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Correct Answers | Verified |
Latest Update
,1. Ainurseiisiassessingiaiclientiwhoihasileft-
sidediheartifailure.iWhichiofitheifollowingifindingsishoulditheinurseiexp
ect?a
a. Bradycardia-
imoreitachycardiaicuziofiaifailingiventriclei,iSNSiisiactivateditoicompe
nsatei.
b. Flushediskin-idusklyiitiwIllilookilike
c. Frothyisputum-Leftisided-icanibeiblooditinged
d. Jugulariveinidist
ention→iRighti Ration
ale:iATIiMS:ipg.i198ic
hi32ipdf
Leftiside:idyspnea,iorthopnea,ifatigue,ipulmonaryicongestion,ifrothyisputum,
iorganifailureisuchiasioliguria.
RightiSide:iJugulariveinidistention,iascendingidependentiedema,iabdominalid
istention,ipolyuriaiarirest,iliverienlargement,
2. Ainurseiisiassessingiaiclientiwhoiisiexperiencingirenalicolicifromia
icalculusiinileftirenalipelvis.iIdentifyitheiareaiwhereithei nurseisho
uldiexpectitheiclientitoihaveireferredipain.i(iFindi“hotispots”iinith
eiartwork)iPainitravelsidownwarditoitheiinguinali areaiandilo
weriback
Renalicolicioccursiinitheikidneyiarea.iReferredipainiisisomewh
ereithatihappensiinianotheriplaceiotherithaniwhereitheipainish
ouldi beifelt.
2. Ainurseiisicaringiforiaiclientiwhoiisireceivingiperitonealidialysisian
dinotesiaidecreaseiinitheidialysateiflowirate.iWhichiofithei followin
giactionsishoulditheinurseitake?i(Selectiallitheiapply?).iCheckiansw
eriiireadipgi644-647imedisurgiit’sinotisoispecifici p.i 370ichi57ipdf
, a. monitoritheiaccessisiteiforidrainage.-
itoicheckiforisxsiofiinfection.
b. Stripitheicatheteritubing
c. Measureitheiamountiofitheidialysateioutflow
d. Raiseitheiclientitoihighifowlersiposition-itheyimustilieisupine
e. Positionitheiclientitoiheriotheriside.
3. Ainurseiisiplanningitoiinsertianiindwellingicatheteriforiaifemaleicli
ent.iWhichiofitheifollowingiactionsishoulditheinurseiplanitoi take?
iAtiivideoitutorialsifoley
a. Collectiurineispecimenifromitheidrainageibagi1ihriafteriinsertion
b. Raiseitheiheadiofitheibeditoi45idegreesiprioritoiinsertion
c. Secureitheicatheteritoitheiclient'siinnerithigh
d. Attachitheibagitoitheirailiofitheibed.i–underinonimovableiarea
6.Ainurseiisiprovidingiteachingiforiaiclientiwhoihasiage-
relatedimacularidegenerationiwhichiofitheifollowingiinformatio
nishouldithei nurseiincludeiinitheiteaching
a. Aipossibleicauseiofithisiproblemiisilong-termilackiofidietaryiprotein
b. YouiprobablyihaveiaiDetachmentiofiyouriretinai-
visioniisilikeihavingicurtainsioverieyes
c. Youiprobablyihaveinoticediaideclineiiniyouricentralivision
d. Theidoctoricaniperformisurgeryitoicorrectitheistartipayingitheif
oldsiiniyouriretina
Rationale:iATIiMS:iPG.i63iMacularidegeneration,ioftenicalledia
ge-
relatedimacularidegenerationi(AMD),iisitheicentralilossiofi visioni
thatiaffectsitheimaculaiofitheieye.iNOicurei,ihappensialotiinioldip
eople.iSxs:idistortedivision,iblurredivision,icausedibyi smoking,ife
male,iHTN,idietilackingicarotene.
