NUR276 Final Review Questions with Correct Answers

NUR276 Final Review Questions with Correct Answers The patient has been diagnosed with Addison's Disease. The nurse would assess the patient for the following signs and symptoms: - Ans:-Weight loss, hyponatremia, hypotension, hyperkalemia The patient with Cushing's disease has been admitted to the unit for further monitoring. The nurse understands that patients with Cushing's disease have: - Ans:-Too much cortisol, increased risk of osteoporosis, hyperglycemia, and increased risk for infection What do the adrenal glands do? - Ans:-Release MAC: Mineralocorticoids - aldosterone, Androgens - testosterone, and Cortisol Addison's Crisis #1 Priority: - Ans:-IV Push Steroid A patient who has liver failure with ascites is scheduled for a paracentesis. Which of the following actions should the nurse anticipate prior to the procedure? - Ans:-Instruct patient to void Assess vital signs prior to procedure ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/7 Measure abdominal girth Verify informed consent Obtain patient weight A nurse is reviewing the morning lab report on a patient with liver disease that is being prepared for a paracentesis procedure. Which of the following lab values are abnormal and must be reported to the physician? - Ans:-Hemoglobin 8.2 g/dL Albumin levels 1.8 g/dL INR 2.1 Sodium level of 128 mEq/L A patient who has pancreatitis is receiving total parenteral nutrition (TPN). Which lab value best indicates therapeutic effectiveness of TPN? - Ans:-C. Albumin 4.2 g/dL A patient states they have been vomiting for the last 4 days due to Acute Pancreatitis. The patient is irritable, weak, and reporting muscle cramping and weakness. On assessment, the patient is experiencing bradypnea with a respiratory rate of 9. The patient has the following ABG result: pH 7.52, PaCo2 49, PaO2 80, HCO3 36. Which acid-base imbalance is presenting? - Ans:-A. Partially compensated metabolic alkalosis ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/7 Which awareness context occurs when the patient, family, and the health care professionals are aware that the patient is dying and openly acknowledge that reality? - Ans:-Open A family is asking why their father with end-stage COPD is being referred to hospice care. The best response from the nurse would be: - Ans:-Hospice assists the family and patient to prepare for death A patient who is dying wants to talk to the RN about fears of dying. The patient tells the RN, "I know I am dying, aren't I?" What is an appropriate nursing response? - Ans:-"Tell me more about what's on your mind" What is one of the most common and feared responses by patients to terminal illness? - Ans:-Pain Leukemia terminal stage, hospice care, when are they eligible? - Ans:-When a primary health care provider certifies that the patient has less than 6 months to live Improvement in hospice care after 6 months, what would the RN suggest? - Ans:-The patient can withdraw from hospice care and receive other services Cold, clammy, wax like skin, what would the nurse infer? - Ans:-The patient is likely to die soon Patient admitted to hospital with Cheyne-stokes RR, what does this reveal? - Ans:-Altern