1. Essential to ask a pt. with intermittent milkshake 2x a day”. claudication> Do smoke a lot? 23. Type 1 DM> test for ketones. 2.

Drug that should be @ bedside with PVC> 24. A pt is being assessed for increased ICP> Lidocaine. Noting the pt’s papillary response to light. 3. IN assessing pt with CHF nurse should pay 25. Multiple sclerosis pt has urinary incontinence. particular attention to> onset of chest pain. What is the nursing care> Establish regular voiding 4. Assess a pt with Ischemic Heart Dse> Diet schedule. history. 26. When pt has injury of the spine @ the level of 5. Nsg dx priority with pt with heart blocks> T5-L1. Which of the ff should the nurse expect> Altered Tissue Perfusion. full bladder. 6. Indicates circulatory overload for a pt with heart 27. The appropriate nsg dx for a pt with cerebral failure> dyspnea. palsy> Risk for injury. 7. Caring for a pt with MI should the nurse report 28. Which of the ff should the nurse keep @ stat to the doctor>VF bedside after cervical closure of 8. Pt. with Angina has thrombosis—PTCA is myelomeningocele> tape measure. performed—pt asked the nurse what is done in 29. The goal of care to a child with PTCA> balloon tipped catheter inserted using myelomeningocele> protection of the sac. guide wire. 30. which of the ff room is appropriate for a pt with 9. 72 hours post MI attack—pt most likely to seizure> darkened room develop> PVC. 31. Which of the ff is indicative of Jacksonian 10. Diuretic therapy given to a pt with CHF> to seizure> Seizure begins in the left arm progressing decrease venous return to the heart. to some other parts. 11. What can help a nurse in assessing a woman 32. Which of the ff symptoms if manifested by a pt with HPN> how often do you have a headache. with Myasthenia Gravis needs to be reported to a 12. When planning exercise program with HPN. physician> resp distress. What is important to consider> “How do you send 33. Nsg dx of fluid volume excess for a pt with your leisure time?” acute renal failure. Which of teh ff signs is 13. Two m/o infant developed diaper rash. W/c supportive of the dx> Crackels @ the base of the action indicates that she understood teaching> She lungs. exposes the area to air. 34. The result of which blood test would be most 14. A nurse admitted by her mother. On assessment, directly related to renal damage> creatinine. the nurse found a large bulge and raised rings on 35. A common symptom of BPH> nocturia. her thigh. What should the nurse ask> “Has the 36. Due to decrease in erythropoeitin in a pt with child been exposed to deer ticks?” ESRF. The priority nsg careis to> provide bedrest 15. Which of the ff signs with a pt with burns 37. To assess the increase risk of developing indicated a possible complication> narrowed pulse glomerulonephritis in a pt—the nurse should ask pressure. which of the following> “Did you have 16. Which of the following is a sign of streptococcal infection?” chlamydiasis> burning on urination. 38. Which of the ff statement of a mother whose 17. A pt. diagnosed with herpes. Nurse should child has been admitted for UTI—reflects a need expect to make which of the ff diagnosis/> for further teaching> “I’m glad that my child can Alteration in comfort. go back to his bubble bath again:. 18. A partial thickness burns of 30% of pt’s body 39. The appropriate diet for a pt with UTI is which surface is classified as> Moderate burns. of the following> Increase fluids and increase 19. Pt with Addison’s dse. Which should the nurse vitamin C. address initially> HPN. 40. Diarrhea, complication> Metabolic acidosis. 20. Hyperthyroidism> “ Do you tire easily?” 41. Paracentesis—body image disturbance> 21. PKU> refer the parent to a geneticist. increased risk for infection 22. PKU—further teaching > “My child drinks 42. After common bile duct exploration—priority

nsg care is> prevention of pneumonia. 43. Pancreatitis, discharged-nurse should report> foul-smelling bulky stool. 44. A sign that needs to be reported in a child post tonsillectomy> frequent swallowing. 45. Appropriate feeding device for a child post palate surgery> paper cup. 46. A child is brought to the hospital with a dx of gastroenteritis-which statement reflects NFI> “ I used boiled water from the well for his feeding.” 47. The priority nsg dx during acute attack of Meniere’s dse> risk for injury. 48. Position, cataract extraction> unoperated side to decrease edema. 49. Eye pain occurs post cataract surgery> call the MD. 50. Retinoblastoma> cat’s eye reflex 51. Retinoblastoma>refer to geneticist. 52. timoptic drugs> decrease IOP. 53. tonometer > detect ICP.

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