Blog

The nurse is planning the care of the client with heart failure. Which overall goals should the nurse identify for the client’s care? (Select all that apply)

The client expresses concern about starting chemotherapy due to the plan to start a family. Which intervention should the nurse prioritize prior to the start of treatment?

A 74-year-old patient with a current diagnosis Alzheimer’s is 6 hours post-op from a total hip arthroplasty. During the floor nurse’s assessment, they note the surgical drain has an output 600 mL of bright red blood in the last two hours. The patient is pale, diaphoretic, and complaining of extreme dizziness when the head of the bed is raised. The nurse suspects the patient has internal bleeding secondary to the surgical procedure, and anticipates an order for a blood transfusion. Current Vitals:BP: 88/54 mmHg (Baseline: 130/70)HR: 118 bpm O2 Sat: 91% on room airHgb: 6.8 g/dL (Pre-op: 12.4 g/dL)The nurse assesses the patients current mental status, and determines the patient is confused and cannot state their name or date of birth. Which action by the two nurses at bedside is an acceptable way to verify the patient’s identity?

An ABG is completed with the following results: pH 7.33, PaCO2 55 mmHg, PaO2 52 mmHg, HCO3 31 mEq/L. How does the nurse interpret the results and priority actions?

The next two questions do not relate to a scenario.The patient has a Hgb of 6.8 g/dL. Why is the administration of Packed Red Blood Cells (PRBCs) prioritized over a standard 1L bolus of Normal Saline?

During a busy shift in the dermatology clinic, a 32-year-old patient presents with a painful, blistering rash that began on the torso and has rapidly spread to the face and oral mucosa following a new course of anticonvulsant medication.The nurse suspects the client has Steven-Johnson-Syndrome. As one of the diagnostics to determine course of treatment, the nurse expects the provider to order a:

Which of the following laboratory results would further eliminate a diagnosis of aplastic anemia? (Select all that apply)

The patient’s  latest echocardiogram shows an Ejection Fraction (EF) of 18%. The nurse understands that EF represents the percentage of blood ejected from the [BLANK-1] [BLANK-2] with each contraction. In a healthy adult, a normal EF range is typically a minimum of [BLANK-3]%.

A 65-year-old retired veteran is admitted to the oncology unit after a pathological fracture of the right humerus led to the discovery of lytic lesions on their skeletal survey and a bone marrow biopsy confirming plasma cell infiltration. Upon admission, the lab work reveals multiple myeloma, requiring immediate IV hydration and bisphosphonate therapy to stabilize their bone density. During their stay, a treatment with a combination of targeted therapy (Bortezomib), an immunomodulatory drug (Lenalidomide), and high-dose Dexamethasone is initiated. After a week of  treatment, the patient’s calcium levels normalize and renal function remains stable. They are now being discharged home and will receive outpatient cancer treatment. The medical surgical nurse is providing education prior to discharge. Which of the following will the nurse educate on regarding living at home with multiple myeloma? (Select all that apply)

The patient asks the nurse when they can return to their woodworking hobby. Which response by the nurse is the most appropriate for the patient with a current ejection fraction of 18%?