Exam (elaborations)
NURS 3661 EXAM 2 STUDY GUIDE Fall 2024
- Course
- NURS 3661
- Institution
- University Of Texas - Arlington
NURS 3661 EXAM 2 STUDY GUIDE Fall 2024
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NURS 3661 EXAM 2 STUDY GUIDEFall 2024
_________________ is a clinical syndrome that is characterized
by a progressive decline in cognitive, behavioral, and motor
functions as a direct result of HIV infection:
a. Cryptococcal meningitis
b. Neuropathy
c. Progressive multifocal leukoencephalopathy
d. HIV encephalopathy Correct Answers HIV encephalopathy
Formerly referred to as AIDS dementia complex, HIV
encephalopathy is a clinical syndrome that is characterized by a
progressive decline in cognitive, behavioral, and motor
functions as a direct result of HIV infection.
A 22 year old female patient presents to the clinic with
complaints of burning, pain, and urgency when urinating. The
patient has a fever of 100F. The urine is strong in odor and
cloudy with sediment.
What questions should the nurse ask during the assessment to
gain more information about the possible causes of urinary tract
infection? Correct Answers When did your symptoms start?
How much fluid do you drink per day?
What type of fluids do you drink?
Are you sexually active?
Do you urinate after sexual intercourse?
What are your bathing habits?
Do you wear tight garments or leather or pantyhose?
,Have you had UTIs in the past?
Have you had kidney stones in the past?
Do you have flank pain?
What makes it worse, or better?
How do you wipe?
A 7 year old patient was diagnosed with sickle cell disease at
birth. She was playing outside in the snow when she developed
severe abdominal pain. Her parents immediately took her to the
emergency room, suspecting a sickle cell crisis. Describe the
nursing process for the patient with sickle cell crisis. Correct
Answers Assess pain level
Assess respiratory level
Cardiac status
Focused abdominal assessment
Manage pain with analgesics, opioids
Swollen joints should be elevated
Reinforce teachings about signs and symptoms
A client is awaiting the availability of a heart for transplant.
What option may be available to the client as a bridge to
transplant?
A. Implanted cardioverter-defibrillator (ICD)
B. Pacemaker
C. Intra-aortic balloon pump (IABP)
D. Ventricular assist device (VAD) Correct Answers
Ventricular assist device (VAD)
VADs may be used for one of three purposes:
, (1) a bridge to recovery,
(2) a bridge to transplant,
(3) destination therapy (mechanical circulatory support when
there is no option for a heart transplant).
An implanted cardioverter-defibrillator or pacemaker is not a
bridge to transplant and will only correct the conduction
disturbance and not the pumping efficiency.
An IABP is a temporary, secondary mechanical circulatory
pump to supplement the ineffectual contraction of the left
ventricle.
The IABP is intended for only a few days
A client presents to a physician's office complaining of dyspnea
with exertion, weakness, and coughing up blood. Further
examination reveals peripheral edema, crackles, and jugular vein
distention. The nurse anticipates the physician will make which
diagnosis?
A. Pulmonary hypertension
B. Chronic obstructive pulmonary disease (COPD)
C. Empyema
D. Pulmonary tuberculosis Correct Answers Pulmonary
hypertension
Dyspnea, weakness, hemoptysis, and right-sided heart failure are
all signs of pulmonary hypertension. Clients with COPD present
with chronic cough, dyspnea on exertion, and sputum
production. Those with empyema are acutely ill and have signs
of acute respiratory infection or pneumonia. Clients with
pulmonary tuberculosis usually present with low-grade fever,
night sweats, fatigue, cough, and weight loss.
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