Kahoot! Review

Important instruction should be included in a discharge teaching plan for a patient who is taking Phenytoin?

"Don't stop taking the medication except with medical supervision."

Which statement indicated that a client requires additional teaching following cataract surgery?

"I can't wait to go back to the gym."

The patient has burns to the face, scalp, chest, abdomen, and left arm. What percent BSA is burned?

36%

Which assessment data would the nurse expect to find in the chart with a patient admitted with Pneumocystis jiroveci PNA?

CD4+ count below 200

Patient admitted with fever, hot skin, and clumps of white sediment in the indwelling catheter. Which intervention is first?

Change the indwelling catheter

Which of the following is a common cause of pelvic inflammatory disease?

Chlamydia

85 y.o. patient diagnosed with a stroke is complaining of a severe headache. Which intervention should the nurse implement first?

Complete a full neuro assessment

Patient complains of dyspnea and wheezing after eating at a restaurant. They can't speak and are bluish around the mouth. Which intervention is first?

Administer 100% oxygen

What is the main cause of Cushing Syndrome?

Adrenal cortex hypersecretion

Which of the following is not a modifiable risk factor for breast cancer?

Age

Pt diagnosed with mild concussion is discharged from the ED. Which discharge instruction should the nurse teach the patients family?

Allow the client to rest

What intervention should the nurse implement first if the patient is experiencing a complication of encephalitis?

Assess level of consciousness

The patient is diagnosed with herpes zoster (shingles). The nurse DOESN'T include which information in the teaching plan?

Assure the patient the pain from shingles will be gone in 7 days.

Female patient is sent home with a diagnosis of a UTI. What should the nurse teach to prevent the recurrence of UTI?

Avoid coffee, tea, colas, and alcoholic beverages

What is septic meningitis? Which statement would be the most appropriate response by the nurse?

Bacterial infection tissues that cover brain and spinal cord

What lab finding would correlate with the diagnosis of multiple myeloma?

Bence-Jones proteins

Which clinical finding is consistent with acute leukemia?

Bleeding

Which of the following is a symptoms associated with hypothyroidism?

Bradycardia

After a head trauma, the patient's respiratory and cardiac functions are affected. Which area of the brain is damaged?

Brainstem

Patient is receiving chemo and is not eating well but is otherwise healthy. What should the nurse suggest the patient eat?

Broiled chicken, green beans, and cottage cheese

Pt diagnosed with primary adrenal cortex insufficiency (Addison's disease). Which manifestations should the nurse expect?

Bronze hyperpigmentation, hypotension, and anorexia

Patient with acute renal failure has serum K+ 6.8. Which treatment should the nurse anticipate for this client?

Prepare the client for dialysis

Which statement explains why it is important to empty the bowel before treatment with intracavity radiation for cervical cancer?

Pressure changes in the pelvis with a bowel movement can alter position of the radiation applicator

Which ocular S/S should the nurse expect to assess for a patient dx with myasthenia gravis?

Ptosis and diplopia

What symptom is consistent with the secondary stage of syphillis?

Rash

What would the nurse expect when assessing a client with glaucoma?

Reports of halos around lights

Which population is most at risk for an outbreak of infectious meningitis?

Residents of a college dorm

The patient has a history of BRCA surgery, axillary node dissection, arm red, warm, and slightly swollen. What should the nurse suggest?

See the healthcare provider immediately

A patient recalls smelling an unpleasant odor before a seizure. The nurse interprets this informations as?

Seizure with an aura

The nurse understands which of the following is NOT a common cause of stress incontinence?

Stroke

Which of the following medications can be used as abortive tx for a migraine?

Sumatriptan (Imitrex)

Which of the following medications is contraindicated with nitro?

Tadalafil

Preparing a plan of care for a patient with acute glomerulonephritis. Which is appropriate long-term goal?

The client will maintain normal renal function.

Patient with hypothyroidism is prescribed levothyroxine. Which assessment indicate the medication is effective?

The client's temp is WNL

Patient is given acyclovir for genital herpes infection. The nurse knows the patient understands medication when they state...

The medication should help with pain and increase healing time of herpes.

A patient with a history of needle sharing activities developed flu symptoms. They are HIV negative. Which statement best describes the scientific reason?

The patient may be in the primary infection phase of an HIV infection.

A patient diagnosed with iron deficiency anemia is prescribed ferrous gluconate orally. What should the nurse teach the patient?

The stools may be very dark and this can mask blood.

22 y.o. patient asks about the purpose of the HPV vaccine. What is the appropriate explanation?

The vaccine can lower the risk of cervical cancer.

The patient with severe burns is receiving fluid resuscitation. Which finding indicates the client is responding?

Urine output of 30 mL/h

A patient has been newly diagnosed with Meniere's disease. What is the nurse's priority care for this patient?

Controlling the patient's symptoms

Patient with autosomal dominant polycystic kidney disease asks will my children have this disease. What is the best response?

Each of your children has a 50% chance of having ADPKD

A patient with a suspected diagnosis of Hodgkin's disease. Which assessment finding would the nurse expect to note?

Enlarged lymph nodes

Pt with a history of TIA has order for aspirin daily. Patient says "I don't need aspirin today, I don't have a fever." What should you do?

Explain that the aspirin is ordered to decrease stroke risk

What laboratory value is the best indirect determinant of body iron stores?

Ferritin

Which of the following is a likely cause of epididymitis?

Gonorrhea

Patient's continent urinary diversion is being discharged. Which discharge instructions should the nurse include?

Have them demonstrate cathing the stoma

Which of the following is a s/s associated with hyperthyroidism?

Heat intolerance

What is the iron containing protein responsible for transport of oxygen in RBC?

Hemoglobin

The patient is receiving doses of chemo for colon cancer. Which lab results DO NOT need to be reported to the MD?

Hemoglobin of 14.5 g/dL

Which s/s should make the nurse suspect the client is experiencing a thyroid storm?

Hyperpyrexia and extreme tachycardia

Prerenal causes of acute kidney injury most likely to include which of the following conditions?

Hypotension

Assessment is NOT effective outcome of Levodopacarbidopa therapy for patient with Parkinson's Disease.

Improved visual acuity

Sickle cell patient has a vaso-occlusive sickle cell crisis secondary to an infection. What treatment should the RN anticipate the MD ordering?

Infuse NS at 200 ml/hr

A goiter formation is often the result of a lack of this trace element.

Iodine

Which of the following diagnostic scans is preferred method for dx MS?

MRI

What is the ideal goal of treatment in care plan to reduce the risk of pulmonary edema for a patient with chronic kidney disease?

Maintaining a balanced intake and output

The nurse is admitting a patient with the diagnosis of Parkinson's disease. Which assessment data supports this diagnosis?

Mask-like faces and a shuffling gate

Which is a common cognitive problem associated with Parkinson's disease?

Memory deficits

Patient is 3 hours post TURP. Which intervention is priority?

Monitor for blood loss

A patient is place on fluid restrictions because of chronic kidney disease. Which would alert the RN the patient's fluid balance is stable?

No adventitious sounds in the lungs

Boy reports sudden severe testicular pain playing football. What should be an initial intervention?

Notify the MD as the client may have testicular torsion.

The patient asks the nurse, "what is the cause of ovarian cancer?" Which is the most accurate response by the nurse?

Ovarian cancer is related to environmental, endocrine, and genetic factors.

You are assessing a patient diagnosed with rheumatoid arthritis. Which findings needs immediate intervention?

Patient is crying with a flat, facial affect and refuses to speak to the nurse.