HESIdMILESTONEd2dACTUALdEXAMd3dLATESTdVERSIONSd(V1,dV2dANDdV3)d2023-
2024dEACHdVERSIONdCONTAINSd100dQUESTIONSdANDdCORRECTdDETAILEDdANSWERS
d(VERIFIED d ANSWERS)d |ALREADYd GRADEDd A+d 2023/2024
.d-ChemodSidedEffectsd-dANSodNausea/vomitingd(24-
48dhr,dcandbeddelayeddupdtod1dweek)
24dhour-dJaundiced-dANSPhysiologicdjaundicedoccursdfromdadnormaldreductiondindreddblooddcells.dPathologic
jaundicedoccursdwithindfirstd24dhoursdofdlifed ORdpersistsd beyondd 7ddays
Adclientdwithdanorexiadhasdherdfrienddbringdherdseveraldcookbooksdsodshedcandplandadpartydwhendshedis
discharged.dWhatdnursingdinterventiondisdappropriatedindaddressingdthisdbehavior?d-dANSDiscussdactivities
thatddon'tdinvolvedfooddthatdcandtakedplacedafterddischarge.dDiscussdthedcookbooksdwithdthedtreatmentdteam,d
anddifdthedtreatmentdplandsodindicates,dtakedthedbooksdfromdthedclient.
Adnursedisdpreparingdadclientdfordthedterminationdphasedofdthednurse-clientdrelationship.dThednursedpreparesdtod
implementdwhichdnursingdtaskdappropriatedfordthisdphase?d-dANSMakingdappropriatedreferrals
ABGdfindingsd-dANSpH:d7.35d-d7.45
PCO2:d35d-d45dmmHg
HCO3:d22d-d26dmmHg
AcutedPancreatitisdassessmentd-dANSHistory,dETOHdabuse,dseveredLUQdpain,dtachy,drestless,ddecreasedbowel,d
jaundice,dgreydturnerdordCullendsigns,dincreasedserumdamylase/lipasedordWBC,dhyperlipidemia
Acutedrenaldfailuredpriorityd-dANSodMaintaindfluids
o Avoiddfluiddexcess
o Renaldreplacementdtherapy
o Reducedmetabolicdrate
o Promotedpulmonarydfunction
AcutedRespiratoryddistressdprioritydfindingsd-dANSodHypoxia
o Intercostaldretractions
o Crackles
o BNPdlevels
(alveolidcollapsedbecausedsmalldairwaysdarednarroweddduedtodinterstitialdfluiddanddbronchialdobstruction)
Addison'sd Crisisd Hypoglycemiad S/Sd -d ANS-d weakness
,HESIdMILESTONEd2dACTUALdEXAMd3dLATESTdVERSIONSd(V1,dV2dANDdV3)d2023-
2024dEACHdVERSIONdCONTAINSd100dQUESTIONSdANDdCORRECTdDETAILEDdANSWERS
d(VERIFIED d ANSWERS)d |ALREADYd GRADEDd A+d 2023/2024
- fatigue
- severedhypotension
- nausea/vomiting
- dehydration
- dysrhythmias
- shock
ADHDdExam/Assessmentd-dANS-dfailuredtodlisten/followddirection
- difficultydplayingdquietly/sittingdstill
- disruptive,d impulsived behavior
- distractibilitydtodexternaldstimuli
- excessived talking
- shiftingdfromdonedunfinisheddtaskdtodanother
Aggressiondresponsed-dANS5-phasedcycle=dTriggeringd(event),dEscalationd(movementdtowarddadlossdofdcontrol),d
Crisisd(lossdofdcontrol),dRecoveryd(regaindcontrol),dPostcrisisd(reconciliation)
***Hxd=dlikelydtodoccurdagain
Alcoholdwithdrawald-dANS-dNeedsdtodbeddonedunderdmedicaldsupervisiondb/cdcandbeddeadly
- VSdQ4,donsetdofdsymptomsd4-6dhoursdafterdlastddrink,dgivedlorazepam,dreducedtemp.
,HESIdMILESTONEd2dACTUALdEXAMd3dLATESTdVERSIONSd(V1,dV2dANDdV3)d2023-
2024dEACHdVERSIONdCONTAINSd100dQUESTIONSdANDdCORRECTdDETAILEDdANSWERS
d(VERIFIED d ANSWERS)d |ALREADYd GRADEDd A+d 2023/2024
- Tremors,dnausea,dvomiting
Alcoholicdhepatisdteachingd-dANS-dlowdsodiumddiet
- smalldfrequentdmeals
- nodalcohol
AnxietydSuicidedRisks:d-dANSRestless,ddifficultydconcentrating,dirritability
- "Havedyoudhaddanydsuicidaldthoughtsdsincedstartingdbupropion?"
