MED-SURG-Cardiac final Exam Study Guide

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Med/Surg Final Exam Review A patient is scheduled for a cardiac catheterization with coronary angiography. Before the test, the nurse informs the patient that? A patient with a history of hypertensi... on treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department complaining of a severe headache and has a BP of 240/118 mm Hg. Which question should the nurse ask first? A 52-year-old patient who has no previous history of hypertension or other health problems suddenly develops a BP of 188/106 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that To determine the effects of therapy for a patient who is being treated for heart failure, which laboratory result will the nurse plan to review? When planning care for a patient hospitalized with a streptococcal infective endocarditis (IE), which intervention is a priority for the nurse to include? When the nurse is monitoring a patient who is undergoing exercise (stress) testing on a treadmill, which assessment finding requires the most rapid action by the nurse? A 19-year-old student comes to the student health center at the end of the semester complaining that, "My heart is skipping beats." An electrocardiogram (ECG) shows occasional premature ventricular contractions (PVCs). What action should the nurse take next? When evaluating the red cell indices of a patient, the nurse knows that a low mean corpuscular volume (MCV) indicates? A diabetic patient's arterial blood gas (ABG) results are pH 7.28; PaCO2 34 mm Hg; PaO2 85 mm Hg; HCO3- 18 mEq/L. The nurse would expect which finding? When assessing the respiratory system of an older patient, which finding indicates that the nurse should take immediate action? While caring for a patient with respiratory disease, the nurse observes that the patient's SpO2 drops from 93% to 88% while the patient is ambulating in the hallway. What is the priority action of the nurse? When assessing a 24-year-old patient who has just arrived after an automobile accident, the emergency department nurse notes that the breath sounds are absent on the right side. The nurse will anticipate the need for After 2 months of tuberculosis (TB) treatment with a standard four-drug regimen, a patient continues to have positive sputum smears for acid-fast bacilli (AFB). Which action should the nurse take next? Which information will the nurse include in the patient teaching plan for a patient who is receiving rifampin (Rifadin) for treatment of tuberculosis? Following a laryngectomy a patient coughs violently during suctioning and dislodges the tracheostomy tube. Which action should the nurse take first? A patient who experienced a near drowning accident in a local lake, but now is awake and breathing spontaneously, is admitted for observation. Which action will be most important for the nurse to take during the observation period? The nurse is obtaining a health history from a 67-year-old patient with a 40 pack-year smoking history, complaints of hoarseness and tightness in the throat, and difficulty swallowing. Which question is most important for the nurse to ask? The nurse teaches a patient about pulmonary function testing (PFT). Which statement, if made by the patient, indicates teaching was effective? The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis. How should the nurse position the patient? A patient with hyperthyroidism is treated with radioactive iodine (RAI) at a clinic. Before the patient is discharged, the nurse instructs the patient: Which nursing assessment of a 69-year-old patient is most important to make during initiation of thyroid replacement with levothyroxine? While assessing a patient who has just arrived in the post anesthesia recovery unit (PACU) after a thyroidectomy, the nurse obtains these data. Which information is most important to communicate to the surgeon? The first nursing action indicated when a patient returns to the surgical nursing unit following a thyroidectomy is to? A few hours after returning to the surgical nursing unit, a patient who has undergone a subtotal thyroidectomy develops laryngeal stridor and a cramp in the right hand. The nurse anticipates that intervention will include? A patient with primary hyperparathyroidism has a serum calcium level of 14 mg/dL (3.5 mmol/L) and a phosphorus of 1.7 mg/dL (0.55 mmol/L). Which nursing action should be included in the plan of care? A patient with laryngeal cancer has received teaching about radiation therapy. Which statement by the patient indicates that the teaching has been effective? A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's disease). When the nurse is planning expected outcomes for the patient, which outcome has the highest priority for this patient? "When assessing the patient experiencing the onset of symptoms of type 1 diabetes, which question should the nurse ask? The nurse has been teaching the patient to administer a dose of 10 units of regular insulin and 28 units of NPH insulin. The statement by the patient that indicates a need for additional instruction is, While hospitalized and recovering from an episode of diabetic ketoacidosis, the patient calls the nurse and reports feeling anxious, nervous, and sweaty. Based on the patient's report, the nurse should Which of these laboratory values noted by the nurse when reviewing the chart of a diabetic patient indicates the need for further assessment of the patient? A patient is admitted with diabetes mellitus, has a glucose level of 380 mg/dl, and a moderate level of ketones in the urine. As the nurse assesses for signs of ketoacidosis, which of the following respiratory patterns would the nurse expect to find? A patient is admitted with diabetic ketoacidosis (DKA) and has a serum potassium level of 2.9. Which action prescribed by the health care provider should the nurse take first? Following an ascending aortic aneurysm repair, which of the following findings should the nurse report immediately to a health care provider? Which of the following is the earliest sign of increased ICP that the nurse can assess? While caring for a patient who has just been admitted with meningococcal meningitis, the RN observes all of the following. Which one requires action by the RN? When admitting a patient who has a tumor of the right frontal lobe, the nurse would expect to find After the emergency department nurse has received a status report on the following patients who have been admitted with head injuries, which patient should the nurse assess first? When doing discharge teaching for a patient who has had an emergency splenectomy following an automobile accident, the nurse will teach the patient about the increased risk for A patient who is suspected of having an epidural hematoma is admitted to the emergency department. Which action will the nurse plan to take? A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet) for Parkinson's disease. Which information is most important for the nurse to report to the health care provider? A patient is admitted to the hospital with a sickle cell crisis. While caring for the patient during the crisis, it is important for the nurse to Which finding would the nurse expect when assessing the legs of a patient who has a lower motor neuron lesion? When a patient in the outpatient clinic has an order for blood cortisol testing, which instruction will the nurse provide for the patient? The nurse will plan patient care that will decrease the patient's physical and emotional stress when the patient is undergoing When a patient has clinical manifestations of hypothyroidism, which laboratory value should the nurse review to determine whether the hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland? Thoracic Aortic Aneurysm: Assessment of Abdominal Aortic Aneurysm: Pt hospitalized with pneumonia exhibits confusion. [Show More]

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