MED SURG III - EXAM 4 - STUDY #3

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?

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:

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?

You are about to provide care to a patient with severe burns. You will don:

The nurse is administering an analgesic to a patient with major burns. What is the recommended route for administration for this patient?

The nurse is monitoring a patient during the fluid remobilization phase of a burn injury. What expected findings should the nurse monitor for? (Select all that apply.)

A patient will be receiving biologic dressings. The nurse understands that biologic dressings, which use skin from living or recently deceased humans, are known by what name?

Clinical manifestations of lung cancer include

The nurse is working in a medical unit, caring for a client diagnosed with metastatic colon cancer. The patient is receiving the antineoplastic agent capecitabine. Which interventions should the nurse implement? Select all that apply.

Clinical Manifestations of colon cancer include

The nurse is preparing to assess a client whose chart documents that the client experienced extravasation when receiving the vesicant vincristine during the previous shift. The documentation also notes that an antidote was administered immediately. The nurse prepares to assess for which conditions? Select all that apply.

The staging of lung cancer depends on

A patient with liver cancer is going home with an implanted chest port for chemotherapy. Which education is most important for the patient?

Early signs of liver cancer include:

Milan Criteria Includes:

A client with testicular cancer is receiving an Alkylating Agent - cisplatin (Platinol). The nurse assesses for which finding as a toxic effect of this medication?

Risk Factors for Liver Cancer include:

Which choices promote optimal nutrition for the patient with gastric cancer?

A burn client has been having 1% silver sulfadiazine applied to burns twice a day for the past 3 days. Which laboratory abnormality indicates that the client is experiencing a side or adverse effect of this medication?

A patient with HIV has been on antiretroviral therapy (ART) for 6 months. The patient comes to the clinic with home medications, and the nurse observes that there are too many pills in the container. Which factors are associated with nonadherence to ART? (Select all that apply.)

A patient with prostatic carcinoma is scheduled for his dose of docetaxel (Taxotere) Chemotherapy. The nurse notices the patient has developed a new cough that is persistent. - This is a common side effect of this medication.

A patient is infected with HIV after sharing needles with another IV drug abuser. Upon infection with HIV, the immune system responds by making antibodies against the virus, usually within how many weeks after infection?

What intervention should the nurse provide to reduce the incidence of renal damage when a patient is taking a chemotherapy regimen?

While caring for a patient with Pneumocystis pneumonia, the nurse assesses flat, purplish lesions on the back and trunk. What does the nurse suspect these lesions indicate?

A patient is on ART for the treatment of HIV. What does the nurse determine would be an adequate CD4+ count to determine the effectiveness of treatment for a patient per year?

A patient with HIV develops a nonproductive cough, shortness of breath, a fever of 101°F, and an O2 saturation of 92%. What infection caused by Pneumocystis jiroveci does the nurse know could occur with this patient?

A patient is diagnosed with Pneumocystis pneumonia. What medication does the nurse anticipate educating the patient about for treatment?

The nurse is assessing a patient for signs of potassium shifting during the acute phase of burn injury. During which time frame should the nurse assess for signs of potassium shifting?

A patient is suspected to have pancreatic carcinoma and is having diagnostic testing to determine insulin deficiency. What would the nurse determine is an indicator for insulin deficiency in this patient? (Select all that apply.)

The nurse is reviewing the laboratory studies for a patient during fluid remobilization after a major burn. What laboratory value observed by the nurse should be immediately reported?

The nurse is caring for a patient who sustained a full-thickness burn to the arm after being scalded with boiling water. How did the nurse determine that the patient’s burns are full-thickness burns?

A patient is scheduled for a Billroth I procedure for ulcer management. What does the nurse understand will occur when this procedure is performed?

 The nurse is caring for a patient who sustained a major burn. What serious gastrointestinal disturbance should the nurse monitor for that frequently occurs with a major burn?

The nurse is applying an occlusive dressing to a burned foot. What position should the foot be placed in after application of the dressing?