Med Surg II (Questions on Spring Final Exam) with Answers Graded A
Respiratory Status:
-Sickle Cell Disease
A nurse is caring for a client who has sickle cell disease.
-Iron Deficiency Anemia
-Leukemia
Nurses' Notes
Respiratory status is consistent with sickle cell disease, iron
0800:
deficiency anemia, and leukemia. In sickle cell disease,
Client reports fatigue, muscle weakness, joint pain, and
iron deficiency anemia, and leukemia, dyspnea occurs to
dyspnea.
compensate for decreased hematocrit and hemoglobin.
Sclerae is jaundiced. 2.5 cm (1 in) by 2.5 cm (1 in) open
ulcer noted on inner left ankle.
Joint Pain:
-Sickle Cell Disease
Vital Signs
-Leukemia
0800:
Joint pain is consistent with sickle cell disease and
Temperature 37.5° C (99.5° F)
leukemia. In sickle cell disease and leukemia, impaired
Blood pressure 122/68 mm Hg
function of the bone marrow can result in joint pain and
Heart rate 95/min
swelling.
Respiratory rate 28/min
Oxygen saturation 95% on room air
Heart rate at 1000:
-Sickle Cell Disease
1000:
-Iron Deficiency Anemia
Temperature 37.5° C (99.5° F)
-Leukemia
Blood pressure 88/56 mm Hg
Heart rate at 1000 (112 bpm) is consistent with sickle cell
Heart rate 112/min
disease, iron deficiency anemia, and leukemia. In sickle
Respiratory rate 26/min, labored
cell disease, iron deficiency anemia, and leukemia, heart
Oxygen saturation 90% on room air
rate increases to increase perfusion to the tissues and to
Diagnostic Results compensate for a decreased hematocrit and hemoglo-
1000: bin.
Hct 26% (37% to 47%)
Hgb 8 g/dL (12 to 16 g/dL)
Jaundice:
-Sickle Cell Disease
Jaundice is consistent with sickle cell disease. In sickle
,Med Surg II (Questions on Spring Final Exam) with Answers Graded A
cell disease, jaundice can occur due to destruction of red
blood cells and the release of bilirubin.
For each client finding, click to specify if the finding is con-
sistent with sickle cell disease, iron deficiency anemia, or
leukemia. Each finding may support more than 1 disease Ankle Ulcer:
process. -Sickle Cell Disease
-Respiratory status Ankle ulcer is consistent with sickle cell disease. In sickle
-Joint pain cell disease, decreased perfusion can result in ulcers of
-Heart rate at 1000 the lower extremities.
-Jaundice
-Ankle ulcer
A nurse is caring for a client who is prescribed warfarin
The Correct Answer is C
therapy for an artificial heart valve. Which of the following
laboratory values should the nurse monitor for a thera-
warfarin inhibits vitamin K epoxide reductase interfering
peutic ettect of warfarin?
with the synthesis of vitamin K dependent clotting factors
A.
(II, VII, IX, and X). This prolongs the prothrombin time,
Activated partial thromboplastin time (APTT)
expressed in the form of INR international normalized
B.
ratio. Monitoring of INR helps to ensure that the pre-
Bleeding time
scribed dosages are within the therapeutic levels without
C.
increasing the risk of bleeding. The target INR range is
Prothrombin time (PT)
between 2.5 and 3.5.A. Used to monitor heparin therapy
D.
B, D- not used for monitoring
Hemoglobin (Hgb)
A client who has a history of myocardial infarction (MI) is
prescribed aspirin 325 mg. The nurse recognizes that the
aspirin is given due to which of the following actions of D.
the medication? antiplatelet aggregate.
A.
anti-inflammatory.
,Med Surg II (Questions on Spring Final Exam) with Answers Graded A
B.
antipyretic.
C.
analgesic.
D.
antiplatelet aggregate.
A nurse is collecting data from a client who has left sided
heart failure. For which of the following findings should
the nurse notify the provider?
A. D.
Weight loss of 1 kg (2.2 lb) in the past 24 hr Productive cough with pink, frothy sputum
B.
Pale, clammy skin
C.
Fatigue when ambulating 152 m (500 ft)
D.
Productive cough with pink, frothy sputum
A nurse is assessing a client who has fluid overload. Which A. Increased heart rate
of the following findings should the nurse expect? (Select B. Increased blood pressure
all that apply.) C. Increased respiratory rate
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory rate
D. Increase hematocrit
E. Increased temperature
A nurse is teaching the partner of a client who had an
acute myocardial infarction (MI) about the reason blood
was drawn from the client. Which of the following state-
ments should the nurse make regarding cardiac enzymes
studies?
