fundamenta nur 1100 pharmacology miami regional universityfinal nc2pdf
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FINAL
1-A nurse admits a client from the emergency department. Client data are
listed below:
History Physical Assessment Laboratory Values
70 years of age Crackles and rhonchi heard WBC: 15,200/mm3
History of diabetes throughout the left lung PaO2 on room air 70
On insulin twice a day Dullness to percussion mm Hg
Reports new-onset dyspnea Febrile Glucose: 250 mg/mL
and productive cough Oriented to person only BUN: 26 mg/mL
After reviewing the physician orders, what action by the nurse is
the priority?
Select one:
Administer oxygen per nasal cannula.
2- After one month of short-term corticosteroid therapy, a client with an acute
exacerbation of rheumatoid arthritis returns to the clinic for a follow-up visit.
Which laboratory finding should the nurse review for
decreased inflammation and an improved therapeutic response?
Erythrocyte Sedimentation Rate (ESR).
3-A patient with severe coronary artery disease is scheduled for coronary
artery bypass graft surgery. As part of the preoperative teaching, the
nurse explains the surgery. Which of the following statements about this
procedure is true?
Select one:
A piece of saphenous vein will be used to go around the arterial
obstruction.
4-The nurse reviews the ophthalmologic evaluation of a 42 year-old client
who shows a visual acuity of 20/50. What means these values?
Select one:
The client sees at 20 feet what a normal vision person sees at 50
5-A cystic fibrosis client's plan of care specifies postural drainage. What
action should the nurse perform when providing this noninvasive chest
physio-therapy?
Select one:
Assist the patient into a position that will allow gravity to move out
secretions.
6-The nurse is evaluating the respiratory system of a client who admits to
smoking a half pack per day for the last 10 years and 1 pack per day for 10
years prior to that. When evaluating the client's risk of developing a
, respiratory disease, the nurse calculates that the client has a smoking
history of how many packs over the years?
Select one:
15 pack-years
7-The nurse is admitting a client with suspected tuberculosis (TB) to the
acute care unit. The nurse places the client in airborne precautions until a
confirmed diagnosis of active TB can be made. Which of the following tests is
a priority to confirm the diagnosis?
Select one:
Sputum positive for acid fast bacilli (AFB)
8-A client with a history of asthma presents in the physician's office with an
acute asthma attack and difficulty breathing. While performing the
assessment, the nurse becomes concerned that the client's respiratory
status has worsened based on which of the following?
Select one:
Diminished breath sounds and disappearance of wheezing
9-The nurse is educating a group of women about the differences in
symptoms of myocardial infarction (MI) in men versus those in women.
Which information should be included?
Select one:
Women may experience extreme fatigue and dizziness as sole
symptoms.
10-The nurse is monitoring a client with acute pericarditis for signs
of pericardial effusion. Which assessment finding indicates the presence of
this complication?
Select one:
Muffled heart sounds
11-A 50-year-old male with a 30-year history of smoking was diagnosed
with bronchogenic cancer. He developed edema and venous distention in
the upper extremities, neck, and face; headache, double vision and lethargy.
Which of the following diagnosis will the nurse observe on the chart?
Select one:
Superior vena cava compression syndrome
12-A client begins therapy with lisinopril. What finding during assessment
requires clarification of the order?
Select one:
Peaked and tall T wave in EKG
13-The nurse on the medical/surgical floor receives four new admissions.
Which of the following clients should be placed in a private isolation room?
Select one:
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