Published Sep 21, 2008
avicenna
16 Posts
hello all,
i am a new student, so i am just at the beginning at this excited path to be a nurse.
i dont know whether i am posting in the right section or not so sorry for that!
i have an assignment to be solved within one week and i am free to use any resource taking the answer whether by reading books or asking professionals. anyway, i am stick in some questions; some i have doubt in my answer and others i am totally stick in.
i have "choose the best answer" question and i am totally doing a mess!
i am confused which one is the best because some of them are all true for me… i hope if you can help me either by correcting me or by giving me a source to read from so i can answer them. (my answers written in red color)
[color=#333399]-[color=#22496e]the nurse should expect a patient who has chronic renal failure to be given epoetin alfa (epogen) to
a) elevate the wbc count
b) enhance the maturation of thrombocytes
c) increase the production of platelets
d) stimulate the synthesis of red blood cells
[color=#22496e][color=#333399]- [color=#22496e]which of the following blood values on the laboratory report should a nurse expect when assessing a patient who has emphysema?
[color=#22496e]a) pco2, 52 mm hg
[color=#22496e]b) ph 7.48
[color=#22496e]c) po2, 94 mm hg [color=#22496e]
d) hco3, 21 meq/2
[color=#333399]- [color=#22496e]which of the following outcomes observed by the nurse during the drain cycle of peritoneal dialysis should be reported immediately to the physician?
a) clear yellow output
b) cloudy output
c) patient complaint of slight cramping
d) a drain output of 50cc less than instilled
[color=#333399]- [color=#22496e]which of the following findings would a nurse identify as indicative of septic shock in a patient?
a) bradycardia
b) flushed appearance
c) cool, clammy skin
d) s3 gallop
[color=#333399]- [color=#22496e]the nurse should instruct a patient who is to receive digoxin (lanoxin) to report development of which of the following side effects?
a) ringing in the ears
b) loss of appetite
c) signs of bruising
d) sensitivity to sunlight
[color=#333399]- [color=#22496e]a seven-year-old girl is to begin her first immunization schedule. according to recommended guidelines, which of the following vaccines is not needed?
a) polio
b) pertussis
c) measles
d) mumps
[color=#333399]- [color=#22496e]which of the following instructions should a nurse give to a patient who has a history of venous leg ulcers in order to prevent recurrence?
a) “sit with your legs dependent whenever possible”
b) “use warm compresses on your legs in the evening”
c) “examine your legs for areas of redness everyday”
d) “keep your legs flexed when standing for long period
[color=#333399]- [color=#22496e]nursing care for a patient who has polycythemia vera would focus on preventing?
a) thrombosis
b) hypotension
c) dysrhythmias
d) decubitus ulcers
[color=#333399]- [color=#22496e]which of the following actions would a nurse take first when caring[color=#22496e]for a patient experiencing a cardiac arrest?
a) establish an open airway
b) provide intravenous access
c) initiate cardiac monitoring
d) obtain a pulse oximetry reading
[color=#333399]- [color=#22496e]when caring for a patient who is on a mechanical ventilator, the nurse should monitor the patient for which of the following complications?a) flail chest
b) pleural effusion
c) pulmonary embolus
d) pneumothorax
there is also one more question
[color=#333399]-[color=#22496e]nursing assessment for deep vein thrombosis:
-
i google it but i did not see any result..
please help me i am in hurry and i should post my assignment tomorrow , i will really appreciate that
CT Pixie, BSN, RN
3,723 Posts
hello all,[color=#333399]-[color=#22496e]the nurse should expect a patient who has chronic renal failure to be given epoetin alfa (epogen) to a) elevate the wbc countb) enhance the maturation of thrombocytes c) increase the production of platelets d) stimulate the synthesis of red blood cells[color=#333399]- [color=#22496e]the nurse should instruct a patient who is to receive digoxin (lanoxin) to report development of which of the following side effects?a) ringing in the ears b) loss of appetite c) signs of bruising d) sensitivity to sunlight[color=#333399]- [color=#22496e]which of the following actions would a nurse take first when caring[color=#22496e]for a patient experiencing a cardiac arrest?a) establish an open airway b) provide intravenous access c) initiate cardiac monitoring d) obtain a pulse oximetry reading[color=#333399]-[color=#22496e]nursing assessment for deep vein thrombosis:- - -
i just quickly scanned the questions but there are 3 that popped out that are incorrect.
epogen is used to stimulate red blood cell production
ringing of the ears isn't a adverse reaction to lanoxin but anorexia (lack/loss of appetite) is
cardiac arrest (and any other injury/illness/disease) always remeber your abc's (airway breathing circulation) !! always, always, always. you would insure an open airway before anything. what good will cardiac monitoring do if the pt isn't breathing?
for dvt's i would assess the legs for
1> pain/ tenderness in the calf
2> swelling (increase in circumfrance in the calf)
3> redness and warmth in the calf
Thanks alot CT Pixie...
ABC... I would never forget it
Thanks again... I am feeling cofortable now!
hello all
i have asked a nurse directer, nurse devloper,icu/ccu specialist resident...
theu gave me different answers for these question:
[color=#22496e]which of the following blood values on the laboratory report should a nurse expect when assessing a patient who has emphysema?
[color=#22496e]
[color=#22496e][color=#22496e]which of the following outcomes observed by the nurse during the drain cycle of peritoneal dialysis should be reported immediately to the physician?
[color=#22496e]which of the following findings would a nurse identify as indicative of septic shock in a patient?
[color=#22496e][color=#22496e]the nurse should instruct a patient who is to receive digoxin (lanoxin) to report development of which of the following side effects?
[color=#22496e][color=#22496e]
[color=#22496e][color=#22496e][color=#22496e]which of the following instructions should a nurse give to a patient who has a history of venous leg ulcers in order to prevent recurrence?[color=#006633]
[color=#22496e][color=#22496e][color=#006633]
[color=#22496e][color=#22496e][color=#006633]every one has a different point of view... is not there one best answer!!
fiveofpeep
1,237 Posts
i was thinking cloudy appearance because that could be peritonitis which always seemed to be a huuuuuuuuuge deal with my professors :)
i thought cool and clammy but didnt look that up anywhere. edit: i looked up my old notes and you are right because with septic shock there is widespread vasodilation = flushed appearance in my book. i think the cool, clammy is a teaser because most other shocks have that textbook sx.
good luck. it is really nice that your school is doing this to help you think about these types of nursing school exam questions.