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Situation - Respiratory failure is a condition in which your blood doesn't have enough oxygen or has too much carbon dioxide. Sometimes you can have both problems. When you breathe, your lungs take in oxygen. The oxygen passes into your blood, which carries it to your organs.
- Which assessment findings will the nurse record to be consistent in a client with respiratory failure?
Situation - Respiratory failure is a condition in which your blood doesn't have enough oxygen or has too much carbon dioxide. Sometimes you can have both problems. When you breathe, your lungs take in oxygen. The oxygen passes into your blood, which carries it to your organs.
- Which assessment findings will the nurse record to be consistent in a client with respiratory failure?
Oxygen therapy is the administration of oxygen at a concentration greater than that found in the environmental atmosphere. The goal of oxygen therapy is to
Oxygen therapy is the administration of oxygen at a concentration greater than that found in the environmental atmosphere. The goal of oxygen therapy is to
The nurse is aware of the differences between hypoxia and hypoxemia. Hypoxemia is characterized by
The nurse is aware of the differences between hypoxia and hypoxemia. Hypoxemia is characterized by
A nurse suspects a diabetic patient to have hypUkalemia when she observed which of the following symptoms to be documented?
A nurse suspects a diabetic patient to have hypUkalemia when she observed which of the following symptoms to be documented?
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In the initial presentation of type 1 diabetes mellitus in a patient, which symptoms would the nurse expect to assess and document?
In the initial presentation of type 1 diabetes mellitus in a patient, which symptoms would the nurse expect to assess and document?
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Situation - Diabetes mellitus is a disorder in which blood sugar (glucose) levels are abnormally high because the body does not produce enough insulin to meet its needs. Urination and thirst are increased, and people may lose weight even if they are not trying to.
What is the difference between Type 1 DM and Type 2 DM?
Situation - Diabetes mellitus is a disorder in which blood sugar (glucose) levels are abnormally high because the body does not produce enough insulin to meet its needs. Urination and thirst are increased, and people may lose weight even if they are not trying to.
What is the difference between Type 1 DM and Type 2 DM?
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A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what "type 2" means in relation to diabetes. The nurse explains to the patient that type 2 diabetes differs from type 1 diabetes primarily in that with type 2 diabetes
A patient with newly diagnosed type 2 diabetes mellitus asks the nurse what "type 2" means in relation to diabetes. The nurse explains to the patient that type 2 diabetes differs from type 1 diabetes primarily in that with type 2 diabetes
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A client is admitted to the hospital with signs and symptoms of diabetes mellitus. Which findings is the nurse most likely to observe in this client? Select all that apply:
1. Excessive thirst
2. Weight gain
3. Constipation
4. Excessive hunger
5. Urine retention
6. Frequent, high-volume urination
A client is admitted to the hospital with signs and symptoms of diabetes mellitus. Which findings is the nurse most likely to observe in this client? Select all that apply: 1. Excessive thirst 2. Weight gain 3. Constipation 4. Excessive hunger 5. Urine retention 6. Frequent, high-volume urination
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A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar nonketotic syndrome is made. The nurse would immediately prepare to initiate which of the following anticipated physician's prescriptions?
A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar nonketotic syndrome is made. The nurse would immediately prepare to initiate which of the following anticipated physician's prescriptions?
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The nurse would immediately prepare to initiate which of the following anticipated physician's prescriptions?
The nurse would immediately prepare to initiate which of the following anticipated physician's prescriptions?
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A client is taking Humulin NPH insulin daily every morning. The nurse instructs the client that the most likely time for a hypoglycemic reaction to occur is:
A client is taking Humulin NPH insulin daily every morning. The nurse instructs the client that the most likely time for a hypoglycemic reaction to occur is:
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What medicine is ordered by the surgeon to reduce salivation & bronchial secretions before the operation?
What medicine is ordered by the surgeon to reduce salivation & bronchial secretions before the operation?
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As a nurse, the responsibility for your pre-operative care for patient Nina include which of the following EXCEPT:
As a nurse, the responsibility for your pre-operative care for patient Nina include which of the following EXCEPT:
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The nurse recognizes the value of leg exercises in the prevention of postoperative thrombophlebitis. When should the nurse teach the correct technique for leg exercises to a patient?
The nurse recognizes the value of leg exercises in the prevention of postoperative thrombophlebitis. When should the nurse teach the correct technique for leg exercises to a patient?
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Which of the following nursing interventions is most likely to prevent respiratory complications such as pneumonia and atelectasis in a post-surgical patient?
Which of the following nursing interventions is most likely to prevent respiratory complications such as pneumonia and atelectasis in a post-surgical patient?
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Which of the following statements is true regarding the peak action of intermediate-acting insulin such as NPH?
Which of the following statements is true regarding the peak action of intermediate-acting insulin such as NPH?
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Which preoperative intervention is essential to prevent an increase in the risk for infection?
Which preoperative intervention is essential to prevent an increase in the risk for infection?
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Which of the following patients most likely requires special preoperative assessment and treatment because of his or her existing medication regimen?
Which of the following patients most likely requires special preoperative assessment and treatment because of his or her existing medication regimen?
