Exam 1: Adult

A patient with unstable angina has an Intra-aortic balloon pump (IABP) inserted. The patient's hemodynamics are: HR = 148 (sinus tachycardia); MAP = 40 mm Hg; PCWP = 25 mm Hg; CI = 1.4 L/min/m2. Which of the following should be included in this patient's plan of care?

A patient has been admitted for chronic renal failure. The patient has a history of noncompliance with medication and care. He begins to complain of a severe, throbbing headache in the back of his head and vomits 300 cc of emesis. He states that his vision has become blurry and he is becoming short of breath. What might be the cause of the sudden onset of symptoms?

When administering the non-opioid analgesics Acetaminophen, why is the total daily intake monitored and limited to not more than 4 grams/day?

A nurse is coming on shift and receives report about a patient who is in septic shock. What signs and symptoms would the nurse expect to see?

The nurse is helping the patient in end stage renal disease build a diet plan. The dietician has been called but will not be able to see the patient for 2 more days. What electrolytes are the most important to limit in a renal diet?

You are working in the emergency room when a 45 year old male comes in with signs and symptoms of acute renal failure. What is the most accurate measure of renal function?

Who is most at risk for developing a pulmonary embolism?

A patient is suspected of developing an Upper Gastrointestinal bleed two days after a total hip replacement. What are the most appropriate nursing actions?

Antacids are a common medication used to neutralize stomach acid and decrease the effects of a gastrointestinal bleed. When is the optimal time to administer antacids?

What characteristics would the nurse most likely assess in a patient with reduced Renal Reserve (early stages of renal disease)?

Knowing that the patient is beginning to display signs of Tetany, the nurse checks the chemistry panel and notes the serum calcium level has dropped to 5.2. What medication would the nurse anticipate being ordered to correct the Hypocalcemia?

The nurse notices that the positive end-expiratory pressure (PEEP) on the patient with respiratory failure is at 11 cm H20 to maintain the patient's oxygenation. The patient's blood pressure is at 84/46. What would be the optimal choice to increase the preload of the heart?

A nurse is caring for a 37-year-old patient with a ventricular drain. The nurse continues to assess for complications of rapid cerebrospinal fluid drainage. The signs and symptoms of complications of excessive CSF drainage include:

A 29 year old female has been admitted with severe abdominal pain of unknown origin. What kind of pain would Pancreatitis most likely be the cause of?

What precautions should be followed when administering Phenytoin?

The nurse is assessing the patient who will be receiving dialysis later in the day. What assessment can the nurse do to evaluate the patency of the patient's graft site where dialysis will be accessed?

Panic disorders may be associated with abnormal activation in which part of the human brain?

A 62 year old woman is admitted to the Intensive Care Unit. She has a history of a kidney transplant 11 years ago and has had no problems with her kidney function. She has been taking Furosemide 20 mg by mouth twice a day since the kidney transplant. In the last two days she has voided less than 200 mL a day. What abnormal lab values would the nurse most likely see?

What is the most common and first clinical symptom of Appendicitis?

After the nurse quickly assesses her patient is having a hemolytic reaction to the blood they are receiving, what is the first action that the nurse should take?