a nurse to administer the prescribed PRN medication naloxone? a. her respiratory rate is 7 breath/minute b. she indicates that she feels as if she cannot get enough air to breath c. she has intercostal retractions and bilateral wheezing is auscultated d. her pulse oximeter is 89% on room air

a. her respiratory rate is 7 breath/minute

A client who took a camping vacation two weeks ago in a country with a tropical climate comes to the clinic describing vague symptoms and diarrhea for the past week. Which finding is most important for the nurse to report? a. jaundice sclera b. intestinal cramping c. weakness and fatigue d. weight loss

a. jaundice sclera

A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the health care provider? a. low back pain and hypotension b. rhinitis and nasal stuffiness c. delayed painful rash with urticarial d. arthritic joint changes and chronic pain

a. low back pain and hypotension

In caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasal which serum lab test is most important for the nurse to monitor? a. osmolality b. calcium c. platelets d. glucose

a. osmolality

The nurse is providing preoperative education for a Jewish client schedule to receive a xenograft graft to promote burn healing. Which information should the nurse provide this client? a. the xenograft is taken from nonhuman sources b. grafting increases the risk for bacterial infection c. as the burn heals the graft permanently attaches d. grafts are later removed by debriding procedure

a. the xenograft is taken from nonhuman sources

A client who is taking and oral dose of tetracycline complains of gastrointestinal upset. What snack should the nurse instruct the client to take with the tetracycline? a. toasted wheat bread and jelly b. cheese and crackers c. cold cereal with skim milk d. fruit flavored yogurt

a. toasted wheat bread and jelly

The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this diagnosis? a. upper mid abdominal gnawing and burning pain b. severe abdominal cramps and diarrhea after eating spicy foods c. marked loss of weight and appetite over the last few months d. use of chewable and liquid antacids for indigestion

a. upper mid abdominal gnawing and burning pain

.Which assessment finding indicates to the nurse that the muscarinic agent bethanechol (Urecholine) is effective for a client diagnose with urinary retention? a. urinary output equal to intake b. no terminal urinary dribbling c. denies stress incontinence d. absence of xerostomia

a. urinary output equal to intake

Tylenol Over Dose (Bun & Creat. High)

acetylcysteine Mucomyst (an antagonist)

A male client reports to the nurse that he is experiencing GI distress from high dose of a corticosteroid and is planning to stop taking the medication. In response to the client's statement what nursing action is most important for the nurse to take? a. Encourage the client to take medication with food to decrease GI distress b. Advice the client that the medication should be stopped gradually rather than abruptly. c. Review the clients dosing schedule to ensure he is taking the prescribed amount d. Assess the client for other indication of adverse effects of corticosteroid

b. Advice the client that the medication should be stopped gradually rather than abruptly.

A client with symptoms of influenza that started the previous day ask the clinic nurse about taking oseltamivir (Tamiflu) to treat the infection. Which response should the nurse provide? a. Advise the client once symptoms occur is too late to receive an influenza vaccination b. Refer the client to the healthcare provider at the clinic to obtain a medication prescription c. Explain to the client that antibiotics are not useful in treating viral infections such as influenza d. Instruct the client that over the counter medications are sufficient to manage influenza symptoms

b. Refer the client to the healthcare provider at the clinic to obtain a medication prescription

Fifteen minutes after receiving sulfa athenozole. A male client report a burning sensation over his abdomen chest and groin. Which intervention is most important for the nurse to implement? a. Auscultate lung sounds for wheezing b. Review the clients list if drugs allergies c. Add sulfamethinozole to clients allergies d. Check neurological vital signs

b. Review the clients list if drugs allergies

.Which instructions should the nurse include in the teaching plan of a client who is taking the diuretic spironolactone (Aldactone)? a. call the healthcare provider f you develop gynecomastia b. Take the medication in the morning c. Avoid caffeine and smoking d. Increase your consumption of bananas and oranges

b. Take the medication in the morning

Two days after an abscess of the chin was drained the client returns to the clinic with fever chills and a maculopapular rash with pruritis. The client has taken an oral antibiotic and cleansed the wound today with provide iodine (Betadine) solution. Which intervention should the nurse implement first? a. determine if the client has a history of diabetes b. assess airway patency and oxygen saturation c. review recent medication history and allergies ( POSSIBLE ANSWER TOO) d. obtain samples for complete blood count and cultures

b. assess airway patency and oxygen saturation

Antibiotic resistant organism are a major infection control problems. To help minimize the emergence of resistant bacteria what instruction should the nurse provide to the clients? a. stop taking prescribed antibiotics when symptoms decrease b. avoid using antibiotics when suffering from colds or the flu c. ask the healthcare provider to prescribe the newest antibiotic when needed d. request a prescription for first time vancomysin for a sore throat

