MS3 Exam 1 Flashcards

A patient will be receiving epoetin alfa( Epogen) 8000 unit IV three times a week the medication is available in a vial that contains 10,000 units/ml how many ml will the nurse draw up for this dose

While admitting a 42 year old patient with a possible brain injury to the emergency department the nurse obtains the following information which finding is most important to report to the healthcare provider

A patient who is receiving methotrexate develops a megaloblastic anemia the nurse will anticipate teaching the patient about increasing oral intake of

A patient with paraplegia resulting from a T 10 spinal cord injury has a neurogenic reflex bladder which action will the nurse include in the plan of care

After a 25 year old patient has returned home following rehabilitation for spinal cord injury the home care nurse notes that the spouse is performing many of the activities that the patient had been managing during rehabilitation the most appropriate action by the nurse at this time is to

A nursing student asks the nurse to differentiate the pathology of alzheimer's disease from that of parkinson's disease which description is correct

An adult male with chronic anemia is experiencing increased fatigue and occasional palpitations at rest which laboratory data would the nurse identify as consistent with these symptoms

The nurse is preparing to administer benztropine (Cogentin) to a patient who has parkinson disease when performing an assessment which aspect of the patient's history would cause the nurse to hold the medication and notify the provider

The nurse is teaching a patient with iron- deficiency anemia about foods to increase iron intake which food may enhance the absorption of oral iron forms

The nurse has administered prescribed IV mannitol (Osmitrol) to an unconscious patient which parameter should the nurse monitor to determine the medications effectiveness

A nurse is caring for a client with a spinal cord injury with which interprofessional health team member would the nurse collaborate to assist the client with activities of daily living

The nurse is caring for a patient who has a seizure disorder the nurse knows that the patient has reddened gums that bleed when oral care is given the nurse recognizes this finding as

A nurse is teaching a family member about an elderly patients new prescription for tacrine (Cognex) to treat alzheimer's disease the family member asks what to expect from this drug the nurse will respond that the patient will

After teaching a client with a high thoracic spinal cord injury the nurse assesses the client's understanding which statement by the client indicates a correct understanding all how to prevent respiratory problems at home

While administering a mental status examination to a patient with delirium the nurse should

A prescriber writes this order “ Give amantadine (Symmetrel) 100 mg per PEG tube twice a day” the medication is available in a liquid form with a concentration of 50mg/5mL identify how many mL will the nurse give with each dose

Which nursing actions should be included in the plan of care for a patient after cerebral angiography (SATA)

The spouse of a male patient with early stage alzheimer's disease tells the nurse “I am just exhausted from the constant worry I don't know what to do which action is best for the nurse to rake next (SATA)

A patient with a neck fracture at the C5 level is admitted to the intensive care unit during initial assessment of the patient the nurse recognizes the presence of neurogenic shock on finding

A client continues to have persistent low back pain even after using a number of nonpharmacologic pain management strategies which prescribed drug would the nurse anticipate that the client might need to manage the pain

A patient who has epilepsy will begin anticonvulsant medication the patient asks a nurse how long the medication will be necessary how long will the nurse respond

The nurse is providing teaching to a parents of a 5 year old child who will begin taking phenytoin(Dilantin) what information will the nurse include when teaching these parents about their child's medication

The nurse assesses a client who is recovering from an open traditional lumbar laminectomy with fusion which complications would the nurse report to the primary health care provider (SATA)

Which statement by a patient with sickle cell anemia indicates good understanding of the nurses teaching about prevention of sickle cell crisis

With a head injury simulation purchase when stimulated and does not respond to a verbal command to move but attempts to push away a painful stimulus how should the nurse record the patients Glasgow coma scale score

The spouse of a patient newly diagnosed with moderate dementia as a result of multiple strokes during assessment of the patient the nurse would expect to find

A 72 year old patient is diagnosed with moderate dementia as a result of multiple strokes during assessment of the patient the nurse would expect to find

