RATED A+
✔✔PT blood loss r/t UC and GI bleeding. Which nursing intervention is priority for a PT
that needs a blood transfusion?
a)Starting
large-bore 20G IV
b)Monitoring the patient's anxiety level
c)Preparing equipment for intubation
d)Administering IV pain medication STAT - ✔✔a)Starting
large-bore 20G IV
✔✔Sudden severe pain & rigid abdomen indicates?
a)irritable Bowel Syndrome
b)diverticulosis
c)Constipation
d)Bowel Perforation - ✔✔d)Bowel Perforation
✔✔When the abdominal muscles become rigid in an effort to protect the abdomen, this
is called:
a) Tenderness
b)Rebound tenderness
c)Referred pain
d)Guarding - ✔✔d)Guarding
✔✔Client c/o fever, rigid abdomen, severe pain, hiccups, and diminished bowel sounds.
The nurse
a)Suspects Ulcerative Colitis
b)Suspects peritonitis
c)Suspects diverticulosis
d)Suspects diarrhea - ✔✔b)Suspects peritonitis
✔✔Nurse suspects Pulmonary Embolism! What are common clinical manifestations?
SATA
a) anxiety
b) fever
c) first sign of bradypnea
d) dyspnea and chest pain - ✔✔a) anxiety
d) dyspnea and chest pain
✔✔A nurse has a client with thrombocytopenia. A nurse should:
a)Avoid venipunctures if unnecessary
b)Monitor the patient's cardiac rhythm for murmurs
c)Put the client on isolation precautions
, d)Allow no fresh plants into patient's room. - ✔✔a)Avoid venipunctures if unnecessary
✔✔Factors that can cause thrombocytopenia: SATA
a)High Protein Diet
b)Chemotherapy
c)Bone marrow suppression
d)Smoking - ✔✔b)Chemotherapy
c)Bone marrow suppression
✔✔The nurse understands to assess a sickle cell anemia patient for... SATA
a)Swelling of the hands and feet
b)Platelet deficiency
c)Rapid growth or puberty
d)Episodes of pain - ✔✔a)Swelling of the hands and feet
d)Episodes of pain
✔✔Sickle cell disease is also known as what?
a)Hemolytic anemia
b)Thrombocytopenia
c)Chronic inflammatory anemia
d)Hemophilia - ✔✔a)Hemolytic anemia
✔✔Pernicious Anemia:
a)Folic Acid Deficiency
b)Intrinsic Factor Abundance
c)Erythrocytes
d)Vitamin B12 Deficiency - ✔✔d)Vitamin B12 Deficiency
✔✔Select the patient who is MOST at risk for pernicious anemia:
a)25 year old female who reports craving ice and clay
b)66 year old male who takes ferrous sulfate vitamins daily
c)All the patients above are at risk for pernicious anemia
d)75 year old male who has peptic ulcers and gastritis. - ✔✔d)75 year old male who has
peptic ulcers and gastritis.
✔✔Nurse knows that the clinical manifestations from Vit B-12 Anemia & Pernicious
Anemia are
a) neurological dysfunctions, beefy red tongue, paresthesia
b)infection, bleeding, stomach problems
c)constipation, swollen glands, dysphagia
d) enlarged heart, red tongue, swollen eyes - ✔✔a) neurological dysfunctions, beefy red
tongue, paresthesia
✔✔Lupus causes: