Nursing Care Questions
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Questions and Answers

What should the nurse expect to be used in preventing the development of cerebral edema after craniotomy?

  • Anticonvulsants
  • Diuretics
  • Corticosteroids
  • Mannitol (correct)
  • What should Nurse Hazel do after stopping the infusion when the female client complains of lumbar pain?

  • Restart the infusion at a slower rate
  • Administer pain medication
  • Monitor the client's temperature
  • Notify the physician (correct)
  • What is the basis for a positive diagnosis for HIV infection?

  • Western blot (correct)
  • Liver function tests
  • CBC with differential
  • ELISA
  • Which food selection is an adequate source of high-biologic-value protein for a client with chronic renal failure?

    <p>Eggs</p> Signup and view all the answers

    What complication should the nurse anticipate for a client with uremic syndrome?

    <p>Cardiac arrhythmias</p> Signup and view all the answers

    What is the most relevant assessment for a client with benign prostatic hyperplasia?

    <p>Prostate gland size</p> Signup and view all the answers

    What does an increased myoglobin level suggest in a client with chest pain?

    <p>Myocardial infarction</p> Signup and view all the answers

    What is a common side effect of nitroglycerin that Nurse Hazel should teach the client with angina?

    <p>All of the above</p> Signup and view all the answers

    Before the client goes to surgery, what is the final assessment the nurse in charge would focus on?

    <p>Physiologic functions</p> Signup and view all the answers

    What is the peak age range in acquiring acute lymphocytic leukemia (ALL)?

    <p>0-5 years</p> Signup and view all the answers

    What may indicate Disseminated Intravascular Coagulation (DIC)?

    <p>Thrombocytopenia</p> Signup and view all the answers

    What is the best indication that fluid replacement for the client with hypovolemic shock is adequate?

    <p>Increased urine output</p> Signup and view all the answers

    Which of the following signs and symptoms would Nurse Maureen include in the teaching plan as an early manifestation of laryngeal cancer?

    <p>Hoarseness</p> Signup and view all the answers

    Why is immunosuppressive therapy effective for Karina with myasthenia gravis?

    <p>It suppresses the immune system</p> Signup and view all the answers

    What should the nurse assess for when administering IV Mannitol to a client?

    <p>Urinary output</p> Signup and view all the answers

    What is an advantage of using pen-like insulin delivery devices over syringes for Patricia with diabetes mellitus?

    <p>Increased dosing accuracy</p> Signup and view all the answers

    Study Notes

    Surgical Care

    • To prevent cerebral edema after craniotomy, the nurse should expect the use of medications that reduce swelling.
    • Halfway through the administration of blood, the nurse should stop the infusion and monitor the client for signs of an allergic reaction.

    HIV Infection

    • A positive diagnosis for HIV infection is made based on the presence of HIV antibodies in the blood.

    Chronic Renal Failure

    • An adequate amount of high-biologic-value protein is recognized when the client selects food high in protein, such as meat, fish, and poultry.

    Uremic Syndrome

    • The nurse should anticipate complications such as hypertension, heart failure, and anemia.

    Benign Prostatic Hyperplasia

    • The most relevant assessment would be the client's ability to urinate and any signs of obstruction.

    Penile Implant

    • After 24 hours of surgery, the nurse should monitor the client for signs of edema and pain.

    Chest Pain

    • An increased myoglobin level suggests myocardial damage or infarction.

    Mitral Stenosis

    • The client would demonstrate symptoms associated with congestion in the lungs, such as shortness of breath and coughing.

    Hypertension

    • The priority nursing diagnosis would be the risk of cardiovascular disease.

    Angina

    • The client should be taught about common expected side effects of nitroglycerin, including headaches, dizziness, and orthostatic hypotension.

    Lipid Abnormalities

    • A risk factor for the development of atherosclerosis and PVD is high levels of low-density lipoprotein (LDL) cholesterol.

    Aortic Aneurysm

    • A significant risk immediately after surgery for repair of aortic aneurysm is bleeding or hemorrhage.

    Vitamin B12

    • The best supply of Vitamin B12 is obtained from animal-based foods, such as meat, fish, and dairy products.

    Aplastic Anemia

    • The nurse monitors for changes in blood cell counts, including anemia, thrombocytopenia, and neutropenia.

    Elective Splenectomy

    • The nurse's final assessment before surgery would be the client's understanding of the procedure and any signs of bleeding.

    Acute Lymphocytic Leukemia (ALL)

    • The peak age range for acquiring ALL is children under 5 years old.

    Leukemia

    • Clinical manifestations may indicate all of the following except fever, which is not a typical symptom of ALL.

    Disseminated Intravascular Coagulation (DIC)

    • Heparin is contraindicated with the client due to the risk of bleeding.

    Hypovolemic Shock

    • The best indication that fluid replacement is adequate is the client's blood pressure and heart rate returning to normal.

    Laryngeal Cancer

    • An early manifestation of laryngeal cancer is a change in voice quality or hoarseness.

    Myasthenia Gravis

    • Immunosuppressive therapy is effective because it reduces the production of abnormal antibodies that attack the nervous system.

    IV Mannitol

    • An assessment specific to safe administration is the client's urine output and electrolyte levels.

    Insulin Delivery Devices

    • The advantages of these devices over syringes include ease of use, convenience, and fewer injections.

    Fracture Tibia

    • To assess for damage to major blood vessels, the nurse should monitor the client for signs of circulation problems, such as numbness or tingling.

    Long Leg Cast

    • After the cast is removed, the male client should perform exercises to prevent muscle atrophy and strengthen the affected leg.

    Gout

    • The nurse should assess for additional tophi (urate deposits) on the ears, fingers, and toes.

    Crutch Walking

    • The client demonstrates understanding of crutch walking with tripod gait when they place weight on the hand grips and axilla.

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    Test your knowledge of nursing care and procedures with these questions on craniotomy, blood transfusions, HIV diagnosis, and more.

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