(Ramsay Score) RSS 5 Correct Answers Patient exhibits a
sluggish response to stimulus.
(Ramsay Score) RSS 6 Correct Answers Patient exhibits no
response to stimulus. The RSS must be reapplied at intervals
until full consciousness is achieved.
75% of urolithiasis contains Correct Answers caclium
90% of people with DM have this type Correct Answers type 2
DM
90% of UTI's are caused by Correct Answers E. Coli
10% from staph, klebsiella pneumoniae, proteus and
enterobactor species.
A 15 old adolescent tells a school nurse, "I have persistent pain
during my periods."
What should the nurse encourage her do to? Correct Answers
Have a gynecologic examination.
,A 20 year old woman is being evaluated for possible toxic shock
syndrome.
What question would the nurse ask? Correct Answers "Do you
use internal contraceptives?"
A 22 year old patient comes to the clinic for a wellness check
up.
History reveals taht the patient's parent has the autosomal
dominant form of polycystic kidney disease (PKD).
Which vital sign suggests that the patient should be evaluated
for PKD? Correct Answers Blood pressure of 136/88 mmHg
A 22 year old patient reports abdominal pain that stems to start
several days before her menstrual period.
What questions does the nurse ask in order to obtain a thorough
menstrual history? Correct Answers "How old were you when
you started menstruation?"
"Typically, how long does your period last?"
"How would you describe your menstrual flow?"
A 25 year old female patient with type 1 DM tells the nurse, "I
have 2 kidneys and I'm still young, I expect to be around for a
long time, so why should I worry about my blood sugar?"
,What is the nurse's BEST response? Correct Answers "keeping
your blood sugar under control now can help to prevent damage
to both kidneys."
A 30 year old pt who is hospitalized for repair of a fractured
tibia and fibula reports shortness of breath.
Which complication related to the injury might the pt be
experiencing? Correct Answers Fat embolism
A 35 year old male patient with no health problems states that he
had a flu shot last year and asks if it is necessary to have it again
this year.
What is the best response by the nurse? Correct Answers "Yes,
because the vaccine guards against a specific virus and reduces
your chances of acquiring flu and is only effective for one year
A 36 year old patient is diagnosed with dysfunctional uterine
bleeding. During the pelvic exam, the health care provider
determines that the bleeding is acute and heavy.
What is the nurse's priority action? Correct Answers Prepare to
administer combination hormonal therapy.
A 40 year old pt is admitted for acute osteomyelitis of the left
lower leg.
What does the Rn expect to find documented in the pt's
admitting assessment? Correct Answers Temperature greater
than 101 F; swelling, tenderness, erythema, and warmth of area
, A 47 year old patient is having surgery to remove kidney stones.
What is the correct classification for this surgery? Correct
Answers Urgent surgery
A 49 year old patient is in the PACU following a frontal
craniotomy for repair of a ruptured cerebral aneurysm.
The nurse assesses that the patient's eyes open on verbal
stimulation. Pupils are equal, reactive to light, and diameter is 3
mm.
The patient's hand grasps are equal and strong.
The patient's hand grasps are equal and strong.
When the nurse asks the patient to state name, the patient states
names correctly.
The patient has had one episode of nausea and vomiting.
Incision edges are dry and approximated with sutures. Lung
sounds are slightly diminished per auscultation and the nurse
observes the patient is using abdominal accessory muscles to
breathe.
Which body systems has the nurse assessed? Correct Answers
Gastrointestinal. Neurologic. Integumentary. Respiratory.
A 53 year old patient is newly diagnosed with renal artery
stenosis.
What clinical manifestation is the nurse most likely to observe
when the patient first seeks health care? Correct Answers
Sudden onset of hypertension
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