Which of these clients is at greatest risk for toxicity? A. 15 year old girl who is menstruating B. 24 year old construction worker taking two Tylenol per day C. 65 year old with arthritis D. An 85 year old with renal (kidney) failure
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- 27.A patient receiving combination chemotherapy containing doxorubicin experiences dyspnea on exertion, peripheral edema, tachycardia and crackles. The nurse should suspect pulmonary edema, most like. a. Myocardial damage b. Veno-occlusive disease of the liver c. A post-renal obstruction d. Pulmonary toxicity 34.The nurse is admitting a patient who has been diagnosed with squamous cell carcinoma of the lung. When completing the history and physical assessment the nurse should assess the patient for? a. Dysphagia b. Halitosis c. Dyspepsia d. Hemoptysis3. The nurse is caring for a client diagnosed with acquired immunodeficiency syndrome (AIDS). Which sign/symptom indicates the presence of an opportunistic respiratory infection?A. Nausea and vomitingB. An arterial blood gas pH of 7.40C. A respiratory rate of 20 breaths per minuteD. Fever and exertional dyspnea4. In teaching a patient with SLE about the disorder, the nurse knows that the pathophysiology of SLE includesA. an autoimmune T-cell reaction that results in destruction of the deep dermal skin layer.B. circulating immune complexes formed from IgG autoantibodies reacting with IgG. C. the production of a variety of autoantibodies directed against components of the cell nucleus. D. immunologic dysfunction leading to chronic inflammation in the cartilage and muscles. 5. Validating / verifying data is an activity in the assessment. What are the techniques appropriate to verify questionable information? 1. Double-check information that is inconsistent with patient cues.2. Double…6. A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor? A. Erythrocyte sedimentation rate B. Serum calcium C. Osmolality D. Hemoglobin
- 4. A client is scheduled to receive phenytoin (Dilantin) 100 mg orally at 6 PM but is having difficulty swallowing capsules. What method should the nurse to help the client take the medication? a. Sprinkle the powder from the capsule into a cup of water. b. Administer 4 mL of phenytoin suspension containing 125 mg/5 ml. c. Obtain a change in the administration route to allow an IM injection. d. Insert a rectal suppository containing 100mg of phenytoin.8. A 54 y/o Female presented to the emergency room w/ CC of dyspnea. The patient has a significant PMH of T2DM, GAD, CVD, and MI. The patient reported weight loss of 15 pounds in 2 weeks. The patients weight is 185lb and her height is 175cm. She reports that dietary intake has been poor and she cannot make it to the store without having SOB. She states her usual weight is 200lb. Find her energy needs using the Mifflin-St. Jeor equation 10. A 26 y/o F was admitted for GI discomfort, poor appetite, N/V/D. Upon ultrasound a bezoar was discovered in the distal large intestine. She repots a 10 pound weight loss in 2 weeks. Her current weight is 165 pounds or 75kg and her height is 160cm. Find her energy needs Using the Harris-Benedict equation2 28. The healthcare provider left an order to start methylprednisolone (Solu-medrol) for exacerbation of bronchial asthma. The priority action for the nurse is to request a and could have a level because the patient is on potential electrolyte imbalance. A. calcium; ACE inhibitor B. potassium; diuretics C. magnesium; antidepressants D. chloride; ARB
- A female or male client has been receiving the antibiotics gentamicin sulfate, IV piggy back q 12hrs for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin A. White blood cell count of 6,000 B. Decreased blood urea nitrogen C. Reports of photophobia D. Hearing has decreased1. A patient is allergic to tetracycline and penicillin. The MD has written a new order for azithromycin. What should the nurse do next? a. Administer the medication as ordered. b. Refuse to give the medication. c. Give diphenhydramine (Benadryl) before administering this medication.5. Morphine sulphate is administered every four hours to a client with renal lithiasis to treat pain and renal colic. Which evaluation result should cause the nurse to provide a PRN dosage of naloxone? A. Unresponsive to verbal or tactile stimuli. B. Respiratory rate of 12 breath/minute. C. Statements about visual hallucinations. D. Complaints of increasing flank pain.
- 4. Safety a. In car (seatbelts, where children sit). b. Environment (lead, allergens). c. Food. d. Stress reduction. e. STD's. f. Immunizations. g. SBE Self Breast Exam, mammogram, pap, testicular exam, PSA, rectal. h. Physician (cholesterol, B/P, blood sugar) assessments. i. Alternative Therapies j. Support. k. Other.100. A nurse caring for a client recently diagnose with leukemia. Which of the following signs andsymptoms are consistent with this diagnosis? (Select all that apply)a. Bleeding gumsb. Bone painc. Weight gaind. Increased urinatione. Fatigue7. Mrs J is prescribed oral prednisolone in a descending dose regimen. She is to take 60 mg once daily, reducing by 10 mg every 2 days until a dose of 10 mg is reached. She is then to take 10 mg for 7 days followed by 5 mg for 7 days and then stop. How many prednisolone 5 mg tablets would you need to supply to Mrs J to fulfil the full course of treatment?
