Post-Conference
Quiz by Janelle
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26 questions
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- Q1A patient is diagnosed with a primary spontaneous pneumothorax. Which of the following is NOT a correct statement about this type of pneumothorax?Smoking increases the chances of a patient developing a spontaneous pneumothoraxIt can be caused by rupture of a pulmonary blebIt is most likely to occur in patients with COPD, asthma, and cystic fibrosisIt can occur in patients who are young, tall and thin without a history of lung disease60s
- Q2While caring for a patient with a suspected pneumothorax, you note there are several areas on the patient’s skin that appear to be “bulging” out. These “bulging” areas are located on the patient’s neck, face, and abdomen. On palpation on these areas, you note they feel "crunchy". When charting your findings you would refer to this finding as?Subcutaneous emphysemaSubcutaneous paresthesiaPigment molleVeisalgia60s
- Q3You're providing care to a patient with a pneumothorax who has a chest tube. On assessment of the chest tube system, you note there is no fluctuation of water in the water seal chamber as the patient inhales and exhales. You check the system for kinks and find none. What is your next nursing action?Assess patient's lung sounds to assess if the affected lung has re-expandedNotify the physicianIncrease wall suction to the system until the water fluctuates in the water seal chamberKeep monitoring the patient because this is a normal finding60s
- Q4A patient receiving treatment for a pneumothorax calls on the call light to tell you something is wrong with their chest tube. When you arrive to the room you note that the drainage system has fallen on its side, and there is a large crack in the system. What is your next PRIORITY?Place the patient in supine position and clamp the tubingDisconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new systemDisconnect the drainage system and get a new oneNotify the physician immediately60s
- Q5A patient's MRI imaging shows damage to the cerebellum a week after the patient suffered a stroke. What assessment findings would correlate with this MRI finding?Language difficultyBalance impairmentVision problemsImpaired short-term memory60s
- Q6Your patient, who had a stroke, has issues with understanding speech. What type of aphasia is this patient experiencing and what area of the brain is affected?Expressive; Wernicke's areaExpressive; hippocampusReceptive; Wernicke's areaReceptive, Broca's area60s
- Q7A patient has a double-barrel colostomy of the transverse colon. You note on assessment two stomas, a proximal and distal stoma. What type of stool do you expect to drain from the proximal and distal stomas?Proximal: liquid stool; Distal: mucousProximal & Distal: lose to partly formed stoolProximal: loose to partly formed stool; Distal: mucousProximal: mucous; Distal: lose to partly formed stool60s
- Q8A patient is 8 hours post-op from a colostomy placement. Which finding requires immediate nursing action?The patient states the site is tenderThe stoma is blackThe stoma is not draining any stoolThe stoma is swollen and large60s
- Q9You're providing teaching to a patient with an ileostomy on how to change their pouch drainage system. Which statement is incorrect about how to change a pouching system for an ostomy?Keep the skin around the stoma clean and dry at all timesWhen measuring the stoma for skin barrier placement, be sure the opening of the skin barrier is a 2/3 inch larger than the stomaChange the pouching system every 3-5 daysEmpty the pouch when it is 1/3 to 1/2 full60s
- Q10You receive a doctor's order for a patient to take Aspirin EC by mouth daily. The patient has the following medication history: diabetes type 2, peripheral vascular disease, and a permanent ileostomy. What is your next nursing action?Crush the medication and mix it in applesauceHold the medication and notify the doctor the patient has an ileostomyCrush the medication and mix it in puddingAdminister the medication as ordered60s
- Q11You're providing diet teaching to a patient with an ileostomy. Which foods should the patient consume in very small amounts or completely avoid?Grape juice, bread, and pastaPeanut butter, bananas, riceVinegar, soft drinks, and cured meatsCorn, popcorn, nuts and seeds60s
- Q12A patient with CKD has a low erythropoietin (EPO) level. The patient is at risk for?AnemiaHyperkalemiaHypercalcemiaBlood clots60s
- Q13The kidneys are responsible for performing all the following functions except?Secreting ReninMaintaining cortisol productionSecreting ErythropoietinActivating Vitamin D60s
- Q14Which of the following patients is at most risk for Type 2 diabetes?A 28 year old male with a BMI of 49None of the options providedA 6 year old girl recovering from a viral infection with a family history of diabetesA 76 year old female with a history of cardiac disease60s
- Q15Which of the following statements are true regarding Type 2 diabetes treatment?Oral medications are the first line of treatment for newly diagnosed Type 2 diabeticsInsulin may be needed during times of surgery or illnessInsulin and oral diabetic medications are administered routinely in the treatment of Type 2 diabetesInsulin is never taken by the Type 2 diabetic60s