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    Exam Review

    1. A nurse in the emergency department is caring for a client. Exhibit 1 Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Obtain a capillary glucose level.
      ✓Administer supplemental oxygen
      ✓Left-sided heart failure
      ✓Weight
      ✓Urine output
      Action to Take
      ✓Obtain a capillary glucose level.
      ✓Administer supplemental oxygen
      ✕Elevate the head of the client's bed.
      ✕Prepare to administer bronchodilator
      ✕Request a prescription for IV fluid bolus
      Condition Most Likely Experiencing
      ✕Asthma
      ✕Pulmonary embolism
      ✕Dehydration
      ✓Left-sided heart failure
      Parameters to monitor
      ✓Weight
      ✕Pulmonary function tests
      ✓Urine output
      ✕Coagulation levels
      ✕Neurological Status
    2. A nurse in the emergency department (ED) is caring for a client. Laboratory Results Exhibits Complete the following sentence by using the list of options. The nurse should first address the client ▾ Blood pressure followed by the client ▾ Oxygenation
      Dropdown 1:
      Option 1: Blood pressure
      Option 2: Oxygenation
      Option 3: Urine output
      Option 4: Nutritional status
      Dropdown 2:
      Option 1: Blood pressure
      Option 2: Oxygenation
      Option 3: Urine output
      Option 4: Nutritional status
    3. A nurse is caring for a client. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing ▾ pulmonary embolism due to ▾ possible deep vein thrombosis .
      Dropdown 1:
      Option 1: lead poisoning
      Option 2: pneumonia
      Option 3: atherosclerosis
      Option 4: pulmonary embolism
      Option 5: constipation
      Dropdown 2:
      Option 1: possible deep vein thrombosis
      Option 2: blood pressure
      Option 3: diet
      Option 4: breath sounds
      Option 5: home environment
    4. A nurse in the emergency department is caring for client who is experiencing chest pain. Exhibits The nurse is reviewing the client’s assessment data to prepare the plan of care. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Administer Oxygen via nasal canula 2 L/min.
      ✓Request a prescription for aspirin 325 mg
      ✓Myocardial Infarction
      ✓Vital signs
      ✓Electrocardiogram (ECG) rhythm
      Action to Take
      ✓Administer Oxygen via nasal canula 2 L/min.
      ✕Request a prescription for verapamil 100 mg
      ✓Request a prescription for aspirin 325 mg
      ✕Request a prescription for morphine 6 mg IV bolus
      ✕Administer transdermal nitroglycerin
      Potential Condition
      ✕Ischemic stroke
      ✓Myocardial Infarction
      ✕Cardiogenic shock
      ✕Chronic stable angina
      Parameters to monitor
      ✕Serum glucose level
      ✓Vital signs
      ✕WBC count
      ✓Electrocardiogram (ECG) rhythm
      ✕Platelet count
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    Exam Review

    1. A nurse is caring for a client. Exhibits
      (Highlight — findings requiring follow-up are marked)

      A nurse is caring for a client.

      Exhibits

      Click to highlight the findings that increase the client's susceptibility to infection. To deselect a finding, click on the finding again.

      Client has a BMI of 16

      History of type 2 diabetes mellitus

      Client is a nonsmoker

      Hct 47% (37% to 52%)

      Budesonide 6 mg PO qd

    2. A nurse is assessing a 24-year-old female client. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is exhibiting clinical manifestations of ▾ Deep venous thrombosis and ▾ Pulmonary embolism.
      Dropdown 1:
      Option 1: Peripheral arterial disease
      Option 2: Cellulitis
      Option 3: Deep venous thrombosis
      Option 4: Popliteal venous aneurysm
      Option 5: Pulmonary embolism
      Option 6: Vasculitis
      Dropdown 2:
      Option 1: Peripheral arterial disease
      Option 2: Cellulitis
      Option 3: Deep venous thrombosis
      Option 4: Popliteal venous aneurysm
      Option 5: Pulmonary embolism
      Option 6: Vasculitis
    Page 2 of 2