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PN2 Medical Management Assessment Exam 3 Combined Questions with Correct Answers Graded A+. 1. A client is experiencing bilateral cloudy vision and difficulty seeing at night. Suspecting cataracts, the nurse would also expect which of the following findings as well? (Select all that apply.) - Answers-*a. color distortion 2. A client is diagnosed with glaucoma and is prescribed medication to treat it. The nurse knows that which of the following best explains the purpose of the medication? - Answers-*d. This medication lowers intraocular pressure. 3. A client has been diagnosed with cataracts. The patient fears permanent loss of vision. The nurse responds to the patient verbalizing which of the following treatments for cataracts? a. Medical management with eye drops - Answers-*d. Surgical removal of the lens 4. A client
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Meniere's disease, which medication would the nurse expect the provider to order? - Answers-*d. Furosemide
does the nurse expect to observe during the client's physical assessment? - Answers- Purulent fluid is present in the ear canal. A client with a ruptured tympanic membrane asks the nurse whether hearing will be affected permanently. Which is the nurse's best response? - Answers-"Possibly. The eardrum usually heals in 1 to 2 weeks. Any persistent hearing problem should be evaluated." The nurse is caring for a client with Ménière's disease. The client asks the nurse how to prevent another acute episode from occurring. Which is the nurse's best response? - Answers-stop or reduce cigarette smoking restrict sodium, sugar, fluid, alcohol and caffeine a client is demonstrating signs of an anaphylactic reaction. which of the following should nurse do? - Answers-place client in supine position. maintain airway, begin an IV line A middle-aged male is experiencing itching, erythema, and circular red scaly lesions on his face. the lesions have a honey-colored crust the nurse realizes that the child is most likely experiencing? - Answers-impetigo the nurse is instructing a client diagnosed with type 2 diabetes Mellitus on diagnostic tests used to evaluate the control of the disorder. the nurse should instruct the client on which of the following diagnostic tests that will provide this information - Answers- glycosylated hemoglobin a client with acute-angle glaucoma has several medications ordered. which medications does the nurse question? - Answers-Atropine (Isopto Atropine) Epinephrine A 24-year-old woman who uses injectable illegal drugs asks the nurse about preventing AIDS. The nurse informs the patient that the best way to reduce the risk of HIV infection from drug use is to - Answers-participate in a needle-exchange program. Prednisone (Deltasone) is prescribed for a patient with an acute exacerbation of rheumatoid arthritis. Which laboratory result will the nurse monitor to determine whether the medication has been effective? - Answers-C-reactive protein level Which information will the nurse include when teaching range-of-motion exercises to a patient with an exacerbation of rheumatoid arthritis? - Answers-Application of cold packs before exercise may decrease joint pain. The nurse obtains the following information about a patient before administration of metformin (Glucophage). Which finding indicates a need to contact the health care provider before giving the metformin? - Answers-The patient's blood urea nitrogen (BUN) level is 60 mg/dL.
A patient is admitted with diabetic ketoacidosis (DKA) and has a serum potassium level of 2.9 mEq/L. Which action prescribed by the health care provider should the nurse take first? - Answers-Place the patient on a cardiac monitor. Which of these laboratory values, noted by the nurse when reviewing the chart of a hospitalized diabetic patient, indicates the need for rapid assessment of the patient? - Answers-Noon blood glucose of 52 mg/dL pericarditis - Answers-Sit up and lean forward, Friction rub in LL sternal border Not treated = right sided HF cystic fibrosis - Answers-Puffy foul stool Venturi mask - Answers-Deliver most accurate O2 concentration Best for chronic lung disease trach suctioning - Answers-No more than 15 seconds, Hyperoxgenate prior In through ET tube and twirl when coming back out If HR drops stop and oxygenate chronic bronchitis - Answers-Thick mucus secretions Due to smoke irritation inflamed bronchi- bronchioles Emphysema - Answers-Loss of lung elasticity Hyper inflated chest on X-ray (air trapped) arterial ulcers - Answers-Punch out ulcer Positive TB skin test - Answers-10mm + =positive Been exposed but does not mean active Chest X-ray for active PPD test - Answers-Read within 48-72 hours pursed lip breathing - Answers-Decreased CO2 levels Pneumonia Risk Factors - Answers-severe cough, dyspena, fever, crackles, wheeze Chest tube complications - Answers-if disloged tape down 3 sides Endocarditis teaching for home - Answers-Continue antibiotic treatment Valvue replacement teaching - Answers-No dental work, teeth cleaning
blood transfusions patient has back pain and restlessness - Answers-Stop infusion, disconnect tubing, start new line with normal saline Best position for patient with difficulty breathing - Answers-High Fowler Test for degree of heart failure - Answers-BNP Brain Natriuretic Peptide Patient on anticoagulant monitor for - Answers-Brusing and bleeding what do you use for peripheral Arterial occlusion - Answers-Heprain Risk for PVD - Answers-Standing to much polychthemia teaching - Answers-Drink lots of water Shave with electric razor No toothpicks Stop anticoagulant treatment for bleeding with heprain and coumadin - Answers-sodium sulfate Heart failure patient teaching - Answers-Check pulse before giving digoxin Do not give pulse under 60 Remove salt from table Report weight gain of more than 2 lbs rib fracture teaching - Answers-cough and deep breathing with splinting with pillow PVD - Answers-Causes PE and DVT Anticoagulants taken Brown legs PAD - Answers-Painful ulcers- on toes and feet "punch out" Intermittent claudication Walk short distance Pain stops with rest Elevate not above heart Wear compression Take antiplatelet agents Red sores risk factors for varicose veins - Answers-obesity, smoking, hypertension, standing alot Smoking and Hypertension - Answers-smoking does not thin your blood it increases the risk for bleeding
pulmonary edema - Answers-Blood and fluid lacks in lungs Left heart fails to pump Diuretic-watch for hypokalemia Albuterol (Proventil, Ventolin) - Answers-Inhaled (short-acting), few minutes for onset. Used for acute bronchospasm. side effects: nervousnes, jittery, anxiety, tachycardia allergic rhinitis - Answers-line on nose, runny nose, nasal congestion, nasal itching, allergies Anti-histimines (non-drowsy) - Answers-allegra (fexofenadine) Treatment for allergic rhinitis - Answers-wash closed in warm water, use a/c, windows closed, avoid feather pillows, pets and carpet