Exam 4: NSG 430 NSG430 New

Exam 4: NSG 430/ NSG430 (New 2024/ 2025

Update) Adult Health Nursing II | Qs & As | 100% Correct| Grade A (Verified Answers)- GCU Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be developing multiple organ dysfunction syndrome

• The patient's serum creatinine level is elevated.
• The patient reports intermittent chest pressure.
• The patient's extremities are cool and pulses are weak.
• The patient has bilateral crackles throughout lung fields. - ANSWER
• The patient's serum creatinine level is elevated.

INR/PT levels doubled, what are you giving? - ANSWER Fresh frozen plasma A patient recovering from heart surgery develops pericarditis and complains of level 6 (0 to 10 scale) chest pain with deep breathing. Which ordered PRN medication will be the most appropriate for the nurse to give?

• Fentanyl 1 mg IV
• IV morphine sulfate 4 mg
• Oral ibuprofen (Motrin) 600 mg
• Oral acetaminophen (Tylenol) 650 mg - ANSWER c. Oral

ibuprofen (Motrin) 600 mg Which assessment data collected by the nurse who is admitting a patient with chest pain suggests that the pain is caused by an acute myocardial infarction (AMI)?// diagnosis for myocardial infarction 1 / 3

• The pain increases with deep breathing.
• The pain has lasted longer than 30 minutes
• The pain is relieved after taking nitroglycerin.
• The pain is reproducible when the patient raises the arms. - ANSWER
• The pain has lasted longer than 30 minutes

Which nursing action will be included in the plan of care for a patient who is being treated for bleeding esophageal varices with balloon tamponade?

• Instruct the patient to cough every hour.
• Monitor the patient for shortness of breath.
• Verify the position of the balloon every 4 hours.

d.Deflate the gastric balloon if the patient reports nausea. - ANSWER

• Monitor the patient for shortness of breath.

When admitting a 42-year-old patient with a possible brain injury after a car accident (MVA) to the emergency department (ED), the nurse obtains the following information. Which finding is most important to report to the health care provider? - ANSWER Patient states they regularly take warfarin (coumadin) regularly During discharge teaching with a 68-year-old patient who had a mitral valve replacement with a mechanical valve, the nurse instructs the patient on the? - ANSWER Need for frequent PTT/INR measurement; long term anticoagulants Which assessment finding for a patient who has just been admitted with acute pyelonephritis is most important for the nurse to report to the health care provider?

• Flank tenderness to palpation
• Blood pressure 82/60 mm Hg
• Cloudy and foul-smelling urine
• Temperature 100.1F (57.8C) - ANSWER b. Blood pressure

82/60 mm Hg 2 / 3

Decorticate posture: what would you question? - ANSWER

consent for the lumbar puncture A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred vision. As the nurse, what is the priority? - ANSWER Checking the patient's blood glucose What are early signs of hypoxemia with a patient with anemia? - ANSWER Restlessness The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient about? - ANSWER Colonoscopy Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt (TIPS) placed 3 months ago has been effective?

• Increased serum albumin level
• Decreased indirect bilirubin level
• Improved alertness and orientation
• Fewer episodes of bleeding varices - ANSWER d. Fewer

episodes of bleeding varices What is an expected lab value for someone with SIADH?

• The patient has a weight gain of 9 pounds.
• The patient reports some dyspnea with activity.
• The patient has a urine specific gravity of 1.025.
• The patient has a serum sodium level of 115 mEq/L. - ANSWER
• The patient has a serum sodium level of 115 mEq/L.
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