Exam 3 Questions
A client is hospitalized with a brain injury and a skull fracture. The RN is delegating tasks to the healthcare team. Which member is suitable to provide client care? a) charge nurse b) chief nursing officer c) unlicensed nursing professional d) licensed practical nurse
a) charge nurse
When teaching the patient about a new prescription for oral iron supplements, what does the nurse teach the patient to do? a) increase fluid and dietary fiber intake to prevent constipation b) take the iron preparation with meals to promote absorption c) use enteric-coated tablets to prevent GI upset d) report the presence of black tarry stools to the HCP
a) increase fluid and dietary fiber intake to prevent constipation
A patient is suspected of having a brain tumor. The signs and symptoms include memory deficits, visual changes, weakness of right upper and lower extremities, and personality changes. The nurse determines that the tumor is most likely located in the a. frontal lobe. b. parietal lobe. c. occipital lobe. d. temporal lobe.
a. frontal lobe.
A complication of the hyperviscosity of polycythemia is a. thrombosis. b. cardiomyopathy. c. pulmonary edema. d. disseminated intravascular coagulation (DIC).
a. thrombosis.
What are the 3 primary treatment options for hyperthyroidism? a) Synthroid, iodine, and surgery b) antithyroid medications, radioactive iodine, and surgery c) surgery, Tapazole, and indomethacin d) antithyroid medication, radiation, and NSAIDS
b) antithyroid medications, radioactive iodine, and surgery
When obtaining assessment data from a patient with a microcytic, hypochromic anemia, the nurse would ask the patient about a. folic acid intake. b. dietary intake of iron. c. a history of gastric surgery. d. a history of sickle cell anemia.
b. dietary intake of iron.
Important nursing intervention(s) when caring for a patient with Cushing syndrome include (select all that apply) a. restricting protein intake. b. monitoring blood glucose levels. c. observing for signs of hypotension. d. administering medication in equal doses. e. protecting patient from exposure to infection.
b. monitoring blood glucose levels. e. protecting patient from exposure to infection.
A patient with multiple myeloma becomes confused and lethargic. The nurse would expect that these clinical manifestations may be explained by diagnostic results that indicate a. hyperkalemia. b. hyperuricemia. c. hypercalcemia. d. CNS myeloma.
c. hypercalcemia.
A patient with a head injury develops SIADH. Manifestations the nurse would expect to find include a. hypernatremia and edema. b. muscle spasticity and hypertension. c. low urine output and hyponatremia. d. weight gain and decreased glomerular filtration rate.
c. low urine output and hyponatrem
Complications of transfusions that can be decreased by using leukocyte depletion or reduction of RBC transfusion are a. chills and hemolysis. b. leukostasis and neutrophilia. c. fluid overload and pulmonary edema. d. transmission of cytomegalovirus and fever.
d. transmission of cytomegalovirus and fever.
The nurse demonstrates correct understanding of anemia related to chronic disease with which statement? a) "RBCs appear normal in size and color, however, there is a decreased amount produced." b) "The RBCs have an increased life span with decrease in normal functioning." c) "Administration of vitamins B12 and folate will help treat this type of long-term anemia." d) "This is the mildest form of anemia and is easily corrected through administration of blood products."
a) "RBCs appear normal in size and color, however, there is a decreased amount produced."
