CH 3 Sherpath, WEEK 4

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Which pH value indicates that a patient has acidosis?

7.39

7.30 (correct)

7.43

7.50

Which laboratory value would the nurse monitor to see how well the kidneys excrete and reabsorb base?

Bicarbonate level (correct)

Partial pressure of oxygen

Partial pressure of carbon dioxide

pH

Which substance is an electrolyte?

Select all that apply. One, some, or all responses may be correct.

Sodium (correct)

water

potassium (correct)

magnesium (correct)

The nurse would monitor for which clinical manifestation when caring for a patient with a low potassium level?

Cardiac dysrhythmia Signup and view all the answers

Which electrolyte imbalance would the nurse monitor for in a patient taking a diuretic for fluid excess?

Sodium Signup and view all the answers

Which substance makes up a major nutrient group?

Select all that apply. One, some, or all responses may be correct.

Protein Signup and view all the answers

Which measurement is preferred when assessing nutritional status?

Serum prealbumin Signup and view all the answers

Which condition would the nurse document if a patient reports having a lack of bowel control?

Incontinence Signup and view all the answers

Which response would the nurse provide when asked by a patient on how to promote normal elimination?

“Eat a diet rich in whole grains.” Signup and view all the answers

Adequate nutrition is typically observed in an adult with a body mass index (BMI) between 19 and ------ kg/m². Round your answer to the nearest tenth.

24.9 Signup and view all the answers

Which medical condition commonly increases the risk of impaired skin integrity?

Diabetes mellitus Signup and view all the answers

Which complication is a systemic condition that can result from altered tissue integrity?

Sepsis Signup and view all the answers

Which statement made by the nurse promotes enhanced health in a patient at risk for impaired tissue integrity?

Select all that apply. One, some, or all responses may be correct.

“While sitting in your wheelchair, you should change your body position every 1 to 2 hours to relieve pressure.” Signup and view all the answers

Which assessment finding is associated with fluid overload?

Elevated blood pressure Signup and view all the answers

Which intervention would the nurse anticipate for a patient experiencing hyperkalemia?

Administer sodium polystyrene sulfonate Signup and view all the answers

Which compensatory mechanism occurs as a response to acidosis?

Decreased bicarbonate ions excreted through the urine by the kidneys Signup and view all the answers

Which clinical scenario may put a patient at risk for malnutrition?

Being at an abnormal weight Signup and view all the answers

Which intervention might the nurse anticipate for a patient who is at a low weight?

Parenteral nutrition Signup and view all the answers

Which clinical scenario may cause retention of stool?

Lack of exercise Signup and view all the answers

Which structure may be affected by a partial-thickness wound?

Dermis Signup and view all the answers

Which intervention would the nurse include when caring for an older adult at risk for impaired skin integrity?

Complete the Braden Scale Signup and view all the answers

Which response by the patient demonstrates the understanding of health teaching about tissue integrity and sun exposure?

“I will wear a wide-brimmed hat when I am outside in the sun.” Signup and view all the answers

Match each option below to proceed to the next question.

Genetic and physiologic processes that function to maintain homeostasis = cellular regulation Division of the original cell = cellular growth Copying a specific cell = cell replication Process of a cell becoming specialized to accomplish a specific task = cell differentiation Signup and view all the answers

Which description explains benign cellular growth?

Unable to spread to other tissues or organs Signup and view all the answers

Which health promotion teaching would the nurse focus on for a patient with a strong family history of colorectal cancer?

Avoid excessive alcohol consumption. Signup and view all the answers

Match the type of immunity with its definition.

An antigen enters the body, and the body creates antibodies to fight it. = Natural Active Immunity Occurs via a vaccination or immunization. = Artificial Active Immunity Antibodies are passed from a mother to the fetus. = Natural Passive Immunity Occurs via transfusion of immunoglobulins. = Artificial Passive Immunity Signup and view all the answers

Which entry in the patient’s chart would indicate to the nurse that the patient is at higher risk for infection?

Taking prednisone 10 mg once daily for multiple sclerosis Signup and view all the answers

Which statement from an adult patient with altered immunity would require additional teaching from the nurse?

“I don’t get the flu vaccine because I haven’t had the flu in years.” Signup and view all the answers

Which term describes a life-threatening response of the body to infection and widespread inflammation causing multiple organ dysfunction syndrome (MODS)?

Sepsis Signup and view all the answers

Which symptom would indicate that a localized infection has spread and become a systemic infection?

Fever Signup and view all the answers

Which lab result would the nurse expect to see in a patient with a systemic infection?

Elevated lymphocyte and neutrophil levels Signup and view all the answers

Which condition is considered acute inflammation?

Appendicitis Signup and view all the answers

Which intervention would the emergency department nurse implement for a patient with localized inflammation due to an ankle sprain?

Select all that apply. One, some, or all may be correct.

Apply ice to the ankle. Signup and view all the answers

Which cells are involved in antibody-mediated immunity?

B-cells Signup and view all the answers

Which intervention would be used to manage systemic inflammation?

Corticosteroids Signup and view all the answers

Which physical exam findings would be concerning in a patient with an inflamed, sprained ankle?

Diminished dorsalis pedis pulses Signup and view all the answers

Which characteristic places a patient at increased risk for infection?

Obesity, Advanced age Signup and view all the answers

Which situation describes a natural active immunity?

A person who had COVID-19 infection develops antibodies. Signup and view all the answers

Which health promotion strategy would be categorized as secondary prevention for infection?

Screening for suspected sexually transmitted infections (STI) Signup and view all the answers

Which medication would be used for patients experiencing allergic symptoms?

Antihistamines Signup and view all the answers

Match the medical condition with its classification of infection or inflammation.

Chronic inflammation = Rheumatoid arthritis Acute inflammation = Cholecystitis Localized infection = Cellulitis Systemic infection = Sepsis Signup and view all the answers

Which symptoms would the nurse be concerned to find in a patient with a localized cellulitis infection?

Hypotension Signup and view all the answers