Podcast
Questions and Answers
What is a typical finding in clients with COPD related to lung sounds?
What is a typical finding in clients with COPD related to lung sounds?
- Wheezing sounds
- Crackling sounds
- Increased lung sounds
- Diminished lung sounds (correct)
What is the expected timeframe for a patient to void after the removal of an indwelling urinary catheter?
What is the expected timeframe for a patient to void after the removal of an indwelling urinary catheter?
- 6 to 8 hours (correct)
- 24 hours
- 10 to 12 hours
- 1 to 3 hours
Which client condition requires the highest priority assessment by the nurse?
Which client condition requires the highest priority assessment by the nurse?
- Client with an indwelling urinary catheter and no voiding
- Client with COPD and diminished lung sounds
- Client with a hip replacement and a petechial rash (correct)
- Client with chronic liver cirrhosis and prolonged prothrombin time
What assessment should a nurse prioritize if a patient has not voided after catheter removal?
What assessment should a nurse prioritize if a patient has not voided after catheter removal?
What key sign should be monitored in a client suspected of having fat embolism syndrome?
What key sign should be monitored in a client suspected of having fat embolism syndrome?
What physical characteristic may be observed in patients with chronic hyperinflation of the lungs?
What physical characteristic may be observed in patients with chronic hyperinflation of the lungs?
What does the presence of a prolonged prothrombin time in a client with chronic liver cirrhosis indicate?
What does the presence of a prolonged prothrombin time in a client with chronic liver cirrhosis indicate?
Which statement is accurate regarding the implications of diminished lung sounds in COPD?
Which statement is accurate regarding the implications of diminished lung sounds in COPD?
A client with chronic obstructive pulmonary disease (COPD) and diminished lung sounds may be experiencing what complication?
A client with chronic obstructive pulmonary disease (COPD) and diminished lung sounds may be experiencing what complication?
What does restlessness in a post-operative hip replacement client typically suggest?
What does restlessness in a post-operative hip replacement client typically suggest?
What is a common consequence of chronic liver disease related to blood coagulation?
What is a common consequence of chronic liver disease related to blood coagulation?
What indicates potential fat embolism syndrome?
What indicates potential fat embolism syndrome?
What complication may arise from a long-bone fracture?
What complication may arise from a long-bone fracture?
In patients with chronic liver disease, which symptom is not expected unless there are signs of bleeding?
In patients with chronic liver disease, which symptom is not expected unless there are signs of bleeding?
What does prolonged prothrombin time (INR) in chronic liver disease patients usually indicate?
What does prolonged prothrombin time (INR) in chronic liver disease patients usually indicate?
Flashcards
Fat Embolism Syndrome
Fat Embolism Syndrome
This condition occurs when fat globules from a fractured bone enter the bloodstream, obstructing the pulmonary perfusion and impairing gas exchange.
Petechial Rash in Fat Embolism
Petechial Rash in Fat Embolism
A petechial rash on the upper body is a key indicator of fat embolism syndrome.
Priority Assessment: Hip Replacement
Priority Assessment: Hip Replacement
A client with a recent hip replacement who exhibits restlessness and a petechial rash requires immediate assessment.
Priority Assessment: Liver Cirrhosis
Priority Assessment: Liver Cirrhosis
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Nurse's Priority Assessment
Nurse's Priority Assessment
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COPD
COPD
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Prolonged prothrombin time and low platelets in liver disease
Prolonged prothrombin time and low platelets in liver disease
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Barrel Chest
Barrel Chest
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Petechial rash
Petechial rash
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Diminished Lung Sounds
Diminished Lung Sounds
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Bleeding in chronic liver disease
Bleeding in chronic liver disease
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Urinary Retention
Urinary Retention
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Chronic liver disease
Chronic liver disease
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Study Notes
Client Assessment Priorities
- A client with chronic liver cirrhosis, prolonged prothrombin time, and low platelet count needs immediate assessment.
- Restlessness and a petechial rash indicate possible fat embolism syndrome, requiring immediate intervention.
- A client with a discontinued indwelling urinary catheter that has not voided within 6-8 hours necessitates immediate assessment for bladder distention or urinary retention.
- A client with chronic obstructive pulmonary disease (COPD) and diminished lung sounds may need further evaluation, but is not the immediate priority.
- A client who had hip replacement surgery yesterday, is restless, and has a petechial rash on the neck requires assessment, but not the highest priority.
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Description
This quiz focuses on prioritizing client assessments based on various medical conditions. You will evaluate scenarios involving chronic liver cirrhosis, fat embolism syndrome, urinary retention, and COPD. Test your critical thinking skills in determining the most urgent needs of each client.
