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1. A nurse is caring for a client who has atrial fibrillation and receives digoxin
daily. Before administering the medication which of the following actions
should the nurse take?: Measure the clients apical pulse
2. A nurse is planning to administer digoxin to a client who has heart failure.
Which of the following laboratory results is the priority for the nurse to review
prior to administering the medication?: Potassium
3. A nurse in an urgent care center is assessing a client who reports a sudden
onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid
and irregular heart rate with a significant pulse deficit. Which of the following
dysrhythmias should the nurse expect to find on the EKG?: Atrial fibrillation
4. A client in the emergency department is experiencing supraventricular
tachycardia (SVT) that does not respond to vagal stimulation. Which antidys-
rhythmic medication should the nurse prepare to administer?: Adenosine
5. When caring for a client on the telemetry unit, the nurse interprets the
following cardiac rhythm strip as:: Atrial flutter
6. A 55 year old client has been admitted to the cardiac care unit with a
diagnosis of acute coronary artery syndrome. While in the CCU, the client's
cardiac monitor displays the following pattern. The nurse determines that this
cardiac dysrhythmia is best identified as:: Premature ventricular contractions
7. A client seen is the emergency department after experiencing dizziness and
SOB for several days. During cardiac monitoring in the emergency depart-
ment, the nurse notes the following findings: atrial rate 72, P-P interval regular,
ventricular rate 52, R-R interval variable with no relationship between P and
QRS; and QRS complex 0.10 sec with normal contour. The nurse interprets
this cardiac rhythm as:: Third degree block
8. Which lymphoma involves Reed-Sternberg cells?: Hodgkin's Lymphoma
9. Which lymphoma usually involves individuals who are LESS than 35 years
of age?: Hodgkin's Lymphoma
10. Epbstein Barr Virus (Mono), agent orange, HIV, immunosuppressive drug
therapy and genetic disposition are key factors leading to which lymphoma?-
: Hodgkin's Lymphoma
11. Painless enlargement of lymph nodes, itching and possible fever, drench-
ing night sweats and weight loss are S & S of which lymphoma?: Hodgkin's
Lymphoma
12. Chemo regimens for Hodgkin's Lymphoma:: ABVD and BEACOPP
, NUR 230 Exam 2
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13. Monitoring of ________________ is important during nursing care of
Hodgkin's Lymphoma.: WBC and CBC
14. What disorder is described as a chemo. therapy induced massive tumor
cell that destructs and leads to acute renal failure.: Tumor Lysis Syndrome (TLS)
15. Risk increases with age: Non-Hodgkin's Lymphoma
16. This lymphoma is a group of malignant cancers of the immune system, can
originate outside the lymph nodes, usually has spread at time of diagnosis,
and cause is unknown.: Non-Hodgkin's Lymphoma
17. Chemo and radiation is used to treat this lymphoma: Non-Hodgkin's Lym-
phoma
18. Is responsible for being a reservoir for blood and contains increased con-
centration of erythrocytes (RBC's). This organ also filters blood and recycles
hemoglobin.: The spleen
19. Broad class of chemicals and drugs used to treat cancer. Broken down in 4
groups: chemo, immunologic therapy, targeted agents and hormonal agents.
Many are vesicant.: Antineoplastic medications
20. Diuretics, restricted sodium and potassium, adequate carbs, protein & fat
and perhaps dialysis are used to treat:: Traumatic injuries of the urinary tract
21. Decreased urine output, edema, JVD, increased potassium, phosphorus,
BUN/creatinine, decreased calcium, sodium, pH and metabolic acidosis along
with other things are signs and symptoms of:: Acute kidney injury
22. Most common cause of AKI: hypovolemia, decreased CO. Result of exter-
nal factors that reduce renal blood flow: Prerenal Trauma
23. Direct damage to actual kidneys which can result in impaired nephron
functioning. Can be seen as acute tubular necrosis.: Intrarenal Trauma
24. Involves mechanical obstruction of lower urinary tract (ureters, bladder,
urethra). Can cause BPH, prostate cancer, calculi, trauma, tumors): Postrenal
Trauma
25. Post kidney transplant diet: Adequate protein, limited salt and fluids
26. Complications of renal transplant:
27. _______________________________ may be present after renal transplant
surgery.: Hypotension
28. Most common form of rejection from renal transplant, occurs in 1st few
months. S & S are oliguria, anuria, elevated temp., increased BP, flank tender-
ness, increased BUN, K, creatinine and fluid rentention.: Acute rejection
29. Important lab test to assess with kidney injury.: Hematocrit
30. What is Hepatitis?: Inflammation of the liver
31. What is the most common cause of Hepatitis?: Viral infection
32. Viral Hepatitis is transmitted how?: Fecal-oral route