When the Lifeline is called about a patient that has been declared dead, Lifelink will provide a) Family care coordinators who will talk with the family members about donating their loved ones organs instead of the nurse caring for the patient b) Family care coordinator to speak with the nurse about how the nurse will complete the education on organ donation. c) a transplant advocacy group to talk with the family about organ transplantation after an organ has failed in the patient's body
a) Family care coordinators who will talk with the family members about donating their loved ones organs instead of the nurse caring for the patient
A client with cirrhosis of the liver and ascites is scheduled to have a paracentesis. What should the nurse do to prepare the client for the procedure? a) Instruct the client to void b) tell the client to not eat for 4 hours c) Give the client and analgesic d) have the client turn to the lateral position
a) Instruct the client to void
A patient has been diagnosed with hypothyroidism after a thyroidectomy. Upon discharge from the hospital, you would expect to teach the patient about a) Taking their levothyroxine (Synthroid) every day 1 hour prior to eating breakfast on an empty stomach b) notifying the provide if you start gaining weight in the next month c) taking their iodine every day in the morning prior to breakfast d) notifying the provider if they experience fatigue, tachycardia, and weight gain
a) Taking their levothyroxine (Synthroid) every day 1 hour prior to eating breakfast on an empty stomach
Hashimoto's thyroiditis is a) inflammation of the thyroid b) a cause of Addison's disease c) a hormonal imbalance
a) inflammation of the thyroid
What causes the anemia of sickle cells? a) intracellular hemolysis of sickled RBCs b) accelerated breakdown of abnormal RBCs c) autoimmune antibody destruction of RBCs
a) intracellular hemolysis of sickled RBCs
A patient can be declared dead if the individual has sustained: a) irreversible cessation of circulatory and respiratory function or irreversible cessation of all functions, including brain stem. b) reversible cessation of circulatory and respiratory function or irreversible cessation of all functions, including brain stem c) irreversible cessation of circulatory and respiratory function or reversible cessation of all functions, including hands and feet d) reversible cessation of circulatory and respiratory function or reversible cessation of all functions, including brain stem
a) irreversible cessation of circulatory and respiratory function or irreversible cessation of all functions, including brain stem.
What action should the nurse take when caring for a client who has a possible skill fracture as a result of trauma? a) monitor the client for signs of brain injury b) check for hemorrhaging from the oral and nasal cavity c) apply a special head splint to apply pressure to the head d) observe for clinical indicators of decreased ICP and temperature
a) monitor the client for signs of brain injury
Which nursing intervention would the nurse expect with a newly diagnosed Cushing syndrome patient? a) provide emotional support because the patient may fell unwanted due to the changes in appearance b) provide fluid replacement with hypertonic solutions until blood pressure is within normal limits c) provide information about thyroidectomy surgery
a) provide emotional support because the patient may fell unwanted due to the changes in appearance
What is a nursing intervention that is indicated for the patient during a sickle cell crisis? a) providing fluid and electrolytes b) restriction of sodium and oral fluids c) application of anti-embolism hose d) frequent ambulation and minimal pain medication
a) providing fluid and electrolytes
When Lifelink gets referral for organ donation, which items are used in determining who will get the organ first? a) regional areas, urgency of need, and length of time on waiting list b) HLA typing, gender, and income c) gender, social status, and blood type d) gender, age, and urgency of need
a) regional areas, urgency of need, and length of time on waiting list
A client who is obese and has a history of alcohol abuse is admitted to the hospital with the diagnosis of acute pancreatitis. Which is the initial priority expected client outcome in response to therapy? a) report decreased pain b) join Alcoholic Anonymous c) lose 4 lbs a week d) insert NG tube quickly
a) report decreased pain
A nurse is caring for a patient with acromegaly. The nurse would expect to see which clinical manifestation? a) thickening and enlargement of the bony or soft tissues b) mental confusion and seizures c) loss of bone matrix and loss of collagen d) delay in wound healing
a) thickening and enlargement of the bony or soft tissues
A client is at risk for increased ICP. Which assessment finding reflects an increase in ICP? a) unequal pupil size b) decreasing systolic blood pressure c) patient is not able to speak d) decreasing body temperature
a) unequal pupil size
Nursing management of the patient with acute pancreatitis includes (select all that apply) a. administering pain medication. b. checking for signs of hypocalcemia. c. providing a diet low in carbohydrates. d. giving insulin based on a sliding scale. e. monitoring for infection, particularly respiratory tract infection.
a. administering pain medication. b. checking for signs of e. monitoring for infection, particularly respiratory tract infection.
