Exam 3 review for final - adult health 1

What type of immunity becomes active as a result of infection by a specific microorganism?

For a client with an endotrachael tube, which nursing action is the most important

Pt scheduled for a test to determine kidney function. Which statement by pt should be reported to physician

Program that incorporates timed voiding and urinary urge inhibition is known as

Peritoneal dialysis is initiated to treat pt’s uremia. Which finding during the procedure signals a significant problem

Pt in septic shock receives IV fluids. It is unsuccessful in maintaining tissue perfusion. Which action is anticipated

HIV education

Which potassium level needs to be addressed?

55 y/o M admitted with a massive GI bleed. The pt is at risk for what type of acute kidney injury

Pt scheduled for dialysis has tall peaked T waves. What result from a BMP confirms EKG abnormality

Pt has hyperglycemic hyperosmolar syndrome. Admin NS at a rapid rate. What is the priority assessment?

Post op pt at risk for atelectasis. Most effective nursing intervention?

Pt w stage 5 CKD has pruritus and has several areas of crystallized white deposits on skin. this is caused by excessive

83 y/o stage 3 pressure ulcer infection. Education to family that this may be due to which age related change in immune?

 A 55 year old male patient is diagnosed with CKD. The patient’s recent GFR was 25 mL/min. What stage is it?

Education on safer sexual behaviors. Which statement needs further education?

which value does the nurse recognize as the best clinical measure of renal failure?

Pt w stage 4 CKD asks what type of diet they should follow

Which is an abnormal BUN level

kidneys are responsible for performing all of the following functions EXCEPT

K level of 6.5, peaked T waves on ECG. What priority intervention does the nurse anticipate?

28 y/o exacerbation of asthma. Which intervention should be priority?

What is the normal range for sodium

Pt has hx of glomerulonephritis. Which of the following would the nurse consider significant?

Which is a normal creatinine level

Female pt for routine physical. Urine is bright yellow. Most appropriate auction to ask pt

Nurse should intervene to discuss standard precautions with the UAP when..

Pt has ESKD. Which acid base imbalance is associated with this disorder

ESKD, ventricular rhythm, muscle weakness. Priority nursing action?

Pt w HIV has Pneumocystis pneumonia from P. Jiroveci. Which meds are expected?

Which nutrient is essential for wound healing?

The nurse recognizes that the test results that most likely indicate a UTI

Which structure empties into the ureters

Which patient concern needs priority

Pt w disability has missed two follow up appts. which action will the nurse take to support this pt

Pt diagnosed with infectious diarrhea. What is the priority nursing intervention?

what does the P is ADPIE stand for

pt has ineffective airway clearance. Low o2 sat. Priority nursing action?

Tonsils and adenoids are lymphoid tissues that..

Pt with CKD has low erythropoietin level. The pt is at risk for

what aspect of the care plan should the nurse consider to be a nursing implementation?

What route of administration of medication is preferred in the most acute care situations?

Pt has ARDS. What is the priority nursing action?

Female, difficulty voiding for 8 hrs after surgery. Can get out of bed w assist. Which intervention?

You’re providing care to four patients. Select all the patients who are at risk for developing sepsis:

Pt w CKD complains of intense itching. Which finding would indicate need for further education

Diagnosis of ESKD. Lab finding?

D/c education for kidney stones. What is included?

55 y/o M has obstructive sleep apnea. Which nursing intervention should be included

Which microorganism is the most common cause of sepsis

Ineffective airway clearance related to pneumonia and bronchial secretions in pt w AIDS. Appropriate plan of care?

HIV/AIDS subtypes. Student should be able to differentiate the two subtypes by which characteristic?

Which of the following occurs late in chronic glomerulonephritis

Older adult treated for wound infection and pneumonia Within last 6m. What factors attribute to illnesses?

EDKD, bone disease, metastatic calcifications. Plan of care? Select all

What diet to maximize immune function in growing children?

A pt w genital warts receives treatment with local application of trichloroacetic acid. Which Indicates understanding

____ is solely filtered from the bloodstream via glomerulus and is NOT reabsorbed back, but is excreted through urine

Provider ordered 4 renal function tests. Which is the most sensitive indicator of renal disease?

Which hormone causes the kidneys to reabsorb sodium

Pt newly diagnosed with renal CA is questioning why detection was delayed. What is the best response?

when caring for pt with acute respiratory failure, nurse should expect to focus on which problems

Skin test for TB. Which indicates exposure to TB?

Which substance may be used to lubricate a condom?

Pt taking abacavir had developed fever and rash. What is the priority action?

Pt complaint of cough. Which finding should alert the nurse for assessment of immune dysfunction?

Interventions after a urologic endoscopy? Select all

Which demonstrates “people first” language

10 y/o tonsillectomy. Which requires “teach back” and has the highest priority?

pt w chest tube connected to closed water seal drainage system. Which action in the care plan should be included

what significance does a concept care map have in relation to clients plan of care?

Most prevalent cause of immunodeficiency worldwide?

Which nursing assessment indicates pt w renal dysfunction has NOT met expected outcomes

Pt involved in study on efficacy of new chemo drug. When is it ethically acceptable to use placebos?

A 24 hr urine collection is scheduled to begin at 8a. When should the nurse initiate the procedure?

Pt receives 2 units PRBC. Three days later has allergic response (itch/hives). What type of reaction is this?

Which pt is NOT at risk for developing CKD