Download PRN1409 / PRN 1409 Final Exam Review | Client Centered Care III Review | Verified Q & A and more Exercises Biology in PDF only on Docsity!
PRN1409 / PRN 1409 Final Exam Review | Client-
Centered Care III Review | Verified Questions & Answers
| (Latest 202 6 /202 7 Update)100% Correct Solutions |
Grade A | Rasmussen
Q: The nurse is caring for a patient with chronic lung disease who is receiving oxygen via a
nonrebreathing mask. Which observation indicates to the nurse that the system is function as expected Answer Both side vents closed on inspiration, reservoir bag inflated
Q: The nurse is caring for a patient who is on a ventilator and the high-pressure alarm sounds.
What should the nurse consider as the cause of this alarm Answer The tubing is obstructed
Q: The nurse recognizes that the patient is experiencing a respiratory emergency when the
patient has wheezes and stridor. What do these sounds indicate Answer This is an indication of bronchospasm
Q: The LPN/LVN is caring for a patient with COPD who is using oxygen at 2 L/min. The
patient becomes short of breath and requests that the oxygen flow rate be increased. What is the LPN/LVN's next step Answer Contact the physician for guidance
Q: The LPN/LVN is caring for a patient with a chest tube and notices that the tubing appears
to be occluded with clots. What is the LPN/LVN's next nursing intervention Answer If tubing appears to be occluded, consult with the HCP for specific orders
Q: The nurse is assessing a patient's respiratory system and notices upon auscultation
bibasilar crackles. How would the nurse explain these findings to the patient Answer "When you took a deep breath, I heard sounds like cellophane being crumpled"
Q: The nurse is preparing a patient for a spirometer test to diagnose COPD. The patient asks
how to prepare for this test. How should the nurse respond Answer "Refrain form using a short-acting inhaler 6 to 8 hours prior to testing"
Q: A patient comes to the HCP's office reporting a serious sore throat that "has lasted for 2
weeks." A rapid streptococcal antigen test is positive for strep throat. Which is the most important additional test the nurse expects the HCP to order Answer Laboratory tests for renal function
Q: The nurse is providing care for a patient admitted for a lower respiratory infection. On
admission, the patient's vital signs were blood pressure (BP) 140/80 mmHg, apical pulse (AP) 112 beats/min. Respiratory rate (R) 32 breaths/min., and pain level of 8 on a scale of 0 to10. After assisting the patient to bed and applying the prescribed oxygen, which finding helps the nurse evaluate the effectiveness of nursing care Answer Respiratory rate 20 breaths/min
Q: The nurse is providing care for a patient with a lower respiratory tract infection who is
having difficulty expectorating secretions. The patient is weak and easily fatigued. Which action by the nurse will best assist the patient in maintaining and clear airway Answer Explain the importance of fluid intake
Q: A patient is diagnosed with respiratory failure. Which acid-base abnormality should the
nurse expect the patient to demonstrate Answer respiratory acidosis
Q: A doctor has prescribed a dose of salmeterol for a patient with asthma. What effects does
the nurse expect the patient to exhibit after receiving this medication Answer Keep airways dilated up to 12 hrs
Q: A client with cystic fibrosis is being treated with pancreatic enzyme replacement to help
reduce the symptoms related to malabsorption and improve nutritional status. The nurse will ensure that the patient follows which of the following diet? Select all that apply Answer
- nutrient dense
- high calorie
Q: A nurse administered albuterol to a client with asthma, who is now reporting dizziness,
especially when standing up. When analyzing the client's record for potential sources, which of the following medical conditions should the nurse address Answer Cardiac disease
Q: A patient with cystic fibrosis is admitted to the hospital. Based on the pathophysiology of
the disease the nurse knows that which of these medical treatments should be avoided Answer Restricted fluids
Q: A client is experiencing a severe asthma attack and has the following arterial blood gas
results; pH 7.33, PCO2 58, HCO3 26. Which of the following prescription should the nurse perform first Answer Albuterol (proventil) via nebulizer
Q: A nurse instructs the patient with COPD to sit on the side of the bed with the arms folded
across the bedside table. What rationale should the nurse offer for assuming this position Answer Allows the accessory muscles to function more effectively
Q: A nursing diagnosis for the patient with a laryngectomy would be impaired verbal
communication related to removal of the larynx. Which intervention ii carried out by the nurse is incorrect Answer Help visitors and staff refrain from conversations with the patient to reduce his stress level
