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2024 NUR 104 FINAL EXAM WITH CORRECT ANSWERS
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2024 NUR 104 FINAL EXAM WITH CORRECT ANSWERS
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2024 NUR 104 FINAL EXAM WITHCORRECT ANSWERS
Which component should the nurse anticipate will be prescribed for a patient
with severe thrombocytopenia? - CORRECT-ANSWERSPlatelets
In monitoring a patient's intravenous (IV) site, the nurse correlates which
findings to an infiltration? Select all that apply. - CORRECT-
ANSWERSBlanched skin near the insertion site
Skin cool to touch near the insertion site
Leaking of fluid from the insertion site
The nurse uses palpation during the respiratory assessment to determine
which clinical finding? - CORRECT-ANSWERSTracheal position
A patient is admitted for evaluation of complaints of difficulty breathing and
is scheduled for a sputum study to assist in providing data for which
diagnosis? - CORRECT-ANSWERSBacterial lung infection
The nurse assesses for coarse crackles (coarse rales) in patients admitted
with which respiratory disorders? Select all that apply. - CORRECT-
ANSWERSPulmonary edema
Chronic obstructive pulmonary disease (COPD)
Pneumonia
The nurse assesses for stridor in patients admitted with which respiratory
disorders? Select all that apply. - CORRECT-ANSWERSLaryngitis
Allergic reactions
Epiglottis
Which finding in a patient with dyspnea requires an immediate intervention
by the nurse? Select all that apply. - CORRECT-ANSWERSTachypnea
Accessory muscle use
Cyanosis
Tracheal tugging
pH value - CORRECT-ANSWERS7.35-7.45
PaCo2 - CORRECT-ANSWERS35-45 mmHg
HCO3- - CORRECT-ANSWERS22-26 mEq/L
, PaO2 - CORRECT-ANSWERS80-100 mmHg
SaO2 - CORRECT-ANSWERS>95%
In completing a physical assessment on a patient, the nurse notes that the
patient has a red, swollen, smooth, shiny and tender tongue. The nurse
correlates this finding to which disorder? - CORRECT-ANSWERSIron
deficiency anemia
The nurse is reviewing the complete blood cell (CBC) count for a female
patient recently admitted to the medical-surgical unit. The CBC count is as
follows: platelet 180,000/mm3; hemoglobin 15 g/dL; red blood cells 4.4
million cells/mm3; white blood cells 6 103/mm3- . What is the nurse's
analysis of these results? - CORRECT-ANSWERSThe patient's laboratory
values are within normal limits.
An older adult patient with renal failure is diagnosed with anemia. Based on
this data, which cause of anemia will the nurse include in the plan? -
CORRECT-ANSWERSLoss of the kidney hormone erythropoietin
The nurse prepares to administer the prescribed intramuscular injection (IM)
iron to a patient. Which is the priority action for this task? - CORRECT-
ANSWERSUsing the Z-track method
A nurse is providing discharge instructions to a patient with iron deficiency
anemia who is experiencing glossitis. Which patient statement indicates the
need for further education? - CORRECT-ANSWERS"I will use an alcohol-based
mouthwash twice per day."
The nurse develops the nursing diagnosis "Risk for Bleeding related to lack of
intrinsic factor" for the patient with which hematological disorder? -
CORRECT-ANSWERSPernicious anemia
A patient complaining of mouth soreness had gastric bypass surgery 1 year
ago. During the assessment, the nurse notes the patient's tongue is beefy,
red, and smooth and the patient's skin appears yellowish. The nurse
correlates these findings to a decreased value of which diagnostic test? -
CORRECT-ANSWERSVitamin B12 levels
A patient in sickle cell crisis reports taking a recent skiing trip that caused a
respiratory infection from the cold weather. Which nursing diagnosis is a
priority for this patient? - CORRECT-ANSWERSAcute Pain
respiratory acidosis causes - CORRECT-ANSWERScentral nervous system
depression, pneumothorax, hypoventilation, bronchial obstruction and
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