Tiêu đề RECALLS 9 - NP4 - SC ✅

of the following information should you expect to see in Pierre’s medical records? A. Abdominal pain and bloody diarrhea B. Weight gain and elevated blood glucose C. Abdominal distension and hypoactive bowel sounds D. Heartburn and regurgitation 12. Pierre had a recent exacerbation of ulcerative colitis. He is put on mesalamine (Asacol), which is to be administered rectally via an enema. Pierre finds this procedure distasteful and he asks you, “Why can't the medication just be given orally?”. You answer Pierre correctly by saying which of the following? A. “It can be given orally; I’ll contact the doctor and see if the change can be made.” B. “Rectal administration delivers the medication directly to the affected area.” C. “Oral administration will not be as effective for the disease condition.” D. “It can be given orally, I’ll make the change and we’ll tell the doctor in the morning.” 13. You overhear a licensed practical nurse (LPN) talking to one of your patients, Mousse, who is being prepared for a total colectomy with creation of an ileoanal reservoir for her ulcerative colitis. To decrease Mousse’s anxiety, you should intervene to clarify the information given by the LPN when you hear the LPN saying: A. “This surgery will prevent you from developing colon cancer.” B. “After this surgery you will no longer have ulcerative colitis.” C. “When you return from surgery you will not be able to eat solid food for several days.” D. “You will have an ileostomy when you return from this surgery.” 14. Wyper, a 20 year old male client, is admitted to your unit because of the exacerbation of their ulcerative colitis. You go into Wyper’s room to complete an initial assessment, and he yells, “Get outta here! I am tired of you nurses and doctors looking at my body all the time!” Which of the following is your best action? A. Leave the room and ask a male colleague to complete the assessment. B. Verbally acknowledge the client’s frustration and anger. C. Call the health-care practitioner and ask for a sedative order. D. Tell the client that gathering data about his current condition will promote effective timely treatment of his health concerns. 15. You are caring for Conis, a patient admitted in your unit who is diagnosed with Crohn’s disease. She has undergone a barium enema that demonstrated the presence of strictures in her ileum. Based on this finding, you should monitor the client closely for signs of: A. peritonitis. B. obstruction. C. malabsorption. D. fluid imbalance. SITUATION: You are a new nurse assigned to take care of patients with various eye disorders. You use your knowledge to help these patients with their condition. 16. One of the patients in your unit, Pagaya, is diagnosed with glaucoma. Which of the following symptoms should you expect the client to report during your initial assessment with him? A. Loss of peripheral vision. B. Floating spots in the vision. C. A yellow haze around everything. D. A curtain coming across vision. 17. Pagaya has now been prescribed a miotic cholinergic medication for his glaucoma. Which of the following data indicates that the medication has been effective on Pagaya? A. No redness or irritation of the eyes B. A decrease in intraocular pressure C. The pupil reacts briskly to light D. The client denies any type of floaters 18. You are caring for Gan Fall, a postoperative patient, after his retinal detachment surgery. Gas tamponade was used to flatten the patient’s retina during the procedure. Which of the following interventions should you implement first? A. Teach the signs of increased intraocular pressure. B. Position the client as prescribed by the surgeon. C. Assess the eye for signs/symptoms of complications. D. Explain the importance of follow-up visits. 19. You are caring for Conis, a patient with severe myopia. She is scheduled for a laser assisted in situ keratomileusis (LASIK) surgery. Which of the following instructions should you discuss with Conis prior to her discharge from the surgery? A. Wear bilateral eye patches for three (3) days. B. Wear corrective lenses until the follow-up visit. C. Do not read any material for at least one (1) week. D. Teach the client how to instill corticosteroid ophthalmic drops. 20. Eneru, a 65 year old male client is complaining of blurred vision, but denies having any type of pain. He reports to you, “I feel like I need to clean my glasses all the time”. Which of the following eye disorders should you suspect that Eneru has? A. Corneal dystrophy B. Conjunctivitis C. Diabetic retinopathy D. Cataracts SITUATION: You are a nurse studying the different types of shock and its appropriate nursing interventions. You come across the following patients in your unit. You applied the concepts you’ve learned to your nursing practice. 21. Foxy is a client admitted to the emergency department. Assessment findings include diaphoresis, pale clammy skin, and a blood pressure reading of 90/70. Which of the following interventions should you implement first? A. Start an IV with an 18-gauge catheter. B. Administer dopamine intravenous infusion. C. Obtain arterial blood gases (ABGs). D. Insert an indwelling urinary catheter. 22. Porche is a patient diagnosed with neurogenic shock. As a knowledgeable nurse, you expect to note which of the following signs and symptoms in this client? A. Cool, moist skin. B. Bradycardia. C. Wheezing. D. Decreased bowel sounds 23. One of the patients in your unit, Hamburg, was diagnosed with septicemia. The following are the orders given by Hamburg’s primary physician. Which of these orders will have the highest priority? A. Provide a clear liquid diet. B. Initiate IV antibiotic therapy. C. Obtain a STAT chest x-ray. D. Perform hourly glucometer checks. 24. You wrote the nursing diagnosis of “alteration in comfort related to chills in fever” in one of your patients who has sepsis. Which of the following interventions would you include in this patient’s plan of care? A. Ambulate the client in the hallway every shift. B. Monitor urinalysis, creatinine level, and BUN level. C. Apply sequential compression devices to the lower extremities. D. Administer an antipyretic medication every four (4) hours PRN. 25. A patient named Chiqicheetah presents themselves in the emergency department complaining of abdominal pain, is pale and clammy, and has a pulse of 110 and a blood pressure reading of 92/60. Chiqicheetah has vertebral fractures, and she reported she has been self-medicating with Ibuprofen, a type of nonsteroidal anti-inflammatory drug (NSAID). Which of the following type of shocks should you expect in patient Chiqicheetah? A. Cardiogenic shock. B. Hypovolemic shock. C. Neurogenic shock. D. Septic shock. SITUATION: You are caring for patients in your unit with alterations in their fluid and electrolytes. As a knowledgeable nurse, you apply the concepts of fluid and electrolytes in your nursing practice. 2 | Page
26. As an experienced nurse, you know that client incidence of hypermagnesemia is rare in comparison with hypomagnesemia. A student nurse approached you and asked how hypermagnesemia develops. You answer her correctly by saying that hypermagnesemia generally occurs secondary to: A. Cardiac contractility. B. Hypokalemia. C. Liver failure. D. Renal insufficiency. 27. You are assigned to care for Ace, a patient diagnosed to have hypokalemia. As a knowledgeable nurse, you know that the electrolyte that must be corrected in this scenario is: A. Calcium. B. Magnesium. C. Manganese. D. Zinc. 28. You are caring for a group of patients in the ward. While reviewing each of the patient’s charts, you determine which of the following patients is most likely at risk for fluid volume deficit? A. A client with an ileostomy B. A client with heart failure C. A client on long-term corticosteroid therapy D. A client receiving frequent wound irrigations 29. You are refreshing your knowledge on sodium imbalances. As a knowledgeable nurse, you know that which of the following patients in the ward is most likely to develop a sodium level at 130 mEq/L (130 mmol/L)? A. The client who is taking diuretics B. The client with hyperaldosteronism C. The client with Cushing’s syndrome D. The client who is taking corticosteroids 30. You are reviewing one of your patient’s progress notes. You read that the physician has documented “insensible fluid loss of approximately 800mL daily”. As a knowledgeable nurse, you make a notation that insensible fluid loss occurs through which of the following types of excretion? A. Urinary output B. Wound drainage C. Integumentary output D. The gastrointestinal tract SITUATION: You are a nurse assigned to care for and educate patients in the cancer unit of the hospital you are working on. You apply the concepts you’ve learned regarding cancer to ensure a safe nursing practice. 31. You are reviewing your notes on cancer. After much reading, you know that cancer prevalence is defined as? A. The likelihood cancer will occur in a lifetime. B. The number of persons with cancer at a given point in time. C. The number of new cancers in a year. D. All cancer cases more than 5 years old. 32. Gol is your patient diagnosed to have testicular cancer. He expressed his concerns regarding fertility since him and his partner desires to eventually have a family. As Gol’s primary nurse, you discuss the option of sperm banking. You inform Gol and his partner that sperm banking needs to be performed when? A. Before treatment is started. B. Once the client is tolerating the treatment. C. Upon completion of treatment. D. When tumor markers drop to normal levels. 