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The nurse knows that the client understands effective treatment of laryngitis when the client responds:   <ul><li>I will t...
What is a primary nursing intervention for Laryngeal Paralysis? <ul><li>monitor vital signs each shift </li></ul><ul><li>a...
Rationale  <ul><li>Monitoring and protecting the patients air way with Laryngeal Paralysis is most important because they ...
What are patients with Laryngeal Paralysis most at risk for? <ul><li>ineffective breathing </li></ul><ul><li>aspiration pn...
Rationale  <ul><li>Patients are most at risk for aspiration pneumonia due to the aretyniod cartilage of the larynx not fun...
If drug therapy is used for the treatment of laryngitis, the nurse would expect the physician to order what medication? <u...
A high priority nursing diagnosis for a person with chronic bronchitis would be  <ul><li>Nutrition imbalance </li></ul><ul...
Rationale  <ul><li>With chronic bronchitis the airway becomes inflamed and thickened.  Increase in the number and size of ...
People with chronic bronchitis tend to be blue bloaters.  All of the following are characteristics of blue bloaters except...
Rationale  <ul><li>Pursed lip breathing is a characteristic of pink puffers, a person with emphysema. </li></ul>
Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with BPH...
Rationale  <ul><li>Voiding pattern; The prostate glad has alpha-adrenergic receptors. Alpha-adrenergic blockers relax the ...
Which one of the following drugs is used to treat BPH? <ul><li>Danocrine </li></ul><ul><li>Proscar </li></ul><ul><li>Halot...
Rationale  <ul><li>Proscar; Proscar is used to treat BPH. Android and Halotestin are synthetic testosterone hormones. Dano...
What does a radical hysterectomy consist of? <ul><li>removal of uterus </li></ul><ul><li>removal of uterus, cervix, suppor...
Rationale  <ul><li>removal of uterus, cervix, supporting tissues, distal vagina, adnexa, pelvic lymph nodes. </li></ul><ul...
According to The American Cancer Society, screening and diagnosing of breast ca are all done for early detection except fo...
Rationale  <ul><li>retraction of nipple is a sign of breast cancer, all others are preventative screenings that are recomm...
Mary, a 45 yr female who has vaginal cancer is receiving external radiation treatment, There are 4 family members want to ...
Nursing intervention during internal radiation should NOT include: <ul><li>Talk with patient at least 6 feet from source a...
A client is diagnosed with multiple myeloma. The client asks a nurse about the diagnosis. The nurse bases the response on ...
Rationale  <ul><li>multiple myeloma is a B cell neoplastic condition characterized by abnormal malignant proliferation of ...
A nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the following would the ...
Rationale  <ul><li>Findings indicative of multiple myeloma are an increased number of plasma cells in the bone marrow, ane...
Which of the following is true regarding tracheostomy care? <ul><li>A Passy-Muir valve needs to be placed over the hub of ...
Rationale  <ul><li>A shower cover is necessary to prevent water from getting into the trach. </li></ul>
The nurse performs the following to prevent complications associated with tracheostomy tubes  except: <ul><li>Insert the d...
Rationale  <ul><li>Insertion of the decannulation plug before deflating the cuff will not allow the client to be able to b...
People with empysema have which type of presentation: <ul><li>Blue Bloaters </li></ul><ul><li>Purple Bloaters </li></ul><u...
Rationale  <ul><li>People with emphysema have a reddish complexion, tachypnea, pursed lip breathing, ABGs show no CO2 rete...
People with empysema have: <ul><li>increase the number of  mucus producing cells </li></ul><ul><li>inflammed airways </li>...
Rationale  <ul><li>The walls between many of the alveoli are detroyed. The large alveoli have less surface area for the ex...
Which is the American Cancer Society's recommendation for early detection of prostate cancer? <ul><li>a yearly PSA level a...
Rationale  <ul><li>Answer: A- Men in high risk groups such as African American men should begin at 45                    b...
The school nurse is preparing a class on testicular cancer for male high school seniors. Which information regarding testi...
Rationale  <ul><li>Answer: B- The pt should note a cordlike structure; this is a normal finding. Any lump or mass is abnor...
A client labs showed that decreased blood flow and fibrin and leukocytes settled in the affected area, which stage of pneu...
Which is a priority nursing intervention to prevent pneumonia in the post-op client? <ul><li>Coughing and deep breathing <...
