You are interviewing a patient who will undergo diagnostic testing to confirm a diagnosis of chronic pancreatitis. Which symptom is the major clinical manifestation?
A. Abdominal ascites
B. Burning or gnawing abdominal pain
C. Steatorrhea: clay-colored stools
D. Left upper quadrant mass
Question 2The patient is treated for hyperkalemia and CCRT is initiated. Which actions will you delegate to the unlicensed assistive personnel (UAP) who are working with you to care for this patient? (Select all that apply.)
A. Replace the ECG electrodes.
B. Check the dialysis tubing for clot formation.
C. Monitor for changes in orientation.
D. Inspect the oral mucosa for dryness or cracking.
E. Obtain a blood pressure and urine output hourly.
Question 3The health care provider prescribes these orders. Which will you implement first?
A. Decrease IV fluids from 100 mL to 50 mL/hr.
B. Administer calcium chloride (Kalcinate) 1000 mg IV.
C. Give sodium polystyrene sulfonate (Kayexalate) 15 g.
D. Notify the dialysis department to prepare for continuous renal replacement therapy (CCRT).
Question 4Which assessment finding for this patient is most important to report to the health care provider?
A.Heart rate 46 and prolonged QRS duration
B.Crackles at lung bases and peripheral edema
C.Confusion and 1+ deep tendon reflexes
D.Nausea and abdominal distention
Question 5The next week, the patient's urine output increases to 3500 mL over 24 hours. The BUN and creatinine remain elevated and the GFR is now 48 mL/min.
Which collaborative and nursing actions will you plan to implement during the diuretic phase of acute kidney injury?
What will be an ideal response?
Question 6The patient was admitted to the medical unit with a diagnosis of dehydration.
Forty-eight hours later you are reviewing the results of today's diagnostic testing. Which result is most important to report to the health care provider?
A. Blood urea nitrogen (BUN) 76 mg/dL
B. Hematocrit 33
C. Serum potassium 7.2 mEq/L
D. Glomerular filtration rate (GFR) 25 mL/minute
Question 7You are working as the charge nurse in the emergency department when a 60-year-old who has had vomiting and diarrhea for the last 2 days arrives.
Vital signs are: Temperature: 101.8 F (38.8 C); Pulse: 112; Respirations: 24; Blood Pressure (BP): 88/60. Which action prescribed by the health care provider will you implement first?
A. Give metoclopramide (Reglan) 10 mg IV.
B. Infuse 1 L of normal saline over 60 minutes.
C. Draw blood for complete blood count and blood chemistries.
D. Administer acetaminophen (Tylenol) 650 mg rectal suppository.
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