NUR313 Exam 1 Part 1

Your patient is very stressed. What physiological responses might you expect? (select all that apply)

The nurse recognizes that a patient with newly diagnosed breast cancer is using an emotion-focused coping process when she

Nurse Jen is assessing a newly admitted patient. She notes that the patient's heart rate is 42 bpm. What other findings might nurse Jen discover in this patient?

You are being shadowed by a student nurse. The student nurse says, "Man, it seems like everyone these days is in the hospital because they smoke, drink, don't exercise, do drugs, etc. What is up with that?" As the nurse, you know that...

The nurse is administering 3.0% saline solution IV to a patient with severe hyponatremia. It is most important for the nurse to observe for what?

The nurse determines that teaching about implementing dietary changes to decrease the risk of CAD has been effective when the patient says,

Which patient is most at risk for developing coronary artery disease?

You are teaching a fellow classmate about dysrhythmias. What statement by the classmate is correct?

ABG:
pH 7.32
PaCO2 56 mm Hg
HCO3 26 mEq/L

Ranges:
pH: 7.35-7.45
PaCO2: 32-48 mmHg
HCO3: 22-26 mEq/L

What is your interpretation of these results?

72 year old Mr. Jones came in for his routine physical when Dr. Jim made the discovery that his carotid arteries were 75% blocked. Mr. Jones tells you, "I had no idea there was so much plaque in my arteries. How is it possible to have something going on in your body without even knowing it?" To answer Mr. Jones' question, you say...

Mr. Jones was going in to his doctor because he was having a headache. What type of prevention is this?

Mrs. Jones, a patient who was diagnosed with HTN, was prescribed Metoprolol, a beta-blocker, for her HTN. You are educating Mrs. Jones on the usage of Metoprolol. Which statement made by Mrs. Jones demonstrates an understanding of this medication?

Magnesium acts on ________.

An example of a primary prevention strategies is

Mr. Jones has hypercalcemia. What would be a beneficial intervention for Mr. Jones?

Mrs. Jones has had severe diarrhea over the past 3 days. When you assess her respirations, what might you expect?

Mr. Jones, a 57 year old male, with uncontrolled type II diabetes, came into the ER after he randomly fell in his kitchen. After taking some labs on Mr. Jones, the results show that his troponin levels are through the roof. The doctor confirms that Mr. Jones has experienced a heart attack. When the doctor told Mr. Jones the news, Mr. Jones said, "what? but I never felt any pain in my chest?" What is an appropriate response by the doctor (or nurse)?

You go in to check on 67 year old Mrs. Jones and perform a set of vitals on her. You check her pulse and notice that the pulse is uneven and her O2 sat is 87%. You check her muscle strength by having her squeeze your hands, and you rate her muscle strength 2/5. What electrolyte might you expect Mrs. Jones has an imbalance of?

A characteristic of a chronic illness is that it (select all that apply)

What is the most appropriate statement to say to your patient who was just diagnosed with HTN?

You go in to assess Mr. Jones and notice his respiratory rate is 38. What are you most concerned about?

Mr. Jones had a heart attack at home and is now recovering on your telemetry floor. What complication is Mr. Jones MOST likely to develop?

A patient tells the nurse that she enjoys talking with others and sharing experiences, but easily falls asleep when reading. Which teaching strategy would be most effective with this patient?

Ms. Jones is experiencing an MI. What would you initially expect to see?

You are checking the labs of Mr. Jones in room C201. You notice that his sodium level is 157 mEq/L. What might you expect from Mr. Jones?

The CNA is doing her morning vitals and comes out to tell you, "Mr. Jones in room 503's arm is flexing all weird when I take his blood pressure." As the nurse, you expect/know that...

1 kg weight = ______ of water.

An important nursing action to help a chronically ill older adult is to

Acute is to ________ as chronic is to _________

You just got the blood results of Mrs. Jones back from the lab. Which results are abnormal? (select all that apply)

In a patient with prolonged vomiting, the nurse monitors for fluid volume deficit because vomiting results in:

Mrs. Jones is complaining of chest pain's when she does her weekly gardening session with her neighbor. The doctor diagnosed Mrs. Jones with chronic stable angina. What medication "effect" would be most beneficial for Mrs. Jones?

Medicare is for_________ as medicaid is for ___________.

Mrs. Jones' magnesium level is 1.2 mEq/L. What is your first priority assessment of Mrs. Jones?

Mrs. Jones was diagnosed with atrial fibrillation and prescribed Heparin. What are you most concerned about with Mrs. Jones' new medication?

You have a patient who has hyponatremia. What is a PRIORITY nursing intervention for this patient?

The nurse recognizes that a person who is subjected to chronic stress could be at higher risk for

ABG:
pH 7.5
PaCO2 40 mm Hg
HCO3 38 mEq/L

Ranges:
pH: 7.35-7.45
PaCO2: 32-48 mmHg
HCO3: 22-26 mEq/L

What is your interpretation of these results?

You walk into Mr. Jones' room and notice that he is gripping his chest and is gasping for air. What is the first thing you do?

Mrs. Jones comes in to the ER and is complaining of chest pains. Which statement by Mrs. Jones is most alarming?

Which statement made by the nursing student in regards to potassium administration demonstrates understanding?

Determination of whether an event is a stressor is based on a person's

Nurse Tim is assessing a patient's ECG. He notices that the QRS segment is present, but there are multiple P waves in between each QRS segment. What may be going on here?

The CNA goes around every morning to weigh all of the patients on the unit. One morning the CNA says to you,"why do we have to weigh all of the patients every day? Isn't that a bit excessive?" The most appropriate thing to say as the nurse is...

What is the biggest sign (tall tale) of hypomagnesemia?

What lab value is the most DIAGNOSTIC lab level for someone who experienced a heart attack?

What do you want to prevent in a patient who has hypocalcemia and why?

What are we most concerned about in patients with atrial fibrillation?

You have a patient who is getting 100 mL/hr of normal saline. When you check on your patient first thing in the morning, you notice that the night nurse accidentally set the flow rate to 500mL/hr. After adjusting the flow rate, your priority assessment is?

The nurse has taught a patient's caregiver how to administer insulin to her husband. Evaluation of the nurse's teaching effectiveness before discharge would include