Exam 3 Questions Flashcards
Metabolic syndrome. What would we see that would tell us its metabolic syndrome?
Waist size and blood glucose
What interview question would you ask in obese patient?
What led to your weight gain?
Your patient is on prolonged prilosec therapy may experience watery stools and a fever. What interventions would you take?
Call the provider
Check vitals
give tylenol
place in contact precautions
What item should the nurse offer to the patient restarting oral intake after being NPO due to an IV?
Dish of lemon gelatin
What is an appropriate GERD diet?
No caffeine
No spicy food
3-5 small meals a day with a small bedtime snack
A 26 year old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful
Can you tell me more about the pain?
A person gets a needle stick who does not have the hep B vaccine, what do you do first?
Give the Hep B vaccine
Test for antibodies to hep b
Give hep b immunoglobulin
A young adult contracts hepatitis from contaminated food. What should the nurse
expect serologic testing to reveal during the acute (icteric) phase of the patient’s illness?
Anti-Hepatitis A virus immunoglobulin (anti-HAV IgM)
The nurse is reviewing the medical record for 5 patients who are scheduled for their
yearly physical examination in September. Which patients should receive the inactivated flu vaccination?
A 76-year-old nursing home resident
A 36-year-old female patient who is pregnant
A 30-year-old patient who takes corticosteroids for rheumatoid arthritis
The clinic nurse us teaching a patient with acute sinusitis. Which interventions should the nurse plan to include in the teaching session?
Decongestants can be used to relieve swelling
Taking a hot shower will increase sinus drainage and decrease pain
Saline nasal spray can be made at home and used to wash out secretions
You will be more comfy if you keep your head in an upright position
The nurse discusses management of upper respiratory infection (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates the need for more teaching?
“I can use nasal decongestant spray until the congestion is gone”
The nurse has just auscultated coarse crackles bilaterally on a patient with a
tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions,
what action should the nurse take?
Put on sterile gloves and use a sterile catheter to suction
A nurse obtains a health history from a patient who has a 35 pack-year smoking history. The patient reports hoarseness and tightness in the throat and difficulty swallowing. Which question is important for the nurse to ask?
“How much alcohol do you drink in an average week
Which action should the nurse take first when a patient develops epistaxis?
Apply squeezing pressure to the nostrils for 10 minutes
Which patient in the ear, nose, and throat clinic should the nurse assess first?
A patient who reports having a sore throat and a muffled voice
Which health promotion information should the nurse include when teaching a patient with a 42 pack-year history of cigarette smoking?
Resources for support in smoking cessation
Computer tomography screening (CT) for cancer
Importance of obtaining a yearly influenza vaccination
Which finding by the nurse most specifically indicates that a patient is not able to
effectively clear the airway?
Weak cough effort
A patient with a possible pulmonary embolism reports chest pain and difficulty
breathing. The nurse finds a heart rate of 142 bpm, blood pressure of 100/60 mm Hg, and respirations of 42 breaths/min. Which action should the nurse take?
Elevate the head of the bed to a semi-fowlers position
After receiving change of shift report on the medical unite, which patient should the
nurse assess first?
A patient with septicemia who has intercostal and suprasternal retractions
A patient in a mechanical vent is at risk for fluid overload. What is the best way to
monitor this?
A foley catheter
A nurse is caring for a patient who is orally intubated and receiving mechanical
ventilation. To decrease the risk for pneumonia, which action should the nurse include in the plan of care?
Elevate the head of the bed 30-45 degrees
A patient who has GERD is experiencing increasing discomfort. Which patient statement to the nurse indicates a need for teaching?
“I eat small meals and have a bedtime snack”
A patient preparing to undergo a colon resection for cancer in the colon ask about the elevated carcinoembryonic antigen CEA test result. What should the nurse explain?
Monitor the tumor status after surgery
After change of shift report, who should the nurse assess first?
A 64-year-old with lung cancer and tracheal deviation after subclavian catheter
insertion