Patients with ARDS are going to receive this type of care? <ul><li>Exercise program </li></ul><ul><li>Positive End Expirat...
Rationale  <ul><li>PEEP is a special mode of ventilation that keeps the alveoli partially inflated so they don't collapse ...
The first sign of ARDS is <ul><li>Increased Temperature </li></ul><ul><li>Increased Pulse </li></ul><ul><li>Increased Pain...
An elderly client with pneumonia may appear with which of the following symptoms first? <ul><li>Altered mental status and ...
Rationale  <ul><li>A- fever, chills, hemoptysis, dyspnea, cough, and pleuritic chest pain are the common symptoms of pneum...
A client had been treated with antibiotics therapy for right lower-lobe pneumonia for 10 days and will be discharged today...
Rationale  <ul><li>If the client still has pneumonia, the breath sounds is in the right base will be bronchial, not the no...
Of the following a symptom of a concussion, which is not something to report immediately to a physican?  <ul><li>Difficult...
Rationale  <ul><li>Depression is not a symptom that is needed report immediately to physician.(pg. 1913 in the med-surg vo...
Monitoring ICP is important part of the assessment for a patient with a brain injuries which of the following would help m...
Rationale  <ul><li>The only answer that is correct is maintain adequate oxygenation. for (a) you should elevate HOB. (c) c...
What instructions should the nurse not provide to someone newly diagnosed with epilepsy. <ul><li>Keep a record of seizure ...
Rationale  <ul><li>New medications may cause drowsiness and meds may not have reached therapeutic level and therefore pati...
The nurse enters a patients room and finds her sitting in the chair convulsing with rigid arms and legs and making sounds....
Rationale  <ul><li>Place patient on floor for free movement, and try to keep her safe. </li></ul>
Which of the following leukemias have low red blood cells, low H&H, low platelet count along with high myeloblast cells? <...
Rationale  <ul><li>(Lab results will show low RBCs, low H&H, low platelet count, low to high WBCs with high myeloblast cel...
The nurse is reviewing the lab report of a client who underwent a bone marrow biopsy. The findings that would most strongl...
Rationale  <ul><li>(leukemia is manifested  by an abnormal overproduction of immature leukocytes in the bone marrow)  </li...
The nurse is caring for a patient that is suffering from an acute onset of larnygeal edema as a result of chronic laryngit...
Rationale  <ul><li>corticosteriods are treatment for slow onset edema,  IV epinephrine and the Epi-PEN are treatment for f...
The nurse caring for a patient that is suffering from slow onset laryngeal edema can expect to administer which medication...
Rationale  <ul><li>b and c are treatment for acute onset, and racemic epinephrine is for acute r/t chronic laryngitis  </l...
Which diagnostic test for Chronic Glomerularonephritis (CGN) is difficult to do because of the signs and symptoms of CGN? ...
Rationale  <ul><li>  answer: c renal biopsy; rationale: becuase of atrophy of the kidneys (one of the S/S of CGN) its diff...
Which clinical manifestation of Nephrotic syndrome would the nurse question? <ul><li>severe generalized edema </li></ul><u...
