Untitled Quiz

Abdominal Assessment Sequence

• The correct order for examining a patient with a painful abdomen is inspection, auscultation, percussion, then palpation.

Hemothorax

• Hemothorax involves blood accumulating within the pleural cavity, typically due to trauma.

Patient Transportation with Chest Tube

• During transportation for a CT scan, a patient with a chest tube should have the underwater seal kept upright and below the insertion level to maintain proper function.

Respiratory Distress Assessment

• In a nursing assessment of a patient coughing up blood, it is important to briefly ask specific questions about the episode of respiratory distress and ask the patient to tell you more.

Post-CABG Management

• For a post-op CABG patient performing deep breathing exercises, verify they are doing the exercises correctly.

Myocardial Infarction Diagnostic Tests

• Patients suspected of having had a Myocardial Infarction (MI) undergo Atropine Tests.

Contributing Factor to Myocardial Infarction (MI)

• Obesity is a contributing factor to Myocardial Infarction (MI).

MI and Exercise Plan

• A teaching plan for an obese patient with MI should include exercise.

Managing MI Patient's Breathlessness

• If a patient with MI suddenly becomes short of breath while lying down, position them in Fowler's position to ease breathing.

New Nurse Assignment

• When taking over a ward as a new nurse, prioritize assessing the patient needing immediate intervention first.

Pre-Laryngectomy Assessment

• Before a laryngectomy, assessing the patient's ability to swallow is a nursing priority.

Disseminated Intravascular Coagulation (DIC)

• A patient with possible DIC arrives to the ER with a BP of 82/40, a temperature of 102° F (38.9° C), and severe back pain. The nurse should first infuse normal saline 500 mL over 30 minutes.

Pre-Laryngectomy Communication

• For a patient with laryngeal cancer undergoing laryngectomy,determine if the patient can read and write.

Post-Thyroidectomy Lab

• A client with muscle spasms, a positive Chvostek's sign, and a history of thyroidectomy six weeks prior will likely have a physician order a calcium lab test.

Classic Hypomagnesemia Symptoms

• A client with muscle weakness, tremors, and confusion and serum magnesium level of 0.9mg/dl is experiencing hypomagnesemia.

Alcohol and Hypomagnesemia

• Chronic alcoholism is a common cause of hypomagnesemia.

Dehydration Signs

• Dry mouth, sticky mucous membranes, weak peripheral pulses, and tachycardia indicate deficient fluid volume/dehydration.

Aldosterone Deficiency Symptom

• A deficiency in aldosterone in blood results in diluted urine.

Normal Serum Osmolality Range

• A normal serum osmolality is between 275-300 mOsm/kg.

Hypovolemia Manifestations

• Weakness and Numbness are clinical manifestations of hypovolemia.

MI Pain

• In a Myocardial Infarction (MI), the referred pain is felt in the left shoulder.

COPD and Oxygen Levels

• High levels of oxygen in COPD patients can cause bronchospasm.

COPD Assessment Expectation

• A nurse should expect to note a hyperinflated (barrel) chest in the assessment of a patient hospitalized with acute exacerbation of chronic obstructive pulmonary disease (COPD).

Mervin's Kidney Function

• In a six year old Mervin admitted to the pediatric ward and diagnosed with Acute Glomerulonephritis, oedema of proximal tubules will NOT occur in Mervin's kidneys, but proliferation of epithelial cells, impaired glomerular filtration rate, and Oedema of the glomerular basement membrane WILL occur as a result of Streptoccocal infections.

Acute Glomerulonephritis

• Significant indications of acute glomerulonephritis include elevated blood urea nitrogen level, presence of protein and red cast cells in urine, and Beta hemolytic streptococcus in throat swab culture.

Nursing Intervention for Glomerulonephritis

• For maintaining fluid and electrolyte balance in a child with acute glomerulonephritis, ensuring compliance with fluid restrictions is critical.

Anaphylactic Shock Symptoms

• Unresponsiveness, swollen legs, puffy eyes, shallow rapid breathing, systolic blood pressure of 50, pulse of 130 and thready, and profuse sweating indicate Anaphylactic shock.

Anaphylactic Shock Drug

• Epinephrine is the drug used for anaphylactic shock.

Sputum Collection Instruction

• To facilitate obtaining a sputum specimen, the nurse should instruct the client to take three deep breaths and cough with exhalation.

Post-Bronchoscopy Observation

• Stridor in a patient after a bronchoscopy and biopsy should be immediately reported to the physician.

