NUR 1023 FINAL EXAM QUESTIONS AND ANSWERS

NUR 1023 FINAL EXAM QUESTIONS AND ANSWERS 1. A Nurse is panning care for a client who has prerenal acute kidney injury (AKI) Following abdominal aortic aneurysm repair. Urinary output is 60mL in the past 2hr and blood pressure is 92/58mm Hg. The nurse should expect which of the following interventions? Prepare to administer a challenge 2. A Nurse is assessing a client who has prerenal acute kidney injury (AKI) which of the following findings should the nurse expect? Select all that apply Elevated creatinine/ reduced urine output 3. In providing an educational in-service to the nursing staff about peritoneal dialysis, which information does the nurse include in this presentation? The peritoneum acts as a semipermeable membrane through which wastes move by diffusion and osmosis. 4. Which statement by the family member of a client who has a SengstakenBlakemore tube placed to threat complications of liver disease indicates understanding of this treatment modality? The tube provides compression to stop esophageal bleeding 5. A client with chronic kidney disease is experiencing manifestations of anemia. Based on this date, which statement does the nurse anticipate for this client? Administer erythropoietin (epoetin) injections 6. The nurse is assessing a client in the ER with the following signs and symptoms; painful mid-epigastric pain felt in the back, elevated glucose, fever, and vomiting. During the head-to-toe assessment, you notice bluish discoloration around the umbilicus. The RN recognizes this as which sign? Cullen’s sign 7. The nurse is caring for a client receiving hourly peritoneal dialysis exchanges. During a one-hour exchange, the nurse infuses 2,000mL of dialysate and 1,900 mL of outflow is returned. During the exchange, the client drinks 8oz of apple juice, 2 cups of water and voids 150mL of urine. Calculate and record the client’s intake in millimeters and use numerical values only. 820 8. On which scientific rationale should a nurse base the response when a client asks, what does an elevated PSA test mean? An elevated PSA can result from several different causes 1. The nurse is preparing an educational tool to instruct community members on burn prevention. What does the nurse include as the most common injury in children younger than age 5? 1. Scald 2. Flame 3. Chemical 4. Carbon monoxide poisoning 2. A patient presents to the emergency room seeking treatment for radiation burns. What needs to be considered before providing care to this patient? 1. Pathway of flow through the body 2. Duration of contact with the agent 3. Type, dose, and length of exposure 4. Temperature to which the skin is heated 3. The nurse monitors for which assessment findings in the patient admitted with superficial partial-thickness burns over both anterior lower arms? 1. Dry with no blisters 2. Waxy appearance and cherry red color 3. Dry leathery appearance and pale or brown color 4. Open or closed blisters, mild edema, easily blanches 4. A patient with several deep partial-thickness burns asks how long it will take for the burn to heal. What is the nurse’s best response? 1. “More than 2 weeks.” 2. “Within 1 to 2 weeks.” 3. “Within 24 to 72 hours.” 4. “You will need skin grafts.” 5. A patient has full-thickness burns over 30% of total body surface area. Which intervention to address the patient’s comfort does the nurse question? 1. Elevate injured extremities. 2. Medicate for pain around the clock. 3. Apply medicated ointment to all areas. 4. Elevate the head of the bed 30 degrees.