Multidimensional Care 2-Final Exam -2022-2023, Exams of Nursing

Download Multidimensional Care 2-Final Exam -2022-2023 and more Exams Nursing in PDF only on Docsity! Multidimensional Care 2-Final Exam - 2022-2023 65-year-old female who presents to the ED with epigastric discomfort, loss of appetite, and weight loss. History of diabetes and alcoholism. what disease does she likely have? - - correct answers 1. PEPTIC ULCER DISEASE 2. GI bleeds 3. gastric cancer 4. candidiasis a nurse is caring for a patient who is status post upper endoscopic procedure. which of the following should be included as a priority in the post-procedure assessment? - - correct answers 1. neuro assessment 2. GAG REFLEX 3. temperature 4. bowel sounds a nurse is caring for a patient with a diagnosis of oral cancer who recently underwent surgery. which of the following is a post operative nursing priority? - - correct answers 1. AIRWAY MANAGMENT 2. prevent aspiration 3. monitor vital signs 4. provide alternate means of communication A 44-year-old pt. was recently diagnosed with gastric cancer. sam has a wife and three small children. they are having a difficult time dealing with the diagnosis. which of the following is a priority for this patient? - - correct answers 1. educate on treatment options 2. consult the dietician regarding nutritional needs 3. monitor lab values for abnormalitites 4. CONSULT SOCIAL SERVICES TO PROVIDE SUPPORT TO SAM AND HIS FAMILY A nurse is caring for a patient who was diagnosed with lymphoma and undergoing chemo. which of the following conditions is she at risk for developing? SATA - - correct answers 1. gastric cancer 2. oral cancer Multidimensional Care 2-Final Exam - 2022-2023 3. CANDIDIASIS 4. STOMATITIS Gwen is an 89-year-old female who was diagnosed with gastric cancer three months ago. she has undergone chemo and radiation and recently has surgery to remove the cancer. during the surgery, they discovered that the cancer had spread to other organs. They are having difficulty deciding treatment options. which of the following is appropriate for her care? SATA - - correct answers 1. PREPARE PATIENT FOR ADDITIONAL CHEMO 2. PREPARE PATIENT FOR ADDITIONAL RADIATION 3. CONSULT THE PALLIATIVE CARE NURSE 4. discharge the patient to hospice 56-year-old female who presented to the ED with fullness in the chest, dysphagia, and chest pain. she states that she has been having these symptoms for the past couple months. which of the following conditions could it be based on her symptoms? - - correct answers 1. peptic ulcer disease 2. gastritis 3. HIATAL HERNIA 4. Gastroesophageal reflux disease A nurse is providing discharge instructions to patient recently diagnosed with peptic ulcer disease. which of the following should not be a part of the discharge instructions? - - correct answers 1. avoid spicy foods 2. RESUME ALCOHOL IN MODERATION 3. follow medications as prescribed 4. signs and symptoms to report A nurse is caring for a patient recently diagnosed with a hiatal hernia. which of the following is the least invasive surgical treatment for a patient with a hiatal hernia? - - correct answers 1. Nissen fundoplication 2. ENDOLUMINAL FUNDOPLICATION 3. plyoroplasty Multidimensional Care 2-Final Exam - 2022-2023 a nurse is caring for a patient who presented with bright red rectal bleeding. the patient had three bowel movements since his arrival two hours ago. you confirm visible blood in the stool. which of the following diagnostic tests would you anticipate the patient to undergo? - - correct answers 1.COMPLETE BLOOD COUNT 2. Upper GI 3. Urinalysis 4. Barium swallow A nurse is providing patient and family education for a patient diagnosed with IBS. which of the following is important to include in the education? SATA - - correct answers 1. MODIFY DIET 2. STRESS REDUCTION 3. ADHERE TO PRESCRIBED MEDICATIONS 4. limit physical activity a nurse is caring for a patient who recently underwent a colon resection. the patient has an NG tube to low intermittent suction. Upon assessment, the patient is complaining of increasing abdominal pain. which nursing intervention will the nurse perform first? - - correct answers 1. obtain vital signs 2. perform pain assessment 3. auscultate bowel sounds 4. ASSESS PATENCY OF THE NG TUBE a nurse is caring for a patient with an NG tube. which of the following should be performed to ensure proper tube placement? - - correct answers 1. instill air into the tube while listening with for air 2. measure the NG secretions 3. aspirate the stomach contents to test the pH 4. OBTAIN AN ABDOMINAL X-RAY a nurse is caring for a patient recently diagnosed with colorectal cancer. which of the following lab values would confirm the diagnosis? - - correct answers 1. increased serum creatinine 2. decreased albumin Multidimensional Care 2-Final Exam - 2022-2023 3. INCREASED CARCINOEMBRYOIC ANTIGENT (CEA) 4. decreased white blood cell count a 40-year-old female present to the ED with upper abdominal pain radiating to her right shoulder and nausea. upon assessment her temp is 101.2, HR 110, BP 140/82. based on the presentation, which of the following do you anticipate to be the patient's diagnosis? - - correct answers 1. pancreatitis 2. CHOLECYSTITIS 3. appendicitis 4. diverticular disease a nurse is caring for a patient recently diagnosed with pancreatitis. which of the following are treatment options? SATA - - correct answers 1. NOTHING BY MOUTH 2. PAIN MANAGEMENT 3. antacids 4. IV FLUIDS A nurse is caring for a patient recently diagnosed with anorectal abcess. which of the following are appropriate nursing interventions for the patient? SATA - - correct answers 1. PAIN MANAGEMENT 2. SITZ BATH 3. bed rest 4. fluid restriction which of these lab results would be most important for a nurse to monitor for a client with a lower GI bleed? - - correct answers 1. HEMOGLOBIN AND HEMATOCRIT 2. bleeding time 3. platelet count 4. potassium level which of the following glands are considered the master gland? - - correct answers 1. thyroid Multidimensional Care 2-Final Exam - 2022-2023 2. adrenal 3. pancreas 4. PITUITARY a nurse is caring for a patient who presented to the ED after a motor vehicle accident. the patient is unconscious with a cervical-collar in place. the patient has been diagnosed with syndrome of inappropriate antidiuretic hormone secretion. which of the following lab values validate this diagnosis? - - correct answers 1. DECREASED SERUM SODIUM 2. increased serum sodium 3. decreased urine osmolarity 4. decreased GFR which of the following assessment findings is consistent with a diagnosis of diabetes insipidus? - - correct answers 1. bradycardia 2. moist skin 3. POLYDIPSIA 4. hypertension a nurse is caring for a patient recently diagnosed with Addison's disease. which of the following S/S are consistent with this diagnosis? - - correct answers 1. increased appetite 2. MUSCLE WEAKNESS 3. weight gain 4. hypertension James is a 56-year-old male who was recently diagnosed with type 2 diabetes. which of the following diagnostic tests would correlate with this diagnosis? SATA - - correct answers 1. INCREASED HEMOGLOBIN A1C 2. INCREASED RANDOM BLOOD GLUCOSE 3. INCREASED FASTING BLOOD GLUCOSE 4. increased hemoglobin level