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