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Which instructions would be most helpful to prevent further episodes of constipation?
Which instructions would be most helpful to prevent further episodes of constipation?
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A client is admitted to the hospital with a diagnosis of acute diverticulitis. What should the nurse expect to be prescribed for this client?
A client is admitted to the hospital with a diagnosis of acute diverticulitis. What should the nurse expect to be prescribed for this client?
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A PACU nurse has received a semiconscious patient from the operating room and reviews the chart. There are no specific orders related to patient positioning. In this situation, in what position will the nurse place the patient?
A PACU nurse has received a semiconscious patient from the operating room and reviews the chart. There are no specific orders related to patient positioning. In this situation, in what position will the nurse place the patient?
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A patient returning to the floor after orthopedic surgery is complaining of nausea. The nurse is aware that an appropriate intervention is to do which of the following?
A patient returning to the floor after orthopedic surgery is complaining of nausea. The nurse is aware that an appropriate intervention is to do which of the following?
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The operating room is aware that which of the following patients is at a greater risk related to a surgical procedure?
The operating room is aware that which of the following patients is at a greater risk related to a surgical procedure?
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As a pain management nurse, which type of pain would be your priority for immediate intervention?
As a pain management nurse, which type of pain would be your priority for immediate intervention?
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When educating a patient with a new diagnosis of irritable bowel syndrome (IBS), which dietary advice is most appropriate?
When educating a patient with a new diagnosis of irritable bowel syndrome (IBS), which dietary advice is most appropriate?
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You assessed a 50 - year-old patient for reports of episodic, sudden-onset, right-sided facial pain. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. You suspect
You assessed a 50 - year-old patient for reports of episodic, sudden-onset, right-sided facial pain. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. You suspect
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Study Notes
Nursing Anticipated Physician's Prescriptions
- Endotracheal intubation is an anticipated physician's prescription in a certain situation.
- Normal saline infusion and sodium bicarbonate infusion are also anticipated physician's prescriptions in different situations.
Insulin Administration
- Humulin NPH insulin is administered daily every morning.
- The most likely time for a hypoglycemic reaction to occur with Humulin NPH insulin is 4-12 hours after administration.
Pre-Operative Medications
- Benadryl is not typically used to reduce salivation and bronchial secretions before an operation.
- Atropine S04 is used to reduce salivation and bronchial secretions before an operation.
Pre-Operative Care
- The nurse is responsible for providing adequate nutrition and elimination, preparing the operative site, and ensuring the patient is psychologically ready for the surgery.
- Explaining the surgical procedure while admitting the patient is not the nurse's responsibility.
Leg Exercises
- Leg exercises are important in preventing postoperative thrombophlebitis.
- The nurse should teach the correct technique for leg exercises to a patient prior to surgery.
Post-Operative Complications
- Respiratory complications such as pneumonia and atelectasis can be prevented in post-surgical patients.
- The use of incentive spirometry is the most effective nursing intervention in preventing respiratory complications.
- Adequate pain control, anxiety and agitation control, and nutrition and fluids are not as effective in preventing respiratory complications.
Preoperative Assessment and Treatment
- Patients taking daily anticoagulants to treat atrial fibrillation require special preoperative assessment and treatment.
- Patients taking daily thyroid supplements for hypothyroidism do not require special preoperative assessment and treatment.
- Patients taking OTC NSAIDs for rheumatoid arthritis may require special preoperative assessment and treatment.
- Patients taking angiotensin converting enzyme inhibitors for hypertension may not require special preoperative assessment and treatment.
Prevention of Constipation
- Maintaining a high intake of fluid and fiber in the diet helps prevent further episodes of constipation.
- Discontinuing medications causing constipation helps prevent further episodes of constipation.
- Eating several small meals per day does not help prevent constipation.
- Sitting upright during meals does not help prevent constipation.
Acute Diverticulitis
- Patients with acute diverticulitis are typically prescribed NPO (nothing by mouth) status.
- Patients with acute diverticulitis may not be prescribed ambulation at least 4 times daily.
- Patients with acute diverticulitis may not be prescribed cholinergic medications to reduce pain.
- Patients with acute diverticulitis may not be prescribed coughing and deep breathing every 2 hours.
Patient Positioning in PACU
- In the absence of specific orders, patients in the PACU should be placed in a side-lying position.
- Patients in the PACU should not be placed in a supine position.
- Patients in the PACU should not be placed in a prone position.
- Patients in the PACU should not be placed in a Trendelenburg position.
Nausea Management
- Avoiding strong-smelling foods helps manage nausea.
- Holding all medications does not help manage nausea.
- Providing clear liquids with a straw helps manage nausea.
- Avoiding oral hygiene until nausea subsides does not help manage nausea.
Risk Factors in Surgical Procedures
- Elderly patients (e.g., 83-year-old woman) are at a greater risk related to surgical procedures.
- Pediatric patients (e.g., 8-year-old boy) are not at a greater risk related to surgical procedures.
- Middle-aged patients (e.g., 48-year-old man) are not at a greater risk related to surgical procedures.
- Young adults (e.g., 34-year-old woman) are not at a greater risk related to surgical procedures.
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