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1 The question ” what time was the patient last fully functional” is an appropriate assessment to determine

 

The prognosis of a hemorrhagic stroke

The time required to decrease intracranial pressure

The course of treatment for an ischemic stroke

If the patient will regain all function

2 The nurse is assessing a patient who is at risk of developing acute renal failure. The nurse would be most concerned if which of the following assessment were made?

 

Urine output 60ml/hr, blood urea nitogen (BUN) 20, creatinine1.1

Urine output 40ml/hr, BUN 15, creatinine 0.8

Urine output 20ml/hr, BUN 35, Creatinine 2.1

Urine output 30ml/hr, BUN 10, creatinine 1.2

3 A patient with end stage renal disease has calcium and phosphorus salt deposited his shoulder joints. The nurse would expect to develop a nursing diagnosis for this system change?

 

Chronic confusion

Excess fluid volume

Chronic pain

Impaired Nutrition less than body requirements

4 The nurse is participating in a staff education even on cancer and is planning a display describing the difference between malignant and benign tumors. Which information would the nurse include as characteristic of malignancy? (Select all that apply )

 

Malignant tumors grow in an infiltrative pattern

Malignant tumors grow rapidly

Malignant tumors grow within a fibrous capsule

Malignant tumors are poorly differentiated

Malignant tumors have a good blood supply

5 The nurse has provided discharged instructions to a patient who has metastatic lung cancer and stomatitis. The nurse would evaluated that understanding has occurred when the patient makes which statements? (Select all that apply)

” I probably should not gently brush my teeth or floss”

” I will rinse my mouth with full strength commercial mouthwash every hour until the sores heal”

” I will clean my mouth before and after every meal”

” I need to check for oral thrush and notify the doctor of symptoms”

6 The end stage renal disease(ESRD) patient has a correct knowledge base when he can tell you that hemodialysis provides all the following functions expect:

 

Fluid regulation

Electrolyte balance

Waste removal

Renin Secretion

7 A 50 year old patient is diagnosed with breast cancer and is scheduled for a modified radical mastectomy. During the admission workup, the patient is extremelt anxious and ask many questions. Which of the following statements would offer the best guide for the nurse to answer questions raised by this apprehensive preoperative patient? It is usually best to

 

Explain to her as much as she wants to know and is able to understand

Delay discussing the patient’s questions with her until she is recovering

Delay discussing the patient’s questions with her until her apprehension subsides

Explain to her that she should discuss her questions first with the doctor

SCIENCE
HEALTH SCIENCE
NURSING
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