, 7. Ainurseiisiassessingiaiclientiwhoihasicirrhosis.iWhichiofitheifollowi
ngifindingsiisitheipriorityiforitheinurseitoireport?iPi.i357i chi55i pdfi
Medisurg
a. Plateletsi70,000/mm3-iriskiofibleedinormalirangeiisi150,000i-
i300,00-iABCSiisicompromisediautomaticallyi.
b. Distendediabdomen-iexpected
c. Alkalineiphosphatasei125iunits/Li-norminormaliisi30i-120iD.
Clayicoloredistools-
ibileinotioniyourishit
8. Ainurseiisipreparingitoidiscontinueilong-
termitotaliparenteralinutritioni(TPN)itherapyiforiaiclientiforiaiclient.iT
heinurseishouldiplanitoi discontinueitheiTPNigraduallyitoireduceitheir
iskiofiwhichiofitheifollowingiadverseieffects?iOldimedisurgeidocsiwei
used
a. Hyperglycemia
b. Diarrhea
c. Constipation
d. Hypoglycemiai(Repeat)iSinceiyouribodyiisiproducin
gienoughiinsulinitoitakeionihigheriloads,iyouimustit
aperiiti downitoiavoidihypoglycemiaiwithilowericonc
entrationsiof
TPN
AbruptlyidiscontinuingiTPNiwillicauseireboundihypoglycemia
9. AinurseiisipreparingitoiadministeriaiunitiofipackediRBCsitoiaiclient.iWhich
iofitheifollowingiactionsishoulditheinurseiplanitoitake?iP
.i250ichapteri40ipdfi pi.i678ilewis
a. AdministeritheiunitiofipackediRBC’sioveri1ihr-i2-
i4ihriitsimustibeigivenifori2i-4ihours.iolderiadults
b. Obtainitheiclient’sifirstisetiofivitalisignsi1ihriafteriinitiatingithe
itransfusion-
iyouigetivitalisignsiatitheiinitialifirsti15itoi30i minutesiofitheitra
nsfusion.
c. Initiateivenousiaccessiwithiai21-gaugeineedlei-
Correct Answers | Verified |
Latest Update
,1. Ainurseiisiassessingiaiclientiwhoihasileft-
sidediheartifailure.iWhichiofitheifollowingifindingsishoulditheinurseiexp
ect?a
a. Bradycardia-
imoreitachycardiaicuziofiaifailingiventriclei,iSNSiisiactivateditoicompe
nsatei.
b. Flushediskin-idusklyiitiwIllilookilike
c. Frothyisputum-Leftisided-icanibeiblooditinged
d. Jugulariveinidist
ention→iRighti Ration
ale:iATIiMS:ipg.i198ic
hi32ipdf
Leftiside:idyspnea,iorthopnea,ifatigue,ipulmonaryicongestion,ifrothyisputum,
iorganifailureisuchiasioliguria.
RightiSide:iJugulariveinidistention,iascendingidependentiedema,iabdominalid
istention,ipolyuriaiarirest,iliverienlargement,
2. Ainurseiisiassessingiaiclientiwhoiisiexperiencingirenalicolicifromia
icalculusiinileftirenalipelvis.iIdentifyitheiareaiwhereithei nurseisho
uldiexpectitheiclientitoihaveireferredipain.i(iFindi“hotispots”iinith
eiartwork)iPainitravelsidownwarditoitheiinguinali areaiandilo
weriback
Renalicolicioccursiinitheikidneyiarea.iReferredipainiisisomewh
ereithatihappensiinianotheriplaceiotherithaniwhereitheipainish
ouldi beifelt.
2. Ainurseiisicaringiforiaiclientiwhoiisireceivingiperitonealidialysisian
dinotesiaidecreaseiinitheidialysateiflowirate.iWhichiofithei followin
giactionsishoulditheinurseitake?i(Selectiallitheiapply?).iCheckiansw
eriiireadipgi644-647imedisurgiit’sinotisoispecifici p.i 370ichi57ipdf
, a. monitoritheiaccessisiteiforidrainage.-
itoicheckiforisxsiofiinfection.
b. Stripitheicatheteritubing
c. Measureitheiamountiofitheidialysateioutflow
d. Raiseitheiclientitoihighifowlersiposition-itheyimustilieisupine
e. Positionitheiclientitoiheriotheriside.