Rationale  <ul><li>A clinical manifestation of Nephrotic syndrome is hyperlipidemia. </li></ul>
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Student Led Turning Point Fall Session 2 2008

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Student Led Turning Point Fall Session 2 2008

  1. 1. NKU
  2. 2. The nurse knows that the client understands effective treatment of laryngitis when the client responds:  <ul><li>I will talk/sing frequently during this time to make sure I don’t lose my voice.  </li></ul><ul><li>I will avoid eating/drinking after taking the Vanceril inhaler to avoid rinsing away the medication.  </li></ul><ul><li>I will rest my voice to make sure I don’t aggravate the laryngitis. </li></ul><ul><li>To avoid aggravating the laryngitis, I will keep the air dry and warm.  </li></ul>30
  3. 3. What is a primary nursing intervention for Laryngeal Paralysis? <ul><li>monitor vital signs each shift </li></ul><ul><li>accurately monitor and record I & O ‘s </li></ul><ul><li>monitor and protect air way </li></ul><ul><li>assess for pain </li></ul>30
  4. 4. Rationale <ul><li>Monitoring and protecting the patients air way with Laryngeal Paralysis is most important because they are at risk for aspiration. </li></ul>
  5. 5. What are patients with Laryngeal Paralysis most at risk for? <ul><li>ineffective breathing </li></ul><ul><li>aspiration pneumonia </li></ul><ul><li>sleep apnea </li></ul><ul><li>slight hoarseness of voice </li></ul>30
  6. 6. Rationale <ul><li>Patients are most at risk for aspiration pneumonia due to the aretyniod cartilage of the larynx not functioning and remaining loose in a neutral position. This leave the air way unprotected when swallowing. </li></ul>
  7. 7. If drug therapy is used for the treatment of laryngitis, the nurse would expect the physician to order what medication? <ul><li>IV Epinephrine </li></ul><ul><li>Salagen </li></ul><ul><li>Vanceril </li></ul><ul><li>Medication is not used in the treatment of laryngitis </li></ul>29
  8. 8. A high priority nursing diagnosis for a person with chronic bronchitis would be <ul><li>Nutrition imbalance </li></ul><ul><li>Self-care deficit </li></ul><ul><li>Ineffective airway clearance </li></ul><ul><li>Nausea </li></ul>29
  9. 9. Rationale <ul><li>With chronic bronchitis the airway becomes inflamed and thickened.  Increase in the number and size of mucus-producing cells results in excessive mucus production and a cough.  The cough makes it difficult to get air in and out of the lungs. </li></ul>
  10. 10. People with chronic bronchitis tend to be blue bloaters.  All of the following are characteristics of blue bloaters except <ul><li>CO2 retention </li></ul><ul><li>Compensated respiratory acidosis </li></ul><ul><li>ABGs show hypoxemia </li></ul><ul><li>pursed lip breathing </li></ul>30
  11. 11. Rationale <ul><li>Pursed lip breathing is a characteristic of pink puffers, a person with emphysema. </li></ul>
  12. 12. Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with BPH? <ul><li>Voiding pattern </li></ul><ul><li>Size of the prostate </li></ul><ul><li>Creatinine clearance </li></ul><ul><li>Serum testosterone level </li></ul>30
  13. 13. Rationale <ul><li>Voiding pattern; The prostate glad has alpha-adrenergic receptors. Alpha-adrenergic blockers relax the smooth muscle of the bladder neck and prostate, so the urinary symptoms of BPH (frequency, urgency, hesitancy) are reduced in many clients. These drugs don't affect the size of the prostate, renal function, or production or metabolism of testosterone </li></ul>
  14. 14. Which one of the following drugs is used to treat BPH? <ul><li>Danocrine </li></ul><ul><li>Proscar </li></ul><ul><li>Halotestin </li></ul><ul><li>Android </li></ul>30
  15. 15. Rationale <ul><li>Proscar; Proscar is used to treat BPH. Android and Halotestin are synthetic testosterone hormones. Danocrine is used to treat endometriosis </li></ul>
  16. 16. What does a radical hysterectomy consist of? <ul><li>removal of uterus </li></ul><ul><li>removal of uterus, cervix, supporting tissues, distal vagina, adnexa, pelvic lymph nodes </li></ul><ul><li>lymph nodes not removed </li></ul><ul><li>Ovaries and fallopian tubes </li></ul>30
  17. 17. Rationale <ul><li>removal of uterus, cervix, supporting tissues, distal vagina, adnexa, pelvic lymph nodes. </li></ul><ul><li>rational: removal of uterus is known as a simple hysterectomy. Lymph nodes not removed is known as a total abdominal hysterectomy (TAH). </li></ul>
