A 14-year-old girl has been thrown from the back of a pick-up
truck. MRI shows complete cord injury at the level of C2. What
is the main significance of an injury at this level of the spinal
column? Correct Answer Cannot breathe on own, needs
ventilator assistance
A 39-year-old white woman presents at the clinic with
complaints of epigastric pain that is cramp like, rhythmic, and
just below the xiphoid. She states that it wakes her up around 1
AM, and she is not sleeping well because of it. She further states
that this is the third episode of having this pain in the past year.
The nurse suspects the client has a peptic ulcer and expects to
receive what orders from the physician? Correct Answer
Schedule for metabolic panel and complete blood count
A 4-year-old child is seen in a pediatric clinic with a
temperature of 103 degrees F. Her skin is warm and flushed, her
pulse is 120 beats per minutes, and her respirations are shallow
and rapid at 32 breaths per minute. Her mother states that she
has complained of a sore throat and refused to drink or take
medications to bring her fever down. Which of the following
choices is a mechanism of fever generation. Correct Answer
The regulatory center in the hypothalamus.
A 40-year-old man presents at the clinic complaining of painful
urination, rapid onset, urinary frequency and rectal pain. His
vital signs are temperature, 101.7 F; blood pressure, 105/74;
pulse, 98; respirations, 22. While taking a history, the nurse
notes the client has had chills, malaise, and myalgia. What
,would the nurse suspect as a diagnosis? Correct Answer Acute
bacterial prostatitis
A 45-year-old woman with a diagnosis of multiple sclerosis
comes to the clinic complaining of coldness and pain in her
fingers. She says that her fingers get red, and they throb and
tingle. The nurse would expect what diagnosis and treatment for
this patient? Correct Answer Raynaud phenomenon; stop
smoking
A 56-year-old woman presents at the clinic complaining of the
unsightliness of her varicose veins and wants to know what can
be done about them. The nurse explains that the treatment for
varicose veins includes which of the following interventions?
Correct Answer Sclerotherapy or surgery
A 57-year-old man is diagnosed with thrombocytopenia. The
nurse knows that thrombocytopenia refers to a decrease in the
number of circulating platelets. The nurse also knows that
thrombocytopenia can result from what? Correct Answer
Decreased platelet production
A 69-year-old man is admitted to the hospital following a
popliteal embolectomy. He asks the nurse why he had to have
surgery on his leg. What is the best response by the nurse?
Correct Answer The artery that runs behind your knee was
blocked by a blood clot, and the doctor removed it.
A 77-year-old woman has been admitted to the geriatric medical
unit of the hospital for the treatment of pneumonia. The nurse
providing care for the client notes the presence of nasal
,calcitonin, vitamin D, and calcium chloride on the client's
medication administration record. The nurse should conclude
that this client likely has a history of: Correct Answer
Osteoporosis
A class of student nurses is hearing a lecture on wound healing.
The professor explains about primary and secondary healing.
The professor continues to talk about the phases of wound
healing and states that, in both primary and secondary healing,
the phases of wound healing occur at different rates. Which of
the following is a phase of wound healing? Correct Answer
The inflammatory phase
A client in a nursing home complains to her nurse that she is not
feeling well. When asked to describe how she feels, the client
states that she really is not hungry anymore and seems to have
indigestion a lot. The nurse checks the client's chart and finds
that her vital signs are normal, but that she has lost weight over
the past 2 months. She also notes that there is a history of gastric
cancer in the client's family. The nurse notifies the physician and
expects to receive what order? Correct Answer Schedule a
barium radiograph and an endoscopy
A client is suspected of having liver cancer. What diagnostic
tests would be ordered to confirm the diagnosis? Correct
Answer MRI of the liver
A male client has been diagnosed with an anterior pituitary
tumor, and synthesis and release of follicle-stimulating hormone
has become deranged. What are the potential consequences of
, this alteration in FSH? Correct Answer Impairment of sexual
function
A man is brought into the emergency department by paramedics
who state that the client passed out on the street. The man smells
of alcohol, and when roused says he has not eaten since
yesterday. He is wearing a medic alert bracelet that says he is a
diabetic. What would the nurse suspect as a diagnosis? Correct
Answer Hypoglycemia
A man presents to the emergency department after being out in
below zero weather all night. He asks the nurse why the health
care team is concerned about his toes and feet. How would the
nurse respond? Correct Answer Your toes and feet are frozen,
and there is a concern about the formation of blood clots as we
warm them again.
A normal creatinine level usually indicates normal renal
function? Correct Answer True
A patient has a dilated renal pelvis due to obstruction of urine
outflow from the kidney. The pressure of filtrate formation is
damaging the renal structures. Which condition is most likely?
Correct Answer Hydronephrosis
A patient with a suspected Myocardial Infarction (MI) is
brought to the emergency department by ambulance. As the
nurse caring for this patient, what laboratory work would you
expect to receive an order for, to confirm a diagnosis of MI?
Correct Answer Troponin level
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