Tiêu đề RECALLS 9 (NP3) - STUDENT COPY ✅

D. “Maybe you can try a different drug which contains ephedrine.” 14. The physician informs Kura the possible surgical treatment if Jennifer does not improve. Which of the following is a surgical treatment to relieve sinusitis? A. Functional endoscopic sinus surgery B. Transsphenoidal hypophysectomy C. Minimally invasive sinus scoping D. Sinus rhinoplasty 15. Postoperatively, the nurse should instruct Kura to provide saline nasal sprays to Jennifer every _________. A. 1-2 hours B. 2-4 hours C. 4-6 hours D. 6-8 hours SITUATION: Various patients are at risk for blood clots which travel through the bloodstream and reach the lungs. These situations are emergency situations and nurses must be alert to the signs and symptoms caused by the clots. 16. Which of the following is the least risk factor for thromboembolisms? A. Blood hypercoagulability B. Venous stasis C. Tunica damage D. Vigorous exercise 17. Of the following, these are possible emboli which may lodge into the lung’s vascularity. 1. Fat 2. Oil 3. Air 4. Tumor cells 5. Amniotic fluid 6. IV catheters 7. Blood clots 8. Pus A. 1,2,3,4,5,7,8 B. 1,2,3,4,5,6,7,8 C. 1,3,4,5,6,7,8 D. 1,2,3,4,5,6,7 18. Lionel was diagnosed to have a venous thrombosis upon ultrasound. The physician has ordered a heparin infusion to prevent further clots. The health team will monitor the laboratory parameter __________. A. Partial thromboplastin time B. Prothrombin time C. International Normalized Ratio D. Clotting factor time 19. While having an infusion of heparin through the intravenous line, the nurse sees air bubbles travel into Lionel’s arm through the IV line. Which emergency intervention must the nurse do? A. Aspirate the IV line B. Place Lionel in a left-lateral Trendelenburg C. Provide oxygen via a venturi mask delivering 24% D. Notify the physician 20. While in heparin therapy, the nurse must instruct Lionel on proper self-care. Which of the following must Lionel do? A. Dip toothbrush in warm water before using B. Wear tight-fitting slippers and sandals C. Eat caramel, cookies, and nuts D. Trim the nails every two weeks SITUATION: Jay Y. Peace, a celebrity in the Philippines, was stabbed in the chest by a paparazzi who wanted to date him. He was then admitted to the Kwangya National Hospital for immediate treatment. 21. Which finding by the respondents does not solidify the claim that JYP is suffering from a pneumothorax? A. Reduced breath sounds on auscultation B. Hyperresonance on percussion C. PMI on the left of the left MCL D. Dull sounds on auscultation 22. In a similar case of JYP’s, if there has been another stabbing incident and the patient is seen in the streets with an open wound, what must be the first action of the responder? A. Call the emergency services B. Cover the chest wound C. Assess the pulse and responsiveness D. Determine the type of pneumothorax 23. The most fatal complication of a pneumothorax is _________________. A. Atelectasis B. Mediastinal shift C. Tracheobronchial necrosis D. Tension pneumothorax 24. For a patient undergoing thoracentesis, which position must the nurse place the patient in? A. Supine B. Semi-fowler C. Orthopneic D. Trendelenburg 25. Mark, a seven-year-old patient is brought to the emergency department. He is tachypneic and afebrile and has a respiratory rate of 36 CPM and a non-productive cough. From this history; the patient may have which condition? A. Asthma B. Bronchitis C. Emphysema D. COPD SITUATION: Nurse Nayeon is a staff nurse in the medical ward. She has patients of different conditions. Jihyo, a dancer, is admitted in the ward who is constantly urinating. 26. Nurse Nayeon has followed the physician’s orders and has deprived Jihyo of fluid intake. However, Jihyo’s urine output remains at 60mL per hour. Jihyo is suspected of having ____________. A. Syndrome of inappropriate antidiuretic hormone B. Diabetes mellitus C. Polycystic kidney disease D. Diabetes insipidus 27. The physician told Nurse Nayeon that Jihyo’s condition is caused by a defect in the pituitary gland. Which of the following pertains to this condition? A. Nephrogenic B. Primary C. Drug-related D. Oncologic 28. Upon checking Jihyo’s laboratory values, which of the following is expected? A. Urine specific gravity less than 1.005 – According to Ignatavicius (2012), urine of a diabetes insipidus patient is dilute with a low specific gravity (less than 1.005) and low osmolarity (50 to 200 mOsm/kg). B. High urine osmolarity C. Urine specific gravity more than 1.025 D. Amber urine color 29. Inhaled Desmopressin was given to Jihyo to aid in her condition. Nurse Nayeon provides health education to Jihyo regarding the administration of the drug. Which of the following indicates that teaching is effective? A. “I will take puffs of the drug while I am laying down.” B. “I will blow my nose before inhaling the drug.” C. “I will weigh myself every other day.” D. “I will take Acetaminophen for persistent headaches.” 30. Which laboratory values of Jihyo indicated to Nurse Nayeon that another dose of Desmopressin is needed? A. Urine output and specific gravity are increased B. Urine output is increased and urine specific gravity is decreased C. Urine output and specific gravity are decreased D. Urine output is decreased and urine specific gravity is increased SITUATION: Kai, a 28-year-old male, comes into the clinic with complaints regarding his body as the years go by. Nurse Victor is assessing him and is taking his health history and suspects an endocrine disorder. 31. To support Nurse Victor’s hypothesis of an endocrine disorder, which of the following statements made by Kai should be most noted of? A. “May nararamdaman po akong pagtusok-tusok sa mga daliri ko sa paa.” B. “Kapag ako ay tatakbo, mas madali na ako hingalin at parang sumasakit dibdib ko.” 2 | Page