Exam (elaborations)
NSG 4800 MAIN EXAM WITH COMPLETE ANSWERS
- Course
- Institution
NSG 4800 MAIN EXAM WITH COMPLETE ANSWERS
[Show more]
Content preview
NSG 4800 MAIN EXAM WITHCOMPLETE ANSWERS
The nurse is monitoring a client in the immediate postpartum period for signs of
b b b b b b b b b b b b b
hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss?
b b b b b b b b b b b b b b
A .temperature of 100.4°F (38°C)
b b b b
B. An increase in the pulse rate from 88 to 102 beats/minute
b b b b b b b b b b b
C. A blood pressure change from 130/88 to 124/80 mm Hg
b b b b b b b b b b
D. An increase in the respiratory rate from 18 to 22 breaths/minute - correct answer-B,
b b b b b b b b b b b b bb b
During the fourth stage of labor, the maternal blood pressure, pulse, and respiration
b b b b b b b b b b b b b
should be checked every 15 minutes during the first hour. An increasing pulse is an
b b b b b b b b b b b b b b b
early sign of excessive blood loss because the heart pumps faster to compensate for
b b b b b b b b b b b b b b
reduced blood volume. A slight increase in temperature is normal. The blood pressure
b b b b b b b b b b b b b
decreases as the blood volume diminishes, but a decreased blood pressure would not
b b b b b b b b b b b b b
be the earliest sign of hemorrhage. The respiratory rate is slightly increased from
b b b b b b b b b b b b b
normal.
b
The nurse in the ambulatory care unit is providing home care instructions to a client
b b b b b b b b b b b b b b
after cryotherapy for the treatment of malignant skin lesions. Which statement would
b b b b b b b b b b b b
be most appropriate for the nurse to include in the home care instructions for this
b b b b b b b b b b b b b b b
client?
b
"Apply ice to the site to prevent swelling."
b b b b b b b
, "Clean the site with alcohol 3 times daily."b b b b b b b
"Apply a warm, damp washcloth if discomfort occurs."
b b b b b b b
"Avoid showering or taking baths until seen by the health care provider in 1 week." -
b b b b b b b b b b b b b b b b
correct answer-3, Cryotherapy involves the local application of liquid nitrogen to the
b b b b b b b b b b b b
lesion; this causes cell death and tissue destruction. Tissue freezing is followed in 1 to
b b b b b b b b b b b b b b b
2 days by hemorrhagic blister formation; therefore, ice is not applied to the site. The
b b b b b b b b b b b b b b b
application of a warm, damp washcloth intermittently to the site will provide relief of
b b b b b b b b b b b b b b
any discomfort. The nurse instructs the client to clean the site with the prescribed
b b b b b b b b b b b b b b
solution to prevent secondary infection. A topical antibiotic also may be prescribed.
b b b b b b b b b b b b
Alcohol would cause irritation to the skin. There is no reason for the client to avoid
b b b b b b b b b b b b b b b b
showering or bathing.
b b b
The registered nurse is caring for the following clients. It would be a priority for the
b b b b b b b b b b b b b b b
nurse to initiate a multidisciplinary conference for the client who is
b b b b b b b b b b b
A.12 years old with Autism who is starting a new school and recently had a URI (upper
b b b b b b b b b b b b b b b b
respiratory tract infection)
b b b
B.39 years old, has type 2 Diabetes Mellitus, is homeless and had a recent
b b b b b b b b b b b b b
Hemoglobin A1c of 13%
b b b b
C.52 years old, with Myasthenia Gravis, recently prescribed Mestinon (pyridostigmine)
b b b b b b b b b
and is employed as a mail carrier
b b b b b b b
D.79 years old, has bipolar and schizophrenia, lives alone and reports hearing non
b b b b b b b b b b b b
threatening voices. - correct answer-B
b b b bb b
A client with uncontrolled Diabetes Mellitus would require the greatest number of
b b b b b b b b b b b
disciplines (multidisciplinary) to manage their care i.e. Medicine, Nursing, Social Work,
b b b b b b b b b b b
Nutritionist; the other choices do not require as many providers of care to meet their
b b b b b b b b b b b b b b b
needs.
b
A client is scheduled to begin therapy with carbamazepine. The nurse should assess
b b b b b b b b b b b b
the results of which test(s) before administering the first dose of this medication to the
b b b b b b b b b b b b b b b
client?
b
Liver function tests b b
Renal function tests b b
Pancreatic enzyme studies b b
Complete blood cell count - correct answer-D. Carbamazepine may be used to treat a
b b b b bb b b b b b b b b
seizure disorder. It can cause leukopenia, anemia, thrombocytopenia, and, very
b b b b b b b b b b
rarely, fatal aplastic anemia. To reduce the risk of serious hematological effects, a
b b b b b b b b b b b b b
complete blood cell count should be done before treatment and periodically thereafter.
b b b b b b b b b b b b
This medication should be avoided in clients with preexisting hematological
b b b b b b b b b b
abnormalities. The client also is told to report the occurrence of fever, sore throat,
b b b b b b b b b b b b b b
pallor, weakness, infection, easy bruising, and petechiae. The results of the remaining
b b b b b b b b b b b b
tests listed in the options are not associated with the use of this medication.
b b b b b b b b b b b b b b
A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The
b b b b b b b b b b b b b b
binitial blood glucose level is 950 mg/dL (54.2 mmol/L). A continuous intravenous (IV)
b b b b b b b b b b b b
binfusion of short-acting insulin is initiated, along with IV rehydration with normal saline.
b b b b b b b b b b b b
bThe serum glucose level is now decreased to 240 mg/dL (13.7 mmol/L). The nurse
b b b b b b b b b b b b b
bwould next prepare to administer which medication?
b b b b b b
An ampule of 50% dextrose
b b b b
NPH insulin subcutaneously
b b
IV fluids containing dextrose
b b b
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now