When caring for a patient with thrombocytopenia, the nurse instructs the patient to a. dab his or her nose instead of blowing. b. be careful when shaving with a safety razor. c. continue with physical activities to stimulate thrombopoiesis. d. avoid aspirin because it may mask the fever that occurs with thrombocytopenia.
a. dab his or her nose instead of blowing.
In planning care for a patient with metastatic liver cancer, the nurse should include interventions that a. focus primarily on symptomatic and comfort measures. b. reassure the patient that chemotherapy offers a good prognosis. c. promote the patient's confidence that surgical excision of the tumor will be successful. d. provide information needed for the patient to make decisions about liver transplantation.
a. focus primarily on symptomatic and comfort measures.
After a hypophysectomy for acromegaly, immediate postoperative nursing care should focus on a. frequent monitoring of serum and urine osmolarity. b. parenteral administration of a GH-receptor antagonist. c. keeping the patient in a recumbent position at all times. d. patient teaching about the need for lifelong hormone therapy.
a. frequent monitoring of serum and urine osmolarity.
To control the side effects of corticosteroid therapy, the nurse teaches the patient who is taking corticosteroids to a. increase calcium intake to 1500 mg/day. b. perform glucose monitoring for hypoglycemia. c. obtain immunizations due to high risk for infections. d. avoid abrupt position changes because of orthostatic hypotension.
a. increase calcium intake to 1500 mg/day.
Nursing interventions for a patient with severe anemia related to peptic ulcer disease include (select all that apply) a. instructions for high-iron diet. b. taking vital signs every 8 hours. c. monitoring stools for occult blood. d. teaching self-injection of erythropoietin. e. administration of cobalamin (vitamin B12) injections.
a. instructions for high-iron diet. c. monitoring stools for occult blood.
A patient with hepatitis A is in the acute phase. The nurse plans care for the patient based on the knowledge that a. itching is a common problem with jaundice in this phase. b. the patient is most likely to transmit the disease during this phase. c. gastrointestinal symptoms are not as severe in hepatitis A as they are in hepatitis B. d. extrahepatic manifestations of glomerulonephritis and polyarteritis are common in this phase.
a. itching is a common problem with jaundice in this phase.
The nursing management of a patient in sickle cell crisis includes (select all that apply) a. monitoring CBC. b. optimal pain management and O2 therapy. c. blood transfusions if needed and iron chelation. d. rest as needed and deep vein thrombosis prophylaxis. e. administration of IV iron and diet high in iron content.
a. monitoring CBC. b. optimal pain management and O2 therapy. c. blood transfusions if needed and iron chelation. d. rest as needed and deep vein thrombosis prophylaxis.
Priority nursing actions when caring for a hospitalized patient with a new-onset temperature of 102.2°F (39°C) and severe neutropenia include (select all that apply) a. starting the prescribed antibiotic STAT. b. drawing peripheral and central line blood cultures. c. ongoing monitoring of the patient's vital signs for septic shock. d. taking a full set of vital signs and notifying the physician immediately. e. administering transfusions of WBCs treated to decrease immunogenicity.
a. starting the prescribed antibiotic STAT. b. drawing peripheral and central line blood cultures. c. ongoing monitoring of the patient's vital signs for septic shock. d. taking a full set of vital signs and notifying the physician immediately.
