NURS 420 Final Questions & Answers.
1. Hearing aid, which of the following implies the patient needs further teaching?
2. Hearing aid, what do you expect the patient statement to be?
3. Signs/Symptoms of Inner Ear I
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NURS 420 Final Questions & Answers.
1. Hearing aid, which of the following implies the patient needs further teaching?
2. Hearing aid, what do you expect the patient statement to be?
3. Signs/Symptoms of Inner Ear Infection (SATA): these are the symptoms (ATI) look for these: 3
a. Vertigo / Dizziness
b. Hearing Loss
c. Tinnitus
d. Vomiting
e. Nystagmus
f. Alterations in Balance
4. Heparin, what gauge needle is used?
5. Sigmoidoscopy, how often do you get it?
6. Lung cancer medication most commonly used?
7. Phytosporin - Acute or chronic kidney injury
8. Pt has Colostomy, what finding would you report?
9. Colostomy, pt teaching
10. QT interval is measured:
11. Pt has potassium level 5.5 and is administered kayexalate. What ECG changes do you expect?
12. A-fib (Atrial Fib), what is a finding?
13. Pt receiving external radiation… moist… what would be observed
14. ABG Question: A nurse has two patients (22 year old and 65 year old) one or both has COPD: low pH, normal bicarb, high CO2. The 22 YO has worse values… which is a priority?
15. ABG question: Acute Renal Faliure, Bicarb and pH are low…
16. Pt receiving radiation and asks to go outside in the sun
17. Laryngeal Cancer (2 questions), first sign right before and after? I guess 1st sign…
a. Later sign: stridor/dysphagia (difficult/painful swallowing)
18. Epogen-Alpha – lab value to report? – hemoglobin
19. Sign of electrolyte imbalance
20. Acute Renal Failure, why to restrict protein
21. Disequilibrium… - phenttoin medication
22. Another Disequilibrium syndrome Q answer
23. Patient taking Mineralocorticoids - fludrocortisone (Florinef), what are the adverse/side effects?
24. Med Math easy question (multiple choice)
25. Nurse enters a patient’s room and family member & pt fighting in another language, nursing action:
26. Timolol / Carbine
27. Primary Open angle glaucoma
28. Closed Angle Glaucoma
29. Beta Blockers contraindicated for patients
30. AP delegation
31. Diuretic… potassium – ask what you wilkl see – hypokalemia, hypernatremia
32. Pt administered furosemide, what is the therapeutic outcome?
33. Hyperkalemia
34. Hypokalemia
35. Nitroglycerin
36. Nitroglycerin mechanism of action?
a. In chronic stable angina: Dilates veins and decreases venous return (preload), which decreases cardiac oxygen demand)
b. In Variant (Prinzmetal): nitroglycerin prevents or reduces coronary artery spams and thus increases oxygen supply.
37. Venturi Mask question… nursing action
a. Make sure bag is not clamped? –
38. Sign/Symptoms of elder abuse
39. Prior to discharge, pt raises concern about plan of care… son saying she should move out of apartment... pt says I feel better in a hospital -
40. PUP (peptic ulcer?), medications to administer
41. Rheumatoid arthritis vs osteoarthritis… which is INCORRECT?
42. Digoxin toxicity level (normal: 0.8-2.0)
43. Post cataract sx, nursing action:
44. Addisons Disease Patho Q
a. Adrenal insufficiciency
i. Mineralocorticoids: aldosterone increases Na+ and causes K+ excretion in kidney – Hyponatremia / Hyperkalemia results
ii. Glucocorticoids: cortisol increases glucose in blood, helps with protein and fat metabolism, immune fxn – Hypoglycemia
iii. Hypercalcemia, Dehydration, hyperpigmentation (brown/bronze spot), craving for salt, weight loss
45. Antifungal medication ( starts with an A?) in Q:
46. Thrombocytopenia
47. Stem Cell isolation
48. Neutropenia (Risk for infection)
Previous term:
1. Sigmoidoscopy how often do you get it?
At the age of 50 and every 5 years after
2. Lung cancer medication most commonly used?
3. Systematic effect of anticholinergic drug (atropine)? -
5. Patient with radiation wants to go take a walk in the sun. What do you tell him?
-
6. Patient with sodium of 148 what is the manifestation?
- increased thirst
7. If transplant kidney is enlarged 2 days post up what would you do?
8. Middle ear disorders (SATA)?
-
9. A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestation will the nurse administer a prn dose of phenytoin (dilantin) treatment?
10. COPD how to increase breathing.
- Lay down and bend knees –
11. A nurse is reviewing the laboratory data of a client following a HD treatment. What should you expect in lab values?
12. a nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse?
17. During Hemodialysis treatment the patient reports headache, nausea, restlessness. The nurse should identify this as manifestation of which of the following complications?
18. A home health nurse is teaching an older client who just had cataract surgery. Which of the following instructions should the nurse include?
19. Nurse is caring for a client who is receiving peritoneal dialysis. Which is the following manifestations of peritonitis?
• nausea/vomiting
20. A nurse is caring for a client who is undergoing initial peritoneal dialysis what would you report to the MD.
21. Post op sudden pain what would you report -
21. Do not lie on operative site of surgery -you can lay on back or opposite side, do not bend at your waist
22. Beta-blockers are contraindicated with -
23. Patient taking Digoxin. Lab values are 1.8. What would you do with medication?
25. Guillain barre syndrome -
27. Creatinine - checks for kidney function
28. How do you titrate IV fluids for renal patient?
•
29. What would kick a transplant candidate out :
30. When a patient is taking nsaids/or medication that causes GI problems what medication do you expect to administer?
31. Addison's disease
32. What lab value indicates heart failure
33. You are going to administer epoetin. Which information should the nurse report to the health care provider?
34. A fib - pulse deficit . Apical pulse and radial pulse are different
35. SA NODE located in the Right ATRIUM and beats 60-100 beats per minute
37. A nurse is teaching a client who has acute kidney injury about oliguric phase. Which of the following information should the nurse include in the teaching.
38. A nurse is providing teaching to a client who has renal failure and an elevated phosphorpous level. The provider instructed the client to take aluminum hydroxide 300 mg. PO three times daily. Or which of the following adverse effects should the nurse inform the client.
39. A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic.
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Abg question
pH given, hco3 co2 – determine which pt is more critical 22 yo
acidosis all answrs… two answers shown…
renal
lots of questions
Cushings
high cort /
Addisons
low cort low ald
cardiac
QT interval
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