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- A nurse is assessing a client with suspected gout. Which of the following would support a diagnosis of gout? Select all that apply 1. Elevated serum uric acid level 2. A swollen, red joint 3. Reports of moderate fatigue 4. Distal extremities cool totoucho5. Pain associated with movement of the affected extremity 6. Intolerance of dairy products24. A nurse is caring for a client who exhibits manifestations of major depressive disorder. The provider wants to rule out any other medical conditions that may be contributing to or causing the symptoms. Which diagnostic test should the nurse expect to be ordered? a. Kidney function test b. Thyroid panel (TSH, T3, T4) c. Liver function test d. Urinalysis with culture1.A client is on magnesium sulfate for severe preeclampsia. The nurse must notify the attending physician regarding which of the following findings? I. Patellar and biceps reflexes of +3. II. Urinary output of 30 mL/hr. III. Respiratory rate of 16 rpm. IV. Serum magnesium level of 9 g/dL. 2.A woman with severe preeclampsia, 38 weeks’ gestation, is being induced with IV oxytocin (Pitocin). Which of the following would warrant the nurse to stop the infusion? I. Blood pressure 160/110. II. Frequency of contractions every 3 minutes. III. Duration of contractions of 130 seconds. IV. Fetal heart rate 156 with early decelerations.
- An older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremeties1. Patient X is diagnosed with constipation. As a knowledgeable nurse, which nursing intervention is appropriate for maintaining normal bowel function? A. Assessing dietary intake B. Decreasing fluid intake C. Providing limited physical activity D. Turning, coughing, and deep breathing 2. A 12-year-old boy was admitted to the hospital two days ago due to hyperthermia. His attending nurse, Dennis, is quite unsure about his plan of care. Which of the following nursing interventions should be included in the care plan for the client? A. Room temperature reduction B. Fluid restriction of 2,000 ml/day C. Axillary temperature measurements every 4 hours D. Antiemetic agent administrationA 42-year-old patient admitted with acute kidney injury due to dehydration has oliguria, anemia, and a potassium level of 6.0 meq/L. Which of the prescribed actions should the nurse do first? a. Give sodium polystyrene sulfonate (Kayexalate) b. Administer epoetin alfa (Epogen, Procrit) subcutaneous c. Insert a urinary retention catheter to monitor I&O d. Order a type & cross for a possible blood transfusion
- A nurse is teaching a group of patients about dia- betes mellitus. Which participant should the nurse anticipate will have the most difficulty following al medical regimen associated with a chronic health problem? 1. Adolescent 2. Older adult 3. Young adult 4. Middle-aged adultA 40-year-old woman comes to the physician for a health maintenance examination. She does not smoke or drink alcoholic beverages. Physical examination shows no abnormalities. Laboratory studies show: Serum Urea nitrogen Glucose, fasting Creatinine Cholesterol, total Triglycerides Urine Blood Glucose Ketones 17 mg/dL 151 mg/dL 1.2 mg/dL 188 mg/dL 163 mg/dL negative 1+ negative This patient is at increased risk for developing which of the following renal abnormalities during the next 20 years? A) Crescentic glomerulonephritis B) Hyperplastic arteriolosclerosis C) Membranoproliferative glomerulonephritis D) Minimal change disease E) Nodular glomerulosclerosis F) Renal cell carcinoma7. Mrs J is prescribed oral prednisolone in a descending dose regimen. She is to take 60 mg once daily, reducing by 10 mg every 2 days until a dose of 10 mg is reached. She is then to take 10 mg for 7 days followed by 5 mg for 7 days and then stop. How many prednisolone 5 mg tablets would you need to supply to Mrs J to fulfil the full course of treatment?
- Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTNList the long term complications of DM6. The order is for Tobramycin 50 mg IM q 8h. Available is Tobramycin 40 mg/1 mL. How many mL should the nurse administer in one dose? Round to the tenth place. _______ mL1. A nurse is caring for an adolescent who is 1 hour post-operative followingan appendectomy. Which of the following findings should the nurse report to theprovider?a. Heart rate 63 / minuteb. muscle rigidityc. temperature 36.4 Celsius (97.5 Fahrenheit)d. abdominal pain