ArterialdInsufficencyd-dANS-dmostlydmen
- legsdmostlydaffected
arterialdinsufficiencydsymptomsd-dANS-weakdpedaldpulses
-shinydanddcooldskin
-intermittentdclaudication
- aching/cramping
- induceddfatigue
AsthmadTriggers:d-dANSDust,dmites,droaches,dcloth,dpets,dhorses,ddetergents,dsoaps,dfood,dmold,dpollens,dseasonal
Bizarredsocialdbehaviord-dANS-dassessdphysicaldneeds,dsuicidedrisk,densuredsafetydatdalldtime
- sitdw/dclient,dsilence,dtelldwhendleaving
- limitdstimulid/d1-1dinteraction
BoggydUterusdActionsd-dANS-dmassagedanddadministerduterotonicdtodincreaseduterinedcontraction.
- givedoxytocin
Cancerdintractabledpaindplandofdcared-dANSodPain,dotherdsymptomsdanddsidedeffectsdaredmanageddbaseddondthe
bestd availabled evidence,d withd attentiond tod disease-specificd paind andd symptoms,d whichd ared skillfullyd and
systematicallydapplied.d??????
Cardiomyopathydcaredpland-dANS○dMedications-ddigoxin,ddiuretics,dantidysrhythmic,dantihypertensive
medications
, HESIdMILESTONEd2dACTUALdEXAMd3dLATESTdVERSIONSd(V1,dV2dANDdV3)d2023-
2024dEACHdVERSIONdCONTAINSd100dQUESTIONSdANDdCORRECTdDETAILEDdANSWERS
d(VERIFIED d ANSWERS)d |ALREADYd GRADEDd A+d 2023/2024
○ Surgery-dseptaldmyectomy,dseptaldablation,dimplantedddevicesd(CRT,dICD,dLVAD,dpacemaker),dheart
transplantation
ChronicdKidneydDiseased=dmetabolicdacidosisd-dANSkidneysdfail,dnodlongerdreabsorbdHCO3d(bicarb),dserumd
bicarbonateddecreased=dacidosisdoccurs
**dsodiumdbicarbdadministration
Cirrhosisdascitesddyspnea-dS/Sd-dANSencephalopathy
portaldhypertension
esophagealdvarices
hemorrhage
CompartmentdSyndromedS/Sd-dANSPain
Paresthesia
Paralysis
Pallor
Pulse-lessness
Hard/swollendMuscle
2024dEACHdVERSIONdCONTAINSd100dQUESTIONSdANDdCORRECTdDETAILEDdANSWERS
d(VERIFIED d ANSWERS)d |ALREADYd GRADEDd A+d 2023/2024
.d-ChemodSidedEffectsd-dANSodNausea/vomitingd(24-
48dhr,dcandbeddelayeddupdtod1dweek)
24dhour-dJaundiced-dANSPhysiologicdjaundicedoccursdfromdadnormaldreductiondindreddblooddcells.dPathologic
jaundicedoccursdwithindfirstd24dhoursdofdlifed ORdpersistsd beyondd 7ddays
Adclientdwithdanorexiadhasdherdfrienddbringdherdseveraldcookbooksdsodshedcandplandadpartydwhendshedis
discharged.dWhatdnursingdinterventiondisdappropriatedindaddressingdthisdbehavior?d-dANSDiscussdactivities
thatddon'tdinvolvedfooddthatdcandtakedplacedafterddischarge.dDiscussdthedcookbooksdwithdthedtreatmentdteam,d
anddifdthedtreatmentdplandsodindicates,dtakedthedbooksdfromdthedclient.
