FInal Exam THIS ONE

A patient with a documented adrenal insufficiency presents with diarrhea and vomiting. The nurse should anticipate that the patient will need to increase their intake of what

The health care provider has ordered a fluid deprivation test for a patient suspected of having diabetes insipidus. During the test, the nurse should prioritize what assessments?

A patient that has been taking prednisone for several weeks suddenly experiences a hypersensitivity reaction. To prevent adrenal insufficiency, the nurse should ensure that the patient know what?

The nurse providing care for a patient with Cushing Syndrome has identified the nursing diagnosis of risk related to weakness. How should the nurse best reduce this risk?

A critical care nurse is caring for a client with an endotrachseak tube who is on a ventilator. The nurse knows that meticulous airway management of this client is necessary. What is the main rationale for this?

In which specific instances should the nurse assess the client’s cranial nerves?

A client is admitted to the medical unit with an exacerbation of MS. When assessing this client, the nurse has the client stick out the tongue and move it back and forth. What is the nurse assessing?

When caring for a client with an altered LOC, the nurse is preparing to test cranial nerve VII. What assessment technique would most likely elicit a response from cranial nerve VII?

Which recommendation will the nurse make to the parents of a three month old to prevent the transmission of organisms to the infant during the cold season?

A 45-years-old obese man arrives in a clinic reporting daytime sleepiness, difficulty going to sleep at night and snoring. The nurse should recognize the manifestations of which health problem?

A patient with chronic lung disease is undergoing lung function testing. What test result denotes the volume of air inspired and expired with a normal breath?

A patient is scheduled to have excess pleural fluid aspirated with a needle to relieve dyspnea. The patient inquires about the normal function of pleural fluid. What should the nurse describe?

The nurse is caring for a patient eith a lower respiratory tract infection. When planning a focused respiratory assessment, the nurse should know that this type of infection most often causes which type of impairment?

On what factor does adequate gas exchange primarily depend?

The nurse caring for a patient with lung metastases who just underwent a mediastinotomy. What is the nurse’s priority post procedure care?

The nurse is caring for a patient who has a pleural effusion and who underwent a thoracoscopic procedure earlier in the morning. The nurse should prioritize assessment for which of the following?

A gerontologic nurse is analyzing the data from a client’s focused respiratory assessment. The nurse is aware that the amount of respiratory deap space increases with age. What is the effect of this physiologic change?

When preparing to auscultate, what breath sounds should the nurse anticipate for a patient who is experiencing exacerbation of emphysema symptoms. When preparing to auscultate, what breath sounds should the nurse anticipate?

An MRI would most likely assess what condition on a patient with a suspicious area in the right lung when the provider suspects bronchogenic caricinoma?

What interview question addresses the most significant risj factor for respiratory diseases?

A client with a documented history of seizure disorder experiences a generalized seizure. Which nursing action is most appropiate?

A nurse is caring for a critically ill client with autonomic dysreflexia. What clinical manifestations would the nurse expect in this client?

Which of the following clinical manifestations would suggest the patient with increased ICP may be experiencing increased brain compression causing brain stem damage?

What is the most common cause of a 17-years-old with a spinal cord injury?

What are the most likely causes of death for a patient with a spinal cord injury?

Which primary neuroimaging diagnostic tool would be used on a client admitted on the neurologic intensive care unit with a suspected diffuse axonal injury?

A patient with a cerebral aneurysm exhibits signs and symptoms of an increase in ICP. What nursing intervention would be most appropriate for this patient?

The nurse caring for a patient brought in by ambulance is aware that an absolute contraindication for thrombolytic therapy is

What position is most consistent with the goal of reducing ICP?

A patient who has experienced an ischemic stroke has been admitted to the medical unit. The patient’s family is adamant that the client remain on bed rest to hasten recovery and to conserve energy. What priniciple of care should inform the nurse’s response to the family?

What will family education need to include for a patient diagnosed with a hemorrhagic stroke?

If the patient’s blood pressure is 122/76 mmHg, what is the patient’s pulse pressure?

When auscultating a patient’s heart sounds, the nurse hears an extra heart sound immediately after the second heart sound. An audible S3 would be considered an expected finding in what patient?

What is a normal change expected in the aging heart of an older adult?

A client’s stroke volume increased. The nurse is aware that afterload influences a patient’s stroke volume. The nurse recognizes that afterload is increased when there is what?

When planning the care of a patient with an implanted pacemaker, what assessment should the nurse prioritize?

When reviewing the patient’s most recent labs the nurse should prioritize assessment for which of the following on a patient diagnosed with cardiomyopathy?

The nurse should anticipate the need to address what nursing diagnosis for a patient who has been exposed to chlorine?

What is the difference between osteoarthritis and rheumatoid arthritis?

Renal replacement therapy is indicated in which of the following situations?

The nurse informs the patient that in preparation for an ultrasound of the lower urinary tract the patient will require what?