b. avoid using antibiotics when suffering from colds or the flu

.The nurse administer donepezil hydrochloride (Aricept) to a client with Alzheimer's disease as an intervention for which client problem? a. fluid volume excess b. disturbed thought processes c. chronic pain d. altered breathing patterns

b. disturbed thought processes

A client is who is diagnose with schizophrenia receives a prescription for an atypical antipsychotic drug aripipazole (Abilify). Which assessment should the nurse perform to monitor for an adrenergic receptor antagonist side effect that commonly occurs atypical antipsychotic agents? a. observe the client hallucinatory behaviors b. obtain the client finger stick glucose levels c. measure the clients lying and standing blood pressure d. determine the clients abnormal involuntary movements scale (AIMS)

b. obtain the client finger stick glucose levels

.When explaining dietary guidelines to a client with acute glomerulonephritis (AGN) which instruction should the nurse include in the dietary teaching? a. select a protein rich food daily b. restrict sodium intake c. eat high potassium foods d. Avoid foods high in carbohydrate

b. restrict sodium intake

Strip w/ asystole

begin CPR

An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While hospitalize he receives IV pentamidine isethionate therapy. In preparing this client for discharge what important aspect regarding his medication therapy should the nurse explain? a. AZT therapy must be stopped when IV aerosol pentamine is being used. b. IV pentamine will be given until oral pentamine can be tolerated c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine every month d. Iv pentamine may offer protection to others aids related conditions such as kaposis sarcoma

c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine every month

A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How should the nurse respond? a. offer the client reassurance that this information indicates that the clients cancer cells are benign b. explain that these tissue cells often respond more effectively to radiation than to chemotherapy c. ask the client in the healthcare provider has giving her any information about the classification of her cancer d. help the client make plans to begin inmediate treatment since her cancer is likely to spread quickly

c. ask the client in the healthcare provider has giving her any information about the classification of her cancer

After taking orlistat (Xenical) for one week a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. What action should the nurse take? a. obtain stool specimen to evaluate for occult blood and fat content b. instruct the client to increase her intake of saturated fats over the next week c. ask the client to describe her dietary intake history for the last several days d. advice the client to stop taking the drug and contact the healthcare provider

c. ask the client to describe her dietary intake history for the last several days Xenical (orlistat) blocks some of the fat that you eat, keeping it from being absorbed by your body. Xenical is used to aid in weight loss, or to help reduce the risk of regaining weight already lost. This medicine must be used together with a reduced-calorie diet and is to used only by adults.

A client is discharged with a prescription for warfarin (Coumadin). What discharge instructions should the nurse emphasize to the client? a. take a multi vitamin supplement daily b. use an astringent for superficial bleeding c. avoid going barefoot especially outside d. include large amounts of spinach in the diet

c. avoid going barefoot especially outside

Twenty minutes after the nurse starts a secondary IV infusion of cafepime (maxipime) 2 grams using an infusion pump to deliver the dose in one hour, the client reports feeling nauseated. What action should the nurse implement? a. stop medication infusion and notify the healthcare provider of the adverse effect b. increase the rate of the infusion to complete the dose of the medication more rapidly c. continue the infusion and administer a prn antiemetic prescription d. reassure the client that the nausea is not related to the iv infusion

c. continue the infusion and administer a prn antiemetic prescription Antibiotic: Cefepime is used to treat a wide variety of bacterial infections.

An elder male client tells the nurse that he is loosing sleep because he has to get up several times at night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement? a. collect a urine specimen for culture analysis b. obtain a fingerstick blood glucose level c. palpate the bladder above the symphysis pubis d. review the client fluid intake

c. palpate the bladder above the symphysis pubis

A client who had a myocardial infarction is admitted to the coronary critical care unit (CCU) with a nitroglycerin drip infusing. The clients last blood pressure measurements was 78/36.What action should the nurse implement? a. obtain blood pressure q5 minutes using duranap machine b. change the dilution of the nitroglycerin infusion c. reduce the rate of the nitroglycerin infusion d. begin dopamine infusion at 5mcg/kg per minute

c. reduce the rate of the nitroglycerin infusion

A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take first? a. monitor bp q45 minutes b. lower the head of the chair and elevate feet c. stop dialysis treatment d. administer 5%albumin IV

c. stop dialysis treatment

A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client to take the glucagon? a. after meals to increase endogenous insulin secretion b. after insulin administration to prevent hypoglycemia c. when recognized signs of severe hypoglycemia occur d. when unable to eat during sick days

c. when recognized signs of severe hypoglycemia occur

Anaphylactic shock

constriction of airways and drop in blood pressure

PARKLAND FORMULA

first half within the first 8 hours, second half 16 hours The Parkland formula estimates the fluid needs as 4 mL/kg body weight/% TBSA burns (lactated Ringer's solution)

