RN Domain 6: Physiological Adaptation (Quiz 2)

A healthcare provider is assisting during the insertion of a pulmonary artery catheter. Which of these, if assessed in the patient, would indicate the patient is experiencing a complication from the catheter insertion?

The nurse enters a client's room and finds the client on the floor, with their arm at an awkward angle. The nurse suspects the arm may be broken. What is the nurse's FIRST action?

The nurse is educating a client about their scheduled procedure to insert an inferior vena cava (IVC) filter. Which of the following teaching points is INCORRECT?

The ICU nurse assists with the insertion w of a pulmonary artery catheter for a client with a myocardial infarction (MI). The health care provider (HCP) orders monitoring of the pulmonary artery pressure and pulmonary wedge pressure. What is the purpose of these measurements?

After a provider diagnoses a client with choledocholithiasis, the client asks the nurse, "I know I have stones, but where are they?" The nurse explains to the client that the stones are located in the

A client in the ICU has a Swan-Ganz W catheter in place. When the nurse assesses the client's hemodynamics, which of the following values is abnormal?

Knowing that a client undergoing head and neck radiation will likely develop stomatitis, which daily routine measure should the nurse include in client teaching?

A 17-year-old comes to the OB/GYN clinic because she is worried she might be pregnant. After an initial discussion and assessment, the nurse measures the client's fundus and finds it at the level of the umbilicus. The nurse tells the client,

The nurse is caring for a patient who was admitted with a diagnosis of deep vein thrombosis. The provider orders heparin infusion therapy. After 24 hours, the nurse reviews the patient's partial thromboplastin time (PTT) and notes a result of 70 seconds with a control of 30 seconds. Which is the nurse's most appropriate action?

EMS transports a client who fell from the roof. On arrival at the Emergency Department, the nurse performs an assessment. Which finding is most indicative of a serious head injury?

A pregnant client experiences a spontaneous rupture of membranes at 36 weeks' gestation. She is admitted to labor and delivery. What is the nurse's first action?

A client with a diagnosis of aspiration pneumonia started intravenous (IV) antibiotic therapy eight hours ago. When the nurse enters the client's room to perform a respiratory assessment, the nurse notes an unpleasant odor in the room. Which comment by the client BEST indicates that a complication has developed?

A mother takes her 11-year-old daughter to the clinic. She is concerned because the girl is always tired and thirsty. The girl has a good appetite but is losing weight, and she has started urinating frequently. Which laboratory assessments can the nurse anticipate?

For a patient in the late stages of chronic bronchitis, which of the following would indicate the patient has developed cor pulmonale?

A patient with a heart monitor suddenly develops the rhythm shown on this electrocardiogram strip. What is the nurse's first action?

The nurse is educating a client with chronic kidney disease (CKD) about the need to restrict potassium in the client's diet. Which of the following statements by the client would indicate a need for further instruction?

The nurse looks at this electrocardiogram strip and notes that the patient is not responsive or breathing. There is no pulse. Which initial action should the nurse prepare for?

A clinician is providing education to a patient with a recent diagnosis of a transient ischemic attack (TIA). Which of the following statements by the patient would indicate that the patient understands the information?

An unresponsive patient with diabetes is brought to the emergency department with slow, deep respirations. Additional findings include blood glucose 450 mg/dL (24.9 mmol/L), arterial pH 7.2, and urinalysis showing the presence of ketones and glucose. Which of the following statements best describes the underlying cause of this patient's presentation?

An adult client with a diagnosis of sickle cell anemia is admitted for a crisis episode. Which pain medication can the nurse expect the health care provider (HCP) to prescribe?

When admitting a client with cardiac tamponade, which finding will be consistent with the diagnosis?

Which of the following findings is consistent with a diagnosis of portal hypertension?

A male patient with a history of type 1 diabetes is two days post-op following cholecystectomy. He has complained of nausea and can't tolerate solid foods. The nurse finds the patient confused and shaky. Which of the following most likely explains the patient's symptoms?

When a client is hospitalized with a deep vein thrombosis (DVT), which of the following nursing interventions is appropriate?

Which of the following statements by the parent of a pediatric patient would indicate that further education is needed?