  18. 18. According to The American Cancer Society, screening and diagnosing of breast ca are all done for early detection except for? <ul><li>retraction of nipple </li></ul><ul><li>yearly mammogram @ 40 yrs. with doctor exam </li></ul><ul><li>yearly clinical breast exam </li></ul><ul><li>monthly breast self exam </li></ul><ul><li>ultrasound distinguishes fluid filled cysts from solid mass </li></ul><ul><li>biopsy </li></ul>30
  19. 19. Rationale <ul><li>retraction of nipple is a sign of breast cancer, all others are preventative screenings that are recommended by ACS </li></ul>
  20. 20. Mary, a 45 yr female who has vaginal cancer is receiving external radiation treatment, There are 4 family members want to visit her. Which visitor should be able to visit Mary? <ul><li>Mary's brother who had flu a week ago. </li></ul><ul><li>Mary's daughter who is 18. </li></ul><ul><li>Mary's father who is suffering fungus infection. </li></ul><ul><li>Mary's husband who has genital herpes. </li></ul>30
  21. 21. Nursing intervention during internal radiation should NOT include: <ul><li>Talk with patient at least 6 feet from source and sand behind lead shield. </li></ul><ul><li>Encourage patient self care. </li></ul><ul><li>Restrict visitors under 18. </li></ul><ul><li>Restrict fluid intake. </li></ul>30
  22. 22. A client is diagnosed with multiple myeloma. The client asks a nurse about the diagnosis. The nurse bases the response on which of the following descriptions of this disorder?  <ul><li>malignant exacerbation in the number of leukocytes </li></ul><ul><li>altered RBC production </li></ul><ul><li>altered production of lymph nodes </li></ul><ul><li>malignant proliferation of plasma cells and tumors within the bone </li></ul>30
  23. 23. Rationale <ul><li>multiple myeloma is a B cell neoplastic condition characterized by abnormal malignant proliferation of plasma cells and the accumulation of abnormal plasma cells in the bone marrow.  </li></ul>
  24. 24. A nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which of the following would the nurse expect to specifically note in this disorder?  <ul><li>decreased number of plasma cells in the bone marrow  </li></ul><ul><li>increased white blood cells </li></ul><ul><li>increased calcium level </li></ul><ul><li>decreased blood urea nitrogen (BUN)  </li></ul>30
  25. 25. Rationale <ul><li>Findings indicative of multiple myeloma are an increased number of plasma cells in the bone marrow, anemia, hypercalcemia resulting from the release of calcium from the deteriorating bone tissue, and an elevated BUN. An increased white blood cell count may or may not be present and is not specifically related to multiple myeloma.  </li></ul>
  26. 26. Which of the following is true regarding tracheostomy care? <ul><li>A Passy-Muir valve needs to be placed over the hub of the trach before the cuff is deflated. </li></ul><ul><li>The client will need to cover his/her trach while taking a shower. </li></ul><ul><li>The cuff needs to be inflated at less than 15 mm Hg to prevent aspiration. </li></ul><ul><li>The client's trach will only need suctioned once a week. </li></ul>30
  27. 27. Rationale <ul><li>A shower cover is necessary to prevent water from getting into the trach. </li></ul>
  28. 28. The nurse performs the following to prevent complications associated with tracheostomy tubes except: <ul><li>Insert the decannulation plug in the trach while the cuff is inflated. </li></ul><ul><li>Maintain sterile technique when suctioning and performing trach care. </li></ul><ul><li>Change trach dressing once every 8 hours and as needed. </li></ul><ul><li>Administer adequate warmed humidified air. </li></ul>30
  29. 29. Rationale <ul><li>Insertion of the decannulation plug before deflating the cuff will not allow the client to be able to breathe.    </li></ul>
  30. 30. People with empysema have which type of presentation: <ul><li>Blue Bloaters </li></ul><ul><li>Purple Bloaters </li></ul><ul><li>Red Puffers </li></ul><ul><li>Pink Puffers </li></ul>30
  31. 31. Rationale <ul><li>People with emphysema have a reddish complexion, tachypnea, pursed lip breathing, ABGs show no CO2 retention and less hypoxemia than blue bloaters </li></ul>
  32. 32. People with empysema have: <ul><li>increase the number of mucus producing cells </li></ul><ul><li>inflammed airways </li></ul><ul><li>a few large alveoli instead of many tiny ones </li></ul><ul><li>productive cough that lasts 3 months or longer within a 2 year period </li></ul>30
  33. 33. Rationale <ul><li>The walls between many of the alveoli are detroyed. The large alveoli have less surface area for the exchange of oxygen and carbon dioxide than healthy alveoli. </li></ul>
