3.11.23 - MED SURG III - EXAM #3

A patient with late-stage cirrhosis develops portal hypertension. Which of the following options below are complications that can develop from this condition? Select all that apply:

A client is returned to the nursing unit after thoracic surgery with chest tubes in place. During the first few hours postoperatively, what type of drainage should the nurse expect?

The nurse is caring for a patient with cirrhosis of the liver and observes that the patient is having hand-flapping tremors. What does the nurse document this finding as?

A patient with bleeding esophageal varices has had pharmacologic therapy with octreotide and endoscopic therapy with esophageal varices banding, but the patient has continued to have bleeding. What procedure that will lower portal pressure does the nurse prepare the patient for?

While providing mouth care to a patient with late-stage cirrhosis, you note a pungent, sweet, musty smell to the breath. This is known as:

A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. The nurse explains that the tidal volume is the amount of air:

The nurse identifies which type of jaundice in an adult experiencing a transfusion reaction?

What is included in the description of positive pressure ventilation? Select all that apply

What characteristics describe positive pressure ventilators? Select all that apply

The nursing management of a patient with an artificial airway includes

The nurse is caring for a patient who is ready to be weaned from the ventilator. In preparing to assist in the collaborative process of weaning the patient from a ventilator, the nurse is aware that the weaning of the patient will progress in what order?

The medical nurse is creating the care plan of an adult patient requiring mechanical ventilation. What nursing action is most appropriate?

The nurse is caring for a client who is mechanically ventilated, and the high-pressure ventilator alarm is sounding. The nurse understands that which complications may cause this alarm? Select all that apply.

Which modifiable risk factor should the nurse identify for the development of cancer of the bladder in a client?

A client is to undergo a TURP for BPH. Which statement is accurate with regard to a TURP?

What intervention does the nurse anticipate providing for the patient with ascites that will help correct the decrease in effective arterial blood volume that leads to sodium retention?

 patient is scheduled for a diagnostic paracentesis, but when coagulation studies are reviewed, the nurse observes results outside of normal parameters. How does the nurse anticipate the healthcare provider will proceed with the paracentesis?

While helping a patient with a chest tube reposition in the bed, the chest tube becomes dislodged. What is your immediate nursing intervention?

Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall?

A nurse is working in an oncology treatment center. Which clinical manifestation when reported by a client would the nurse know may be related to metastasis from prostate cancer?

When bladder cancer has spread through the bladder wall into the surrounding tissues (prostate in men, uterus or vagina in women) this is classified as stage

True or False - The Gleason Grading System in Prostate Cancer is graded from 1 (near normal) to grade 5 (absence of any glandular pattern). The higher the score the more severe the cancer

If patients have a high risk for prostate cancer (having a first degree relative with history of prostate cancer) their screening should be....

Which of the following are signs of prostate cancer metastasis? Select all that apply

Cirrhosis of the liver a form of

Which type of jaundice is most common in those receiving blood transfusions

Which type of jaundice can produce mild, or severe illness such as anorexia, nausea, malaise, fatigue, weakness, and possible weight loss

A volume-cycled ventilator allowing patients to take spontaneous breaths with their tidal volume. Often used to wean patients from the ventilator. The ventilator avoids stacking breaths. 

The maximum volume of air exhaled from the point of maximum inspiration.

The maximum volume of air inhaled after a normal expiration

The volume of air remaining in the lungs after a normal expiration

The volume of air in the lungs after a maximum inspiration

The volume of air inhaled and exhaled with each breath

The maximum volume of air that can be inhaled after a normal inhalation

The volume of air that can be expired after a normal breath

The volume of air remaining in the lungs after a maximum exhalation

The volume of air that can be expired in 1 second of max forced expiration