8.Which of the following are ways to manage Multiple Organ…

Question Answered step-by-step 8.Which of the following are ways to manage Multiple Organ… 8. Which of the following are ways to manage Multiple Organ Dysfunction Syndrome (MODS)? Select all that applyb. oxygenation/ventilationd. monitor serum lactate levelse. Antibioticsf. Rest99.  The nurse is caring for a patient who is HIV positive. Which finding would the nurse interpret as indicative that the client has developed AIDS?                        a.         The patient has a positive HIV antibody test.                        b.         The patient is diagnosed with Pneumocystis pneumonia.                        c.         The patient has persistent generalized lymphadenopathy.                        d.         The patient’s WBC shows an increase in the number of helper T-cells. 98.       Highly activated antiretroviral therapy (HAART) produces which effect in the patient with HIV?                        a.         Reversal of a patient’s antibody statusb.         Decrease in the viral loadc.         Increase in the viral loadd.         More detectable viral loadWhen planning education for optimal bowel function for a patient with a new sigmoid       colostomy, the nurse will utilize  which principle?A constipating diet will produce a formed stool that can be passed with more            regularity.Each person must experiment to determine what balance of foods is best.    Foods containing roughage should be eliminated from the diet.    Gas-forming foods taken in moderate amounts are well tolerated. 80.       A patient has been diagnosed with esophageal reflux. Which response by the patient         indicates his understanding of the nurse’s instructions?  “I should not eat or drink 1 hour before I go to bed.”  “I can have a glass of Sprite with my dinner.”c.        “I will eat a high fat high fiber diet.”            d.        “I will sleep on my right side.”81.       What is the most appropriate infection control method for the prevention of hepatitis B in a person considered to be at high risk for exposure?  HBIG immune globulin  Hepatitis B vaccination c.      Good hand washing techniques             d.       Isolation of all body secretions82.       A patient with hepatic cirrhosis is becoming increasingly confused as a result of        cerebral hypoxia secondary to increasing respiratory alkalosis.       reduced blood flow to the brain.       accumulation of ammonia in the blood. d.       suppressive effects of long term alcohol ingestion.     83.       The nurse is providing discharge instructions to a patient following a partial gastrectomy.  Which measure will the nurse suggest to assist in preventing dumping syndrome? Ambulate following a meal. Drink fluids with meals. Eat in a high Fowler’s position.   Eat low carbohydrate meals. 84.       After a month of taking iron supplements, a patient complains of constipation. Based on  patient tastes, what foods should be included in the diet plan? Oatmeal, green beans, celery.  Grits, orange juice, cheddar cheese. Pasta, buttermilk, banana. Strawberries, rice, mushrooms.  85.       Elevating the head of the bed on 6 inch blocks can be effective therapy for which             disorder?            a.         Peptic Ulcer Diseaseb.         Gastroesophageal Reflux Diseasec.         Dumping Syndromed.         Esophageal Spasm86.       What is a potential adverse outcome of Automatic Dysreflexia in a patient with a spinal cord injury?a.         Heat strokeb.         Paralytic ileusc.         Hypertensive crisisd.         Aspiration and pneumonia87.       Which factor has the least, if any, connection to the development of gastritis?            a.      Smoking            b.      Food choices            c.      Alcohol abuse            d.      NSAIDS88.       To administer a sublingual medication to a patient with a nasogastric tube, the nurse willa.         place the medication under the patient’s tongue as indicated. b.         crush the medication and administer through the nasogastric tube.c.         change the form of the medication to a liquid and administer.d.         dissolve the medication in water and administer through the nasogastric tube.89.       What is the greatest risk factor for the formation of diverticulosis?   Chronic constipation  High fiber, low residue diet  Long standing obesity  Long term antibiotic use90.     The patient is postoperative from a colon resection for a bowel obstruction and has a nasogastric tube (NGT) to suction.  He begins to vomit and the NGT has no drainage in it.  Which action by the nurse is most appropriate?a.       Auscultate for bowel sounds. Remove the NGT and replace it. Check the placement of the NGT. Notify the physician. 91.       The nurse is planning her care for a patient with nausea and vomiting secondary to acute gastritis.  Which nursing diagnosis should receive highest priority?            a.         Alteration in oral mucous membranes.            b.         High risk for fluid volume deficit.            c.         Knowledge deficit: methods to prevent nausea.            d.         Nutrition altered, less than body requirements. 92.       A patient with acquired immunodeficiency syndrome is non-reactive to a TB skin test. The nurse should interpret this result as meaning the            a.       patient demonstrates proof of not having TB.            b.       medication regimen for his AIDS has controlled his TB.            c.       patient may be too immunocompromised to be reactive.            d.       mycobacterium and the AIDS virus cannot co-exist in the same host.  93.       A patient with an IV infusion of penicillin complains of a feeling of anxiety, flushing, diaphoresis, weakness and itching. Which intervention should the nurse perform first?                                      a.        Notify the MD                         b.        Stat assessment of vital signs                         c.        Administer ordered epinephrine (Adrenalin) and diphenhydramine (Benadryl)                          d.        Stop the infusion 94.       The nurse performs a PPD skin test on his patient and reads it as reactive after 48 hrs. What should be the nurse’s next action?            a.         Initiate respiratory (droplet) isolation precautions due to the presence of active TB            b.         Protect the patient from sources of infection            c.         Begin patient and family education on the disease process and treatment            d.         Explain that the test result may indicate previous exposure to TB, not active disease 95.       Which of the following best describes an allergy?Excessive response to the presence of an antigenExcessive response toward self cells and cell productsFailure of the immune to recognize self cells as normalFailure of the immune system to recognize foreign cells                                     96.       What is the greatest risk factor for cancer?            a.         Smoking            b.         Ultraviolet radiation            c.         Endothelial polyps            d.         Immunosuppression Which of the clinical findings indicate the client is experiencing a therapeutic effect from a dopamine drip?peripheral pulses difficult to palpateurine output from 38 mL/hr. to 62 mL/hr.8am: BP 148/98, 10am: BP 96/668am: BP 96/66, 10am: BP 130/88Glasgow coma scale at 8:00 AM: 8, 10AM  The nurse has established a goal to maintain ICP with the normal range for a client who had a craniotomy 12 hours ago. What should the nurse do?Encourage the client to cough to expectorate secretions elevate the head of the bed 15 to 20 degreescontact the health care provider if ICP is >15 mmHgmonitor neurologic status using the Glasgow coma scalestimulate the client with active range of motion exercisesA nurse has been assigned a patient diagnosed with a CVA of the nondominant hemisphere. Which behaviors/deficits would the nurse anticipate in planning care for this patient?indifference to the disabilitypoor impulse controlspatial-perceptual problemright hemiparesisdifficulty with communication   Health Science Science Nursing NURS 3305 Share QuestionEmailCopy link Comments (0)