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Final Q

Terms in this set (44)

A nurse is doing peer teaching about amyotrophic lateral sclerosis. Which of the following statements are correct?
-In the most common presentation, it progresses rapidly
-It primarily affects voluntary muscles
-It causes degeneration of upper and lower motor neurons
-Symptoms include muscle weakness

It does NOT cause impairment of cognition
The nurse is caring for a patient who had surgery for a suspected cancerous pelvic mass. The patient is awaiting the pathology report. she is anxious and afraid. The priority nursing intervention is
Allowing the patient to communicate about the meaning of this process
The nurse examines the patients who c/o difficulty urinating. The prostate gland is symmetrically enlarged, firm, and smooth. BPH is suspected. The laboratory results are as follows: Na: 138, K:4.8 Cl:98 HCO3:26 BUN:20 Creat:1.0 Glucose: 84 WBC: 8.4 HGB: 15.5 Hct: 45% Platelets 380,000 PSA: 3.4
Based on these results the nurse concludes
All of the results are WNL, supporting the diagnosis of BPH
The RN is caring for a brain cancer patient who is confused and has had a low urine output for two days. The most important finding to immediately report to the HCP is
Serum sodium level of 119
Normal is 135-145
A 20 year old male is diagnosed with testicular cancer. The patient is telling the nurse about his understanding of the disease. Which of the following statements demonstrate correct understanding? SATA
-I can have my sperm frozen and preserved before surgery
-The surgical procedure will involve removing the testicle through an incision in the groin
-I can have an artificial testicle implanted after the surgery
The nurse us assessing a patient with possible testicular cancer. The nurse knows that common signs and symptoms of this disease are
Painless mass and a sensation of heaviness in the scrotal area
A colon cancer patient is receiving chemotherapy. The nurse notes the following labs: WBC 8.0 ANC: 6 Hgb:7.4 HCT:22.2 Platelets: 189 Based on this information, it is most important for the nurse to teach the patient about
Shortness of breath and fatigue r/t anemia
Hgb is LOW @ 7.4 (Men is 13.5-17.5)
Hct is LOW @22.2 (Men is 41-50)
The nurse is caring for a patient on neutropenic precautions. Which interventions should the nurse implement? SATA
-Recommend the pt take a stool softener
-Stop visitors from entering the room if actively coughing
-Prevent visitors from bringing fresh flowers into the pt room
-Perform hand hygiene before touching the patients belongings
The nurse discusses self-care guidelines to minimize the side effects of radiation on the skin. Which actions to reduce radiation skin reactions should the nurse explain to the patient? SATA
-Wear loose fitting soft clothing over the treated skin
- Use only skin products suggested by the radiation staff on the affected area
-Wash area gently with lukewarm water and mild soap
-Inspect the radiated area several times a day for skin breakdown
The nurse is caring for a patient who is being treated with brachytherapy for cancer. Safety precautions for the nurse include: SATA
Limiting the amount of time in the room
Wearing a dosimeter when caring for the patient
The patient is admitted to the orthopedic unit following revision of a total hip arthoplasty. He complains of feeling anxious, weak, and faint. The nurse assesses that he is tachycardic with a weak radial pulse, decreased blood pressure, increased respiratory rate. The skin color is pale and the ursine output is low. These signs and symptoms are most consistent with:
Hemorrhage
On the second post op day after a MVA, a patient with a fractured left-femur puts on his call light and complains of chest pain. The nurse takes the vital signs which are BP: 120/70, pulse 130, RR 28. The nurse suspects that the patients symptoms are most likley related to fat embolism and not pulmonary embolism when further assessment findings are
Pinpoint red areas on the upper chest
The patient had a L4-L5 laminectomy with a bone graft and is post-op day #1. Which assessment by the nurse requires the most immediate action?
The patient has a new onset of weakness in both legs
A client who had a Open right femoral fracture was discharged to her home where she developed fever, night sweats, chills, restlessness, and limited movement of the fractured leg. Which of the following is the best interpretation of these findings?
Osteomyelitis
A nurse who works in a rehabilitation unit complains of back pain from getting patients in and out of bed. All of the following will help prevent back pain. SATA
-Doing sit ups and leg lifts to strengthen the back muscles
-Stretching exercises of the lower back/ham strings
-Pushing rather than pulling
Sets found in the same folder