  34. 34. Which is the American Cancer Society's recommendation for early detection of prostate cancer? <ul><li>a yearly PSA level and DRE beginning at age 50 </li></ul><ul><li>a Biannual rectal exam beginning at age 40 </li></ul><ul><li>A semi-annual alkaline phosphatase level beginning at age 45 </li></ul><ul><li>A yearly urinalysis to determine the presence of prostatic fluid. </li></ul>30
  35. 35. Rationale <ul><li>Answer: A- Men in high risk groups such as African American men should begin at 45                    b- A biannual exam isn't recommended                    c.-Alkaline phosphatase levels are preformed on men with known prostate cancer to determine bone involvement.                    d.- This test is done if the client has signs and symptoms of prostatitis </li></ul>
  36. 36. The school nurse is preparing a class on testicular cancer for male high school seniors. Which information regarding testicular self-exam should the nurse include? <ul><li>Perform the exam in a cool room under a fan </li></ul><ul><li>Any lump should be examined by a HCP as soon as possible </li></ul><ul><li>Discuss having a second person to confirm a negative result </li></ul><ul><li>The procedure will cause a milk discomfort if done correctly </li></ul>30
  37. 37. Rationale <ul><li>Answer: B- The pt should note a cordlike structure; this is a normal finding. Any lump or mass is abnormal and should be checked by a HCP asap.                    a. the body temp should be warm for the scrotum to relax. The best place to perform an exam is a warm hot shower                    c.- The client can confirm his own negative results                    d.- The procedure is painless. If pain is elicited then an HCP should examine the pt. </li></ul>
  38. 38. A client labs showed that decreased blood flow and fibrin and leukocytes settled in the affected area, which stage of pneumonia is he/she in? <ul><li>Resolution </li></ul><ul><li>Gray hepatization </li></ul><ul><li>Congestion </li></ul><ul><li>Red hepatization </li></ul>30
  39. 39. Which is a priority nursing intervention to prevent pneumonia in the post-op client? <ul><li>Coughing and deep breathing </li></ul><ul><li>Ambulation after surgery </li></ul><ul><li>Incentive spirometer </li></ul><ul><li>Proper oral hygiene and adequate pain control </li></ul>30
  40. 40. Patients with ARDS are going to receive this type of care? <ul><li>Exercise program </li></ul><ul><li>Positive End Expiratory Pressure </li></ul><ul><li>Fluid Restrictions </li></ul><ul><li>Antihypertensives </li></ul>30
  41. 41. Rationale <ul><li>PEEP is a special mode of ventilation that keeps the alveoli partially inflated so they don't collapse and can participate in air exchange. </li></ul>
  42. 42. The first sign of ARDS is <ul><li>Increased Temperature </li></ul><ul><li>Increased Pulse </li></ul><ul><li>Increased Pain </li></ul><ul><li>Increased respirations as fluid fills their lungs. </li></ul>30
  43. 43. An elderly client with pneumonia may appear with which of the following symptoms first? <ul><li>Altered mental status and dehydration </li></ul><ul><li>Fever and chills </li></ul><ul><li>Hemoptysis and dyspnea </li></ul><ul><li>Pleuritic chest pain and cough </li></ul>30
  44. 44. Rationale <ul><li>A- fever, chills, hemoptysis, dyspnea, cough, and pleuritic chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. </li></ul>
  45. 45. A client had been treated with antibiotics therapy for right lower-lobe pneumonia for 10 days and will be discharged today. Which off the following physical findings would lead the nurse to believe it is appropriate to discharge this client? <ul><li>Continued dyspnea </li></ul><ul><li>Fever of 102degrees F (38.9 degrees Celsius) </li></ul><ul><li>Respiratory rate of 32 breaths/minute </li></ul><ul><li>Vesicular breath sounds in right base </li></ul>30
  46. 46. Rationale <ul><li>If the client still has pneumonia, the breath sounds is in the right base will be bronchial, not the normal vesicular breath sounds. If the client still has dyspnea, fever, and increased respiratory rate, he should be examined by the physician before discharge because he may have another source of infection or still have pneumonia. </li></ul>
  47. 47. Of the following a symptom of a concussion, which is not something to report immediately to a physican? <ul><li>Difficulty speaking </li></ul><ul><li>Vomiting </li></ul><ul><li>Weakness of one side of the body </li></ul><ul><li>Depression </li></ul>30
  48. 48. Rationale <ul><li>Depression is not a symptom that is needed report immediately to physician.(pg. 1913 in the med-surg volume 2 10 edition.) </li></ul>
