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NURS 223 Final
NURS 223 Final
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1
Bacterial meningitis, which can be rapidly fatal, is generally worse than viral meningitis.
True
False
2
Which of the following is the correct formula for measuring cardiac output?
blood pressure X heart rate
stroke volume X heart rate
stroke volume X blood pressure
respiratory rate X heart rate
3
Which of the following is not a life threatening complication of cirrhosis?
Spontaneous Bacterial Peritonitis
Hepatoencephalopathy
Ascites
Esophageal varices
4
Right sided heart failure often progresses to Left sided heart failure?
True
False
5
Which of the following
does not
cause cirrhosis of the liver?
excessive alcohol consumption
diabetes
acetaminophen overdose
hepatitis
6
What renal function does hemodialysis replace?
Filtration
Peristalsis
Hormone control
Nervous control
7
Which of the following is a potential cause of
POSTRENAL
acute kidney injury (AKI/ARF)?
Hypovolemia
Pyelonephritis
Low blood pressure
Nephrolithiasis
8
what is a nursing priority post cva with hemiplegia
educate on medication regimen
monitor for further stroke s/s
get the pt into group therapy
prevent falls
9
CVA, cerebrovascular accident is a stroke
False
True
10
What is
NOT
a common cause of intrarenal kidney injury
Vasculitis
rhabdomyolysis
Exposure to nephrotoxins
Kidney stones
11
Nursing care following cardiac catheterization
Elevate affected extremity
Raise HOB to 45 degrees
Ambulate patient
Assess insertion site for hematoma
12
Nephrotic syndrome
Large amount of protein excreted by the kidneys
Large amount of protein in blood
Large amount of urine in blood
13
Nursing goals to decrease cardiac demands include:
limit physical activities to limit stress and overexertion
allow normal after school activities
allow activities despite being tired
allow stressful activities
14
What is the leading cause or chronic renal failure
Adrenergic
diabetes mellitus
Cancer
dysphasia
15
A nurse is educating a patient about anginal pain. The nurse explains that:
anginal pain is sharp and stabbing.
anginal pain does not radiate.
pain occurs due to tissue death.
pain is caused by an inability to meet the heart’s oxygen demand.
16
What is the most life-threatening complication of the portal HTN that occurs with cirrhosis?
Caput Medusa
Hemorrhoids
Distended abdominal veins
Bleeding esophageal varices
17
Most popular initial drug used for ACUTE angina pectoris?
B-blocker
Nitroglycerine
CCB
Reanolazine
18
This general term
would include
kidney failure, kidney tumors and even kidney stones
hepatoma
hepatosis
hepatology
nephrosis
19
irritable bowel syndrome
erosion of the stomach
inability to control the bowel
intermittent disturbances of bowel function
constipation
20
Confusion, coma and lethargy related to renal failure are a result of
calcification of cerebral arteries from hypercalcaemia reduces blood flow
water retention causing cerebral oedema
accumulation of toxins in the plasma
retention of phosphate ions impairs the uptake of glucose by the brain cell
21
Myocardial infarction occurs when
heart muscles swell and die
heart muscles constrict
SA node doesn't fire
heart muscles lack oxygen and die
22
A decreased blood flow to the kidneys is associated with a prerenal Kidney injury
True
False
23
Cirrhosis of the liver is when liver cells die and are replaced by scar tissue.
True
False
24
Priority review of renal function of an older adult consists of which result?
renal ultrasound
serum creatinine
serum blood urea nitrogen (BUN)
complete blood count (CBC)
25
Cardiac Glycosides: nursing/education
Safe to use in impaired kidney function
Teach and monitor for digoxin toxicity
Use for ventricular dysthymia
Safe to use for advanced heart failure
26
The following medications can be given to treat angina:
Nitrates and Insulin
Nitrates and Beta Blockers
Statins and Nitrates
Beta Blockers and Antidepressants
27
It is acceptable to use an arm that has a shunt or fistula for hemodialysis for an IV.
False
True
28
CP that is controlled with rest is called unstable angina.
False
True
29
A sign of ulcerative colitis
A positive McBurney's point
H-pylori
Consitpation
Bloody diarrhea
30
Why does alcohol cause liver cirrhosis?
Because alcohol is a venom
Because alcohol is a toxin
Because...
Because alcohol is a drug
31
Pyelonephritis is an intrarenal cause of acute kidney injury (AKI/ARF).
True
False
32
A biomarker used to diagnose heart failure is
c-reactive protein
creatinine-kinase
B-type natriuretic peptide
troponin
33
Period of relaxation and filling of all cardiac chambers...
Depolarization
Repolarization
Diastole
Systole
34
A prerenal cause of acute kidney injury is:
Obstructed ureter
Obstructed urethra
Hypovolemia
Tubular necrosis
35
Left sided heart failure causes:
Crackles
Fine Rhonchi
Coarse Rhonchi
Friction rub
36
Commonly prescribed after an episode of congestive heart failure (CHF) _________
Sotalol
Metoprolol
Carvedilol
Albuterol
37
What causes acute glomerulonephritis (AGN)?
