Midterm 3 jeapordy questions RNQ1
A nurse is treating a pt with active TB, which medications should the nurse expect to treat the pt with?
1. ethambutol 2. rifampin 3. Isoniazid 4. pyrazinamide
A nurse is performing a physical assessment on a pt on anticoagulant therapy, which finding would suggest the pt is experiencing upper GI bleeding?
Black, tarry stools
A nurse is caring for a pt who is having difficulty breathing, the nurse notes the pt is coughing up thick sputum, which interventions can the nurse implement to assist the patient in managing their secretions?
Cough, deep breathe, and increase oral fluid intake
a nurse is reviewing laboratory values for a pt w/severe epigastric pain, which lab value would suggest gallstone pancreatitis?
Elevated ALT
A nurse is providing discharge instructions to a pt with gastritis, which s/s should the nurse educate the pt to report immediately?
Hematemesis
A nurse is evaluating the laboratory values w/a pt with RLQ abdominal pain, which laboratory finding would indicate to the nurse the patient is experiencing acute appendicitis?
High WBC count
A patient undergoing an US for RUQ abdominal pain experiences point tenderness when the probe is placed in the RUQ, the nurse correctly recognizes this as ?
Murphy's sign
A nurse is providing care for a pt w/acute gastritis, which of the patient's home meds would alert the nurse to a potential complication?
NSAIDs, aspirin
A nurse is performing a physical assessment on a pt w/acute appendicitis, the abdomen is positive for rebound tenderness, the nurse recognizes this as which sign?
Rosving's sign
A nurse is caring for a pt w/an acute asthma exacerbation, which drug class should the nurse anticipate being ordered as a 'rescue drug?'
SABA(albuterol)
A nurse is providing care for a pt w/acute pancreatitis, which interventions should the nurse expect in the pt plan of care?
TPN, NG tube to suction, opioid narcotics, NPO
A pt w/acute diverticulitis complains of constipation and asks the nurse if they may take laxatives to relieve their symptoms, how should the nurse respond?
avoid laxatives in acute diverticulitis, risk for increased swelling, pain and perforation
A nurse is caring for a patient who is infected w/H. pylori, which combination of meds should the nurse expect to be given?
azithromycin, metronidazole, and PPI
A nurse is caring for a patient with suspected gastric ulcers, which laboratory assessment should the nurse expect to diagnose the presence of H. pylori?
breath urea test
A nurse is caring for an older adults pt w. pneumonia, what s/s may indicate hypoxia in this pt population?
confusion/agitaion
A nurse is providing care for a pt w/influenza, what are the appropriate isolaton precautions for this disease process?
droplet precautions: private rm if available, gown, goves, surgical mask
A nurse is caring for a pt with suspected TB infection, which assessment data is consistent with a pt with TB?
fatigue, weight loss, and night sweats
A nurse is providing discharge instructions to a pt taking antibiotics for pneumonia, what should the nurse include in their teaching?
finish the entire course, stop meds IMMEDIATELY if swelling or itching occurs
a nurse is caring for a pt w/suspected influenza, which assessment questions should the nurse ask to assess risk for contracting influenza?
flu shot, recent exposure to influenz, productive cough
A nurse is evaluating a pt w/OSA, which subjective data might indicate the pt is having overnight apneic episodes?
headache and daytime fatigue
A nurse is caring for a pt suspected for cholecystitis, the nurse identifies which risk factors for the developmentof chilecystitis?
high fat diet, hx of gallstones, weight loss surgery
A nurse is assessing a patient with suspected tuberculosis, the nurse os aware of which risk factors for developing a TB infection?
homelessness, malnutrition, immunocompromised
A nurse is providing care for a pt w/TB, which assessment finding requires immediate attention and intervention?
increasing dyspnea, SOB
The nurse is collaborating w/a resp. therapist to properly fit a CPAP machine for a pt w/OSA, what would indicate to the nurse that the CPAP machine is fitted properly?
no leaks around the mask, properly fitted over the nose and mouth
A nurse is providing care for a patient with acute pancreatitis, which medication should the nurse expect to give to aid in absorption of nutrients?
pancreatic enzymes
A nurse is performing a physical assessment on a pt w/acute diverticultitis, the nurse notes a rigid abdomen and fever, which condition should the nurse suspect?
peritonitis
A family member of a pt w/acute appendicitis asks the nurse if they can place a heating pad on the abdomen for pain relief, how should the nurse respond?
placement of heat can caused increased blood flow to the appendix and cause it to rupture
A nurse is providing care for a pt w/pneumonia, the nurse knows that which early assessment finding could indicate cerebral hypoxia?
restlessness
A nurse is providing care for a pt w/acute appendicitis, which assessment finding would indicate a ruptured appendix?
sudden relief of pain
A nurse is caring for an overweight pt diagnosed w/OSA the pt asks how he can decrease the frequency of his apneic episodeds, what is one recommendation the nurse should make?
weight loss