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- Question 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minuteQuestion 43 A 6-month-old infant is being treated for neuroblastoma. Because of the chemotherapy, the infant feeds poorly and vomits frequently. The nurse would use which assessment to best determine the infant’s fluid status? Question 43 options: daily weight measurements level of consciousness specific gravity of urine hemoglobin and hematocrit levelsQuestion 32 Ms. TW is a 47 year old female with known rheumatoid arthritis (RA). She was s placed on prednisone 5 mg PO qd. In teaching the patient about her medication, it would be important for the nurse practitioner to include what information? When the symptoms of arthritis subside, she will be able to quit taking her medication. Increase fluid intake is important to prevent renal damage by the steroids The medication should be taken about 30 minutes before eating It is important to take the medication as prescribed, even after the redness and swelling decrease
- Question 79 You are caring for a client in hospital with an exacerbation of her severe COPD. The client states she is feeling very short of breath, she is agitated, and her respiratory rate is 36 breaths per minute. The client's current oxygen saturation is 84% on 2L/minute of oxygen via nasal canula. Her ordered PRN medications, Beclovent (Beclomethasone) and Ventolin (Salbutamol) are at her bedside. What should your nursing interventions include (select all that apply). Question 79 options: Increase her oxygen Administer her ventolin Take her blood pressure Lower the head of the bed Call a code blueQuestion 5 A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has become progressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic but arousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and…Question 38 Ms. LW is on hydroxychloroquine (Plaquenil) for rheumatoid arthritis. Certain tests are recommended before a patient starts this medication. Which of the following is NOT recommended before starting Hydroxychloroquine (Plaquenil)? Comprehensive Eye Exam CBC (Complete Blood Count) Liver Function profile 24-hour urine
- Question 29 During the initial postoperative assessment of a client’s stoma following an ileostomy, the nurse finds it to be deep pink with moderate edema and a small amount of bleeding. Which of the following actions should the nurse take based upon these findings? Question 29 options: Notify the surgeon with concerns of the stoma appearance Monitor the stoma every 30 minutes Clean the area and apply an ice pack for swelling Document the stoma assessmentQuestion 43 A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? Non-Hodgkin's lymphoma Malignant melanoma Nonsmall cell lung cancer Renal cell carcinomaQuestion 4 A 54-year-old man with a medical history significant for bipolar disease presents to his physician with complaints of polyuria. He states that he must get up three or four times each night to urinate. He also notes frequent thirst. He denies polyphagia, urinary urgency, difficulty initiating urination, and postvoid dribbling. His medical history is notable only for bipolar disease. He has a long-standing history of noncompliance with medications for this disease, with frequent hospitalizations for both mania and depression, but has been stable on lithium for the past 6 months. He denies any symptoms of mania or depression at this time. He takes no other medications. Family history is notable for depression and substance abuse but is otherwise negative. The patient has a history of polysubstance abuse but has been “clean and sober” for the past 6 months. On examination, the patient’s vital signs are within normal limits. Head-neck examination reveals slightly dry mucous…
- Question 69SavedA client is having electroconvulsive therapy for the first time. What potential risk exists with this type of therapy? Question 69 options: hearing impairment generalized seizure activity retrograde amnesia frontal lobe atrophyQuestion 52 A nurse is caring for a 3-year-old patient diagnosed with Influenza. On assessment, the nurse notes poor peripheral perfusion, capillary refill >3 seconds, tachycardia, increased lethargy and hypotension. Which of the following complications should the nurse suspect? Question 52 options: Septic Shock Secondary pneumonia Sepsis SIRSQuestion 68 An 80-year-old client with arthritis in both hips is rating her pain as 3 out of 10 while ambulating. Which of the following ordered medications would be BEST for the pain? Question 68 options: Ibuprofen (Advil) 50 mg PO Meperidine (Demerol) 300 mg PO Hydromorphone (Dilaudid) 2mg PO Acetaminophen (Tylenol) 650 mg PO