Tiêu đề RECALLS 7 - NP3 - SC ✅

C. Watch out for increased urine output. D. Closely monitor the blood pressure for hypotension 13. The nurse asked the student nurse about the clinical manifestations of a patient with diabetes insipidus. The student nurse would be correct if she states the following, except: A. Flat neck veins B. Altered LOC C. Skin tenting D. Crackles on both lungs 14. A fluid deprivation test was ordered by the physician and the patient was deprived of fluid for 10 hours. The patient still excretes large volumes of urine and weight loss. What would warrant the nurse’s attention and prompt for an immediate termination of the test? A. The urine specific gravity gradually increases. B. The urine output decreases. C. The patient’s blood pressure is below the baseline, and continuously decreases. D. 3% of the body weight is lost. 15. DI happens due to a decreased production of ADH. On the other hand, SIADH has an overproduction of ADH leading to hypertension, weight gain, crackles, as well as edema. What nursing interventions are appropriate for a nursing diagnosis of fluid volume excess, except? A. Accurately replace fluid loss. B. Restrict fluid intake. C. Administer furosemide as prescribed. D. Assess lung sounds for crackles. Situation: Evelyn, a retired Barangay Health Worker, came to the OPD for her check-up for her diabetes mellitus. She had been diabetic since she was 37 years old. She has been taking her maintenance medications which she sometimes does not comply with. 16. There are metabolic abnormalities in the development of type 2 Diabetes. Which of the following is NOT included in these abnormalities? A. Inappropriate production of the liver B. Increased ability of the pancreas to produce insulin C. Insulin resistance D. Altered production of hormones by adipose tissues 17. Ms. Evelyn was admitted to the hospital for further check-up. Which of the following diagnostic tests do you expect to be ordered by the diabetologist as an indicator that the patient is compliant to her prescribed diet? A. Oral glucose tolerance test B. Glycosylated hemoglobin level C. Finger glucose findings for one day D. Fasting blood glucose level 18. While Nurse Eric was completing her assessment, she discovered the following findings. Which of the following should she refer immediately to the physician? A. Tingling sensation of the hands and feet B. Changes in the peripheral vision C. Beginning ulceration of the left big toe D. Fruity odor breath 19. Nurse Eric, the nurse in charge of patient Evelyn, informed her physician that her serum glucose level is 38mmol/L and quite unresponsive to verbal questioning. The nurse suspects that she is starting to develop Diabetes Ketoacidosis (DKA). Which of the following manifestations is UNIQUE to this condition? A. Shallow slow respirations B. Increased serum potassium C. Rapid deep respirations D. Decreased serum albumin 20. Nurse Eric’s counseling role includes lifestyle changes as well as pharmacologic regimen. Evelyn’s family were interested to know information regarding insulin. She differentiated an intermediate acting insulin from that of short-acting which is _________. A. Regular onset is 2 hrs. Peak is 3 1⁄2 hr., duration -7 hrs., administered 20-30 min. before meal B. Regular onset is 2-4 hr., peak is 4-12 hr., duration is 8 hr., administered 20-30 min. after meal C. Regular, onset is 1 1⁄2 hr, peak is 3-4 hrs, duration is 6 hrs. administered 20-30 min after meal D. Regular onset is 1⁄2 - 1hr, peak is 2-3 hr., 4-6hr duration administered 20-30 min. before meal Situation: Nurse April is managing patients with cardiac dysrhythmias and conduction problems. 21. Nurse April interprets the rhythm strip of a patient who underwent electrocardiogram. Which of the following waves represent ventricular depolarization? A. P wave B. QRS complex C. T wave D. ST segment 22. Nurse April reads the ECG rhythm of a patient as having torsades de pointes. Which of the following medications must she expect to be ordered immediately? A. Magnesium B. Atropine C. Sodium bicarbonate D. Vasopressin 23. Which of the following ECG rhythms warrant immediate defibrillation? A. Ventricular tachycardia B. Ventricular fibrillation C. Asystole D. Atrial fibrillation Situation: Client suffering from cardiovascular disorders. 24. Which of the following nursing interventions is most appropriate in the care of a patient who has venous insufficiency? A. Elevating the legs B. Increasing the fluid intake C. Limiting the activity level D. Massaging the extremities 25. A client's medical record states a history of intermittent claudication. In collecting data about this symptom, the nurse would ask the client about which symptom? A. Chest pain that is dull and feels like heartburn B. Leg pain that is sharp and occurs with exercise C. Chest pain that is sudden and occurs with exertion D. Leg pain that is achy and gets worse as the day progresses Situation: Nurse Karen is assigned to care of clients with respiratory disorders. 26. The client is scheduled for a bronchoscopy. Which of the following is not necessary to be done by the nurse when preparing the client for the procedure? A. Secure written consent. B. Ask for allergy to seafoods or iodine. C. Maintain NPO for 6 to 8 hours. D. Instruct client to remove dentures or bridges. 27. The nurse is teaching the client how to manage a nosebleed. Which of the following instructions would be appropriate to give to the client? A. "Tilt your head backward' and pinch your nose." B. "Lie down at and place an ice compress over the bridge of your nose." C. "Blow your nose gently with your neck flexed." D. "Sit down, lean forward, and pinch the soft portion of your nose." 28. Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema? A. To promote oxygen intake. B. To strengthen the diaphragm. C. To strengthen intercostal muscles. D. To promote carbon dioxide elimination. 29. Which of the following diets would be most appropriate for a client with COPD? A. Low fat, low cholesterol diet. B. Bland, soft diet. C. Low sodium diet. D. High calorie, high protein diet. 2 | Page