FUNDAMENTA NUR 1100 Pharmacology - Miami Regional University:Final NC2 2023. GRADED A+

FINAL 1-A nurse admits a client from the emergency department. Client data are listed below: History Physical Assessment Laboratory Values 70 years of age Crackles and rhonchi heard WBC: 15,200/mm3 History of diabetes throughout the left lung PaO2 on room air 70 On insulin twice a day Dullness to percussion mm Hg Reports new-onset dyspnea Febrile Glucose: 250 mg/mL and productive cough Oriented to person only BUN: 26 mg/mL After reviewing the physician orders, what action by the nurse is the priority? Select one: 2-After one month of short-term corticosteroid therapy, a client with an acute exacerbation of rheumatoid arthritis returns to the clinic for a follow-up visit. Which laboratory finding should the nurse review for decreased inflammation and an improved therapeutic response? 3-A patient with severe coronary artery disease is scheduled for coronary artery bypass graft surgery. As part of the preoperative teaching, the nurse explains the surgery. Which of the following statements about this procedure is true? Select one: 4-The nurse reviews the ophthalmologic evaluation of a 42 year-old client who shows a visual acuity of 20/50. What means these values? Select one: 5-A cystic fibrosis client's plan of care specifies postural drainage. What action should the nurse perform when providing this noninvasive chest physio-therapy? Select one: 6- The nurse is evaluating the respiratory system of a client who admits to smoking a half pack per day for the last 10 years and 1 pack per day for 10 years prior to that. When evaluating the client's risk of developing a respiratory disease, the nurse calculates that the client has a smoking history of how many packs over the years? Select one: 7- The nurse is admitting a client with suspected tuberculosis (TB) to the acute care unit. The nurse places the client in airborne precautions until a confirmed diagnosis of active TB can be made. Which of the following tests is a priority to confirm the diagnosis? Select one: 8-A client with a history of asthma presents in the physician's office with an acute asthma attack and difficulty breathing. While performing the assessment, the nurse becomes concerned that the client's respiratory status has worsened based on which of the following? Select one: 9- The nurse is educating a group of women about the differences in symptoms of myocardial infarction (MI) in men versus those in women. Which information should be included? Select one: 10- The nurse is monitoring a client with acute pericarditis for signs of pericardial effusion. Which assessment finding indicates the presence of this complication? Select one: 11-A 50-year-old male with a 30-year history of smoking was diagnosed with bronchogenic cancer. He developed edema and venous distention in the upper extremities, neck, and face; headache, double vision and lethargy. Which of the following diagnosis will the nurse observe on the chart? Select one: 12-A client begins therapy with lisinopril. What finding during assessment requires clarification of the order? Select one: 13-The nurse on the medical/surgical floor receives four new admissions. Which of the following clients should be placed in a private isolation room? Select one: 14-A nurse checks emergency medications kept on hand for disaster threats of anthraxexposition to a community. The nurse determines there are sufficient amounts of which drug? Select one: 15-The nurse is taking care of a postsurgical patient and notes the incision is clean and dry, with sutures intact. The wound is healing by which intention? Select one: 16-A client with left-sided heart failure is progressing to pulmonary edema. The nurse assesses the client and reports which of the following manifestations? Select one: 17-Which of the following would the nurse identify as the priority nursing diagnosis during a client's vaso-occlusive sickle cell crisis? Select one: 18-A patient was admitted to the critical care unit with gram-negative sepsis 5 days ago. Today there is continual oozing blood from his intravenous sites, and ecchymosis of the skin is noted beneath his automatic blood pressure cuff. Suspecting the diagnosis of diseminated intravascular coagulation (DIC), what laboratory value would be elevated in the patient's condition? Select one: 19-An infant diagnosed with Tetralogy of Fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and the respiratory rate increases to 54 breaths/minute. Which of the following actions should the nurse do first? Select one: 20-A 25-year old male client consults the triage nurse for a skin rash that appeared a couple of weeks after hiking and camping at the Great Smoky Mountains national park. The nurse observes the following skin lesion on the client's arm: After presenting the case to the health care provider, which of the following orders should the nurse carry out next? Select one: 21-A nurse is working with a community group promoting healthy aging. What recommendation is best to help prevent knees and hips degenerative joint disease (osteoarthritis)? Select one: 22-A postoperative and still sedated client vomited. After turning, cleaning, and comforting the client; which action by the nurse is most important to be carried out first? Select one: 23-A 7 year-old male client is admitted after passing out at school. He has been experiencing intermittent episodes of epistaxis along the last two days. What finding makes the nurse suspects that the client is experiencing posterior bleeding at the moment of evaluation? Select one: 24-A client seriously traumatized in a motor vehicle accident arrives to emergency department after a major bleeding episode. The client blood type is AB negative. Which type of blood does the attending nurse know this client can receive? Select all that apply Select one or more: 27-The charge nurse is making assignments for clients on a cardiac unit. Which client with a cardiac dysrrhythmia should the charge nurse assign to a new graduate nurse? Select one: 28-A patient with a chronic history of heartburn takes large doses of baking soda and other antacids. This could upset the body's acid-base balance and lead to Select one: . 29- Which of the following lab tests will the nurse check to help diagnose heart failure and provide insight into its severity and response to treatment? Select one: 30- The health care provider writes orders for a client who is admitted with a serum potassium level of 6.9 mEq/L. Knowing that the most immediate risk is cardiac toxicity, what does the nurse implement first? Select one: 31-A 72-year-old female has a history of cor pulmonale caused by a chronic lung disease. Which of the following symptoms are specifically related to her right heart failure? Select one: 33-The nurse is planning a teaching session to a 67 year-old male client with conductive loss of hearing and using a hearing aid. What intervention should the nurse do first before starting the teaching activity? Select one: 33- The nurse is delegating interventions to the unlicensed assisted personnel (UAP). Which intervention could be delegated to the UAP. Select one: 34- The nurse is assessing a client and identifies a presence of petechiae. Wich documentation best describes this finding? Select one: 35- The nurse observes that a male client on a clear liquid diet has a cup of orange juice on his breakfast tray. What action should the nurse implement immediately? Select one: 36-A patient who is being admitted to the emergency department with severe chest pain and the nurse is going to administer nitroglycerin. The patient gives the following list of medications taken at home to the nurse. Which of the medications has the most serious and immediate implications for the patient's care? Select one: 37- Laboratory tests are performed to identify damage to the heart muscle. Which of the following blood tests is elevated with myocardial necrosis: Select one: 38- The nurse is providing discharge instructions to a client with a recently implanted internal pacemaker. Select the correct recommendations for clients with pacemaker. Select all that apply Select one or more: 39- Oral iron supplements are prescribed for a patient with iron deficiency anemia. The nurse instructs the patient to take the iron with which best food item? Select one: 40-A 10-year-old male presents with fever, lymphadenopathy, arthralgia, and nose bleeds. He is diagnosed with rheumatic fever. When a staff member asks what caused the disease, what is the nurse's most correct response? The most likely cause of this disease is: Select one: 41- Which of the following statements is correct in relation with the MMR vaccine? Select one: 42-A nurse is triaging clients in the emergency department. Which client should the nurse classify as