Exam 1: Adult

The nurse is assessing the tests of a patient with a diagnosis of acute right-sided Heart Failure. What parameter would be elevated in right-sided Heart Failure?

The best treatment for Pulmonary embolism is prevention. Heparin is often used to prevent pulmonary embolisms in at-risk patients. The Activated Partial Thromboplastin Time (APTT) is used to maintain a therapeutic level for heparin therapy. What level should the Activated Partial Thromboplastin Time be maintained at?

Which of the following medications would be most effective in decreasing vagal stimulation, pancreatic secretion and ampullary spasm in a patient with acute Pancreatitis?

A 37 year old woman is admitted to the intensive care unit after experiencing an anterior spinal cord injury status post trauma. What kind of gastrointestinal problems would this patient be at risk for?

Which of the following scenarios reflects the greatest need for mechanical ventilation?

The nurse is taking care of a patient who has just received a kidney transplant. What signs and symptoms would indicate the body is rejecting the donated organ?

226)The nurse has received a patient who was admitted with a vitamin B12 deficiency. What would the nurse specifically do in her assessment?

What lab values are essential to monitor in the patient with heart failure who is receiving diuretics?

In end stage renal disease, what lab value should be monitored in relation to bleeding?

When working the family of the patient in critical care, a nurse should use this kind of Therapeutic Communication:

A 20-year-old male client with a BMI of 33 has been admitted for recurrent chest pains and difficulty breathing. During the assessment, it is found that his father and mother have both suffered from myocardial infarction before the age of 50. Which of the following nursing actions is the first step to prevent the client from developing myocardial infarction?

The patient with a diagnosis of rule out Cerebrovascular accident is scheduled to go to a Magnetic resonance imaging. What would be a contraindication for the patient to undergo the test?

A patient in end stage renal disease is due for dialysis today suddenly needs additional help to get out of bed to use the bedside commode. He is short of breath and complains of feeling "extra tired" today. A glance at the telemetry monitor shows a new onset irregular heartbeat. What electrolyte imbalance is the most likely cause of the patient's new symptoms?

A nurse is explaining a recent diagnosis of heart failure to the patient. What is the best way to describe heart failure?

What is the goal in managing peptic ulcer disease?

The physician orders peak and trough levels for a patient receiving Vancomycin for the treatment of sepsis. If the patient received the last dose of Vancomycin at 12:00 noon, when should the trough be drawn?

What symptom of liver failure would be marked by progressive Azotemia, elevated serum Creatinine levels and Oliguria?

A 68-year-old woman is diagnosed with thrombocytopenia due to acute Lymphocytic Leukemia. She is admitted to the hospital for treatment. The nurse should assign the patient

An intensive care nurse is asked to assess a nurse on a medical telemetry unit whom the medical nurse is questioning whether the patient might be experiencing septic shock. What symptoms would the nurse observe if the patient was in the late stages of septic shock?

The critical care nurse is caring for a 18 year old who attempted suicide by swallowing an excess of 100 tabs of acetaminophen. What drug would the nurse expect the doctor to order to act as an antidote to the overdose?