3. Ainurseiisiplanningitoiinsertianiindwellingicatheteriforiaifemaleicli
ent.iWhichiofitheifollowingiactionsishoulditheinurseiplanitoi take?
iAtiivideoitutorialsifoley
a. Collectiurineispecimenifromitheidrainageibagi1ihriafteriinsertion
b. Raiseitheiheadiofitheibeditoi45idegreesiprioritoiinsertion
c. Secureitheicatheteritoitheiclient'siinnerithigh
d. Attachitheibagitoitheirailiofitheibed.i–underinonimovableiarea
6.Ainurseiisiprovidingiteachingiforiaiclientiwhoihasiage-
relatedimacularidegenerationiwhichiofitheifollowingiinformatio
nishouldithei nurseiincludeiinitheiteaching
a. Aipossibleicauseiofithisiproblemiisilong-termilackiofidietaryiprotein
b. YouiprobablyihaveiaiDetachmentiofiyouriretinai-
visioniisilikeihavingicurtainsioverieyes
c. Youiprobablyihaveinoticediaideclineiiniyouricentralivision
d. Theidoctoricaniperformisurgeryitoicorrectitheistartipayingitheif
oldsiiniyouriretina
Rationale:iATIiMS:iPG.i63iMacularidegeneration,ioftenicalledia
ge-
relatedimacularidegenerationi(AMD),iisitheicentralilossiofi visioni
thatiaffectsitheimaculaiofitheieye.iNOicurei,ihappensialotiinioldip
eople.iSxs:idistortedivision,iblurredivision,icausedibyi smoking,ife
male,iHTN,idietilackingicarotene.
, 7. Ainurseiisiassessingiaiclientiwhoihasicirrhosis.iWhichiofitheifollowi
ngifindingsiisitheipriorityiforitheinurseitoireport?iPi.i357i chi55i pdfi
Medisurg
a. Plateletsi70,000/mm3-iriskiofibleedinormalirangeiisi150,000i-
i300,00-iABCSiisicompromisediautomaticallyi.
b. Distendediabdomen-iexpected
c. Alkalineiphosphatasei125iunits/Li-norminormaliisi30i-120iD.
Clayicoloredistools-
ibileinotioniyourishit
8. Ainurseiisipreparingitoidiscontinueilong-
termitotaliparenteralinutritioni(TPN)itherapyiforiaiclientiforiaiclient.iT
heinurseishouldiplanitoi discontinueitheiTPNigraduallyitoireduceitheir
iskiofiwhichiofitheifollowingiadverseieffects?iOldimedisurgeidocsiwei
used
a. Hyperglycemia
b. Diarrhea
c. Constipation
d. Hypoglycemiai(Repeat)iSinceiyouribodyiisiproducin
gienoughiinsulinitoitakeionihigheriloads,iyouimustit
aperiiti downitoiavoidihypoglycemiaiwithilowericonc
entrationsiof
TPN
AbruptlyidiscontinuingiTPNiwillicauseireboundihypoglycemia
9. AinurseiisipreparingitoiadministeriaiunitiofipackediRBCsitoiaiclient.iWhich
iofitheifollowingiactionsishoulditheinurseiplanitoitake?iP
.i250ichapteri40ipdfi pi.i678ilewis
a. AdministeritheiunitiofipackediRBC’sioveri1ihr-i2-
i4ihriitsimustibeigivenifori2i-4ihours.iolderiadults
b. Obtainitheiclient’sifirstisetiofivitalisignsi1ihriafteriinitiatingithe
itransfusion-
iyouigetivitalisignsiatitheiinitialifirsti15itoi30i minutesiofitheitra
nsfusion.
c. Initiateivenousiaccessiwithiai21-gaugeineedlei-