After administering dihydroergotamine (Migranal) 1 mg subcutaneously to a client with a severe migraine headache the nurse should explain that relief can be expected within what time frame? a. 2 hours b. 5 minutes c. 1 hour d. 15 minutes

d. 15 minutes

When preparing to apply a fentanyl (Duragesic) transdermal patch the nurse notes that the previously applied patch is intact on the client's upper back and the client denies pain. What action should the nurse take? a. Remove the patch and consult with the healthcare provider about the client pain resolution b. Place the patch on the clients shoulder and leave both patches in place for 12 hours c. Administer an oral analgesic and evaluate its effectiveness before applying a new patch d. Apply a new patch in a different location after removing the original patch

d. Apply a new patch in a different location after removing the original patch

A male client who is 24hr post operative for an exploratory laparotomy complains that he is starving because he has had no real food since before surgery. Prior to advancing his diet which intervention should the nurse implement? a. discontinue intravenous therapy b. Assess for abdominal distension and tenderness c. Obtain a prescription for a diet change d. Auscultate bowel sound in all four quadrants

d. Auscultate bowel sound in all four quadrants

A male client with angina pectoris is being discharged from the hospital. What instructions should the nurse plan to include to the discharge teaching? a. Engage in physical exercise immediately after eating to help decrease cholesterol levels. b. Walk briskly in cold weather to increase cardiac output. c. Keep nitroglycerin in a light-colored plastic bottle and readily available. d. Avoid all isometric exercises, but walk regularly.

d. Avoid all isometric exercises, but walk regularly.

.To prevent deep vein thrombosis following knee replacement surgery, an adult male client is receiving enoxaparin (Lovenox) subcutaneously daily. Which laboratory finding requires immediate action by the nurse? a. blood urea nitrogen (BUN) 20mg/dl or 7.1 mmol/L (SI) b. Hematocrit 45% c. Serum creatinine 1.0 mg/dl or 88.4 mol/L (SI) d. Platelet count of 100,000/mm3 or 100x10??/ L (SI)

d. Platelet count of 100,000/mm3 or 100x10??/ L (SI)

During a home visit the nurse assesses the skin of a client with eczema who reports than an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining the possible cause of the symptoms? a. an old friend with eczema came for visit b. recently received an influenza immunization c. corticosteroid cream was applied to eczema d. a grandson and his new dog recently visited

d. a grandson and his new dog recently visited

A client with hypertension who has been taking labetalol for two weeks, reports a five pound (2.2 kg) weight gain. Which follow up assessment is most important for the nurse to obtain? a. capillary refill b. body temperature c. muscle strength d. breath sounds

d. breath sounds

A client diagnose with stable angina secondary to ischemic heart disease has a prescription for sublingual (SL) nitroglycerin (NTG). The nurse should tell the client to follow which instructions if chest pain is not relieved after taking 3 NTG tables 5 min apart? a. drive to the nearest emergency department b. take another NTG SL tablet and lie down until angina subsides c. call primary healthcare provider d. call 911 pain is unrelieved and chew a tablet of aspirin 325mg

d. call 911 pain is unrelieved and chew a tablet of aspirin 325mg

A young adult male who has had type 2 diabetes mellitus (DM) is admitted to the intensive care unit with hyperglycemic nonketotic syndrome (HHNS). A sliding scale protocol for an isotonic IV solution with regular insulin is prescribed based on the results of a continuous blood glucose monitoring device that is attached to the client's central venous catheter. When the client's respirations become labored and his lungs sound indicate crackles what action should the nurse take? a. collect a specimen for a white blood cell count and cultures b. determine the clients glycosylated hemoglobin (A1C) (POSSIBLE ANSWER) c. administer insulin IV push until the clients fluid volume is adjusted d. decrease infusion rate to address fluid overload

d. decrease infusion rate to address fluid overload

An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value warrants the most immediate intervention by the nurse? a. blood ph of 7.30 b. glucose of 350 mg /dl c. white blood cell count of 15000mm d. potassium of 2.5 meq/l

d. potassium of 2.5 meq/l

The drainage in the chest tube of a client with emphysema has changed from clear watery fluid. What action would be best for the nurse to take?

maintain current IV antibiotic

Levothyroxine (Synthroid)·

report palpitations and SOB

A patient in the ICU is being treated for severe COPD exacerbation and has been placed on a ventilator. The patient shows signs of decreased breath sounds on the right side with unequal chest rise. What does the nurse suspect

tension pneumothorax

1. Patients BP is 60/40 Nurse's action administer

vasoconstrictor - negative inotrope inotropes are agents that increase myocardial contractility (inotropy) — e.g. adrenaline, dobutamine, isoprenaline, ephedrine vasopressors are agents that cause vasoconstriction leading to increased systemic and/or pulmonary vascular resistance

AV Graft has a bruit

· Document the finding; bruit is normal

Pheochromocytoma

· Monitor BP a benign tumor of the adrenal medulla that causes the gland to produce excess epinephrine

Patient had a thyroidectomy - which indicates a problem

· Muscle twitching and jerking