NUR 265 (NUR265)

A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic range for digoxin? a. 0.1 to 1.5 ng/mL b. 0.5 to 2.0 ng/mL c. 1.0 to 2.5 ng/mL d. 2.0 to 4.0 ng/mL - b The client's serum digoxin level is 3.0 ng/mL. What does the nurse know about this serum digoxin level? a. It is in the high (elevated) range. b. It is in the low (decreased) range. c. It is within the normal range. d. It is in the low average range. - a The nurse is assessing t...

The nurse in the telemetry unit explains two nonpharmacological treatments such as ___________, or ___________, can be used to treat dysrhythmias. A) ECG; pacemaker B) Cardioversion; defibrillation C) Aspirin; Plavix D) Exercise; stress test - B The client is scheduled for implantable cardioverter defibrillators (ICD) for treatment of a dysrhythmia. The nurse explains that the action of this procedure is to: A) Trigger electrical impulses to the heart. B) Take over SA node function. C)...

Which of these clients will the charge nurse on the medical unit assign to an RN who has floated from the postanesthesia care unit (PACU)? A. Client with allergic rhinitis scheduled for skin testing B. Client with emphysema who needs teaching about pulmonary function testing C. Client with pancreatitis who needs a preoperative chest x-ray D. Client with pleural effusion who has had 1200 mL removed by thoracentesis - D An RN and an LPN/LVN are working together to provide care for a client h...

Which of the following complications is thought to be the most common cause of appendicitis? A. A fecalith B. Bowel kinking C. Internal bowel occlusion D. Abdominal bowel swelling - A Which of the following terms best describes the pain associated with appendicitis? A. Aching B. Fleeting C. Intermittent D. Steady - D. The pain begins in the epigastrium or periumbilical region, then shifts to the right lower quadrant and becomes steady. The pain may be moderate to severe. Which of the...

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- What is nephrotic syndrome? A condition of increased glomerular permeability that allows larger molecules to pass through the membrane into the urine and then be excreted. - What are key features of nephrotic syndrome? - Massive proteinuria -Hypoalbuminemia -Edema (facial and periorbital) -Lipiduria -Hyperlipidemia -Increased coagulation -Reduced kidney function - In nephrotic syndrome, severe protein loss in the urine is greater than what? 3.5g in 24 hours - What is nephrotic sy...

Pulmonary Embolism s/s you report immediately to RRT? - Syncope Cyanosis JVD Hypotension What is the priority treatment for PE? - Heparin IVF (for hypotension) What are NSG interventions for PE? - O2 Lung assessments Bleeding/fall precautions Assess u/o, VS & neuro What is the lab values for Heparin? - PTT = 20-30 (1.5-2.5x) normal aPTT = 30-40 (1.5-2.5x) normal Greatest risk factor for Pulmonary Embolism? - Immobility Long bone fx Surgery Smoking What ABG result is found in Pulm...

- -decreased LOC(lethargy to coma) -restlessness, irritability, confusion -headache -projectile N&V -change in speech pattern/slurred speech -dilated nonreactive pupils or constructed nonreactive pupils -ataxia -seizure -abnormal posturing -Cushing's triad: severe HTN, widened pulse pressure, bradycardia Key sx of increased ICP - Symptoms of increased ICP -severe HTN, widened pulse pressure, bradycardia What is Cushing's triad - Most at risk during 1st 72 hours after stroke o...

Lupus: Hallmark sign - butterfly rash on face Lupus: Indication of flare - Fever and fatigue *also assess BUN function *c reactive protein remains normal Lupus: Interventions - -Falls precautions -treat pain with tylenol and NSAIDS (monitor kidney function) -AVOID SUNLIGHT -REPORT FLARE IMMEDIATELY -clean skin with mild soap and pat dry and apply lotion Lupus: medical management - -hydroxychloroquine(anti-malarial) decreases absorption of UV light Scleroderma - inflammatory, autoimmun...

Discoid Lupus - Affects skin, isn't lethal Discoid lupus presents with ... - Macular Rash or Discoid Rash Discoid rash - red raised patches with scaling skin Malar Rash - Red flat or raised over cheeks (butterfly rash) Discoid Lupus Diagnostics - Skin Biopsy SLE - Chronic, progressive, Inflammation of connective tissue, and affects multiple body systems SLE in kidneys - Leading cause of death, presents with high creatinine, low hematocrit, proteinuria SLE is most common in ... - wome...