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Level 4 Midterm Exam Quiz Activity (Yvonne) Flashcards | StudBud
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Level 4 Midterm Exam Quiz Activity (Yvonne)
Level 4 Midterm Exam Quiz Activity (Yvonne)
38 terms
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Just quick refresher as we jump into midterms. Good luck!
Flashcards
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Questions
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Answers
1
In caring for the patient with AKI, what should the nurse be aware of?
Dietary NA and K during the oliguric phase of AKI are managed by I/O
Daily fluid intake is limited to 1000 mL during the oliguric phase
The most common cause of death in AKI is irreversible metabolic acidosis.
Taking accurate daily weigh ins
2
A dehydrated patient is in the injury stage of RIFLE in AKI. What would the nurse first anticipate for this patient?
Urinalysis to check for sediment, osmolality, sodium, and specific gravity
Assess daily weight
IV administration of fluid and furosemide (Lasix)
IV administration of insulin and sodium bicarbonate
3
This program aims to ease pain and helps with problems if your illness is serious but not conspired life threatening
Supportive Care
Respite Care
Palliative Care
Hospice Care
4
A patient has been admitted with a PE, the nurse notes a change in the patients O2 Sat from 94% to 88%. The nurse will:
Suction the patient’s oropharynx
Assist the patient to cough and deep breathe
Increase the oxygen flow rate
Help the patient to sit in a more upright position
5
Patient complains of acute chest pain that spreads to his jaw, neck and left arm. What ECG reading supports an MI?
Absent of P wave
ST elevation and marked Q wave
Absent Q wave
QRS
6
What is the most common cause of dilated cardiomyopathy?
Viral infections
Congenital heart defects
Atherosclerosis
Hypertension
7
What is the purpose of utilizing NANDA-approved nursing diagnosis?
To ensure that the nursing diagnosis is complete and accurate
To make the nursing diagnosis shorter and less specific
To make the nursing diagnosis longer and more detailed
To use medical diagnosis instead of nursing diagnosis
8
This is the only fibrinolytic agent approved for acute ischemic stroke and must be started 3hr from onset of symptoms
Rateplase
Streptokinase
Alteplase
Tenecteplase
9
The following are the possible complications of Pneumonia except:
ARDS
Pulmonary embolism
Bacteremia
Lung abscess
10
Patient who has had an acute disturbance in pulmonary perfusion is being treated for PE. These both affect…
The pH balance in the pulmonary veins and arteries
The maintenance of constant osmotic pressure in the alveoli
The adequate flow of blood through the pulmonary circulation
The maintenance of muscle tone in the diaphragm
11
Which of the following is the most common effect of dysrhythmias?
Sudden cardiac death/arrest
Heart failure
Stroke
Decreased cardiac output
12
Patient has aspiration pneumonia with a 100% non-rebreather mask. What is the HALLMARK sign & symptom of developing ARDS
The patient;s PaO2 remains at 45 mmHg
The patient is tired and confused
The patient’s blood pressure is 180/96
The patient is experiencing bradypnea
13
What is the primary goal of nursing care for a patient with cardiac myopathy?
Managing hypertension
Smoking Cessation
Strengthening the heart muscle
Preventing weight gain
14
A patient with PE is being treated with a heparin infusion what diagnostic finding shows that the treatment is effective
The patient’s PT is within reference ranges
The patient’s platelet level is below 100,000/mm3
The patient’s aPTT is 1.5 to 2.5 times the control value
Arterial blood sampling tests positive for the presence of factor XIII
15
A corticosteroid drug that reduces flare-ups in patients with COPD
O2 Therapy
Levalbuterol
Albuterol
Prednisone
16
Also known as end-tidal CO2, a test that assesses the amount of CO2 in exhaled air:
Forced expiratory volume
ABG
Spirometerty
Capnography
17
When giving medication, what should be the basis of your practice?
