Study Group Question - Do you think you know it? - page 37

I was having this discussion with a friend, but we later agree to to these. Hope this will benefit all nurses student still in school or awaiting to take NCLEX. Is more or less like a study... Read More

  1. by   KAYBDT6
    what will be included in the plan of care of a pt with pernicious anemia
    1- administer vitamin B6 injection as ordered
    2- encourage ADL
    3- provide oral care and anesthetics
    4- monitor for bleeding

    A pt is admitted after a car accident with multiple contusion to the right chest, arms,and leg. A chest tube was inserted to the right chest wall and after several hours the pt becomes anxious, SOB, and distended JVD, muffled HR, BP 69/54 and slight serosanguinous Drainage from the chest wall. what condition will the nurse suspect the pt is having
    1- pneumothorax
    2- hemothorax
    3- MI
    4- cardiac tamponade
  2. by   KAYBDT6
    [quote=kaybdt6;3804792]

    what will be included in the plan of care of a pt with pernicious anemia
    1- administer vitamin b6 injection as ordered- vitamin b12
    2- encourage adl
    3- provide oral care and anesthetics pernicious anemia is red beefy swollen tongue and painful oral mucosa are characteristics of pernicious anemia and proper oral care and anesthetics should be given to relieve pain.
    4- monitor for bleeding

    a pt is admitted after a car accident with multiple contusion to the right chest, arms,and leg. a chest tube was inserted to the right chest wall and after several hours the pt becomes anxious, sob, and distended jvd, muffled hr, bp 69/54 and slight serosanguinous drainage from the chest wall. what condition will the nurse suspect the pt is having
    1- pneumothorax
    2- hemothorax
    3- mi
    4- cardiac tamponadefollows blunt trauma to the chest wall and muffled heart sounds are the best indicator in which the fluid is accumulating inside the pericardial sac. s/sx are jvd, decrease bp, and weak rapid pulse


  3. by   KAYBDT6
    A pt is placed on Thyroid hormone replacement. what is the expected outcome the nurse will look out for to show the pt is responding to treatment
    1- decrease pulse rate
    2- improved wound healing
    3- increase K level
    4- diuresis and weight loss

    A pediatric pt is admitted to the NICU after T & A. what wil be and early indication that the pt is hemorrhaging
    1- dark brown emesis
    2- drooling of bright red secretion
    3- swallowing infrequently
    4- HR 95
  4. by   KAYBDT6
    [quote=kaybdt6;3808437]
    a pt is placed on thyroid hormone replacement. what is the expected outcome the nurse will look out for to show the pt is responding to treatment
    1- decrease pulse rate
    2- improved wound healing
    3- increase k level
    4- diuresis and weight loss

    a pediatric pt is admitted to the nicu after t & a. what wil be and early indication that the pt is hemorrhaging
    1- dark brown emesis
    2- drooling of bright red secretion
    3- swallowing infrequently
    4- hr 95

  5. by   NCLEXEATER
    Am new on these forum, so i decided to contribute my part as a study guide. Love your question and am enjoying every bit of it.

    what is the most common complication of MI the nurse should monotored for in the coronary care unit
    A- dysrhythmia
    B- hypokalemia
    C- anaphalactic shock
    D- cardiac enlargement

    A pt is recieving warfarin sodium. The nurse should review which test to comfirm the dosage of anticoagulant
    a. INR
    b. bleeding time
    c. sedimentation rate
    d. APTT

    what should the nurse identify as the indicator when doing complete physical hx and physical examination of a pt with complete heart block
    a. syncope
    b. cephalagia
    c. tachycardia
    d. hemiparesis
  6. by   KAYBDT6
    [quote=nclexeater;3816092]
    am new on these forum, so i decided to contribute my part as a study guide. love your question and am enjoying every bit of it.:d

    what is the most common complication of mi the nurse should monotored for in the coronary care unit
    a- dysrhythmia
    b- hypokalemia
    c- anaphalactic shock
    d- cardiac enlargement

    a pt is recieving warfarin sodium. the nurse should review which test to comfirm the dosage of anticoagulant
    a. inr
    b. bleeding time
    c. sedimentation rate
    d. aptt