Kidney injury
Poor oral intake
Recent strep infection
UTI
38
Which is not a common complication of hemodialysis?
Infection
Hypertension
Anemia
Disequilibrium syndrome
39
Chemotherapy can cause Intrinsic/Intrarenal Kidney Injury.
False
True
40
When comparing angina with myocardial infarction (MI), which statement is true?
Angina often occurs at rest; MI occurs during a stressful time
Pain is more severe and lasts longer with angina than with MI
Angina pain is relieved by rest &intake of nitroglycerin; pain of MI isn't
Both angina and MI cause tissue necrosis.
41
nursing care for pt w meningitis
wound care
vital signs, I&O's, provide quiet environment to decrease stimuli
vital signs, ROM, ice
oral care
42
Classical sign of glomerulonephritis is:
too much urine
no urine
fat in urine
protein in urine
43
Cause of nephrotic syndrome
an increase in EPO production by the kidneys
release of albumin protein into the urine
44
Signs/symptoms of acute glomerulonephritis includes all BUT:
Recent infection
Edema
Hypotension
Smoky, reddish brown urine
45
Hemorrhage can result in a prerenal kindney injury.
True
False
46
Patient has had a Cerebrovascular accident (CVA). Which therapy will assist regaining function?
Physical therapy
Respiratory therapy
Massage therapy
Behavioral therapy
47
What type of angina occurs frequently with progressive severity unrelated to activity?
Unstable
Classic
Fatal
Variant
48
Pt w/ cirrhosis presents to ER c/o bright red hematemesis. Pt is hypotensive & tachypniec. Tx?
IV Octreotide
IV Ocuflox
IV Octagam
IV Ocaliva
49
A periumbilical bluish discoloration, usually seen in pancreatitis
Phalen’s sign
Tinnel’s sign
Cullen’s sign
Murphy’s sign
50
Nursing management for chronic renal failure.
IV fluids
Correction of extracellular fluid volume overload or deficit
Potassium
Opioids
51
A patient with cirrhosis, elevated ammonia levels can lead to:
liver failure
encephalopathy
intestinal obstruction
hepatitis
52
What is the best nursing diagnosis for a patient with Chronic Renal Failure?
Fluid volume excess
Ineffective airway clearance
At risk for falls
impaired skin integrity
53
Which statement is true regarding hemodialysis?
Removes bacteria
Results in hypertension
Most meds are dialyzed out and should be held
Process is done usually under an hour
54
Unstable angina often indicates an impending Myocardial Infarction (MI)?
True
False
55
Mild proteinuria, hematuria, hypertension, fatigue, and edema are S/S of Acute glomerulonephritis.
False
True
56
Kidney stone removal
nephrolithotomy
nephropexy
nephrostomy
nephrectomy
57
Which cardiac chamber has the thickest muscle?
Right atrium
Right ventricle
Left atrium
Left ventricle
58
Why is a low protein diet recommended for chronic renal failure?
helps to break down muscle tissue
protein converts to urea and then is filtered by the kidney
it increases urine output
protein increases calcium and sodium levels
59
# 1 Killer in the U.S., usually preceded by unstable angina episodes before death occurs?
Cardiac Arrest
Stable Angina
Cardiomyopathy
Coronary Artery Disease
60
Name a end stage treatment for Chronic Renal Failure.
Renal Biopsy
Removal of a lower limb
Hemodialysis
Liver transplant
61
This medication is given during a suspected myocardial infarction to prevent further clot formation.
Lidocaine
Aspirin
Nitroglycerin
Albuterol
62
Which is NOT a treatment for kidney stones?
kidney dialysis
percutaneous nephrolithotomy
shockwave lithotripsy
ureteroscopy
63
Angina that is relieved by rest or nitroglycerin is called
Unstable
Unresponsive
Stable
Normal
64
Which labs are most likely to be elevated in pancreatitis?
PT and INR
Amylase and lipase
BUN and creatinine
Ammonia
65
What drugs are used as discharge medications for post-myocardial infarction
All of the Above
RAS inhibitor
Aspirin and Antiplatelet Agents
Beta Blockers and a Statin
66
A patient with pancreatitis will have the most pain in which quadrant?
LLQ
RUQ
RLQ
LUQ
67
Initial nursing Interventions for Ischemic Stroke (CVA)
All of the above
Check Blood Glucose
STAT CT or MRI
Timebegins when patient was last seen “normal”
68
What kind of diet should a patient with cirrhosis follow?
Increased protein
Decreased fat
Increased fat
Decreased protein
69
Crohns disease patho
inflammation of colon/large intestine ONLY
inflammation and ulcerations ocurring ANYWHERE in the GI tract
inflammation in the large intestines ONLY
inflammation in the colon ONLY
70
Medication for a myocardial infarction include
Morphine oxygen nitroglycerin ASA
Epinephrine Norepinephrine
Dopamine selegiline
Pseudoephedrine phenyphrine
71
Bleeding from ulcerations in the kidneys causes dark urine associated with acute poststrep glomerulonephritis.
True
False