Adnursedisdpreparingdadclientdfordthedterminationdphasedofdthednurse-clientdrelationship.dThednursedpreparesdtod
implementdwhichdnursingdtaskdappropriatedfordthisdphase?d-dANSMakingdappropriatedreferrals
ABGdfindingsd-dANSpH:d7.35d-d7.45
PCO2:d35d-d45dmmHg
HCO3:d22d-d26dmmHg
AcutedPancreatitisdassessmentd-dANSHistory,dETOHdabuse,dseveredLUQdpain,dtachy,drestless,ddecreasedbowel,d
jaundice,dgreydturnerdordCullendsigns,dincreasedserumdamylase/lipasedordWBC,dhyperlipidemia
Acutedrenaldfailuredpriorityd-dANSodMaintaindfluids
o Avoiddfluiddexcess
o Renaldreplacementdtherapy
o Reducedmetabolicdrate
o Promotedpulmonarydfunction
AcutedRespiratoryddistressdprioritydfindingsd-dANSodHypoxia
o Intercostaldretractions
o Crackles
o BNPdlevels
(alveolidcollapsedbecausedsmalldairwaysdarednarroweddduedtodinterstitialdfluiddanddbronchialdobstruction)
Addison'sd Crisisd Hypoglycemiad S/Sd -d ANS-d weakness
,HESIdMILESTONEd2dACTUALdEXAMd3dLATESTdVERSIONSd(V1,dV2dANDdV3)d2023-
2024dEACHdVERSIONdCONTAINSd100dQUESTIONSdANDdCORRECTdDETAILEDdANSWERS
d(VERIFIED d ANSWERS)d |ALREADYd GRADEDd A+d 2023/2024
- fatigue
- severedhypotension
- nausea/vomiting
- dehydration
- dysrhythmias
- shock
ADHDdExam/Assessmentd-dANS-dfailuredtodlisten/followddirection
- difficultydplayingdquietly/sittingdstill
- disruptive,d impulsived behavior
- distractibilitydtodexternaldstimuli
- excessived talking
- shiftingdfromdonedunfinisheddtaskdtodanother
Aggressiondresponsed-dANS5-phasedcycle=dTriggeringd(event),dEscalationd(movementdtowarddadlossdofdcontrol),d
Crisisd(lossdofdcontrol),dRecoveryd(regaindcontrol),dPostcrisisd(reconciliation)
***Hxd=dlikelydtodoccurdagain
Alcoholdwithdrawald-dANS-dNeedsdtodbeddonedunderdmedicaldsupervisiondb/cdcandbeddeadly
- VSdQ4,donsetdofdsymptomsd4-6dhoursdafterdlastddrink,dgivedlorazepam,dreducedtemp.
,HESIdMILESTONEd2dACTUALdEXAMd3dLATESTdVERSIONSd(V1,dV2dANDdV3)d2023-
2024dEACHdVERSIONdCONTAINSd100dQUESTIONSdANDdCORRECTdDETAILEDdANSWERS
d(VERIFIED d ANSWERS)d |ALREADYd GRADEDd A+d 2023/2024
- Tremors,dnausea,dvomiting
Alcoholicdhepatisdteachingd-dANS-dlowdsodiumddiet
- smalldfrequentdmeals
- nodalcohol
AnxietydSuicidedRisks:d-dANSRestless,ddifficultydconcentrating,dirritability
- "Havedyoudhaddanydsuicidaldthoughtsdsincedstartingdbupropion?"
ArterialdInsufficencyd-dANS-dmostlydmen
- legsdmostlydaffected
arterialdinsufficiencydsymptomsd-dANS-weakdpedaldpulses
-shinydanddcooldskin
-intermittentdclaudication
- aching/cramping
- induceddfatigue
AsthmadTriggers:d-dANSDust,dmites,droaches,dcloth,dpets,dhorses,ddetergents,dsoaps,dfood,dmold,dpollens,dseasonal
Bizarredsocialdbehaviord-dANS-dassessdphysicaldneeds,dsuicidedrisk,densuredsafetydatdalldtime
- sitdw/dclient,dsilence,dtelldwhendleaving
- limitdstimulid/d1-1dinteraction
BoggydUterusdActionsd-dANS-dmassagedanddadministerduterotonicdtodincreaseduterinedcontraction.
- givedoxytocin
Cancerdintractabledpaindplandofdcared-dANSodPain,dotherdsymptomsdanddsidedeffectsdaredmanageddbaseddondthe
bestd availabled evidence,d withd attentiond tod disease-specificd paind andd symptoms,d whichd ared skillfullyd and
systematicallydapplied.d??????
Cardiomyopathydcaredpland-dANS○dMedications-ddigoxin,ddiuretics,dantidysrhythmic,dantihypertensive
medications
, HESIdMILESTONEd2dACTUALdEXAMd3dLATESTdVERSIONSd(V1,dV2dANDdV3)d2023-
2024dEACHdVERSIONdCONTAINSd100dQUESTIONSdANDdCORRECTdDETAILEDdANSWERS
d(VERIFIED d ANSWERS)d |ALREADYd GRADEDd A+d 2023/2024
○ Surgery-dseptaldmyectomy,dseptaldablation,dimplantedddevicesd(CRT,dICD,dLVAD,dpacemaker),dheart
transplantation
ChronicdKidneydDiseased=dmetabolicdacidosisd-dANSkidneysdfail,dnodlongerdreabsorbdHCO3d(bicarb),dserumd
bicarbonateddecreased=dacidosisdoccurs
**dsodiumdbicarbdadministration
Cirrhosisdascitesddyspnea-dS/Sd-dANSencephalopathy
portaldhypertension
esophagealdvarices
hemorrhage
CompartmentdSyndromedS/Sd-dANSPain
Paresthesia
Paralysis
Pallor
Pulse-lessness
Hard/swollendMuscle