What should the nurse anticipate when evaluating the urinalysis of a patient who has a fluid volume deficit?

The nurse should be aware of what age-related cvhanges affecting the renal or urinary system?

The nurse informs the patient that the most common temporary complication after a lower urinary tract cystoscopic examination is what

In what patient would renal biopsies be contraindicated?

A patient has presented with characteristics of acute kidney injury but prelim assessment reveals no obvious risk factors. The nurse should recognize the need to interview the patient about what topic?

The patient has developed AKI. What is the nurses role in caring for this patient?

The patient tells the nurse she is not sure she wants to undergo a kidney transplant. What would be an appropiate response for the nurse to make?

The critical carer nurse is monitoring the patient’s urine output following renal surgery. What should the nurse promptly report to the physician?

When assessing for bleeding what assessment parameter should the nurse evaluate?

What would the nurse explain about the cuffs on the dialysis catheter?

The nurse observes peritoneal fluid is draining slowly during peritoneal dialysis and that the abd is increasing in girth. What is the nurse’s most appropiate action?

If antibodies to the AIDS virus are present in the blood, this indicates what?

How should the nurse most safely facilitate a chest radiograph for patient with stage 3 HIV?

A patient with HIV is considered to have AIDS when the CD4+ T-lymphocyte cell count drops below what threshold?

What is the nurses best response when asked by an HIV positive mother if her baby will be born with HIV?

During the palpation of a client’s chest for expansion, the nurse notices a decrease in the expansion of the right side. This finding is consistent with what health problem?

What is the leading cause of death for a patient with Parkinson’s?

During a neurological assessment, the nurse asks the patient to stand with feet together and eyes closed. The nurse is assessing for

A patient has been admitted for dehydration after fasting for 5 days. Which acid-base imbalance should the nurse expect for this patient?

The nurse is preparing to assess a patient’s cranial nerve XII. What should the nurse ask the patient to complete this assessment?

Cardiac Cath order

What findings support the nurse’s clinical decision making when planning care for a patient’s cardiac health?

The nurse is aware that HIV asymptomatic is the stage of HIV characterized by

What information should the nurse include in the teaching for a patient scheduled for a thyroidestomy?

A patient is experiening SVT. Which medications should the nurse prepare to administer to this patient?

NORMAL CARDIAC STRIP

Which lab results are critical for a patient with a decreased level of consciousness?

Which nursing interventions are appropiate for a patient following a cardiac cath?

The nurse is admitting a patient with Raynard’s Disease. Conservative treatment includes all of the following EXCEPT:

Medications that are contraindicated for asthma and severe COPD and may exacerbate Prinzmetal Angina include:

What should the nurse explain to a cardiac patient when asked why exercise is so important?

What results led a nurse to believe the patient has kidney disease?

What should the nurse expect to be evaluated in a patient who will be evaluated for brain death?

Which diagnostic test may be performed to evaluate blood flow within intracranial blood vessels?

Which patient is likely at the highest risk for hemorrhagic stroke?

What nursing action will the nurse incorporate into the patient’s plan of care when caring for a patient with aneurysm precautions?

Which of the following clinical manifestations would suggest that the patient may be experiencing increased brain compression causing brain stem damage?

Which of the following is not recognized as the most common reason for a 17 years old with a spinal cord injury?

What statement would indicate the patient is experiencing adverse effects of their NSAIDs?

A patient who is post-thoracotomy is retaining secretions. What is the nurse’s inital intervention?

The client’s family wants to know why the ET tube can not be left in place. What is the nurse’s best response?

After performing tracheal suctioning on a patient experiencing dyspnea, how can the nurse best evaluate the outcome of this intervention?

Before repositioning the patient and beginning their postural drainage procedure, what health assessment should the nurse perform?

What instruction should the nurse include when teaching a patient how to use the incentive spirometer?

A patient is undergoing testing for suspected adrenocortical insufficiency. The care team should screen the client for what common cause of this health problem?

Nursing interventions for a post-cardiac catheterization patient include all of the following except:

The time between atrial depolarization and beginning of ventricular depolaration is known as

Adenosine (Adenocard) can be used for which cardiac dysrhythmia?

A conduction abnormality where the PR interval progressively lengthens until a QRS is dropped is known as

Which heart failure medication decreases preload and afterload which may cause hypotension and increase risk of dysrhythmias?

Manifestations of arterial aneurysms include

The following statement regarding AAAs is true

Early manifestations of increased intracranial pressure include

Primary infection or acute HIV infection is the stage of HIV characterized by

An example of a hypertonic solution is

Which blood product is indicated for bleeding caused by a deficiency in clotting factors?

Which of the following regarding cortisol secretion is true?

Due to an increase in physiologic stress you can anticipate

A patient taking high-dose courses of Prednisone may have thin arms and legs with small muscles due to

When administering medications to a patient with hypothyroidism it is important to remember that diminished thyroid function may