The nurse must obtain surgical consent forms for the following clients who are
scheduled for surgery. Which client would not be able to consent to surgery?
A. The 65 year-old client who cannot read or write.
B. The 30 year-old who does not understand English.
C. The 16 year-old client who has a fractured ankle.
D. The 80 year-old client who is not oriented to the day.
Give this one a try later!
C. The 16 year-old client who has a fractured ankle.
,A patient with HF and atrial fibrillation is treated with a digitalis glycoside and a loop
diuretic. To prevent possible complications of this combination of drugs, the nurse needs
to:
A. monitor serum potassium levels.
B. keep an accurate measure of intake and output.
C. teach the patient about dietary restriction of potassium.
D. withhold digitalis and notify health care provider if heart rate is irregular.
Give this one a try later!
A. monitor serum potassium levels.
Loop diuretics and most diuretics will deplete potassium as they effectively
reduce preload by increase urine output. Yes, you do want to measure I&Os,
but the question asks about complications not verifying the effectiveness of
the regimen. Some HF drugs can lead the kidneys to hold on to K, as we
discussed on an earlier slide but there is no mention of those drugs in this
regimen so we don't need to educate on reducing K, rather, since they are on
diuretics we need to watch for low K. Dig is antiarrhythmic drug, its being
used here for the AFIB, it makes no sense to hold it for an irregular HR. This is a
distraction option since we learned early in pharmacology class to auscultate
the apical pulse for one minute and hold if less than 60 when giving dig.
The nurse is providing dietary teaching to a client receiving potassium-sparing diuretic
about foods that are low in potassium. The nurse should include which of the following
on a list of foods that have low potassium content?
1. Apple
2. Carrots
3. Spinach
4. Avocado
,Give this one a try later!
1. Apple
On medium apple with skin provides approximately 159 mg of potassium per
serving, so it has the lowest potassium content of these choices. Raw spinach
(oz) provides 470 mg of potassium. One large carrot has 341 mg of potassium.
One medium avocado provides the highest potassium content, 1097 mg.
Test-Taking Strategy: Focus on the subject, the low potassium food. Use
knowledge about the nutritional content of foods to assist in directing you to
"apple."
A patient has a nasogastric (NG) tube to low constant suction following a partial
gastrectomy with a vagotomy. Following standards of practice, the nurse would question
the surgeon about which of the following postoperative orders:
a. Notify physician for temperature over 101.5 degrees F.
b. Call physician for any bright red blood from the NG tube.
c. Irrigate the NG tube with 30 ml normal saline every 8 hours.
d. Keep the NG tube taped and secured to the patient's nares.
Give this one a try later!
c. Irrigate the NG tube with 30 ml normal saline every 8 hours.
The nurse should not irrigate or move the NG tube to avoid disrupting the
internal suture line of the stomach. All other options are generally expected
postoperative care measures.
, The nurse is caring for a patient with Central Diabetes Insipidus. The primary care
provider has ordered intravenous fluid replacement. The nurse recognizes which of the
following as an appropriate solution for this purpose?
A. Hypertonic saline
B. Dextrose 5% in water
C. 0.9% saline
D. Dextrose 5% in lactated ringers
Give this one a try later!
B. Dextrose 5% in water
B - In Acute DI, Hypotonic Saline (0.45% NaCl) or Dextrose 5% in water is
given and titrated to replace urine output.
Answers (A, C, D) are not appropriate treatments for DI.
A patient is admitted to the hospital with shaking chills and fever. His red blood cell
count is abnormally low, causing the doctor to suspect aplastic anemia. The patient is at
greater risk for infection with aplastic anemia because:
A. A large amount of immature red blood cells (RBCs) are produced.
B. Granulocyte production is depressed.
C. An excessive number of thrombocytes are present.
D. Vitamin B12 isn't being absorbed by the stomach.
Give this one a try later!
scheduled for surgery. Which client would not be able to consent to surgery?
A. The 65 year-old client who cannot read or write.
B. The 30 year-old who does not understand English.
C. The 16 year-old client who has a fractured ankle.
D. The 80 year-old client who is not oriented to the day.
Give this one a try later!
C. The 16 year-old client who has a fractured ankle.
,A patient with HF and atrial fibrillation is treated with a digitalis glycoside and a loop
diuretic. To prevent possible complications of this combination of drugs, the nurse needs
to:
A. monitor serum potassium levels.
B. keep an accurate measure of intake and output.
C. teach the patient about dietary restriction of potassium.
D. withhold digitalis and notify health care provider if heart rate is irregular.
Give this one a try later!
A. monitor serum potassium levels.
Loop diuretics and most diuretics will deplete potassium as they effectively
reduce preload by increase urine output. Yes, you do want to measure I&Os,
but the question asks about complications not verifying the effectiveness of
the regimen. Some HF drugs can lead the kidneys to hold on to K, as we
discussed on an earlier slide but there is no mention of those drugs in this
regimen so we don't need to educate on reducing K, rather, since they are on
diuretics we need to watch for low K. Dig is antiarrhythmic drug, its being
used here for the AFIB, it makes no sense to hold it for an irregular HR. This is a
distraction option since we learned early in pharmacology class to auscultate
the apical pulse for one minute and hold if less than 60 when giving dig.
The nurse is providing dietary teaching to a client receiving potassium-sparing diuretic
about foods that are low in potassium. The nurse should include which of the following
on a list of foods that have low potassium content?
1. Apple
2. Carrots
3. Spinach
4. Avocado
,Give this one a try later!
1. Apple
On medium apple with skin provides approximately 159 mg of potassium per
serving, so it has the lowest potassium content of these choices. Raw spinach
(oz) provides 470 mg of potassium. One large carrot has 341 mg of potassium.
One medium avocado provides the highest potassium content, 1097 mg.
Test-Taking Strategy: Focus on the subject, the low potassium food. Use
knowledge about the nutritional content of foods to assist in directing you to
"apple."
A patient has a nasogastric (NG) tube to low constant suction following a partial
gastrectomy with a vagotomy. Following standards of practice, the nurse would question
the surgeon about which of the following postoperative orders:
a. Notify physician for temperature over 101.5 degrees F.
b. Call physician for any bright red blood from the NG tube.
c. Irrigate the NG tube with 30 ml normal saline every 8 hours.
d. Keep the NG tube taped and secured to the patient's nares.
Give this one a try later!
c. Irrigate the NG tube with 30 ml normal saline every 8 hours.
The nurse should not irrigate or move the NG tube to avoid disrupting the
internal suture line of the stomach. All other options are generally expected
postoperative care measures.
, The nurse is caring for a patient with Central Diabetes Insipidus. The primary care
provider has ordered intravenous fluid replacement. The nurse recognizes which of the
following as an appropriate solution for this purpose?
A. Hypertonic saline
B. Dextrose 5% in water
C. 0.9% saline
D. Dextrose 5% in lactated ringers
Give this one a try later!
B. Dextrose 5% in water
B - In Acute DI, Hypotonic Saline (0.45% NaCl) or Dextrose 5% in water is
given and titrated to replace urine output.
Answers (A, C, D) are not appropriate treatments for DI.
A patient is admitted to the hospital with shaking chills and fever. His red blood cell
count is abnormally low, causing the doctor to suspect aplastic anemia. The patient is at
greater risk for infection with aplastic anemia because:
A. A large amount of immature red blood cells (RBCs) are produced.
B. Granulocyte production is depressed.
C. An excessive number of thrombocytes are present.
D. Vitamin B12 isn't being absorbed by the stomach.
Give this one a try later!
