A nurse is assessing a patient with cirrhosis. The nurse should know that which of the following would indicate late stage liver deterioration?
• Hepatic deterioration, the later stages of cirrhosis, causes encephalopathy due to the increased levels of ammonia in the blood. This results in a diminished level of consciousness, confusion, flapping tremor of the hands (asterixis), and a sweet odor to the breath is often noted
• Weight loss and muscle weakness occur long before the later stages of cirrhosis
• Low urine output would be due to kidney deterioration
A 25-year-old male is admitted to the hospital with the diagnosis of a sickle cell crisis. What consultation is a priority for this patient?
A patient is admitted for gastric bypass surgery. Which of the following patient statements indicates a need for patient teaching?
The nurse is instructing a patient diagnosed with acute gastritis. The patient asks about the causes of gastritis. The nurse should include which of the following risk factors in her response?
A nurse is caring for a patient diagnosed with myasthenia gravis. When caring for this patient, which of the following interventions are appropriate?
A patient with claudication asks the nurse about relieving measures. The nurse correctly educates the patient when she advises him to:
A patient is scheduled to undergo an upper GI endoscopy for the diagnosis of esophageal varices. The nurse explains to the patient that esophageal varices:
The nurse is performing a rectal exam on a patient suspected of urethral injury. Which of the following supports this suspicion?
A nurse is assessing an adult patient whose G
The nurse is caring for a patient with severe pain and swelling in the joints of the feet that occurs at night. The nurse notes that the joints in the feet are red and hot. What joint disease is most likely present?
A patient with a head injury was admitted and the nurse plans to monitor his hypothalamic function. To do this, the nurse should monitor which parameters?
In a patient with hypothyroidism, which clinical manifestation would be indicative of right-sided heart failure?
The nurse is caring for a patient with a Miller-Abbott tube used to decompress the small bowel. Which of the following would confirm the tube is located in the small intestine?
A patient is seen in the clinic for ulcerative colitis, a form of inflammatory bowel disease. The nurse should anticipate including which of the following in the patient's care plan?
A patient is admitted to the orthopedic unit after the application of a cast. While transferring the patient into bed, the nurse should:
The nurse is caring for a patient after undergoing an above-the-knee amputation (AKA). The nurse encourages the patient to begin exercising the affected limb:
A patient who sustained a fractured fibula has developed compartment syndrome. The nurse explains compartment syndrome to the patient knowing that:
The nurse is caring for a 16-year-old boy with multiple fractures. Around this age, people often experience closure of the epiphyses. After this occurs, which of the following is true?
A nurse is working with a new, unlicensed nursing assistant. When caring for a diabetic patient with dehydration, which tasks can be delegated to the NA?
A 32-year-old male is admitted to the hospital with diabetes insipidus. The nurse would anticipate the physician ordering the administration of:
An elderly patient with a five day history of diarrhea and vomiting is brought to the ER by her family. She is diagnosed with hypovolemic shock. The nurse recognizes which signs as advanced shock?
A patient with a large spider angioma on her face says to the nurse, "This thing is so ugly, why won't it go away?" How should the nurse respond?
A patient with burn injuries is tested for carbon monoxide. His level is 25%. The nurse would expect which of the following based on this carbon monoxide level?
The nurse is assessing a patient with Addison's disease during a follow up visit. The nurse knows to stay alert for:
The physician is planning to wean a patient off a ventilator. The nurse knows which of the following information is important for assessing the patient's ventilatory status?
A 23-year-old female is readmitted to the hospital due to recurrent urinary tract infections (UTI). Which of the following instructions would the nurse share with the female to hopefully prevent future UTIs?
The nurse is reviewing the results of genetic testing of a patient with sickle cell disease, noting that HbS indicates sickle cell disease, HBAS indicates sickle cell trait and HbA indicates normal hemoglobin. The patient and her husband are at the lowest risk of having a child with sickle cell disease:
A burn patient returns from surgery with an autograft on the left elbow. Which of the following steps should the nurse take to improve skin graft outcomes?