33. You are working with Bellamy, a client with known risks for lung cancer. He asks you why he is scheduled for a computed tomography (CT) scan as part of his initial workup. You answer Bellamy correctly when you respond by saying: A. “CT is far superior to magnetic resonance imaging for evaluating lymph node metastasis.” B. “CT is noninvasive and readily available.” C. “CT is useful for distinguishing small differences in tissue density and detecting nodal involvement.” D. “CT can distinguish malignant adenopathy from nonmalignant adenopathy.” 34. You are caring for Cricket, a patient with pain related to bone cancer. You conducted an assessment on Cricket in relation to this. You know that which of the following is the most important component of a thorough pain assessment specific for patient Cricket? A. Intensity. B. Cause. C. Aggravating factors. D. Location. 35. Noland is a cancer patient you are tasked to care for. He is receiving the medication vincristine (Oncovin). You plan your health teaching for Noland regarding this medication. Which of the following should you include in your instructions to Nolan? A. Use of loperamide (Imodium). B. Fluid restriction. C. Low fiber, bland diet. D. Bowel regimen. 36. Sarquiss is a 57 year old client receiving chemotherapy that has the potential to cause pulmonary toxicity. Which of the following symptoms would you note in Sarquiss that could indicate a toxic response to the chemotherapy? A. Decrease in appetite. B. Drowsiness. C. Spasms of the diaphragm. D. Cough and shortness of breath. 37. Hina is one of the patients you are tasked to care for her in the unit. She is beginning external beam radiation therapy to the right axilla after her lumpectomy for breast cancer. You plan to conduct a health teaching. Which of the following would you include in your education to Hina? A. Use a heating pad under the right arm. B. Immobilize the right arm. C. Place ice on the area after each treatment. D. Apply deodorant only under the left arm. 38. Tony Tony is a patient receiving radiation therapy for lung cancer. He complains that he is having difficulty sleeping. After hearing this statement from your patient, you should: A. Suggest the client stop watching television before bed. B. Assess the client’s usual sleep patterns, amount of sleep, and bedtime rituals. C. Tell the client sleeplessness is expected with radiation therapy. D. Suggest that the client stop drinking coffee until the therapy is completed. 39. You are caring for Nico, a patient with cancer who requires a bolus tube feeding. You prepare to administer the bolus tube feeding and as a skilled nurse, which of the following nursing interventions is most appropriate to decrease the risk of aspiration in this patient? A. Place the client on bed rest with the head of the bed elevated to 60 degrees for 2 hours. B. Place the client on the left side with the head of the bed at 45 degrees for 15 minutes. C. Assist the client out of bed to sit upright in a chair for 1 hour. D. Ask the client to rest in bed with the head of the bed elevated to 30 degrees for 20 minutes. 40. Portgas is a cancer patient receiving chemotherapy. He is experiencing a flare up of pruritus. You are planning to develop a care plan for Portgas. In order to develop the nursing care plan, you should ask him if he has been: A. Wearing clothes made from 100% cotton. B. Sleeping in a cool, humidified room. C. Increasing fluid intake to at least 3,000 mL/ day. D. Taking daily baths with a deodorant soap. SITUATION: You are a nurse caring for patients with cardiac complications. You use your knowledge on cardiovascular concepts to help these patients. 41. You are working on the unit with patient Brogy. At 7:30 AM, you received a verbal order from his primary HCP for a cardiac catheterization to be completed on him by 2:00 PM. Which of the following actions should you initiate first in Brogy? A. Initiate NPO (nothing per mouth) status for the client. B. Teach the client about the procedure. C. Start an intravenous (IV) infusion of 0.9% NaCl. D. Ask the client to sign a consent form. 42. You are working with Dorry, a male patient who experienced a myocardial infarction a few days ago. You noted that patient Dorry seems unusually fatigued. Upon your assessment, you find that patient Dorry is dyspneic with 3 | Page