    what should the nurse identify as the indicator when doing complete physical hx and physical examination of a pt with complete heart block
    a. syncope
    b. cephalagia
    c. tachycardia
    d. hemiparesis
  7. by   NCLEXEATER
    [quote=kaybdt6;3816469][quote=nclexeater;3816092]
    am new on these forum, so i decided to contribute my part as a study guide. love your question and am enjoying every bit of it.:d

    what is the most common complication of mi the nurse should monotored for in the coronary care unit
    a- dysrhythmia
    b- hypokalemia
    c- anaphalactic shock
    d- cardiac enlargement

    a pt is recieving warfarin sodium. the nurse should review which test to comfirm the dosage of anticoagulant
    a. inr
    b. bleeding time
    c. sedimentation rate
    d. aptt

    what should the nurse identify as the indicator when doing complete physical hx and physical examination of a pt with complete heart block
    a. syncope
    b. cephalagia
    c. tachycardia
    d. hemiparesis

  8. by   NCLEXEATER
    A pt was transferred to the ICU after kidney transplant. The nurse should monitor the pt urinary out every
    a. 15mins
    b. 30mins
    c. 60mins
    d. 120mins

    A pt sustain a deep partial thickness burn due to severe sunburn. The nurse should teach the pt to do which initial first aid
    a. dry sterile dressing
    b. cool moist towels
    c. analgesic sunburn spray
    d. Vit A and D ointment
  9. by   KAYBDT6
    [quote=nclexeater;3816638]
    a pt was transferred to the icu after kidney transplant. the nurse should monitor the pt urinary out every
    a. 15mins
    b. 30mins
    c. 60mins
    d. 120mins

    a pt sustain a deep partial thickness burn due to severe sunburn. the nurse should teach the pt to do which initial first aid
    a. dry sterile dressing
    b. cool moist towels
    c. analgesic sunburn spray
    d. vit a and d ointment
  10. by   NCLEXEATER
    [quote=kaybdt6;3816799][quote=nclexeater;3816638]
    a pt was transferred to the icu after kidney transplant. the nurse should monitor the pt urinary out every
    a. 15mins
    b. 30mins
    c. 60mins
    d. 120mins

    a pt sustain a deep partial thickness burn due to severe sunburn. the nurse should teach the pt to do which initial first aid
    a. dry sterile dressing
    b. cool moist towels
    c. analgesic sunburn spray
    d. vit a and d ointment

  11. by   KAYBDT6
    A pediatric pt is admitted to the hospital with a diagnosis of bacterial menigitis. what type of nursing care should be included
    1- provide a well lighted environment
    2- maintain isolation for 72hrs
    3- monitor LOC
    4- encourage fluid

    which observation in a pediatric pt exposed abdomen will indicate pyloric stenosis
    1- visible peristalsis
    2- substernal retraction
    3- abdominal rigidity
    4- distention of lower abdomen

    NCLEXEATER, TANX FOR RESPONDING TO THE QUESTION. WE'RE WINNER FOREVER!!
  12. by   NCLEXEATER
    [quote=kaybdt6;3818077]
    a pediatric pt is admitted to the hospital with a diagnosis of bacterial menigitis. what type of nursing care should be included
    1- provide a well lighted environment
    2- maintain isolation for 72hrs
    3- monitor loc
    4- encourage fluid

    which observation in a pediatric pt exposed abdomen will indicate pyloric stenosis
    1- visible peristalsis
    2- substernal retraction-
    3- abdominal rigidity
    4- distention of lower abdomen

    nclexeater, tanx for responding to the question. we're winner forever!!
  13. by   KAYBDT6
    [quote=nclexeater;3818452][quote=kaybdt6;3818077]
    nclexeater, tanx for responding to the question. we're winner forever!!

    a pediatric pt is admitted to the hospital with a diagnosis of bacterial menigitis. what type of nursing care should be included
    1- provide a well lighted environment
    2- maintain isolation for 72hrs
    3- monitor loc
    4- encourage fluid

    which observation in a pediatric pt exposed abdomen will indicate pyloric stenosis
    1- visible peristalsis
    2- substernal retraction-
    3- abdominal rigidity
    4- distention of lower abdomen

    am enjoying your response. :rcgtku:

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