30 Questions
What is a concerning assessment finding for a patient with cirrhosis?
Blood noted in vomitus
What is the primary goal of reducing protein intake in a patient with hepatic encephalopathy?
To prevent confusion associated with liver failure
What is an important nursing intervention to prevent lymphedema in a patient who has undergone a mastectomy?
Encouraging early arm exercise
What is an indication of impending hypoglycemia in a patient with diabetes?
Blood glucose level of 50
What is an important assessment finding that indicates a patient's fluid balance is stable?
No adventitious lung sounds
What is an important interpretation of an HbA1c level of 5.9% in a patient with diabetes?
The patient has maintained good glycemic control
What should a client with CHF be taught to do if they gain more than 2 lbs in 1 day?
Notify the healthcare provider
What may be a sign of a pulmonary embolism?
Pain and cramping with exercise and relieved with rest
What is an important teaching point for clients with systemic lupus erythematosus?
Avoid over exposure to the sun
What is a sign of respiratory distress?
Kussmaul respirations
What is an important laboratory result to monitor in a client?
Potassium level
What is a risk factor for falls?
Rigidity with ambulation
When caring for a patient with an exacerbation of ulcerative colitis, which intervention should the nurse prioritize?
Monitor for bleeding
A patient with Crohn's disease has a stool characteristic that the nurse should expect to see documented?
Non-bloody diarrhea
When reviewing trigger factors for seizures with a newly diagnosed patient, what should the nurse include in the review?
Limit exposure to flashing lights
What is a result of massive cell destruction that occurred with chemotherapy in a patient with leukemia?
Increased potassium
What is the priority assessment finding for a patient with Cushing's disease?
Weight gain
What is an important consideration when caring for a patient taking prednisone for inflammatory bowel disease?
Identifying dietary triggers
What is a common precursor to mental illness in adults?
Certain childhood experiences
What is the best initial communication by the nurse when assessing a patient with delusional disorder with paranoia?
You seem to be having trouble trusting the staff.
What is a potential side effect of chlorpromazine?
All of the above
What is the primary goal for a family when the RN completes a family assessment?
Assisting the family in learning about differentiation
What is the therapeutic intervention when caring for a patient with hallucinations?
Distract the patient's attention
What is an example of triangulation in a family?
A husband, wife, and secretary involved in a conflict
What is a false statement about domestic abuse?
Abuse can happen to anyone regardless of education or social status
What is the priority nursing action when taking admission of a patient with right heart failure?
Expecting the patient to complain of dyspnea, fatigue, and edema
What is the indication of therapeutic effect of epoetin in a patient with CKD?
HCT 35%
What is the primary goal of antiretroviral therapy in a patient with HIV?
To keep the virus from developing
What is the priority nursing action for a patient who experiences a generalized tonic clonic seizure?
Keeping the patient in a side lying position
What is the purpose of ondansetron in a patient receiving chemotherapy?
To manage nausea and vomiting
Test your knowledge of pediatric nursing with this quiz, covering topics such as congenital cardiac problems, cystic fibrosis, cancer, and cerebral palsy. Assess your understanding of pediatric care and treatment.
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