The nurse is caring for a patient with chronic renal failure (CRF) that has developed decreased erythropoietin synthesis. The nurse assesses the patient for:
• Erythropoietin is synthesized in the renal cortex. A decrease in production related to CRF leads to anemia, manifesting as weakness and fatigue. Dyspnea, pallor, malaise, and poor concentration are also common symptoms of anemia.
• In a person with CRF, a low hemoglobin (Hgb) is most likely caused by low erythropoietin production.
• Nausea is not associated with anemia.
• Intercostal retractions, cyanosis, wheezing, and hypercapnia are generally related to problems with ventilation and perfusion.
• Cyanosis is seen less in those with anemia because the bluish color of deoxyhemoglobin cannot be seen without a high enough hemoglobin count.
A 60-year old woman was diagnosed with breast cancer and has been treated for 5 years. She is considered at high risk for recurrence but currently shows no evidence of the disease. She is a candidate for adjuvant chemotherapy. Which among the following are chemotherapeutic agents?
The nurse is teaching a female patient about breast self-exams and what to look for. The nurse should instruct the patient to report which of the following to the health-care provider?
While caring for a patient with a carcinoma of the prostate gland, the nurse monitors for metastasis to which of the following structures?
The nurse discovers an unconscious patient and suspects a spinal cord injury. After calling for help and delivering chest compressions, a second nurse arrives who immediately
The nurse is assessing a patient who came in for a hearing examination. Which of the following tests or tools may the nurse use to assess CN VIII, the acoustic nerve?
A nurse in the ICU is caring for a patient who has just been admitted after sustaining a closed head injury in a motor vehicle accident. The patient is awake, disoriented, and combative. The patient has an order for 4-point restraints to prevent the patient from pulling at IV lines and causing injury to self or others. The nurse knows that the patient's plan of care will include which of the following interventions?
The nurse is assessing an elderly patient with an increased thoracic curve. This condition is called:
A patient diagnosed with testicular cancer had testicular surgery. On the day of discharge, the nurse gave him which of the following correct instructions?
A patient presents to the clinic with symptoms of chronic sinusitis. Which of the following is unrelated to sinusitis?
After reviewing materials for a musculoskeletal exam, a nursing student understands that dislocation rarely happens in the:
A patient with diverticulosis is being instructed on disease management. The nurse instructs the patient to consume a diet including which of the following?
The nurse is assessing a patient suspected of having a duodenal ulcer. The patient admits to having a family history of this disease. The nurse knows that another known risk factor for duodenal ulcers is which of the following blood types?
The nurse is assessing a patient diagnosed with acute pancreatitis. Which of the following assessment findings is consistent with this diagnosis?
A man is admitted to the hospital for possible urethritis. The nurse assesses the patient closely for what common signs and symptoms?
A patient with hepatitis B asks the nurse how he contracted the disease. The nurse responds, knowing that hepatitis B is transmitted via:
A patient is being admitted to the hospital with complaints of heat intolerance, diarrhea, weight loss, and palpitations. The nurse knows that these symptoms are due to an elevated secretion of
A patient is being treated for choledocholithiasis, a gallstone lodged in the common bile duct. The nurse expects to note which assessment finding?
The nurse is caring for a patient with a paralytic ileus. While assessing the patient, the nurse would expect bowel sounds to be:
After undergoing thoracentesis, a fluid sample is sent to the lab for evaluation. The sample reveals a high presence of white blood cells. The nurse interprets this as consistent with
A patient diagnosed with renal cell carcinoma of the right kidney is scheduled for
A patient who received cryosurgery for a local stage 0 cervical tumor is listening to the instructions given by the nurse. The nurse appropriately tells the patient that
The nurse is caring for a patient with non-Hodgkin's lymphoma, stage IV. The patient received chemotherapy 10 days ago using the following drugs: doxorubicin, cyclophosphamide, vincristine, and prednisone through the vascular access device. The patient's blood test result revealed WBC count of 1500/ml, hemoglobin of 7.6 g/dl, RBC of 3,000,000/ml, hematocrit of 22.3%, and platelet count of 20,000/ml. Which of the following interventions will the nurse include in the care plan for this patient?
A patient with AIDS is suffering from anorexia and cachexia. In order to increase body weight, the nurse should instruct the patient to do which of the following?
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?
While assessing a patient with aortic regurgitation, the nurse notes a Corrigan's pulse. This finding is characterized by
A patient has just returned to the nursing unit after undergoing a cardiac catheterization. Which of the following nursing interventions should the nurse perform first?
The nurse is preparing a care plan for a patient with prostate cancer. Which of the following is not true concerning prostate cancer?
The nurse is reviewing the electrocardiogram (EKG) strip of a patient with wide QRS complexes. The nurse understands that the QRS complex represents
The nurse is assessing a patient with coronary artery disease who has been hospitalized for 3 days. The nurse notes 3+
A registered nurse and an LPN are caring for a patient with a pressure ulcer. In what situation should the LPN communicate changes in the pressure ulcer?
An elderly woman with rheumatoid arthritis informs the nurse that most of her friends have osteoarthritis and asks what the difference is between the two diseases. The nurse should understand that:
A 28-year-old suffering from burns due to an automobile accident was rushed to the emergency room. Upon assessment, it is noted that the patient's right arm and leg are burned. The burnt skin is red and white, moist, and large blisters are present. The patient