Arterial Blood Gas Values

• Arterial blood gas measurements reveal a pH of 7.30, a low bicarbonate level, a normal carbon dioxide level and a normal oxygen level indicate Metabolic acidosis. An elevated potassium is also present.

Pneumothorax Indication

• Diminished breath sounds on the left side are indications of a pneumothorax.

ECG Waves

• P Wave, QRS Waves, (T Waves) are ECG Waves.

Patient Advocacy

• If a patient tried non-pharmacological pain management and is still experiencing pain and tried everything, you should Advocate for them.

Stages of Shock

• The stages of shock are Compensatory, Progressive, and Irreversible.

Strict I/O Charting

• When a patient receiving IV fluids, you should be on strict io charting with: Intake\Output.

Pain Relief Medication

• Used for cardiac pain relief; a cardiac pain relief medication is Morphine.

Patient Positioning of Unconscious Patient

• The patience unconscious position should be: Lateral Recumbent Position\ Coma Position

Management of Post-Op Vomiting

• For a patient vomiting post-op, position the patient to prevent aspiration.

Low Urinary Output

• Post-op urinary output is important; if it is under a certain amount of ml, contact the physician.

Ambulation Recommendation

• Ambulation should be encouraged to get a post op patient out of bed.

Elderly Post-Op Complication

• An elderly patient has the most common respiratory complication and can develop Pneumonia post-operatively.

Blood Clot Treatment

• Thrombolytics are used to treat blood clots.

Hand Washing

• Hand washing is the answer to nasal coke infection.

Manifestations of Tonsillar Disease

• Clinical manifestations that Isabel, a 14 year old girl who has just undergone a tonsillectomy and adenoidectomy, may have experienced symptoms that required surgical intervention are: Hypertrophy of the tonsils, Repeated attacks of otitis media, and Suspected hearing loss due to repeated otitis media.

Post-Tonsillectomy Complication

• The nurse should assess for Haemorrhage in Isabel's postoperative vital signs ,due to it's the most significant postoperative complication.

Tonsillectomy Recovery Position

• After a tonsillectomy, the patient should be placed in a Side-lying lateral position.

Post-Anesthesia Pain Assessment

• After abdominal surgery, if a patient requests pain medication, ask the client to state where it hurts.

Medication Allergy Check

• Ask the patient about allergies before serving them medications

Allergy Documentation

• During the admission interview a client who is admitted for a CT scan with contrast says "Everytime I eat shrimp I get a rash", you should notify the physician.

Medication and Monitoring

• Prothrombin Test test have to be regularly completed on persons who are on anticoagulant medications.

Blood Thinners

• Warfarin is a medication that requires regular prothrombin tests to monitor bleeding.

Oxygen Demand and Angina

• Angina pectoris secondary to atherosclerotic disease is likely to cause chest pain due to increased heart oxygen demands during exertion.

Effective Nitroglycerin Indication.

• Patient stating that pain is 0 out of 10 is an effective indication of nitroglycerin.

Pancreatitis Assessment

• Epigastric pain radiating to left shoulder is often found in clients who have pancreatitis.

Liver disease Symptoms

• Liver disease Symptoms are also known as Jaundice.

Emergency Equipment

• After a thyroidectomy done, emergency equipment should be at the bedside, including oxygen, suction equipment, and a tracheostomy tray.

Insulin Dependent Diabetes

• As an IDDM patient, Morning puts you more at risk for hypoglycemic events if dependent on insulin

Insulin Administration

• You should hold the syringe like a dart when instructing the patient the self-administration of insulin.

Action of Nitroglycerin

• Nitroglycerin relaxes smooth muscles, causing venous dilation.

Artery Condition with Nitroglycerin

• If take nitroglycerin, arteries become Partially Blocked.

End Stage Renal Failure Cause

• Hypertension is a leading cause of end stage renal failure.

Management of Renal Calculi

• Instruct the patient to strain the urine carefully.

Initial Cardiac Enzyme

• Troponin levels is what the nurse would expect to elevate first for a patient with a myocardial infaction.

Initial Shortness of Breath Assessment

• For a patient with acute shortness of breath, the nurse should take position patient during the initial assessment.

Client Repositioning

• you should Observe the rate, depth, and character of the client's respirations after client reports shortness of breath and the nurse helps in changing positions.

Neutropenia Care

• A 33-yr-old with a fever of 100.8° F (38.2° C) should be assessed first after receiving change-of-shift report for several patients with neutropenia.

Aldosterone issue symptom

• If a patient has a deficiency in aldosterone in blood you can expect diluted urine.

Magnesium Level Concern

• a 0.9 magnesium level causes hypomagnesia.