A patient is being treated with chemotherapy. The nurse revises the patient's care plan based on which result? a) WBC count 4000/ul b) Platelets 50,000/ul c) Hct 39% d) RBC count 4.3 x 106/ul
b) Platelets 50,000/ul
While receiving a blood transfusion, the patient develops chills, and a temperature of 102.2 F. What is your priority action? a) Notify a health care provider and the blood bank b) Stop the transfusion and instill normal saline c) Add a leukocyte reduction filter d) Recognize this as a mild allergic transfusion reaction and slow the transfusion
b) Stop the transfusion and instill normal saline
A young adult male is undergoing tests to confirm the diagnosis of Hodgkin's lymphoma. The wife states. "Don't you think it is unlikely for someone like my husband to have cancer?" The nurse's response is based on what information about Hodgkin's Lymphoma? a) more likely to affect women than men b) diagnosed during adolescence and young adulthood c) primarily a disease of older rather than younger adults d) common among Asains
b) diagnosed during adolescence and young a
A nurse is performing an assessment on a client with probable acute lymphocytic leukemia (ALL). Which clinical manifestation will the nurse suspect to be present? a) alopecia b) ecchymosis c) insomnia d) hypertension
b) ecchymosis
A client with a diagnosis of anemia is receiving packed RBCs. What is the most important action by the nurse when administering the transfusion? a) warning the client about the possibility fo fluid overload b) monitor the patient for the first 15 minutes c) adjusting the clients transfusion rate so that it infuses at a constant rate d) having the client tested for HIV before administration
b) monitor the patient for the first 15 minutes
What is a major method of preventing infection in the patient with neutropenia? a) High-efficacy particulate air (HEPA) filtration b) strict hand washing by all person in contact with the patient c) inspecting all fresh fruit prior to giving it to the patient d) prophylactic antibiotics
b) strict hand washing by all person in contact with the patient
The health care provider prescribes levothyroxine for a patient with hypothyroidism. After teaching about this drug, the nurse determines that further instruction is needed when the patient says a. "I can expect the medication dose may need to be adjusted." b. "I only need to take this drug until my symptoms are improved." c. "I can expect to return to normal function with the use of this drug." d. "I will report any chest pain or difficulty breathing to the doctor right away."
b. "I only need to take this drug until my symptoms are improved."
The nurse caring for a patient with suspected acute cholecystitis would anticipate (select all that apply) a. ordering a low-sodium diet. b. administration of IV fluids. c. monitoring of liver function tests. d. administration of antiemetics for patients with nausea. e. insertion of an indwelling catheter to monitor urinary output.
b. administration of IV fluids. c. monitoring of liver function tests. d. administration of antiemetics for patients with nausea.
Vasogenic cerebral edema increases intracranial pressure by a. shifting fluid in the gray matter. b. altering the endothelial lining of cerebral capillaries. c. leaking molecules from the intracellular fluid to the capillaries. d. altering the osmotic gradient flow into the intravascular component.
b. altering the endothelial lining of cerebral capillaries.
A nursing measure that can reduce the potential for seizures and increased intracranial pressure in the patient with bacterial meningitis is a. administering codeine for relief of head and neck pain. b. controlling fever with prescribed drugs and cooling techniques. c. maintaining strict bed rest with the head of the bed slightly elevated. d. keeping the room dark and quiet to minimize environmental stimulation.
b. controlling fever with prescribed drugs and cooling techniques.
A nurse plans care for the patient with increased intracranial pressure with the knowledge that the best way to position the patient is to a. keep the head of the bed flat. b. elevate the head of the bed to 30 degrees. c. maintain patient on the left side with the head supported on a pillow. d. use a continuous-rotation bed to continuously change patient position.
b. elevate the head of the bed to 30 degrees.
When reviewing a patient's hematologic laboratory values after a splenectomy, the nurse would expect to find a. RBC abnormalities. b. increased WBC count. c. decreased hemoglobin. d. decreased platelet count.
b. increased WBC count.
The patient with advanced cirrhosis asks why his abdomen is so swollen. The nurse's response is based on the knowledge that a. a lack of clotting factors promotes the collection of blood in the abdominal cavity. b. portal hypertension and hypoalbuminemia cause a fluid shift into the peritoneal space. c. decreased peristalsis in the GI tract contributes to gas formation and distention of the bowel. d. bile salts in the blood irritate the peritoneal membranes, causing edema and pocketing of fluid.
b. portal hypertension and hypoalbuminemia cause a fluid shift into the peritoneal space.
