adult health midterm
nosebleed or fracture?
Airway
patient is having an asthma attack?
Albuterol
All peripheral artery disease is cause by systemic?
Atherosclerosis
multiple myeloma source of pain?
Bone pain
a physician will likely prescribe antibiotics for this particular fracture?
Compound
this is the first line medication used in anaphylaxis, and also names a 2nd line medication?
Epinephrine, Benadryl
This medication is often given to a patient with anemia due to kidney failure?
Epogen
these are 3 signs that may indicated the beginning of a lupus exacerbation?
Fever, fatigue, proteinuria
these are 5 nursing interventions taken when caring for a patient who is actively on chemotherapy?
Gloves, yellow chemo bin, flush the toilet twice, no pregnant nurses
If a patient were having symptoms of measles, this blood test would be?
IgM
This stage of cancer is defined by presence of cancerous cells that have not yet formed a tumor or spread to other tissue?
In situ
these are symptoms of right sided heart failure?
JVD, peripheral edema, nocturia, ascites
Hypertension?
Leading cause of heart failure
Which statement describes erythropoietin?
1. An erythropoietin deficiency is associated with renal failure
Which statement by a client is consistent with a diagnosis of heart failure? I
1. I have trouble breathing when I climb a flight of stairs
Which statement regarding vitamin B 12 injections by a client with pernicious anemia indicates that teaching was understood?
1. I must take this medication the rest of my life
Which drug action will the nurse include when describing the purpose of heparin in a client who develops thrombophlebitis in the right calf and is prescribed bed rest and initiated on an IV infusion of heparin?
1. It prevents extension of the clot
Which recommendation is essential for the nurse to include when providing counseling to a client with systemic lupus erythematosus select all?
1. Wear a large brimmed hat, take your temp daily, balance periods of rest and activity
this medication is given to stimulate WBC formation after chemotherapy?
Neupogen
The nurse is teaching the parents of a child who is prescribed iron supplements for iron deficiency anemia. Which food would the nurse encourage to provide to enhance absorption of iron?
Orange juice
Which condition is characterized by infection of a clients bone or bone marrow?
Osteomyelitis
Which important factor would the nurse discuss with the family of an adolescent undergoing radiation for Hodgkin lymphoma?
Overwhelming fatigue and the need for rest
Which condition in a clients history would lead to the nurse to assess for the development of pernicious anemia?
Partial gastrectomy
this condition is characterized by excessive WBC, RBC, and platelets?
Polycythemia vera (PV)
this is the name of an opportunistic or AIDS defining infection in a person who is HIV positive?
TB
These are recommendations you would give your patient who was starting on iron supplementation for the first time?
Take pills with food, vitamin c
Which information would be important for the nurse to include in the teaching plan of a client with systemic lupus erythematosus to reduce the frequency of exacerbations?
Techniques to reduce stress
poison ivy is this type of hypersensitivity reaction?
Type 4
This defines when a patient is neutropenic?
When the ANC is below 500 (if fever on 37.8 its an emergency)
Your patient is HIV + and being admitted with a cough, low grade fever ad fatigue what precautions will you put them in?
airborne
If low platelet
blood watching
In a patient with blank high c02 level are a problem
emphysema
Which statement by the nursing student indicates understanding of the precautions needed in the provision of care to a child who is HIV positive?
ll put on gloves if im going to be in contact with body fluids
3 foods encouraged in iron deficiency anemia
meets, eggs, raisins
Which action will the nurse take to determine whether therapy for vitamin B12 deficiency is effective?
Review hemoglobin and hematocrit levels
These are some of the leading causes of heart failure?
Sleep apnea, smoking
Which hypersensitivity condition would the nurse suspect when a client presents with cutaneous lesions, swelling of the face, eyelids and lips from dilation and engorgement of the capillaries but no observable welts or vesicles?
1. Angioedema
Which laboratory result will be important for the nurse to review when a client is admitted to the hospital with a long history of uncontrolled hypertension?
1. Blood urea nitrogen
The nurse is assessing a child receiving chemotherapy for treatment of leukemia. Which side effect would the nurse anticipate?
1. Epistaxis
Which intervention would the nurse implement for a client admitted for an exacerbation of asthma?
1. Give prescribed medications to promote bronchiolar dilation
A child with iron-deficiency anemia is prescribed oral iron therapy. Anticipatory guidance regarding which side effect would the nurse provide?
1. Greenish-black stool
A client with multiple myeloma is scheduled to have a chest x-ray and bone scan. Which action is the priority responsibility of the nursing and radiology staff?
1. Handle the client with supportive movements
Which diagnostic criterion would the nurse use to explain acquired immunodeficiency syndrome (AIDS) to a client with HIV?
1. Has a CD4+T-cell lymphocyte level of less than 200 cells/ul (60%)
Which clinical manifestation would the nurse associate with a client diagnosed with SLE select all?
1. Joint pain, facial rash, pericarditis
After an above the knee amputation of the right leg, a client reports pain in the right foot which reason would the nurse explain to the client for the phantom limb pain?
1. Nerve endings in the limb are still intact and react to stimuli
Which type of hypersensitivity may have occurred in the client with elevated histamine and prostaglandin levels, allergic rhinitis, and asthma?
1. Type 1
Hypersensitivity reaction skin rash?
1. Type 4
these are 3 characteristics of poorly differentiated or high grade tumor cells?
Do not resemble cells
Decrease and decrease preload and after load?
Meds diuretics for preload and ace inhibitors afterload
Which topic will the nurse include when teaching a client who has a new diagnosis of PV?
Need for high fluid intake