
What intervention is a priority when treating a client with HIV/AIDS?
Monitoring Psychological Status
Assessing fluid & electrolyte balance
Assessing Neurological status
Monitoring Skin Integrity
What sign and symptoms in your patient with HIV indicates the disease is worsening and the immune system is severely compromised?
Open, oozing lesions around the mouth
Vision Changes
Cheesy white film on the tonsils and inside cheeks
White, Hair-like spots on the side of the tongue
TRUE OR FALSE: The Center for Disease Control and Prevention (CDC) recommends that all people between the ages of 13-64 be tested at least once for HIV during a routine health visit, regardless of risk factors.
A 25-year-old female is about to deliver a baby. The patient is HIV-positive and has been taking antiretroviral therapy during the pregnancy. What steps can be taken to help prevent transmitting the virus to the baby after birth?
Administer antiretrobiral treatment for the newborn for 2 weeks after birth
avoid kissing and hugging the newborn
Substitute formula for breastfeeding
Stop taking antiretroviral therapy for 2 months postpartum
A client with gastric cancer can expect to have surgery for resection. Which of the following should be the nursing management priority for the preoperative client with gastric cancer?
Correction of Nutritional Deficits
Prevention of DVT
Instruction regarding radiation treatment
Discharge Planning
After a subtotal gastrectomy, care of the client’s nasogastric tube and drainage system should include which of the following nursing interventions?
Reposition the tube if it is not draining well
Monitor the client for N/V, and abdominal distention
Irrigate the tube with 30 mL of sterile water
Turn the machine to high suction if the drainage is sluggish on low suction
The nurse cares for a client with superficial partial-thickness burn injuries to the lower extremities. The client is ordered IV morphine for pain. The nurse understands narcotics are given via IV during the initial management of pain because
Tissue edema may interfere with drug absorption via other routes
The client can experience nausea when given oral medications
Bleeding may occur at injection sites when IM is used
Pain resulting form a burn injury requires relief by the fastest route possible
The nurse cares for a client with extensive burn injuries. Which parameter(s) would the nurse evaluate to determine if the client is receiving adequate fluid resuscitation?
Urine Output & HR
Oxygen Saturation & BP
Urine Output & BP
Oxygen Saturation & HR
Acticoat antimicrobial barrier dressings used in the treatment of burn wounds can be left in place for which time frame?
7-10 days
5 days
2 days
3 days
Which complication is common for victims of electrical burns?
Hypovolemic Shock
Cardiac Dysrhythmias
Inhalation Injury
Infection
When a client is receiving 100% oxygen, what is the key sign of onset of acute respiratory distress syndrome?
Stridor
Hypoxemia
Chest Pain
Tachypnea
The client with open burn wounds begins to have diarrhea. The client is found to have a below-normal temperature, with a white blood cell count of 4000/mm3. Which is the nurse’s best action?
Continue monitoring the client
Increasing the rate of IV fluids
Preparing to do a workup for sepsis
Increasing the room temperature
A medicine student arrives at the emergency unit due to a burn injury that occurred inside the laboratory and an inhalation injury is suspected. Which of the following is the appropriate oxygen therapy for the client?
Oxygen via nasal cannula at 10 mL/min
Oxygen via nasal cannula at 5 L/min
Oxygen via a tight-fitting, non-rebreather mask at 100% concentration
Oxygen via Venturi mask at 30% FiO2
The nurse is caring for a client with a burn wound on the left knee and an autograft and skin grafting was performed. Which of the following activities will be prescribed for the client post-op?
Dangling of the legs
Elevation & immobilization of the affected leg
Bathroom privileges
Placing the affected leg in a dependent position
At what point after a burn injury should the nurse be most alert for the complication of hypokalemia?
During the late acute phase
Immediately following the injury
During fluid remobilization
During the fluid shift
A patient has a burn on the back of the torso that is extremely red and painful but no blisters are present. When you pressed on the skin it blanches. You document this as a:
First Degree (Superficial) Burn
Third Degree (Full-Thickness) Burn
Second Degree (Partial-Thickness) Burn
Fourth Degree (Deep-Full Thickness) Burn
A patient has experienced full-thickness burns to the face and neck. As the nurse it is priority to:
Assess the airway
Prevent hypothermia
Prevent Infection
Assess BP
A patient is in the acute phase of burn management. The patient experienced full-thickness burns to the perineum and sacral area of the body. In the patient’s plan of care, which nursing diagnosis is priority at this time?
Impaired Skin Integrity
Ineffective Coping
Risk for infection
Risk for Fluid Volume Overload
A patient is receiving IV Lactated Ringers 950 mL/hr post 18 hours after a receiving a severe burn. The patient urinary output is 20 mL/hr. As the nurse your next nursing action is to:
Decrease IV fluids
Notify the physician of the finding
Increase IV fluids
Continue to monitor the patient
A patient is presenting with bright red lips, headache, and nausea. The physician suspects carbon monoxide poisoning. As the nurse, you know the patient needs:
Venturi Mask 6 L Oxygen
100% oxygen via non-rebreather mask
Continuous BiPaP
Oxygen cannula 5-6 liters
True or False: Gastric Cancer has early onset symptoms
What is the best diagnostic test for gastric cancer?
Ultrasound of the Abdomen
Barium X-Ray with Small Bowel Follow Through
Endoscopy of upper GI tract
Tumor Markers
True or False: Bilroth I procedures cause dumping syndrome, but Bilroth II procedures do not.
Gastric cancer can lead to which type of anemia?
Folate
Pernicious
Iron
Sickle Cell
True or False: Jaundice is always present in liver cancer.
True or False: Non-small cell lung cancer is very aggressive and metastasizes quickly.
True or false: adults over the age of 50 should get periodic screening for colorectal cancer
A client is admitted to the health care center with hyperglycemia, a 15-pound weight loss, and reports of vague upper and midabdominal pain that increases in intensity at night. The client' health history indicates alcoholism, smoking of a pack of cigarettes daily, and diabetes for the past 20 years. Upon examination the nurse finds swelling in the feet and abdominal ascites. Based on the clinical manifestations, which condition is the most likely diagnosis?
Pancreatic Pseudocysts
Pancreatic Carcinoma
Acute Pancreatitis with Edema
Cholecytitis
The Human Immunodeficiency Virus (HIV) can NOT be spread in what type of fluid below? Select all that apply:
Breastmilk
Blood
Tears
Semen
Vaginal Fluid
Sweat
A patient arrives to the clinic and requests an HIV test. The patient had unprotected sexual intercourse 2 days ago with a person who may have HIV. As the nurse you know there is a window period for detecting an infection of HIV. What statements should you provide to the patient about this window period and testing for HIV? Select all that apply:
No test is available at this time to show immediate infection.
The window period is the time when you become infected with HIV to when a test can deliver positive results.
The window period is the time when you become infected with HIV to when a test can deliver positive results.
The absolute earliest an HIV test can detect HIV is about 3 months.
A patient arrives to the ER due to experiencing burns while in an enclosed warehouse. Which assessment findings below demonstrate the patient may have experienced an inhalation injury?
Carbonaceous sputum
Hair singeing on the head and nose
Lhermitte’s Sign
Bright red lips
Hoarse voice
Tachycardia
You are about to provide care to a patient with severe burns. You will don:
gloves
goggles
gown
N-95 mask
surgical mask
shoe covers
hair cover