  49. 49. Monitoring ICP is important part of the assessment for a patient with a brain injuries which of the following would help manage increase ICP? <ul><li>Have the patient in supine position. </li></ul><ul><li>Maintain adequate oxygenation. </li></ul><ul><li>Have the person cough and deep breathe. </li></ul><ul><li>IV of hypotonic solution. </li></ul>30
  50. 50. Rationale <ul><li>The only answer that is correct is maintain adequate oxygenation. for (a) you should elevate HOB. (c) coughing can increase icp. (d) only normal saline or ringers lactate should be used because hypotonic solution decreases plasma osmolality. </li></ul>
  51. 51. What instructions should the nurse not provide to someone newly diagnosed with epilepsy. <ul><li>Keep a record of seizure activity and report it to the neurologist. </li></ul><ul><li>Take baths only do not take showers. </li></ul><ul><li>Avoid OTC meds. </li></ul><ul><li>When driving have someone in the car with you. </li></ul>30
  52. 52. Rationale <ul><li>New medications may cause drowsiness and meds may not have reached therapeutic level and therefore patient may still be at risk for seizure. Driving laws dictate that a therapeutic level must be reached for the AED and that is determined by the physician. A newly diagnosed client may not be therapeutic and unless released by the physician- having a person with them is not enough to ensure safety. </li></ul>
  53. 53. The nurse enters a patients room and finds her sitting in the chair convulsing with rigid arms and legs and making sounds.  The patient seems unaware.  What should be the nurses first action? <ul><li>Place the patient on her side </li></ul><ul><li>Assess patients vitals </li></ul><ul><li>Gently place patient on floor </li></ul><ul><li>Move the furniture away from the patient </li></ul>30
  54. 54. Rationale <ul><li>Place patient on floor for free movement, and try to keep her safe. </li></ul>
  55. 55. Which of the following leukemias have low red blood cells, low H&H, low platelet count along with high myeloblast cells? <ul><li>Chronic myeloid leukemia (CML) </li></ul><ul><li>Acute lymphocytic leukemia (ALL) </li></ul><ul><li>Chronic lymphocytic leukemia (CLL) </li></ul><ul><li>Acute myeloid leukemia (AML) </li></ul>30
  56. 56. Rationale <ul><li>(Lab results will show low RBCs, low H&H, low platelet count, low to high WBCs with high myeloblast cells. </li></ul>
  57. 57. The nurse is reviewing the lab report of a client who underwent a bone marrow biopsy. The findings that would most strongly support a diagnosis of acute leukemia is the existence of a large number of immature : <ul><li>Thrombocytes </li></ul><ul><li>Leukocytes </li></ul><ul><li>Lymphocytes </li></ul><ul><li>reticulocytes </li></ul>30
  58. 58. Rationale <ul><li>(leukemia is manifested  by an abnormal overproduction of immature leukocytes in the bone marrow) </li></ul>
  59. 59. The nurse is caring for a patient that is suffering from an acute onset of larnygeal edema as a result of chronic laryngitis. Which medication should the nurse expect to administer? <ul><li>Corticosteroids </li></ul><ul><li>IV epinephrine </li></ul><ul><li>Racemic epinephrine </li></ul><ul><li>Epi- PEN </li></ul>30
  60. 60. Rationale <ul><li>corticosteriods are treatment for slow onset edema,  IV epinephrine and the Epi-PEN are treatment for fast onset related to allergic reaction </li></ul>
  61. 61. The nurse caring for a patient that is suffering from slow onset laryngeal edema can expect to administer which medication? <ul><li>Corticosteriods </li></ul><ul><li>IV epinephrine </li></ul><ul><li>Epi-PEN </li></ul><ul><li>Racemic epinephrine </li></ul>30
  62. 62. Rationale <ul><li>b and c are treatment for acute onset, and racemic epinephrine is for acute r/t chronic laryngitis  </li></ul>
  63. 63. Which diagnostic test for Chronic Glomerularonephritis (CGN) is difficult to do because of the signs and symptoms of CGN? <ul><li>UA - fixed specific gravity </li></ul><ul><li>24 hour urine </li></ul><ul><li>renal biopsy </li></ul><ul><li>serum BUN/ creatine </li></ul>30
  64. 64. Rationale <ul><li>  answer: c renal biopsy; rationale: becuase of atrophy of the kidneys (one of the S/S of CGN) its difficult to do renal biopsy </li></ul>
  65. 65. Which clinical manifestation of Nephrotic syndrome would the nurse question? <ul><li>severe generalized edema </li></ul><ul><li>pronounced proteinuria </li></ul><ul><li>diarrhea and loss of appetite </li></ul><ul><li>hypolipidemia </li></ul>30
  66. 66. Rationale <ul><li>A clinical manifestation of Nephrotic syndrome is hyperlipidemia. </li></ul>

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