A patient has been told that she has elevated liver enzymes caused by nonalcoholic fatty liver disease (NAFLD). The nursing teaching plan should include a. having genetic testing done. b. recommending a heart-healthy diet. c. the necessity to reduce weight rapidly. d. avoiding alcohol until liver enzymes return to normal.
b. recommending a heart-healthy diet.
A patient with acute hepatitis B is being discharged. The discharge teaching plan should include instructions to a. avoid alcohol for the first 3 weeks. b. use a condom during sexual intercourse. c. have family members get an injection of immunoglobulin. d. follow a low-protein, moderate-carbohydrate, moderate-fat diet.
b. use a condom during sexual intercourse.
DIC is a disorder in which a. the coagulation pathway is genetically altered, leading to thrombus formation in all major blood vessels. b. an underlying disease depletes hemolytic factors in the blood, leading to diffuse thrombotic episodes and infarcts. c. a disease process stimulates coagulation processes with resultant thrombosis, as well as depletion of clotting factors, leading to diffuse clotting and hemorrhage. d. an inherited predisposition causes a deficiency of clotting factors that leads to overstimulation of coagulation processes in the vasculature.
c. a disease process stimulates coagulation processes with resultant thrombosis, as well as depletion of clotting factors, leading to diffuse clotting and hemorrhage.
An important preoperative nursing intervention before an adrenalectomy for hyperaldosteronism is to a. monitor blood glucose levels. b. restrict fluid and sodium intake. c. administer potassium-sparing diuretics. d. advise the patient to make postural changes slowly.
c. administer potassium-sparing diuretics.
Nursing management of a patient with a brain tumor includes (select all that apply) a. discussing with the patient methods to control inappropriate behavior. b. using diversion techniques to keep the patient stimulated and motivated. c. assisting and supporting the family in understanding any changes in behavior. d. limiting self-care activities until the patient has regained maximum physical functioning. e. planning for seizure precautions and teaching the patient and the caregiver about antiseizure drugs.
c. assisting and supporting the family in understanding any changes in behavior. e. planning for seizure precautions and teaching the patient and the caregiver about antiseizure drugs.
The nurse is alerted to a possible acute subdural hematoma in the patient who a. has a linear skull fracture crossing a major artery. b. has focal symptoms of brain damage with no recollection of a head injury. c. develops decreased level of consciousness and a headache within 48 hours of a head injury. d. has an immediate loss of consciousness with a brief lucid interval followed by decreasing level of consciousness.
c. develops decreased level of consciousness and a headache within 48 hours of a head injury.
The nurse is aware that a major difference between Hodgkin's lymphoma and non-Hodgkin's lymphoma is that a. Hodgkin's lymphoma occurs only in young adults. b. Hodgkin's lymphoma is considered potentially curable. c. non-Hodgkin's lymphoma can manifest in multiple areas. d. non-Hodgkin's lymphoma is treated only with radiation therapy.
c. non-Hodgkin's lymphoma can manifest in multiple areas.
A patient with pancreatic cancer is admitted to the hospital for evaluation of treatment options. The patient asks the nurse to explain the Whipple procedure that the surgeon has described. The explanation includes the information that a Whipple procedure involves a. creating a bypass around the obstruction caused by the tumor by joining the gallbladder to the jejunum. b. resection of the entire pancreas and the distal part of the stomach, with anastomosis of the common bile duct and the stomach into the duodenum. c. removal of part of the pancreas, part of the stomach, the duodenum, and the gallbladder, with joining of the pancreatic duct, the common bile duct, and the stomach into the jejunum. d. removal of the pancreas, the duodenum, and the spleen, and attachment of the stomach to the jejunum, which requires oral supplementation of pancreatic digestive enzymes and insulin replacement therapy.
c. removal of part of the pancreas, part of the stomach, the duodenum, and the gallbladder, with joining of the pancreatic duct, the common bile duct, and the stomach into the jejunum.
