1.)A nurse is caring for a patient who is status post an upper endoscopic procedure. Which of the following should be included as priority in the post procedure assessment?a.Gag reflex 2.)A 40 year old female presents to the emergency room with upper abdominal pain radiating to her right shoulder and nausea, upon assessment the patient’s temperature is 101.2 degrees F, heart rate 110, and blood pressure 140/82. Based on the patient’s presentations, which of the following do you anticipate to be the patient’s diagnosis?a.Cholecystitis 3.)A client asks the nurse when they can expect to feel improvement after starting a prescription for thyroid hormone treatments of hypothyroid. How would the nurse respond?a.2 weeks 4.)A client assessment reveals fatigue, poor memory, and stiff muscles with labs showing an elevated TSH, and low T3 and T4. The nurse knows that these are manifestations of which disorder?a.Hypothyroidism 5.)A client with diabetes has blood glucose of 640 mg/dL and reports always being thirsty and having to void. The nurse knows that which terms describe this subjective finding?a.Polydipsia and polyuria 6.)A nurse assesses a patient who has a 15 year history of diabetes and notes decrease tactile sensation in both feet. Which action would the nurse take?
- Examine the patient’s feet for signs of injury
7.)A nurse cares for a patient with adrenal hyper function. The patient screams at her husband, bursts into tears, and throws her water pitcher against the hall. She then tells the nurse, “I feel like I am going crazy.” How would the nurse respond?a.You feel this way because of your hormone level 8.)A nurse cares for a patient with chronic hypercortisolism. What action would the nurse take?a.Wash hands when entering the room 9.)A nurse is caring for a 26 year old female that presented to the emergency department with abdominal pain, bloating, constipation, and bolus of diarrhea. Which of the following is the patient most likely exhibiting?a.IBS (Irritable Bowel Syndrome) 10.)A nurse is caring for a 29 year old male patient with a history of alcoholism. He has been having frequent episodes of vomiting of bright red blood. The following interventions would be
appropriate for this patient expect:
a.Encourage liquid intake 11.) A nurse is caring for a 37 year old male who presented to the emergency department with weight loss, bloating, and bruising. The patient’s stool test and lactose hydrogen test were positive. Which of the following conditions is the patient exhibiting?a.Malabsorption Syndrome 12.)A nurse is caring for a 56 year old female who presented to the emergency department with feeling of fullness in the chest, dysphagia, and chest pain. She states that she has been having 1 / 2
these symptoms for the past couple months. Which of the following conditions could she be exhibiting based on her symptoms?a.Hiatal Hernia 13.) Year A nurse is caring for a 57 year old Hispanic male who was recently diagnosed with Cushing’s disease. Which of the following laboratory test validate the diagnosis?a.Decreased dexamethasone- Corticotrophin releasing hormone test 14.)A nurse is caring for a 60 year old female that underwent a hysterectomy and is post-op day four.She has no active bowel sounds and has not passed any gas. Which of the following do you suspect the patient is experiencing?a.Non-Mechanical bowel obstruction 15.)A nurse is caring for a Hispanic patient who has recently been diagnosed with type 2 diabetes.Which of the following interventions are important to implement to improve compliance following discharge? (Select All that Apply) a.Consult the dietician to instruct on dietary restrictions b.Conduct a cultural assessment c.Consult diabetes educator d.Provide written instruction in Spanish 16.)A nurse is caring for a patient diagnosed with a bleeding gastric ulcer. Based on his diagnosis you would anticipate the patient’s stool to have which of the following assessments?a.Black tarry stools 17.)A nurse is caring for a patient recently diagnosed with Addison’s disease. Which of the following signs and symptoms are consistent with this diagnosis?a.Muscle weakness 18.)A nurse is caring for a patient recently diagnosed with a hiatal hernia. Which of the following is the least invasive surgical treatment for a patient with a hiatal hernia?a.Endoluminal fundoplication 19.) A nurse is caring for a patient recently diagnosed with an anorectal abscess. Which of the following are appropriate nursing interventions for this patient? (Select all that apply) a.Pain management b.Sitz bath 20.)A nurse is caring for a patient recently diagnosed with colorectal cancer. Which of the following lab values would confirm the diagnosis?a.Increased carcinoembryoine antigens CEA 21.)A nurse is caring for a patient recently diagnosed with diabetes insipidus. Which of the following medications would be appropriate for this disorder?a.Vasopressin 22.)A nurse is caring for a patient recently diagnosed with pancreatitis. Which of the following treatment options for pancreatitis?a.NPO b.Pain management c.NG tube
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