Respiratory Status:
-Sickle Cell Disease
A nurse is caring for a client who has sickle cell disease.
-Iron Deficiency Anemia
-Leukemia
Nurses' Notes
Respiratory status is consistent with sickle cell disease, iron
0800:
deficiency anemia, and leukemia. In sickle cell disease,
Client reports fatigue, muscle weakness, joint pain, and
iron deficiency anemia, and leukemia, dyspnea occurs to
dyspnea.
compensate for decreased hematocrit and hemoglobin.
Sclerae is jaundiced. 2.5 cm (1 in) by 2.5 cm (1 in) open
ulcer noted on inner left ankle.
Joint Pain:
-Sickle Cell Disease
Vital Signs
-Leukemia
0800:
Joint pain is consistent with sickle cell disease and
Temperature 37.5° C (99.5° F)
leukemia. In sickle cell disease and leukemia, impaired
Blood pressure 122/68 mm Hg
function of the bone marrow can result in joint pain and
Heart rate 95/min
swelling.
Respiratory rate 28/min
Oxygen saturation 95% on room air
Heart rate at 1000:
-Sickle Cell Disease
1000:
-Iron Deficiency Anemia
Temperature 37.5° C (99.5° F)
-Leukemia
Blood pressure 88/56 mm Hg
Heart rate at 1000 (112 bpm) is consistent with sickle cell
Heart rate 112/min
disease, iron deficiency anemia, and leukemia. In sickle
Respiratory rate 26/min, labored
cell disease, iron deficiency anemia, and leukemia, heart
Oxygen saturation 90% on room air
rate increases to increase perfusion to the tissues and to
Diagnostic Results compensate for a decreased hematocrit and hemoglo-
1000: bin.
Hct 26% (37% to 47%)
Hgb 8 g/dL (12 to 16 g/dL)
Jaundice:
-Sickle Cell Disease
Jaundice is consistent with sickle cell disease. In sickle
,Med Surg II (Questions on Spring Final Exam) with Answers Graded A
cell disease, jaundice can occur due to destruction of red
blood cells and the release of bilirubin.
For each client finding, click to specify if the finding is con-
sistent with sickle cell disease, iron deficiency anemia, or
leukemia. Each finding may support more than 1 disease Ankle Ulcer:
process. -Sickle Cell Disease
-Respiratory status Ankle ulcer is consistent with sickle cell disease. In sickle
-Joint pain cell disease, decreased perfusion can result in ulcers of
-Heart rate at 1000 the lower extremities.
-Jaundice
-Ankle ulcer
A nurse is caring for a client who is prescribed warfarin
The Correct Answer is C
therapy for an artificial heart valve. Which of the following
laboratory values should the nurse monitor for a thera-
warfarin inhibits vitamin K epoxide reductase interfering
peutic ettect of warfarin?
with the synthesis of vitamin K dependent clotting factors
A.
(II, VII, IX, and X). This prolongs the prothrombin time,
Activated partial thromboplastin time (APTT)
expressed in the form of INR international normalized
B.
ratio. Monitoring of INR helps to ensure that the pre-
Bleeding time
scribed dosages are within the therapeutic levels without
C.
increasing the risk of bleeding. The target INR range is
Prothrombin time (PT)
between 2.5 and 3.5.A. Used to monitor heparin therapy
D.
B, D- not used for monitoring
Hemoglobin (Hgb)
A client who has a history of myocardial infarction (MI) is
prescribed aspirin 325 mg. The nurse recognizes that the
aspirin is given due to which of the following actions of D.
the medication? antiplatelet aggregate.
A.
anti-inflammatory.
,Med Surg II (Questions on Spring Final Exam) with Answers Graded A
B.
antipyretic.
C.
analgesic.
D.
antiplatelet aggregate.
A nurse is collecting data from a client who has left sided
heart failure. For which of the following findings should
the nurse notify the provider?
A. D.
Weight loss of 1 kg (2.2 lb) in the past 24 hr Productive cough with pink, frothy sputum
B.
Pale, clammy skin
C.
Fatigue when ambulating 152 m (500 ft)
D.
Productive cough with pink, frothy sputum
A nurse is assessing a client who has fluid overload. Which A. Increased heart rate
of the following findings should the nurse expect? (Select B. Increased blood pressure
all that apply.) C. Increased respiratory rate
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory rate
D. Increase hematocrit
E. Increased temperature
A nurse is teaching the partner of a client who had an
acute myocardial infarction (MI) about the reason blood
was drawn from the client. Which of the following state-
ments should the nurse make regarding cardiac enzymes
studies?