A client was diagnosed with cancer of the head of the pancreas two months ago. The client is admitted to the hospital with weight loss, severe epigastric pain, and jaundice. When performing the client's assessment, the nurse expects the client's stool to be what color? a) Green b) Brown c) Red-tinged d) Clay-colored
d) Clay-colored
When caring for a client with a nasal injury, the nurse also suspects a skull fracture. Which manifestation might have led the nurse to conclude this? a) positive dipstick test b) crackling of the skin on palpitation c) clearly visible fracture in the x-ray report d) clear yellow halo ring structure on a filter paper
d) clear yellow halo ring structure on a filter paper
A client is admitted to the hospital with a tentative diagnosis of a brain tumor. Which diagnostic test result will the nurse check for confirmation of this diagnosis? a) myelography b) lumbar puncture c) electromyography d) computed tomography
d) computed tomography
Multiple drugs are often used in combinations to treat leukemia and lymphoma because a. there are fewer toxic and side effects. b. the chance that one drug will be effective is increased. c. the drugs are more effective without causing side effects. d. the drugs work by different mechanisms to maximize killing of cancer cells.
d. the drugs work by different mechanisms to maximize killing of cancer cells.
The nurse on the clinical unit is assigned to four patients. Which patient should she assess first? a. Patient with a skull fracture whose nose is bleeding b. An older patient with a stroke who is confused and whose daughter is present c. Patient with meningitis who is suddenly agitated and reporting a headache of 10 on a 0- to 10 scale d. Patient 2 days postoperative after a craniotomy for a brain tumor who has had continued vomiting
c. Patient with meningitis who is suddenly agitated and reporting a headache of 10 on a 0- to 10 scale
In a severely anemic patient, the nurse would expect to find a. cyanosis and cardiomegaly. b. pulmonary edema and fibrosis. c. dyspnea at rest and tachycardia. d. ventricular dysrhythmias and wheezing.
c. dyspnea at rest and tachycardia.
Which client assessment will the nurse perform for the Glasgow Coma Scale? a) breathing pattern b) deep tendon reflexes c) field of vision test d) motor response to verbal commands
d) motor response to verbal commands
The serum ammonia level of a client with hepatic cirrhosis and ascites is elevated. The priority nursing intervention is to: a) weigh the client daily b) restrict oral fluid intake c) measure the client's urine specific gravity d) observe the client for increasing confusion
d) observe the client for increasing confusion
A patient with intracranial pressure monitoring has a pressure of 12 mm Hg. The nurse understands that this pressure reflects a. a severe decrease in cerebral perfusion pressure. b. an alteration in the production of cerebrospinal fluid. c. the loss of autoregulatory control of intracranial pressure. d. a normal balance among brain tissue, blood, and cerebrospinal fluid.
d. a normal balance among brain tissue, blood, and cerebrospinal fluid.
The most common type of leukemia in adults in western countries is a. acute myelocytic leukemia. b. acute lymphocytic leukemia. c. chronic myelocytic leukemia. d. chronic lymphocytic leukemia.
d. chronic lymphocytic leukemia.
The nurse would expect that a patient with von Willebrand disease undergoing surgery would be treated with administration of vWF and a. thrombin. b. factor VI. c. factor VII. d. factor VIII.
d. factor VIII.
After thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops a. muscle weakness and weight loss. b. hyperthermia and severe tachycardia. c. hypertension and difficulty swallowing. d. laryngospasms and tingling in the hands and feet.
d. laryngospasms and tingling in the hands and feet.
A client reports neck stiffness, severe headache, and a decreased level of consciousness. What condition does the nurse suspect? a) bacterial meningitis b) encephalitis c) nausea and vomiting d) brain abscess
a) bacterial meningitis
During the physical assessment of a patient with severe anemia, which finding is of the most concern to the nurse? a) dyspnea at rest b) hepatomegaly c) anorexia d) bone pain
a) dyspnea at rest
During admission of a patient with a severe head injury to the emergency department, the nurse places the highest priority on assessment for a. patency of airway. b. presence of a neck injury. c. neurologic status with the Glasgow Coma Scale. d. cerebrospinal fluid leakage from the ears or nose.
a. patency of airway.