During the morning change of shift report at a long term care facility the nurse claims that the patient with dementia has had sundowning which nursing action put the nurse take while caring for the patien

A 52 year old patient has a new diagnosis of pernicious anemia after teaching the patient about pernicious anemia the nurse determines that the patient understands the disorder when the patient states

A patient with end stage renal failure has been admitted to the hospital for severe anemia she is refusing blood transfusions the nurse anticipates drug therapy with which drug to stimulate the production of red blood cells

A woman who is planning to become pregnant should ensure that she receives adequate levels of which supplement to reduce the risk of fetal neural tube defects

When a patient is experiencing a cluster headache the nurse will plan to assess for

A patient who is unconscious has ineffective cerebral tissue perfusion and cerebral tissue swelling which nursing intervention will be included in the plan of care

A confused patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests the nurse should contact the patient's family member define a consent form before the

The nurse will teach a patient who is receiving oral iron supplements so watch for which expected adverse effects

A patient will be receiving monthly injections of cyanocobalamin(Nascobal) the dose is 100mcg/month IM the medication is available in a strength of 1000mcg/ml identify how many mL will the nurse draw up to the syringe

The nurse assess clients at a community center which client is at the greatest risk for low back pain

A patient with parkinson's disease as admitted to the hospital for treatment of an acute infection which nursing interventions will be included in the plan of care (SATA)

When a brain injury patient responds to nail bed pressures with internal rotation adduction and flexion of the arms how should the nurse report the response

Calculate the following dosage using the dimension analysis method round mL answers to the nearest tenth unless otherwise indicated Order: thorazine 25 mg po t.i.d 12.5 mL Available: thorazine syrup labeled 10mg per 5 mL

When admitting an acutely confused patient with a head injury which action should the nurse take

Unearth caring for a client with paraplegia who is scheduled to participate in a rehabilitation program the client states I don't understand the need for rehabilitation the paralysis will not go away and it will not get better how would the nurse respond

A patient has been taking iron supplements for anemia for two months during a follow up assessment the nurse will observe for which therapeutic response

When a patient with a splenomegaly is scheduled for a splenectomy which action will the nurse include in the preoperative plan of care

A patient has a tonic clonic seizure while the nurse is in the patient's room what action will the nurse take

After receiving change your shift report for the following patients with neutropenia which patient would the nurse assess first

A nurse is caring for an older adult who receiving multiple packed red blood cells transfusions which assessment finding indicates possible infusion circulatory overload

A client is scheduled for a percutaneous endoscopic lumbar discectomy which statement by the client indicates a need for further teaching

A patient is to receive an infusion of 250 mL of platelets over 2 hours through tubing that is labeled 1 mL equals 10 drops how many drops per min will the nurse infuse

The nurse assesses a patient with pernicious anemia which finding would the nurse expect

The nurse initiates care for a client with a cervical spine cord injury who arrives via emergency medical services which action would the nurse take first

Which information about a 76 yr old patient should the nurse identify as uncharacteristic of normal aging

A patient has a tumor in the cerebellum what goal should the nurse use to focus the plan of care

Which problem should the nurse expect for a patient who has a positive romberg test result

A client hospitalized with sickle cell disease crisis frequently asks for opioid pain medications,often shortly after receiving a dose. The nurses on the unit believe that the client is drug seeking. When the client requests pain medication, What action by the nurse is best?

