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ScarletSky ScarletSky
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Posts: 543
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7 years ago
A patient in diabetic ketoacidosis is comatose with a temperature of 102.2  F. The nurse would suspect
 
  a. head injury.
  b. infarct of the hypothalamus.
  c. infection.
  d. heat stroke.

Question 2

A health care provider has ordered an MRI (magnetic resonance imaging) of the liver. The nurse's first action is to
 
  a. prepare the patient psychologically and physically for the procedure.
  b. monitor the patient's response to the procedure.
  c. assess the patient after the procedure.
  d. inform the patient's family of the results.

Question 3

What is a continuous venovenous hemodialysis filter permeable to?
 
  a. Electrolytes
  b. Red blood cells
  c. Protein
  d. Lipids

Question 4

A 16-year-old young woman is admitted to the critical care unit with severe hyperglycemia caused by new-onset type 1 diabetes mellitus. The patient is complaining of headache and blurred vision. The nurse knows that these are signs that may indicate
 
  a. kidney stones.
  b. diabetes insipidus.
  c. hypoglycemia.
  d. hyperglycemia.

Question 5

Verification of feeding tube placement includes
 
  a. auscultation for position.
  b. aspiration of stomach contents.
  c. x-ray study for confirmation.
  d. gastric pH measurement.

Question 6

Which of the following is most often found in ventricular dysrhythmias?
 
  a. Retrograde P waves
  b. Wide QRS complexes
  c. No P waves
  d. An inverted T wave

Question 7

Risk factors that need to be considered with a thoracentesis include (Select all that apply.)
 
  a. coagulation defects.
  b. intra-aortic balloon pump.
  c. pleural effusion.
  d. uncooperative patient.
  e. empyema.
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wrote...
7 years ago
The answer to question 1

C
A patient in diabetic ketoacidosis can experience a variety of complications, including fluid volume overload, hypoglycemia, hypokalemia or hyperkalemia, hyponatremia, cerebral edema, and infection.

The answer to question 2

A
The nursing management of a patient undergoing a diagnostic procedure involves a variety of interventions. Nursing actions include preparing the patient psychologically and physically for the procedure, monitoring the patient's responses to the procedure, and assessing the patient after the procedure. Preparing the patient includes teaching the patient about the procedure, answering any questions, and transporting and positioning the patient for the procedure.

The answer to question 3

A
A continuous venovenous hemodialysis filter is permeable to solutes such as urea, creatinine, uric acid, sodium, potassium, ionized calcium, and drugs not bound by proteins.

The answer to question 4

D
Because severe hyperglycemia affects a variety of body systems, all systems are assessed. The patient may complain of blurred vision, headache, weakness, fatigue, drowsiness, anorexia, nausea, and abdominal pain.

The answer to question 5

C
The traditional practice of confirming placement by auscultating air inserted through the tube over the epigastrium is not reliable and is not recommended. Aspiration of stomach contents and gastric pH measurement are also not recommended. If there is any doubt as to the tube's position, a repeat radiograph should be obtained.

The answer to question 6

B
Ventricular dysrhythmias result from an ectopic focus in any portion of the ventricular myocardium. The usual conduction pathway through the ventricles is not used, and the wave of depolarization must spread from cell to cell. As a result, the QRS complex is prolonged and is always greater than 0.12 second. It is the width of the QRS, not the height, that is important in the diagnosis of ventricular ectopy.

The answer to question 7

A, B, D
No absolute contraindications to thoracentesis exist, although some risks may contraindicate the procedure in all but emergency situations. These risk factors include unstable hemodynamics, coagulation defects, mechanical ventilation, the presence of an intra-aortic balloon pump, and patients who are uncooperative. It is used most often as a diagnostic measure; it may also be performed therapeutically for the drainage of a pleural effusion or empyema.
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