Q: A patient develops a pneumothorax. The nurse should initially prepare the patient for
which procedure Answer
- ultrasound
- chest x-ray
- CT scan
Q: A patient with pneumonectomy returns to the unit after the procedure. Which position to
the nurse place the patient Answer Consult the surgeon for specific positioning orders
Q: A patient with a primary diagnosis of pulmonary embolism has an order for the drug
Alteplase (Activase). The nurse should be aware that this drug is listed under what classification Answer Thrombolytic agents A physician has inserted a chest tube in a client with pneumothorax. The client asks "What is the purpose of the tube?" The nurse should instruct the patient that it was inserted for what purpose Answer To remove air and fluid from the lung Interpret the following ABG values and select a medical diagnosis: pH 7.27, HCO3= 26, PaCO2=
Answer Metabolic acidosis The diagnosis listed for a patient is hemothorax. A chest drainage system is placed. If the system is placed correctly which chamber to the nurse expect to find tidaling Answer The water seal chamber Which laboratory test result indicates that a client is infectious for pulmonary tuberculosis Answer Positive sputum for acid-fast bacillus
The nurse is assessing the patient diagnosed with pulmonary edema and hears moist bubbling lung sounds are an inspiration and expiration. The nurse documents appropriately which of the following Answer Course crackles The nurse find a patient gasping for breath and looking very anxious. Based on the patient's history, the nurse believes the patient may be experiencing a pulmonary embolism (PE). Which action should the nurse take first Answer Call for help and start oxygen The nurse is providing care for a patient with suspected pulmonary embolus. Nursing process for the patient with a pulmonary embolism must include Answer Monitor heart sounds and peripheral edema A patient is diagnosed with respiratory acidosis. Which health etiologies should the nurse consider as causing the patient's diagnosis Answer A patient was returned to the nursing unit 1 hour after receiving a thoracentesis. Which finding is noted on assessment could indicate that the patient is experiencing complications from the procedure Respiratory labored
A client arrives in the emergency room stating inability to sleep, tightness in the chest, and difficulty breathing. Upon assessment, nurse notes expiratory wheezes and dyspnea. Which action should the nurse take Find a healthcare provider to immediately evaluate the client The nurse is assessing a patient and notes that the client is responsive and has suffered a flail chest involving at least three broken ribs. The nurse to do which of the following to assist the client's respiratory status Splint the chest with a pillow for coughing The nurse is auscultating the chest of a client who was diagnosed with pleurisy 48 hours ago. The client does not have a pleural friction rub, which was auscultated the previous day. The nurse interprets that this is most likely the result of Accumulation of pleural fluid in the inflamed area A client seeks treatment in and ambulatory clinic for a compliant of hoarseness that has persisted for 8 weeks. Based on the symptom, the nurse interpreted the client is at risk for having Laryngeal cancer The nurse is assessing the respiratory status of the client following thoracentesis. The nurse will become most concerned with which of the following assessment findings Diminished breath sounds on affected side
"I must complete the entire drug regime and not stop abruptly" A nurse is preparing A.M. insulin for a client. The vial reads U-100 R insulin. The nurse is correct if she interprets that There are 100 units of insulin in a milliliter A client with Graves' disease would not exhibit which of the following signs or symptom Cold intolerance Which of the following life-threatening emergency situations may result from complications of Diabetes Inspidus Hypovolemic shock In addition to IV fluid replacement, the patient with diabetes insipidus is most likely to receive: vasopressin The nurse is assessing a patient for evidence of a hypoglycemic reaction. Which assessments indicate the reaction Irregular heartbeat, palpitations, and shakiness Which of the following nursing interventions is indicated for a client who has myxedema Provide information about foods high in fiber
