Tiêu đề RECALLS 2 (NP3) SC ✅

Based on the data and expected outcomes, which of the following should you emphasize in the teaching plan for Morgan? A. Food intake. B. Fluid volume. C. Skin integrity. D. Tissue perfusion. 12. Helmeppo, a client admitted to the emergency department is complaining of severe abdominal pain. After several tests, a radiograph of his revealed a large abdominal aortic aneurysm. The primary goal for Helmeppo at this time is to: A. Maintain circulation. B. Manage pain. C. Prepare the client for emergency surgery. D. Teach postoperative breathing exercises. 13. Yasopp, a 54 year old client was admitted in the emergency department. On assessment, it was revealed he has severe back pain, Grey Turner’s sign, nausea, BP of 90/40, HR of 128 bpm, and RR of 28 cpm. As Yasopp’s nurse, you should first do which of the following actions: A. Assess the urine output. B. Place a large bore I.V. C. Position onto the left side. D. Insert a nasogastric tube. 14. Arlong, one of the patients assigned to you, complains of sudden, severe pain in his back and chest, accompanied by SOB. He describes the pain sensation as “as if something was tearing inside”. The physician suspects that he is experiencing a dissecting aortic aneurysm. The code cart is brought into Arlong’s room because you know that one of the complications of dissecting aneurysm is: A. Cardiac tamponade. B. Stroke. C. Pulmonary edema. D. Myocardial infarction. 15. Hatchan is to be discharged after his surgery of aortic aneurysm repair with synthetic graft to replace part of his aorta. As part of your discharge teaching, you instruct Hatchan to notify his physician before doing which of the following procedures? A. Blood drawn. B. An I.V. line inserted. C. Major dental work. D. An X-ray examination. Situation – Juliet, a Pediatric Cardiovascular Nurse is assigned to take care of 3 children in her unit. She just admitted a 12- year- old female patient suffering from Rheumatic Fever (RF) 16. When doing an assessment, which ONE of the following conditions is NOT present based on the Jones Criteria? A. Erythema Marginatum B. Subcutaneous nodules C. Chorea D. Bronchopneumonia 17. In Rheumatic fever, the factor contributory to the development of this disease process is brought about by __________. A. Auto-immune reaction to streptococcal infection B. Auto-immune reaction to collagen disease C. Parents had rheumatic heart disease D. Exposure to colds and droplet infection 18. Marimar, 6 years old, is receiving digitals for having Patent Ductus Arteriosus with heart failure with heart failure. Prior to the administration of the medicines, which of the following nursing actions should be done by nurse Rica? A. Take the carotid pulse rate for one full minute. B. Take the heart rate for one full minute C. Take the respiratory rate D. Take the blood pressure 19. While Nurse Juliet was doing her regular rounds, one of the mothers approached her saying that her child who has a Tetralogy of Fallot preferred to squat on bed rather than assuming a supine position. The BEST action of the Nurse is ___________. A. Let the mother continue the position of her child if she feels comfortable with it. B. Divert the child’s attention by letting her join the nurses’ rounds C. Put her in bed and start to administer oxygen inhalation D. Discourage the child and let her lie on bed with 2 pillows instead. 20. Another patient in the Unit is Nikki, 8 years old, waiting to be scheduled for surgery because of a Coarctation of the Aorta. With this disorder, Nikki will manifest which one of the following symptoms? A. Murmur and bruit of the lungs B. Central and peripheral edema C. Hypertension and diminished pulses in the extremities. D. Hepatomegaly and shortness of breath SITUATION: You are a nurse tasked to care for Alvida, a patient with peripheral vascular disease. You use your knowledge on PVD to help care for this patient effectively. 21. You are planning care for patient Alvida with a history of PVD with symptoms of claudication. The focus of your nursing care should be directed in avoiding which of the following scenarios? A. Oxygen demand by the muscle exceeds the supply. B. Oxygen demand and supply of the working muscle are in balance. C. Oxygen supply exceeds the demand of the working muscle. D. Oxygen is absent. 22. You are reviewing the labs of Alvida. You note which of the following common abnormal laboratory results that are associated with the development of peripheral vascular disease (PVD)? A. High serum calcium level. B. High serum lipid levels. C. Low serum potassium level. D. Low serum lipid levels. 23. You are conducting your assessment on Alvida. You are checking her lower extremities expecting to find which of the following clinical manifestations of peripheral vascular disease? A. Hairy legs. B. Mottled skin. C. Pink, cool skin. D. Warm, moist skin. 24. Your patient Alvida with PVD has undergone a right femoral-popliteal bypass graft. You assess her blood pressure noting a decrease from 124/80 to 94/62. Which of the following should you assess in Alvida first? A. IV fluid solution. B. Pedal pulses. C. Nasal cannula flow rate. D. Capillary refill. 25. After further assessment on Alvida who was diagnosed with PVD, you found out that she also has a history of heart failure. You will develop a plan of care for Alvida based on the fact that she may have low tolerance for exercise related to: A. Decreased blood flow. B. Increased blood flow. C. Decreased pain. D. Increased blood viscosity Situation – Mr Rodney, a post- operative, was given Amoxycillin at 12 midnight by the nurse on duty (NOD). The physician asked the patient during his rounds if he has receive the drug, the patient answered “NO”. The physician clarified the claim from the chart and from the chart and from the NOD. 26. When the physician clarifies the process of Drug Administration, this Quality Improvement Process is known as A. System analysis B. Root cause Analysis C. Problem identification D. Pareto Chart 27. Which of the following is the primary reason why the physician wanted to clarify the process? A. Measures the turnaround time of medication B. Better communication with patient and result C. Identify gap in the medication administration 2 | Page