A patient has a cancerous lung tumor. The patient is experiencing mental confusion, weight gain, weakness, low urine output, high urine specific gravity, and hyponatremia. The nurse would expect the diagnosis to be: a) Diabetes insipidus b) Inappropriate antidiuretic hormone syndrome c) Hyperthyroidism d) Addison's disease
b) Inappropriate antidiuretic hormone syndrome
During physical assessment of a patient with thrombocytopenia, what would the nurse expect to find? a) sternal tenderness b) petechiae and purpura c) jaundiced sclera and skin d) tender enlarged lymph nodes
b) petechiae and purpura
Teaching in relation to home management after a laparoscopic cholecystectomy should include a. keeping the bandages on the puncture sites for 48 hours. b. reporting any bile-colored drainage or pus from any incision. c. using over-the-counter antiemetics if nausea and vomiting occur. d. emptying and measuring the contents of the bile bag from the T tube every day.
b. reporting any bile-colored drainage or pus from any incision.
A client who has bone pain of insidious onset is suspected of having multiple myeloma. The nurse expects which diagnostic finding specific for multiple myeloma? a) occult blood in the stool b) low serum calcium levels c) Bence Jones Protein d) bacterial UTI infection
c) Bence Jones Protein
What is important nursing care for pediatric clients with leukemia on chemotherapy protocols? a) preventing physical activity b) checking vital signs every 2 hours c) having them avoid contact with infected persons d) reducing unnecessary stimuli in their environment
c) having them avoid contact with infected persons
A patient has just passed away on the Med-Surg floor. The family has been notified of the passing. In the state of Georgia, who is qualified to pronounce the patient dead? a) RN b) family member c) physician d) nurse manager of the unit
c) physician
Which organs can be donated and transplanted? a) skin, small intestines, and heart b) heart vessels, polycystic kidney, and lung c) small intestines, pancreas, and liver d) kidney, thyroid, and adrenal glands
c) small intestines, pancreas, and liver
(T/F) Each institution has their own policy regarding determining Brain Death. Everyone can donate their organs in almost every instance.
False
(T/F) Multiple Myeloma can be cured with the right chemotherapy.
False
(T/F) The body uses hemoglobin to make iron.
False
(T/F) Thyrotoxicosis is caused by not taking enough levothyroxine (Synthroid).
False
(T/F) The most important method to identify the presence of infection in a neutropenic patient is to assess for redness and swelling.
False -assess WBC count and fever
(T/F) A clinical manifestation exophthalmos may be present in hyperthyroidism and the nurse would expect to see the patient's eyeballs bulging outward from increased fat deposits and fluid.
True
(T/F) Because red meats are the primary dietary sources of cobalamin, a strict vegetarian is most at risk for cobalamin deficiency anemia.
True
(T/F) During a sickle cell crisis, the sickling cells clog small capillaries, and the resulting hemostasis promotes a self-perpetuating cycle of local hypoxia, deoxygenation of more erythrocytes, and more sickling.
True
(T/F) During an Addisonian, the nurse would expect to give IV fluids rapidly to increase the blood pressure because the patient would otherwise go into shock (circulatory collapse).
True
(T/F) Iron deficiency anemia may occur with removal of part of the duodenum.
True
(T/F) The goal of caring for a patient with a brain tumor is to maintain ICP within normal limits.
True
(T/F) The role of the RN is to refer the patient to Lifeline in the state of Georgia.
True
A client is admitted with a closed head injury sustained in a MVA. The nursing assessment indicates increased ICP. Which intervention should the nurse perform first? a) place the head and neck in alignment b) administer 1 gram mannitol IV c) assess for bruising on the skull d) allow the patient to have water
a) place the head and neck in alignment