Tiêu đề RECALLS 6 - NP4 - SC ✅

2 | Page D. Oxygen saturation 14. Ysha is ordered to receive desmopressin (DDAVP) for management of her condition. The nurse should check which of the following measurement to determine the effectivemess of this medication? A. Daily Weight B. Temperature C. Apical heart rate D. Pupillary response 15. The nurse knows that which of the following conditions may alter the effectiveness of DDAVP? A. Increased oral secretion B. Arterial Obstruction C. Nasal Congestion D. Obesity 16. Matilda, with hyperthyroidism is to receive Lugol’s iodine solution before a subtotal thyroidectomy is performed. The nurse is aware that this medication is given to: A. Decrease the total basal metabolic rate. B. Maintain the function of the parathyroid glands. C. Block the formation of thyroxine by the thyroid gland. D. Decrease the size and vascularity of the thyroid gland. Situation: A 30 year old client named Kiana is admitted to the Philippine Lung Center due to sudden onset of chest pain and dyspnea. He has no history of respiratory diseawse but had a complete femur fracture. 3 days ago the following questions apply 17. He is diagnosed with pulmonary embolism (fat embolism) the nurse immediately implements which expected prescription for this client? A. HIGH FOWLER’S, OXYGEN, MORPHINE B. Supine position, oxygen, and meperidine hydrochloride (Demerol) [IM] C. High Fowler’s position, oxygen, and meperidine hydrochloride (Demerol) [IV] D. High Fowler’s position, oxygen, and two tablets of acetaminophen with codeine (Tylenol #3) 18. The doctor ordered ABG analysis for Chandler Bing. The nurse is now sending the ABG specimen to the laboratory for analysis. Which of the following pieces of information should the nurse write on the laboratory requisition? 1 Ventilator settings – fraction of inspired oxygen (FiO2) 2 A list of client allergies 3 The client’s temperature 4 The date and time the specimen was drawn 5 Any supplemental oxygen the client is receiving 6 Extremity from which the specimen was obtained A. 1,3,5,6 B. 1,2,4,5 C. 1,2,3,4 D. 1,3,4,5 19. The nurse is now inserting an oropharyngeal airway to Kianna The nurse plans to use which correct insertion procedure? A. Flex the client’s neck B. Leave any dentures in place C. Suction the client’s mouth once per shift D. Insert the airway with tip pointed upward 20. Chandler Bing is now intubated and receiving mechanical ventilation. The physician has added 7 cm of positive end expiratory pressure (PEEP) to the ventilator settings of the client. The nurse assesses for which of the following expected but adverse effects of PEEP? A. Decreased peak pressure on the ventilator B. Increased temperature from 98OF to 100OF rectally C. Decreased heart rate from 78 to 64 beats per minute D. Systolic blood pressure decrease from 122 – 98 mmhg SITUATION: Janice is a 50-year-old obese patient. She admits that her self-esteem has been progressively becoming low as her body size increases. She also claimed that her performance in her work has already been impaired. She electively subjects herself to a bariatric surgery. 21. Rapid emptying of gastric contents into the small intestine may occur postoperatively due to gastric resection. Dina is at risk for developing dumping syndrome. The nurse monitors her for: A. Dizziness B. Bradycardia C. Constipation D. Extreme thirst 21. The nurse places Janice in which best position to prevent occurrence of dumping syndrome? A. Supine B. Trendelenburg C. Fowler’s D. Prone 23. Janice now ready to resume diet since she now has normal bowel sounds. To minimize complications from eating, the nurse teaches her to do which of the following? 1. Lying down after eating 2. Eating a diet high in protein 3. Eating a diet low in protein 4. Eating six small meals per day 5. Eating concentrated sweet between meals A. 1,3,5 B. 1,2,5 C. 1,2,4 D. 1,3,4 24. In preventing dumping syndrome which additional instruction should be provided to Janice A. Ambulate following a meal B. Eat high carbohydrate foods C. Limit the fluids taken with meals D. Sit in a high fowler position during meals Situation: Patients with varying diseases always receive medications for them to recuperate. As part of the dependent functions of a nurse, knowledge in pharmacology is one of the most essential competensies that should possess to be aware when to verify a doctor’s medication order and to know the side effect, adverse effect therapeutic level and nursing consideration for each drug 25. A. nurse in the new ward is reviewing the result of a client Richard’s Phenytoin Dilantin level that was drawn that morning the nurse determines that he had a therapeutic drug level if the result was Phenytoin (Dilantin) Anticonvulsant normal – 10 – 20 mcg A. 3 mcg/mL B. 8 mcg / ml C. 15 mcg / ml D. 24 mcg/ ml 26. Client Mark has begun medication therapy with Betaxolol (Kerlone) The nurse determines he is experiencing the intended effect of therapy which of the following is noted? A. Edema present at B. Weight loss of 5 pounds C. Pulse rate increased from 58 to 74 beats/ min D. Blood pressure decreased from 142/94 to 128/82 mmHg 27. The nurse has taught another client named Darl with asthma, who is taking a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu? A. Cola B. Coffee C. Chocolate milk D. Cranberry juice 28. Client Argie is ordered to start on Glipizide once daily. The nurse observes for which of the following intended effect of this medication? A. Weight loss B. Resolution of infection C. Decreased blood glucose D. Decreased blood pressure