Prep U questions (extra)
A client is being seen in the emergency department for exacerbation of chronic obstructive pulmonary disorder. The first action of the nurse is to administer what?
oxygen through nasal cannula at 2L/min
Air embolisms signs and symptoms (4)
1. Tachycardia 2. Cyanosis 3. Dyspnea 4. Shoulder pain
A surgeon completes a total laryngectomy. Postoperatively, the nurse explains to the patient's family that..
A permanent tracheal stoma would be necessary
Your client is scheduled for a bronchoscopy to visualize the larynx, trachea, and bronchi. What precautions would you recommend to the client before the procedure?
Abstain from food for at least 6 hours before the procedure
The ICU nurse is caring for a client who was admitted with a diagnosis of smoke inhalation. The nurse knows that this client is at increased risk for what?
Acute respiratory distress syndrome
The nurse caring for a 2 year old near drowning victim monitors for what possible complication?
Acute respiratory distress syndrome
A client in the emergency room is in cardiac arrest and exhibiting pulseless electrical activity on the cardiac monitor. What will be the nurse's next action?
Administer epinephrine
The nurse is caring for a 35 year old man diagnosed with a back strain. what would be a primary point of discussion with this patient?
Avoid lifting heavy objects without assistance
A client arrives at the ED with an exacerbation of left sided heart failure and reports shortness of breath. What is the priority nursing intervention?
Assess oxygen saturation
The nurse assessed a 28-year-old woman who was experiencing dyspnea severe enough to make her seek medical attention. The history revealed no prior cardiac problems and the presence of symptoms for 6 months' duration. On assessment, the nurse noted the presence of both inspiratory and expiratory wheezing. Based on this data, which of the following diagnoses is likely?
Asthma
What food can the nurse suggest to the client at risk for osteoporosis?
Broccoli
What clinical manifestations would indicate a small, localized area of atelectasis?
Crackles Decreased breath sounds Decreased tactile fremitus
A nurse is examining a clients chest. During the exam, the nurse palpates what feels like bubbles under the clients chest muscles. Which term would the nurse use when documenting this finding?
Crepitus
A client has asthma. What is a commonly prescribed mast cell stabilizer used for asthma?
Cromolyn sodium
A nurse enters the room of a client who is being monitored with pulse oximetry. Which of the following may alter oximetry results?
Diagnosis of peripheral vascular disease
What clinical manifestation should a nurse monitor for during a pulmonary angiography, which indicates an allergic reaction to the contrast medium?
Difficulty in breathing
What is the reason for chest tubes after thoracic surgery?
Draining secretions, air, and blood from the thoracic cavity
An antitrypsin deficiency leaves a patient predisposed to what disorder?
Emphysema
What intervention should a nurse implement for clients with empyema?
Encourage breathing exercises
A client hospitalized with pneumonia has thick, tenacious secretions. What interventions should the nurse consider when planning the clients care?
Encouraging increased fluid intake
The type of bone fracture described as having on side of the bone broken and the other side bent would be
Greenstick
Long term oxygen therapy has been prescribed to a patient with COPD. It has recently increased in severity. What should we teach the patient about the treatment modality?
Its important to use your oxygen as ordered and not base it on yoru shortness of breath at the time
Pulselessness, a very late sign of compartment syndrome, may signify..
Lack of distal tissue perfusion
What community acquired pneumonia demonstrates the highest occurrence during summer and fall?
Legionnaires disease
During a preadmission assessment, the nurse finds increased tactile fremitus. She knows this sign is consistent with what condition?
Pneumonia
The clinical finding of pink, frothy sputum may be an indication of what condition?
Pulmonary edema
Which should a nurse encourage in clients who are at the risk of pneumococcal and influenza infections?
Receiving vaccinations
A patient is being treated for status asthmaticus. What danger sign does the nurse observe that can indicate impending respiratory failure
Respiratory acidosis
What type of gait correlates with Parkinson's Disease?
Shuffling
A client has had surgical repair of a hip injury after joint manipulation was unsuccessful. After surgery, the nurse implements measures to prevent complications. What complications is the nurse seeking to prevent?
Skin breakdown Would infection Pneumonia
Why is it difficult to diagnose of lung cancer?
Symptoms do not appear until the disease is well established
An older adult patient has been admitted to a subacute geriatric medicine unit with a diagnosis of failure to thrive. The nurse is conducting a comprehensive assessment that focuses on the patient's musculoskeletal system. During this assessment, what will be the nurse's primary focus?
The patient's level of function and activities of daily living
While assessing the patient, the nurse observes constant bubbling in the water seal chamber of a closed chest drainage system. What should the nurse conclude?
The system has an air leak
A patient is having her tonsils removed. the patient asks the nurse what function the tonsils have
The tonsils help to guard the body from invasion of organisms
The nurse is performing chest auscultation for a patient with asthma. How does the nurse describe the high pitched, sibilant, musical sounds that are heard?
Wheezes
While auscultating the heart sounds of a client with heart failure, the nurse hears an extra heart sound immediately after the second heart sound. How should the nurse document this finding?
a third heart sound (S3)
What is the major chemical regulator of blood pH?
bicarbonate-carbonic acid buffer system
A client presents with sever diarrhea and a history of chronic renal failure to the emergency department. Arterial blood gas results are as follows: pH: 7.30 PaO2: 97 PaCO2: 37 HCO3: 18 The nurse would expect what assessment finding?
clammy skin, blood pressure 86/46, headache
What term refers to the shaft of the long bone?
diaphysis
What nursing assessment is significant for a diagnosis with flail chest
paradoxical chest movement
The nurse is teaching a client with recurrent heart failure admission. What statement best explains the rationale for the health care provider to order a cardiac stress test?
to identify if the heart failure is from coronary artery disease
What is the purpose of the vascular and ciliated mucous lining of the nasal cavities?
warm and humidify inspired air
