1) The nurse on a neuro floor is caring for a patient with a spinal cord injury. The clients injury is outlined in the image. What would the nurse expect to find in this client?

The nurse on a neuro floor is caring for a patient with a spinal cord injury. The clients injury is outlined in the image. What would the nurse expect to find in this client?

2) A client tells the nurse, "I don't have any family members with hypertension so I don't have to worry about that." The nurse should educate the client on which of the following other risk factors?

3) The nurse is educating a client that is newly diagnosed with diabetes mellitus, which of the following should the nurse emphasize? Select all that apply.

4) A client comes into the ER bleeding profusely out of a gun shot wound. The client has lost too much blood and needs a rapid transfusion. What should the team do replace this clients lost blood after they have started an IV?

5) A client has a GFR of 60 mL/min. The nurse recognizes this to be a consideration for the failure of which organ?

6) A client has a BNP of 782. The nurse recognizes this to be an issue for which organ?

7) A client has a BUN of 28. The nurse recognizes this to be a consideration for the failure of which organ?

8) The nurse is talking with a parent of a child who has just been diagnosed with a paget's disease. The nurse knows this is a type of cancer that effects which organ?

9) The nurse is talking with a patient who has just been diagnosed with a glioma. The nurse knows this is a type of cancer that effects which organ?

10) A client with difficulty in breathing gets a CT scan that shows multiple clots in the lungs as well as in their heart and kidneys. Which blood clotting disorder does this client likely have?

11) Which of the following is not caused by the body immune system attacking itself.

12) A nurse is caring for a patient with a chest tube. He notes that the dressing around the patient's tube insertion site is wet and there is some crepitus with mild palpation. Which actions by the nurse are most appropriate in this situation? Select all that apply.

13) A patient with a lung infection must undergo a bronchoalveolar lavage. The nurse assists the physician during the procedure in the endoscopy suite. Which of the following considerations regarding this type of bronchoscopy are true? Select all that apply.

14) The nurse is caring for a patient in the ICU who requires mechanical ventilation for assistance with breathing. The provider has ordered a volume-targeted mode of ventilation. Which of the following types of ventilator modes are classified as volume targeted? Select all that apply.

15) A nurse is talking to a patient who has been newly diagnosed with type 2 diabetes. The nurse is giving the patient information about what signs or symptoms to report right away if they develop. Which signs or symptoms should be included in this list? Select all that apply.

16) A patient who is recovering from heart surgery has orders to be moved to the cardiac step-down unit and placed on telemetry since he is ambulatory. Which information regarding nursing care of the patient on telemetry is true? Select all that apply.

17) A nurse has received orders to remove a patient’s arterial line that he has been using while in the hospital for the past week. Which of the following actions are part of appropriately removing an arterial line? Select all that apply.

18) A patient is having difficulty breathing while coming out of anesthesia following surgery. The nurse inserts an oral airway to assist with this patient’s breathing. Select all of the following items that are true regarding placement of an oral airway.

19) A nurse receives an order to perform a gastric lavage on a patient who is in the emergency department. Select all of the following conditions that would most likely indicate the need for gastric lavage.

20) An HIV-infected patient is in the hospital after developing an opportunistic infection. The patient’s spouse is in the hospital with him and helping to provide care. What information should the nurse provide to this patient’s caregiver about providing care and treatment for this patient at home? Select all that apply.

21) A nurse is caring for a patient who delivered a baby three days ago and is preparing to be dismissed from the hospital. Before discharge, the patient tells the nurse that she has started having profuse vaginal bleeding. Which of the following are causes of late postpartum hemorrhage? Select all that apply.

22) A 40-year-old female patient has been admitted to the hospital in a state of thyroid storm. Based on this diagnosis, the nurse would most likely expect to see:

23) A nurse is taking care of a patient who has just returned from a session of hemodialysis. The physician has ordered a percutaneous nephrolithotomy for the patient and the nurse does not schedule the procedure until 8 hours later. What is the rationale for this?

24) Which of the following would be an example of autolytic debridement of a lower leg wound in a diabetic patient?

25) A home care nurse is working with a diabetic patient who has a nursing diagnosis of Ineffective Tissue Perfusion related to elevated blood glucose levels. Based on the nurse's knowledge of this diagnosis, which of the following effects would the nurse most likely see in the patients extremities?

26) A 43-year-old female patient has been diagnosed with Hashimoto's thyroiditis. The nurse is explaining the most common signs and symptoms of the condition to the patients family. Which of the following should the nurse include?

27) A patient is undergoing abdominal surgery and is taken to the holding area. Which best describes what occurs in this area?

28) A patient has been brought into the emergency department after overdosing at home on acetaminophen tablets. The nurse sets up a gastric lavage kit according to physician orders. The nurse prepares to insert the tube into the patients nose. Which action should the nurse perform first?

29) A patient must have surgery for an appendectomy. Which best describes the type of incision that would most likely be used for this procedure?

30) A nurse is caring for a patient who has been diagnosed with syndrome of inappropriate anti-diuretic hormone (SIADH). What type of electrolyte imbalance would the nurse most likely see in this situation?

31) A patient is brought to the emergency department for treatment. His potassium levels are 5.9 mEq/L. Based on these results, which symptoms would the nurse most likely see?

32) A 67-year-old patient has been suffering from alcohol abuse and has developed severe hypokalemia with a potassium level of 2.9 mEq/L. An hour after admission to the hospital, the patient develops a cardiac dysrhythmia because of his potassium levels. The rhythm on the monitor shows pulseless electrical activity (PEA). Which action should the nurse perform next?

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