Patient’s request
Personal preference
Evidence-based practice and outcome-based
Hospital protocol
18
Clients undergoing hemodialysis are at risk for disequilibrium syndrome, the nurse assess the client during dialysis for
Hypotension, bradycardia, and hypothermia
Hypertension, tachycardia, and fever
Restlessness, irritability, and generalized weakness
Headache, deteriorating LOC, and twitching
19
A nurse is giving discharge teaching for a patient who had an PE after a total knee surgery…Heparin to sodium warfarin
Nurse teaches: Coumadin is taken along with ASA to achieve anticoagulation
He should take a vitamin supplement containing vitamin K
Nurse teaches: Anticoagulant therapy usually lasts between 3 and 6 months
Nurse teaches: Coumadin will continue to break up the clot over weeks
20
What is the immediate key nursing intervention for a patient with cardiac myopathy experiencing fluid overload?
Discouraging salt intake
Administering more fluids
Administering oxygen
Elevating lower extremities
21
What should you do if you are not sure about something in your practice?
Find something else to do
Ignore it and hope for the best
Ask your colleagues
Ask the patient
22
In patients with pneumonia, what is the BEST nursing intervention to improve oxygenation?
Place the patient in lateral decubitus position
Deep breathing exercises
Monitor O2 saturation and RR
Administer bronchodilators and oxygen
23
The earliest electrocardiographic finding of acute myocardial infarction is sometimes the…
Prolonged QT interval
Hyperacute T wave
ST segment depression
ST segment elevation
24
A patient has a GFR of 55 mL/min and a history of uncontrolled hypertension and CAD. What medication treats both?
Lisinopril
Metoprolol
Verapamil
Amlodipine
25
What is the importance of critical thinking in nursing?
It helps in providing compassionate care
It helps in retaining information
It helps in maintaining safety and security
It helps in making logical and analytical decisions
26
A patient has chest pain that started 3-4 hours ago. What is the most reliable and accurate indicator of heart damage?
CKMB
Troponin I & T
Myoglobin
LDH
27
During the exudative phase of ARDS the patients lung cells that produce surfactant are damaged. This will lead to…
Bronchoconstriction
Upper airway blockage
Atelectasis
Pulmonary edema
28
A patient complains of dyspnea, chronic cough, and difficulties sleeping at night. What lab findings supports HF
Troponin <0.03
BNP 780
K+ 5.8
BUN 9
29
Which of the following is an sign of Left Sided Heart Failure?
Hemoptysis
Increase CVP
Ascites
Peripheral Edema
30
A patient with stage 5 CKD has extreme pruritus and has areas of crystallized white deposits on the skin, this is due to
Excessive phosphate
Excessive urea
Excessive calcium
Excessive erythropoietin
31
A patient is on mechanical ventilation with PEEP. Which finding indicates the patient is developing a complication…
Blood pressure 75/45
HCO3 26 mmHg
PaO2 80 mmHg
PaCO2 38 mmHg
32
A COPD patient complains of shortness of breath when doing simple tasks like dressing. Forced expiratory volume is 35%
Patient is in stage 3 (Gold 3)
Patient is in stage 2 (Gold 2)
Patient is in stage 1 (Gold 1)
Patient is in stage 4 (Gold 4)
33
A patient has been diagnosed with HF and has or had signs and symptoms of HF. Which stage of heart failure is this?
Stage A
Stage C
Stage B
Stage D
34
Culture is a test to find germs that can cause an infection while, sensitivity test checks to _____
See what know whether it is gram positive or negative
See the sensitivity of the patient to the bacteria
See what specific bacteria causes CAP
See what kind of medicine to fight the infection
35
What is the difference between sickness, illness, and disease?
Sickness = psychological state, illness = medical condition, disease = ph..
Sickness = physical state, illness = psychological state, Disease = medical
Sickness = medical condition, Illness = Physical state, Disease = psycho…
They all mean the same thing
36
True or false, a Left Ventricle Assist Device (LVAD) is considered Stage D therapy
True
False
37
If ST segment elevation is present in leads II, III, and AVF, the possible occlusion could be on…
PDA
LCA
LCX
RCA
38
Patient who has history of PE is experiencing sudden dyspnea, rapid breathing, and chest pain. What is the best action?
Arrange for an ECG
Rapidly assess the patient’s cardiopulmonary status
Increase the height of the patient’s bed
Manage the patient’s anxiety