The nurse is caring for a client experiencing sickle cell disease crisis. Which priority action would help prevent infection

A patient who is receiving methotrexate for severe rheumatoid arthritis a megaloblastic anemia which nutrient supplement should the nurse plan to explain to the patient

What should the nurse include in a focused assessment of a patient's left posterior temporal lobe functions

After teaching a patient who is scheduled for magnetic resonance imaging (MRI) the nurse assesses the client's understanding which statement indicates client understanding of the teaching

The nurse is assessing a client experiencing anemia which laboratory findings will the nurse expect for this client(SATA)

The charge nurse is observing a new nurse who is assessing a patient with a traumatic spinal cord injury for sensation which action by the new nurse indicates the need for further teaching about neurologic assessment

A patient with suspected meningitis is scheduled for a lumbar puncture what action should the nurse take before the procedure

A patient with pancytopenia will have a bone marrow aspiration from the left posterior iliac crest which action would be important for the nurse to take after the procedure

Which equipment should the nurse obtain to assess vibration sense in a patient with diabetes who has peripheral nerve dysfunction

The nurse is assessing a client diagnosed with trigeminal neuralgia affecting cranial nerve V what assessment findings will the nurse expect for this client

An unconscious male patient has just arrived in the emergency department with a head injury caused by a motorcycle crash which planned intervention by the healthcare provider should the nurse question

A client is having a radioisotopic imaging scan what action by the nurse is most important

After teaching the wife of a client who has parkinson disease the nurse assesses the wifes understanding which statement by clients wife indicates that she is correctly understands changes associated with this disease

An assistive personnel is caring for a client with leukemia and asks why the client is still at risk for infection when the white blood cell (WBC) is high what response by the nurse is correct

The nurse prepares to discharge a client with early to moderate alzheimer disease which statement to maintain client safety would the nurse include in the discharge teaching for the caregiver

A client in sickle cell crisis is dehydrated and in the emergency department the nurse plans to start an IV which fluid is best

The nurse is performing an assessment of cranial nerve III which testing is appropriate

The nurse assesses a patient who has numerous petechiae on both arms which question should the nurse ask the patient

A patient is being evaluated for alzheimer's disease what should the nurse explain to the patients adult children

A nurse assesses a client with paraplegia from a spinal cord injury and notes reddened areas over the client hips and sacrum what actions would the nurse take(SATA)

Which action should the nurse include in the plan of care for a patient with impaired functioning of the left glossopharyngeal nerve(CN IX) and vagus nerve (CN X)

A nurse is caring for four clients after reviewing todays laboratory results which client would the nurse assess first

A nurse assesses a client with a spinal cord injury at level T5 the client's blood pressure is 184/95 mmHg and the client presents with a flushed face and blurred vision after raising the head of the bed what action would the nurse take next

the nurse is reviewing laboratory results and notes a patients activated partial thromboplastin time (aPTT) level is 28 seconds the nurse should notify the healthcare provider in anticipation of adjusting which medication

A nurse assesses cerebrospinal fluid leaking into a client's surgical dressing what actions would the nurse take (SATA)

A client is having a bone marrow aspiration and biopsy and is extremely anxious what action by the nurse is the most appropriate

A patient in the emergency department reports back pain and difficulty breathing 15 mins after a transfusion of packed red blood cells is started what should the nurses first action be

A client presents to the emergency department in sickle cell disease crisis what intervention by the nurse takes priority

Which nursing intervention is important when providing care for a patient with sickle cell crisis

What is the nurse's priority when caring for a client who just completed a bone marrow aspiration and biopsy

A patient who had a total hip replacement had an intraoperative hemorrhage 14 hours ago which laboratory test result would the nurse expect

A patient hospitalized with pneumonia is disoriented and confused 3 days after admission which information indicates that the patient is experiencing delirium rather than dementia

A nurse assesses a client recovering from a cerebral angiography via the right femoral artery which assessment would the nurse complete

How should the nurse assess the patients trigeminal and facial nerve function (CNs V and VII)

The nurse teaches assistive personnel (AP) about how to care for a client with early stage alzheimer disease which statement would the nurse include

Which statement would the nurse include when teaching the assistive personnel (AP) how to care for a client with cranial nerve II impairment

Which statement by a patient indicates good understanding of the nurses teaching about preventing sickle cell crisis

Which assessments should the nurse make to monitor a patients cerebellar function(SATA)