Tiêu đề RECALLS 11 - NP4 - SC ✅

2 | Page Frederico claims pain was not relieved by rest and sublingual Nitroglycerine. 11. The wife of Frederico asks you, “what is expected to be detected from the results of the ECG”? Which of the following is your MOST appropriate response? A. “Electrical activity of the heart will be shown on a series of waveforms” B. “Damage to the internal structures of the heart” C. “Blocked coronary arteries” D. “Irregular heart rhythm due to damage of the heart muscle” 12. You recognize that myocardial infarction id described by the damage area of the heart. If the diagnosis of the patient is Lateral Myocardial Infraction, which of the following coronary artery is occluded? A. Left circumflex artery B. Posterior descending artery C. Right coronary artery D. Left anterior descending coronary artery 13. A The wife further asks why her husband is experiencing so much pain. The nurse is correct when she says that the cause is/are: A. Macrophages congregating at the site of infarction B. Increased level of serum calcium and potassium C. Circulatory overload D. Inadequate oxygen supply to the cardiac muscle 14. The physician ordered a 12-lead ECG. What ECG result indicates that Patient Frederico may have suffered a Myocardial Infarction (MI)? A. ST-segment elevation B. QT-interval narrowing C. Q-wave inversion D. Flat P wave 15. All of these results of enzyme studies may indicate the presence of MI except: A. Increased myoglobin B. Increased CK-MB C. Elevated SGPT (ALT) D. Elevated SGOT (AST) Situation: Medrano, a 60 year old cook was admitted in the Emergency Department (ED) because of burn wounds sustained when the kitchen where he is working burned down due to a gas tank explosion. 16. The physician diagnosed deep partial thickness on the anterior head and neck, whole anterior truck and anterior upper right and left limbs. If the physician will use the rile of Nine, which of the following is the correct estimate of the surface area burned of the patient’s trunk? A. 18% B. 36%? C. 4.5% D. 9.0% 17. The best describes the characteristics of Medrano’s burn wounds, which of the following will the admitting nurse NOT consider? A. The wound appears pale and waxy with blisters looking like flat dry tissue paper B. The burn wounds may be less painful than the partial thickness burn wound C. Wound will not heal by re-epithelialization D. Skin blanches with pressure 18. Considering the burn wounds on the face, which of the following will the nurse expect to be done immediately on Medrano to maintain alveolar oxygen exchange? A. Oral Suctioning B. Tracheostomy C. Intubation D. Fluid resuscitation 19. Which nursing actions should the nurse do for the client? 1. Assess airway patency. 2. Administer oxygen, as prescribed. 3. Keep the patient warm. 4. Place a cooling blanket. 5. Prepare to give oral pain medication, as prescribed. A. I, II, III, V B. I, II, IV C. I, II, III D. I, II, III, IV, V 20. Complete blood count results showed an elevated hematocrit. Then nurse understand that this is the result of ________? A. Increase fluid volume in the interstitial compartment B. Massive destruction of erythrocytes C. Increased microvascular permeability D. Fluids shifts from the intravascular compartment Situation: Alfonso, 5 years old, was admitted because of persistent low grade fever, pallor, fatigue, petechiae and bleeding from the oral mucous membrane. The attending physician suspects acute Lymphocytic Leukemia. 21. Alfonso was scheduled for bone marrow aspiration. As his nurse, you are aware that in children the site preferred is the iliac crest because it_______: A. Can easily be penetrated B. Is less painful C. Yields more bone marrow D. Heals faster 22. Alfonso is for bone marrow aspiration. The physician said he will aspirate bone marrow through the iliac crest posterior. Which of the following position is MOST appropriate? A. Sim’s B. Supine C. Lateral D. Prone 23. To confirm the diagnosis of the physician, which of the following will establish an Acute Lymphocytic Leukemia diagnosis? A. Presence of immature thrombocytes B. Over production of granulocytes C. Presence of more than 25% blast cells D. A WBC count of 50,00 cells/mm 24. During the first hour post bone marrow aspiration, which of the following is a PRIORITY activity? A. Apply pressure dressing B. Monitor body temperature C. Maintain on complete bed rest D. Observe the dressing for bleeding 25. Alfonso received blood transfusion because of severe anemia, immediately after the strat of transfusion, he cried and complained of headache. Which of the following is your PRIORITY action? A. Refer to the physician B. Take vital signs C. Discontinue the transfusion D. Assess for dyspnea Situation: Ferdinand, 67 years old business man with symptoms of post-void urinary dribbling, decreased forced of urinary stream, inability to empty the bladder completely, and difficulty in initiating urination. After a series of diagnostic tests, he was diagnosed of benign Prostatic Hypertrophy. 26. While you were taking his history, Ferdinand asks you what could be the cause of these embarrassing symptoms. Your BEST response would be “the symptoms you are experiencing can be due to_______”. A. Urinary tract infection” B. Stones in your urinary bladder” C. Pressure of your prostate on your bladder and around your urethra: D. Strictures in your ureters and urethra” 27. The physician ordered a number of diagnostic tests for Ferdinand. Which of the following tests is capable of determining the size of the prostate and differentiate benign prostatic hypertrophy (BHP) from prostate cancer? A. Intravenous pyelography B. Transrectal ultrasound C. Cystouroscopy D. Prostate specific antigen