Capstone Exam 1
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Terms in this set (71)
A Nurse is caring for a clients on D- Full thickness burn, NG tube and Foley
the med-surg unit. Which client is *Think immunosupression and avenues for
most at risk to develop a infection
nosocomial infection?
A- clinet with alcohol abuse
admitted for detox
B- Client with Type I diabetes and
peripheral neuropathy
C- Client recovering from a
choleystectomy
D- Client with full thickness burns,
an NG tube and a Foley
,A nurse is caring for clients in the B- client with an ischemic stroke 4 days ago with
ICU. Which client may be confusion.
transferred to the step-down neuro *Think what is normal and what is abnormal- who
unit? is most stable
A- Client with head injury and
seizure
B- Client with an ischemic stroke 4
days ago with confusion
C- Client who is 1-day post op after
a transshpenoidal craniotomy with a
cerebrospinal fluid leak
D-Client with bacterial meningitis
and a Glasgow coma sale of 7
After a change of shift, you are D- 50 year old with asthma who complains of
assinged to care for the following shortness of breath after using a brochodilator
clients, Which client should you *Think ABCs, also not the desired effect of the
assess first? brochodilator treatment; should be improved.
A- 60 year old client on a ventilator
for whom a sterile sputum
specimen must be sent to the lab
B- 55 year old with COPD and a
pulse oximetry reading from the
previous shift of 90%
C- 70 year old with pneumonia who
needs to be started on IV
antibiotics
D- 50 year old with asthma who
complains of shortness of breath
after using a bronchodilator
, The nurse just received report on B- multiple injuries following a motor vehicle
the surgical ward. Which client crash
should be assessed first? *think who is most unstable
A- Peptic ulcer disease scheduled
for a laparosopic choleycystectomy
in 4 hours
B- Multiple injuries after a motor
vehicle crash
C- Graves disease scheduled for a
thyroidectomy
D- Post-appendectomy waiting for
discharge
A hospital will receive a large B- 66 year old male 5 days post op after total hip
number of clients because of a replacement
magor disaster in the city. Which *think who is most stable and would be safest to
client can be discharged first? go home
A- 49 year old female 24 hours
postop after hysterectomy
B- 66 year old male 5 days post op
after total hip replacement
C- 79 year old female admitted 12
hours ago with pyrlonephritis
D- 82 year old female admitted 5
days ago with a stage 3 pressure
ulcer
Save
Terms in this set (71)
A Nurse is caring for a clients on D- Full thickness burn, NG tube and Foley
the med-surg unit. Which client is *Think immunosupression and avenues for
most at risk to develop a infection
nosocomial infection?
A- clinet with alcohol abuse
admitted for detox
B- Client with Type I diabetes and
peripheral neuropathy
C- Client recovering from a
choleystectomy
D- Client with full thickness burns,
an NG tube and a Foley
,A nurse is caring for clients in the B- client with an ischemic stroke 4 days ago with
ICU. Which client may be confusion.
transferred to the step-down neuro *Think what is normal and what is abnormal- who
unit? is most stable
A- Client with head injury and
seizure
B- Client with an ischemic stroke 4
days ago with confusion
C- Client who is 1-day post op after
a transshpenoidal craniotomy with a
cerebrospinal fluid leak
D-Client with bacterial meningitis
and a Glasgow coma sale of 7
After a change of shift, you are D- 50 year old with asthma who complains of
assinged to care for the following shortness of breath after using a brochodilator
clients, Which client should you *Think ABCs, also not the desired effect of the
assess first? brochodilator treatment; should be improved.
A- 60 year old client on a ventilator
for whom a sterile sputum
specimen must be sent to the lab
B- 55 year old with COPD and a
pulse oximetry reading from the
previous shift of 90%
C- 70 year old with pneumonia who
needs to be started on IV
antibiotics
D- 50 year old with asthma who
complains of shortness of breath
after using a bronchodilator
, The nurse just received report on B- multiple injuries following a motor vehicle
the surgical ward. Which client crash
should be assessed first? *think who is most unstable
A- Peptic ulcer disease scheduled
for a laparosopic choleycystectomy
in 4 hours
B- Multiple injuries after a motor
vehicle crash
C- Graves disease scheduled for a
thyroidectomy
D- Post-appendectomy waiting for
discharge
A hospital will receive a large B- 66 year old male 5 days post op after total hip
number of clients because of a replacement
magor disaster in the city. Which *think who is most stable and would be safest to
client can be discharged first? go home
A- 49 year old female 24 hours
postop after hysterectomy
B- 66 year old male 5 days post op
after total hip replacement
C- 79 year old female admitted 12
hours ago with pyrlonephritis
D- 82 year old female admitted 5
days ago with a stage 3 pressure
ulcer
