Adult Health Exam Bundle Graded A+

Per-operative - ANSWER-The period that begins when the patient is scheduled for surgery and ends at the time of transfer to the surgical suite. Postoperative - ANSWER-The period that starts with the completion of surgery and transfer of the patient to a specialized area for monitoring such as the...

1. You know that nursing care in PACU is multifaceted and involves: (select all that apply) A. Monitoring the patient's physiological status B. Intervening to ensure uneventful recovery from anesthesia and surgery C. Providing a safe environment for the patient experiencing limitations in physic...

The patient with COPD has a nursing diagnosis of ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision? A. Observing how well the patient performs pursed-lip breathing B. Planning a nursing care plan regimen that gradually increas...

You're assessing your patient's morning labs. The metabolic panel shows the following results below. Which results are abnormal? Select all that apply:* A. Potassium 2 mEq/L B. Sodium 110 mEq/L C. BUN 10 D. Magnesium 2.3 mg/dL E. Phosphorus 1 mg/dL F. Glucose 96 mg/dL G. Creatinine 5...

Emergency surgery - ANSWER-immediate surgery needed to save life or limb without delay Ex. severe bleeding, bladder/Intestinal obstruction, fractured skull, GSW or stab wound, and extensive burns Urgent surgery - ANSWER-patient requires prompt attention within 24-30 hours. Ex. closed fractures...

expectant - ANSWER-A patient in triage who is expected to die. -You only provide comfort care -For example, fixed and dilated pupils (brain dead) non-urgent - ANSWER-A patient in triage who has minor scrapes and cuts that can be self treated Urgent - ANSWER-A patient in triage who has a brok...

1. An emergency room nurse assesses a client who has been raped. With which health care team member should the nurse collaborate when planning this clients care? a. Emergency medicine physician b. Case manager c. Forensic nurse examiner d. Psychiatric crisis nurse - ANSWER-ANS: C All other mem...

A nurse is reviewing the serum laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following laboratory tests should the nurse expect to be elevated. (select all that apply) A. Hematocrit B. Erythrocyte sedimentation rate C. WBC D. Folic acid E. Albumin -...

What is one of the very first things we should address In a burn patient - ANSWER-Fluid and electrolyte balance What is the most important thing we should be concerned about in a burn patient - ANSWER-Airway because depending on the kind of burn and where it is In burn patients to protect them...

The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider? a. skin cool and clammy b. heart rate of 118 beats/min c. blood pressure of 92/56 d. O2 saturation of 93% on room air - ANSWER-Answer: a Whic...

A client is seen in the emergency department and reports left arm pain, fatigue, palpitations, and shortness of breath. Which condition would the nurse suspect? a. Renal Failure b. Acute Coronary Syndrome c. Diabetes Mellitus d. Diabetes Insipidus - ANSWER-b. Acute Coronary Syndrome For a c...

A side-effect of chemotherapy is renal damage. To prevent this, the nurse should: - ANSWER-Encourage fluid intake, if possible, to dilute the urine. The nurse at the clinic explains to the patient that the surgeon will be removing a mole on the patient's back that has the potential to develop i...

* The nurse is teaching a client recently diagnosed with rheumatoid arthritis (RA) about home care and management of symptoms. What should the nurse encourage the client to do at home? Select all that apply. A Allow periods of rest in the afternoon B Perform range of motion exercises daily C Plac...

During assessment of the patient's skin, the nurse observes a similar pattern of small, raised lesions on the left and right upper back areas. Which term should the nurse use to document these lesions? - ANSWER-Symmetric The nurse prepares to obtain a culture from a patient who has a possible fu...

Which potential side effect would the nurse include in teaching plan for a patient undergoing radiation therapy for laryngeal cancer? Select all that apply -Hoarseness -changes in taste -difficulty swallowing -changes in color of hair -skin problems - ANSWER--Hoarseness -changes in taste -d...

How is musculoskeletal health related to the care of your patients - ANSWER-Reason for hospitalization A comorbidity (like osteoporosis or paget's disease) that may influence patient safety Impact on the patients ability to perform ADLs Impact on the ability of the patient to safely return to...

Naturally acquired active immunity - ANSWER-occurs as a direct result of infection by a specific microorganism ex: measles Artificially acquired active immunity - ANSWER-results from administration of a killed or weakened microorganism or toxoid ex: influenza vaccine Passive immunity - ANSWE...

The nurse is reviewing the client's urinalysis results. The finding that is most suggestive of dehydration of the client is: - ANSWER-Specific gravity 1.035; Specific gravity is reflective of hydration status. A concentrated specific gravity, such as 1.035, is suggestive of dehydration. Bright yel...

1. To assess whether there is any improvement in a patient's dysuria, which question will the nurse ask? "Do you have to urinate at night?" "Do you have blood in your urine?" "Do you have to urinate frequently?" "Do you have pain when you urinate?" - ANSWER-"Do you have pain when you u...

A client is admitted to the hospital with the diagnosis of intestinal obstruction. The HCP orders intestinal suction via an NG tube. The loss of which constituents associated with NG suctioning is most important to consider with this client? A. Protein Enzymes B. Carbohydrates C. Vitamins and ...

A patient who had a hemi-glossectomy earlier today is assessed postoperatively, revealing a paten airway, stable vital signs, and no bleeding or drainage from the operative site. The nurse notes the patient is alert. What is the patients priority need at this time? - ANSWER-An effective means of com...

A 15 year old female presents in the ED with shortness of breath and wheezing. What other clinical manifestation is a classic sign of an acute asthma attack? A. Increased HR B. Decreased sputum C. Inability to speak in full sentences D. Diplopia - ANSWER-C. Inability to speak in full sentences ...

During a client's neurologic assessment, the nurse finds that he is arousable after light touch combined with a loud voice. How does the nurse document this client's level of consciousness? A. Stuporous B. Lethargic C. Comatose D. Drowsy - ANSWER-B A client with possible Parkinson disease...

The nurse is caring for a client diagnosed with peptic ulcer disease (PUD). For which potential complications will the nurse monitor? Select all that apply. A. Pneumonia B. Peritonitis C. Anemia D. Stroke E. Hypotension F. Cirrhosis - ANSWER-B. Peritonitis C. Anemia E. Hypotension Ratio...

A nurse is having difficulty arousing a client following an esophagastrostro duodenoscopy (EGD). Which of the following is the priority action by the nurse? a. Assess the airway b. Allow the client to sleep c. Prepare to administer an antidote to the sedative d. Evaluate procedure lab findings9*...

D. "To prevent infection in the eye, wash your hands before changing the eye patch or using eye drops." - ANSWER-The nurse is providing postop instructions for the patient following cataract surgery. The most appropriate statement based on the average adult reading level is: A. "To avoid conta...

D. "To prevent infection in the eye, wash your hands before changing the eye patch or using eye drops." - ANSWER-The nurse is providing postop instructions for the patient following cataract surgery. The most appropriate statement based on the average adult reading level is: A. "To avoid conta...

3 - ANSWER-Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. The nurse reviews the client's medical record and should question the prescription if which data is noted in the client's history? 1. Insomnia 2. Neuralgia 3. Use of nitroglycerin 4. Use of a multivitamin...

A nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should - ANSWER-wash and inspect the feet daily Which of the following would be included in the teaching plan for a patient diagnosed with diabetes mellitus? - ANSWER-Elevated blood glucose ...

Establish a baseline - ANSWER-What should one do during pre-op so that they know if any changes are present? 1. Assessing the patient 2. Easing the patient's anxiety 3. Educating the patient on what to expect 4. Preparing the patient for surgery - ANSWER-What are four areas of focus within pr...

examples of perfusion - ANSWER-Coronary artery disease: - myocardial infarction Congestive heart failure perfusion - ANSWER-Circulation of blood within an organ or tissue in adequate amounts to meet current needs of the cells. pulmonary circulation - ANSWER-- deoxygenated blood come from the...

A nurse is caring for an older adult client who has diabetes mellitus. The client reports loss of peripheral vision. For which of the following is the client at risk? a) cataracts b) macular degeneration c) glaucoma d) presbyopia - ANSWER-c) glaucoma The nurse teaches a student nurse about h...

Drugs are classified by - ANSWER-effect on body systems, chemical composition, clinical indication, or therapeutic action Primary classification of drugs - ANSWER-Therapeutic and Pharmaceutical Therapeutic classification - ANSWER--clinical indication for the drug, or the therapeutic action -...