PN3 EXAM 3 QUESTIONS AND ANSWERS
A pt with hyperaldosteronism is being treated w/ spironolactone before surgery. Which precautions does the nurse teach this pt?
Read the label before using salt substitutes
A nurse assess a pt w/ anterior pituitary hyperfunction. Which clinical manifestation ...
PN3 EXAM 3 QUESTIONS AND
ANSWERS
A pt with hyperaldosteronism is being treated w/ spironolactone before surgery.
Which precautions does the nurse teach this pt?
Read the label before using salt substitutes
A nurse assess a pt w/ anterior pituitary hyperfunction. Which clinical
manifestation would the nurse expect?
- Protrusion of the lower jaw
- Enlarged hands & feet
- Barrel-shaped chest
An emergency nurse cares for a pt who is experiencing an acute adrenal crisis.
What action would the nurse take first?
Obtain intravenous access
A nurse plans care for a pt w/ cushings disease. Which action would the nurse
include in this pts plan of care to prevent injury?
Use a lift sheet to change the pts position
A nurse cares for a pt w/chronic hypercortisolism. What action would the nurse
take?
Wash hands when entering the room
A nurse assess a pt w/ cushing's disease. Which assessment findings would the
nurse correlate w/this disorder?
- Moon face
- Petechiae
- Muscle atrophy
A nurse teaches a pt w/ cushing's disease. Which dietary requirements would the
nurse include in this pt's teaching
- Low carbs
- Low calories
- Low sodium
A nurse assess a pt who is recovering from a transsphenoidal hypophysectomy.
The nurse notes nuchal rigidity. What action would the nurse take first?
Take vital signs, including temperature
After teaching a pt w/ acromegaly who is scheduled for a hypophysectomy, the
nurse assess the pts understanding. Which statement made by the pt indicates a
need for additional teaching?
"I hope I can go back to wearing size 8 shoes instead of size 12"
A nurse teaching a pt w/ a cortisol deficiency who is prescribed cortisol
replacement therapy. Which statement would the nurse include in this pt's
instructions?
"If you are vomiting you will have to use inject-able cortisol"
, While assessing a pt w/ graves disease, the nurse notes that the pt's temp has
risen 1 degree. What does the nurse do first?
Turn the lights down & shut the pt's door
A patient is assessed by the nurse after a hemo-dialysis session. The nurse notes
bleeding from the pt's nose & around the intravenous catheter. What action by
the nurse is the priority.
Prepare protamine sulfate for administration
A nurse is caring for a pt who is scheduled for a dose a cefazolin & vitamins at
this time. Hemodialysis for this pt is also scheduled in 60 min. Which action by
the nurse is best?
Hold all medications since both cefazolin & vitamins & dialyzable
A pt has a long history of hypertension. Which category of medications would the
nurse expect to be ordered to avoid chronic kidney disease (CKD)?
Angiotensin-converting enzyme (ACE) inhibitor
A pt w/ chronic kidney disease states. "I feel chained to the hemodialysis
machine" What is the nurses best response to the pt's statement?
"Tell me more about your feelings regarding hemodialysis treatment"
A marathon runner comes into the clinic & states "I have not urinated very much
in the last few days" The nurse notes a heart rate of 110 beats/min & a blood
pressure of 86/58. Which action by the nurse is the priority?
Give the pt a bottle of water immediately
The nurse is assessing a pt w/ a diagnosis of prerenal acute kidney injury(AKI).
Which condition would the nurse expect to find in the pt's recent history?
Myocardial Infarction
A pt is unsure of the decision to undergo peritoneal dialysis & wishes to discuss
the advantages of this treatment w/ the nurse. Which statements by the nurse are
accurate regarding PD.
- "You will not need vascular access to perform PD"
- "There is less restriction of protein & fluids"
- "You have flexible scheduling for the exchanges"
A pt in the intensive care unit is started on continous venovenous hemofiltration
(CVVH). Which finding is the cause of immediate action by the nurse?
Blood pressure of 76/58 mm Hg
A nurse reviews these laboratory values of a pt who returned from kidney
transplantation 12 hes ago: Sodium 136 mEq/L (135 mmol/L), Potassium 5 mEq/L
(5 mmol/L), Blood urea nitrogen (BUN) 44 mg/dL (15.7 mmol/L), Serum creatinine
2.5 mg/dL (221 mcmol/L). What initial intervention would the nurse anticipate?
Increase the dose of immunosuppression
A pt is undergoing hemodialysis. The pt's blood pressure at the beginning of the
procedure was 136/88 mm Hg, and now it is 110/54 mm Hg. What action would the
nurse perform to maintain blood pressure?
- Adjust the rate of extracorporeal blood flow
- Place the pt in the trendelenburg position
- Administer a 250-mL bolus of normal saline
The nurse is assessing a client with a diagnosis of Prerenal acute kidney injury
(AKI). Which recent condition in the clients history would cause a prerenal AKI
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 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 MUTUKACOURSEHERO. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £5.80. You're not tied to anything after your purchase.
