Exam 2 Possible Questions

Question 1

How do you treat AKI, the patient is SOB and Hypotensive.

Answer 1

Give fluids, monitor the rate

Question 2

What might a patient complain of in the post renal phase?

Answer 2

Urgency to void

Question 3

What do you do if assessing the scrotum and a patient complains of pain, tenderness, and has no cremasteric reflex

Answer 3

Get a doppler

Question 4

What do you teach the patient about nitrofurantoin?

Answer 4

It will turn your urine orange

Question 5

The Patient has an increased potassium, slightly increased creatine, and increased urine output. What do you do?

Answer 5

Place on heart monitor

Question 6

Which test do you get to check for protein in the urine?

Answer 6

24 hour urine

Question 7

How do you treat hyperkalemia?

Answer 7

Insulin, Sodium, dialysis, calcium gluconate

Question 8

For a TURP/CBI, if it stops, what do you do first?

Answer 8

Check the tubing for kinks, then irrigate.

Question 9

What is the first-line therapy of mild chronic hyperkalemia in patients with chronic
kidney disease?

Answer 9

Sodium polystyrene sulfonate

Question 10

What lab so you expect to see with End stage renal disease

Answer 10

GFR of 15 or lower may mean kidney failure.

Question 11

What color should dialysis be

Answer 11

Clear

Question 12

What lab goes with Epoetin Alpha?

Answer 12

Hematocrit

Question 13

. You would contact the provider if you notice…

Answer 13

Excess urine output

Question 14

Initial signs of Chronic Renal Failure

Answer 14

HTN, Restless Leg Syndrome, Headache, Red cheeks, Puritis

Question 15

TURP. Post op, CBI running. Symptoms to watch for:

Answer 15

Hypotension and confusion

Question 16

What are the advantages of peritoneal dialysis?

Answer 16

No Iv access needed, No strict schedule, Less strict diet and fluid restriction

Question 17

How to check hemodialysis av fistula

Answer 17

Listen for bruit

Question 18

How do you determine angina vs an acute MI?

Answer 18

Pain lasts more then 30 minutes

Question 19

How to you know if IV nitro is effective for pain?

Answer 19

Ask the patient

Question 20

What are long acting Nitrates used for?

Answer 20

Chronic Angina

Question 21

. What do you teach about Nitro?

Answer 21

Place underneath your tongue. Take one wait 5 minutes, then take another if still having chest pains. Keep in original container. Replace every 6 months. Keep in cool dry place, CAN ONLY TAKE 3 DOSES

Question 22

. What drugs are used for decompensated heart failure with severe orthopnea?

Answer 22

Lasix and Morphine

Question 23

How do you evaluate if the orthopnea is getting better?

Answer 23

Ask how many pillows do you sleep on.

Question 24

What is a significant amount of weight gain that the patient should notify the HCP about?

Answer 24

gain of 3 pounds or more

Question 25

Diet and food items for someone in heart failure?

Answer 25

Can not have yogurt. YES canned fruit

Question 26

Your patient is taking an ACE Inhibitor, what should you remind your patient of?

Answer 26

This medication may cause severe dizziness so please call for help to get oob

Question 27

When a patient is severely SOB and coughing, what do you do first?

Answer 27

Listen to lung sounds.

Question 28

Patient with Decompensated heart failure on the monitor, what is the first sign of their condition?

Answer 28

Oxygen saturation

Question 29

What medications may cause a problem with potassium?

Answer 29

Digoxin, Lasix

Question 30

When teaching an obese patient how to increase their exercise and decrease their BMI, what do you ask them?

Answer 30

What activities do you enjoy?

Question 31

PR interval of 0.24 what do you do?

Answer 31

Document and monitor

Question 32

What is IV atropine used for?

Answer 32

Bradycardia, 1st degree heart block

Question 33

How do we know atropine it is working?

Answer 33

heart rate increases

Question 34

Discharge instructions for a patient after a pacemaker?

Answer 34

Do not raise arm until follow up

Question 35

A patient had a Implantable Cardioverter Defibrillator (ICD) put in and you hear the student tell the patient to do active range of motion. Should the patient do this? True or False?

Answer 35

False

Question 36

What causes increased PVC’s?

Answer 36

Low Potassium

Question 37

Endocarditis, what symptoms will we see?

Answer 37

25/ml hr output

Question 38

With acute pericarditis, how do we check for pulsus paradoxus?

Answer 38

We listen for core cough sounds with inspiration and expiration.

Question 39

. How do we decrease rhematic fever in the community?

Answer 39

Decrease strep throat and seek treatment

Question 40

What will we see with a patient that has mitral stenosis?

Answer 40

What will we see with a patient that has mitral stenosis?

Question 41

. A patient with MVP, they should avoid what?

Answer 41

Stimulants

Question 42

A patient with a mechanical valve is being discharged. What kind of teaching do they need?

Answer 42

Teach about the need for follow up blood work

Question 43

A patient has stabbing chest pain following an MI. What do you do first?

Answer 43

Listen to the heart sounds

Question 44

What will you see with a patient with aortic stenosis

Answer 44

SOB with exertion/ambulation