Which symptom would be present in the client who has syndrome of inappropriate antidiuretic hormone (SIADH) weight gain Which of the following assessment findings should the nurse interpret as the classic symptoms of diabetes insipidus (DI) Diuresis, tachycardia, and weakness A patient who is being treated with prednisone for an autoimmune disease develops Cushing syndrome. The nurse knows that Cushing syndrome can be a complication of Taking corticosteroids for many years A patient with hypopituitarism must take medications for the rest of his or her life. What should the patient teaching plan include "You must become familiar with the signs and symptoms of inadequate or excessive hormone replacement." What medical condition can precipitate an Addisonian crisis Infection, trauma, or stress The nurse understands that norepinephrine is the fight-or-flight hormone, patients with pheochromocytoma have exaggerated symptoms which include Significant hypertension
A doctor has prescribed a dose of epinephrine for a patient. Which effects does the nurse expect the patient to exhibit after receiving this medication? (Select all that apply)
- stimulates vasoconstriction in the skin and most viscera
- decrease peristalsis
- stimulates liver to convert glycogen to glucose
- increases heart rate and force of contraction The nurse is monitoring a patient admitted for diagnostic testing for diabetes insipidus. Which observation by the nurse is unexpected Elevated blood glucose levels The nurse is gathering information from a a patient in an HCP's office. The patient reports difficulty speaking and swallowing, change in rings and show size, and headaches. Which additional manifestation does the nurse observe that indicates a possible growth hormone dysfunction Large fleshy hands A patient enters the emergency department in an adrenal crisis. The patient is lethargic and the vital signs are blood pressure 85/52 mmHg and pulse 88 beats/min. Which event in the patient's week most likely precipitated this crisis Being laid off from a job The nurse is providing care for a patient diagnosed with complications related to Cushing Syndrome. Which of the following nursing interventions should the nurse prioritize in the patient teaching Insulin administration for high glucose
A patient is being discharged with prescribed treatment for long term hypoparathyroidism. Which does the nurse include in discharge teaching? Select all that apply
- limit dietary phosphates
- have regular eye examinations
- eat a diet high in calcium
- follow up with regular laboratory tests A patient with suspected hyperthyroidism is scheduled for a radioactive iodine uptake test. Which symptoms of hyperthyroidism do the nurse note on the medical record? Select all that apply
- tremor
- fatigue
- weight loss A patient diagnosed with SIADH is scheduled for surgery in a few days. Which of the following does the nurse expect to be prescribed for this patient to help manage the symptoms until surgery? Select all that apply
- furosemide
- fluid restriction
- hypertonic saline infusion
- conviaptan The nurse is evaluating the knowledge of a patient recently diagnosed with Type 1 DM. Which statement by the patient indicates a need for additional information "I know that I am obese and can reduce my need for insulin with weight loss."
A patient is diagnosed with diabetic ketoacidosis. Which manifestations should the nurse expect to observe in this patient? Select all that apply
- flulike symptoms
- dehydration
- kussmaul's respirations A geriatric patient is being treated at the clinic for Graves' disease. It is essential that the nurse assess for which of the following Tachycardia A patient has an order for a short acting insulin. Which medication would the prudent nurse administer Regular Insulin Which of the following would the nurse deem correct regarding self administration of insulin Teach the patient to inject a 45 degree angle into fatty tissue The corticoids, which are hormones important for the defense against stress or injury to the body, are secreted by the Adrenal cortex A patient is admitted with hyperglycemic hyperosmolar nonketotic coma. The underlying etiology for this disorder Severe dehydration in type 2 patients
A patient is diagnosed with hyperthyroidism. Which of the following medications is likely to be prescribed to decrease the activity of the thyroid gland propylthiouracil If the diabetic patient engages in exercise, his insulin requirement decreases A patient have an order for thyroid function laboratory tests? Which of the following results would the nurse expect to find the report "TSH, T3, and T4" A client with hyperthyroidism has been prescribed Methimazole. Which instruction should the nurse prioritize when teaching the client about the drug To be effective he must take the drug 12 to 18 months What action should a nurse implement to initiate Chovstek sign Tap the face over the facial nerve and watch for a spasm of the facial muscle Sulfonylureas help lower blood glucose by increasing the production of insulin by beta cells in the pancreas. Which do the following drugs belongs in the sulfonylurea classification Glipizide
