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Flashcards in CASE STUDY'S Deck (121):
1

CONSTIPATION

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2

IV fluids of 1,000 ml is inadequate fluid intake which can contribute to constipation
A)true
B)false

A

3

Laxatives stimulate the intestine to push the bowel contents out so you will have a bowel movement
A)true
B)false

A

4

Ducusate sodium (sorfak) alters patient bowl movement by
A)consistency
B)frequency

A

5

Sorfak is a stool softener
A)true
B)false

A

6

Observer for presence of rectal bleeding when giving a rectal suppository
A)true
B)false

A

7

Valgus nerve stimulates vital signs to
A)decrease BP
B)increase BP

A

8

725ml = 3cups
30ml = 1oz
1cup = 8oz

,true

9

Fresh fruit salad with apple and banana promote bowel regularly
A)true
B)false

A

10

Oatmeal with raisin and orange juice promote Bowel regularity
A)true
B)false

A

11

Breathing Patterns

,

12

After reviewing the priority nursing diagnosis, what step should the PN take next
A)review goals and expected outcome
B)false

A

13

Positive outcome for O2 sat is >95%
A)true
B)false

A

14

When applying an O2 sat sensor do not apply gauze because doing so can block accurate reading
A)true
B)false

A

15

The use of fidelity in the PN-client relationship is returning to the room at the timed promised
A)true
B)false

A

16

fidelity faithfulness to a person
A)true
B)false

A

17

Tenacious refer to consistency
A)true
B)false

A

18

A large 1st dose is given to allow the med to start working faster, this is usually normal for antibiotics
A)true
B)false

A

19

Antitussive medications reduce the frequency of the cough
A)true
B)false

A

20

1 teaspoon = 5 ml
1 tablespoon = 15 ml

True

21

Vesicular breath sounds the PN sound record the presence of clear breath sounds
A)true
B) false

A

22

Auscultating Breath Sounds

1.stand behind patient
2.listen to posterior thorax
3.compare breath sounds Rt and Lt on posterior
4.instruct patient to raise arms
5.listen to lateral thorax breath sounds
6.listen to anterior throax

True

23

Fluid Balance

,

24

After recording the 1st BP measurement the PN will then count the radial pulse rate
A)true
B)false

A

25

For ongoing evaluation of fluid volume it is important to obtain body weight always
A)true
B)false

A

26

Decreased hepatic blood flow often occurs in elderly and may have contributed to fluid volume deficiency
A)true
B)false

A

27

Three percent saline is a very hypertonic solution, which will pull fluid from interstitial and intracellular spaces into the blood stream. It is usually reserve for hyponatremia patients (sodium

A

28

IV is not infusing, and the PN determines that all clamps are open and there are no kinks the next action should be
A)straighten the joint above the site
B)change IV

A

29

Although the dressing that is too tight may obstruct the flow of the IV solution, another action should be taken first.
A)remove the IV and request the RN to restart it in a different location
B)counting respirations

A

30

The phlebitis at the IV site places patient for high risk for thrombus formation
A)true
B)false

A

31

A patient that may develop fluid volume excess the assessment that is most important is
A)auscultate the client breath sounds
B)false

A

32

Abnormal breath sounds, bilateral pitting edema, JVD a patient pulse would
A)increase in rate and volume
B)decrease in volume

A

33

Potassium chloride should never be administered IV push
A)true
B)false

A

34

Hydrochlorothiazide (hydroDiuril) you want to monitor serum potassium because it may cause hypokalemia, a potassium wasting wasting diuretic
A)true
B)false

A

35

Hydrochlorothaizide may cause decrease in magnesium and sodium and increase in serum calcium and glucose
A)true
B)false

A

36

Hydrochlorothaizide you want to take with breakfast
A)true
B)false

a

37

In preparing to administer the hydrochlorothaizide, the PN reviews that the prescribed dose is 12.5 mg, and the tablet dose is 25mg, the action the PN should take is
A)observe the tablet to see if it is scored.
B)false

A

38

Loss Grief and Death

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39

Upon admission the responsibility of the PN regarding advanced directives is to have the patient if he/she have completed a living will and durable power of attorney
A)true
B)false

A

40

Saliva entering the lungs can also cause pneumonia
A)true
B)false

A

41

Patient that develops stomatitis and cheilosis what nursing intervention should be instituted to care for the mouth
A)clean her mouth frequently with oral swabs
B)provide oral mouth care daily

A

42

If patient is difficult to arouse, what is the first step in the procedure of giving oral care in the safest manner
A)enlist two PNs or UAP to perform the procedure
B)remove dentures

A

43

Telling a 3 y/o when her grandmother dies, the nurse should use which phrase
A)grandma died And that makes us feel very sad
B)false

A be honest at this stage

44

Pulse 50 and thready, respirations 10 and shallow, BP 70/30, Glasgow coma scale 3
What other physical symptoms should the PN anticipate
A)mottling of hands and feet
B)false

A

45

Mobility

,

46

What can help prevent venous thrombosis
A)dorsal and plantar flexion of his feet while in bed and chair
B)false

A

47

Positive homans sign mean that DVT is present and should be reported to the healthcare provider
A)true
B)false

A

48

Encouge water and fluids to cough up sputum
Or airways clear
A)true
B)false

A

49

Braden scale is used to measure risk for pressure ulcers
A)true
B)false

A

50

Before giving the initial dose the nurse should ask the patient is he allergies to medications
A)true
B)false

A

51

To prevent the complications to reduce body flora
A)add buttermilk or active culture yogurt to the diet
B)false

A

52

Reduce the risk of constipation
A)increase the amount of vegetables, fresh fruits and dried fruits
B)false

A

53

Pain

,

54

The quality of pain is explain and descriptive by a patient
A)true
B)false

A

55

Tylenol does not have an anitinflammtory effect
A)true
B)false

A

56

All aspirin products should be avoided in children unless specifically prescribed
A)true
B)false

A

57

Cold causes the skin to be reddened from prolong exposure to cold do to
A)reflex vasodilation occurs following initial vasoconstricting effects of cold
B)false

A

58

The dry heat provide by the heating pad will help relive the pain by promoting muscle relaxation
A)true
B)false

A

59

TENS unit is a pain relief that delivers small electrical currents to skin
A)true
B)false

A

60

Be sure to use conducting gel or conductor pads when applying the electrodes to the skin
A)true
B)false

A

61

The characteristic of scheduled drugs results in the need for these specific protocols
A)there is a high potential for abuse
B)tolerance develops

A

62

Tense muscle fully and then relax the muscle completely for relaxation activity
A)true
B)false

A

63

Hydrocodone with acetaminophen
A)synergistic effect of the two medications improves pain
B)false

A

64

You may need to continue the Colace(stool softener), because most opioids analgesics, including Vicodin causes constipation
A)true
B)false

A

65

Veracity refers to practicing truthfulness
A)true
B)false

A

66

A fairly thin person give a IM injection into the
A)ventrogluteal
B)dorsogluteal

A

67

First place the palm of the hand on what anatomical spot to locate the injection site of ventrogluteal
A)greater trochanter
B)ASIS

A

68

Once IM needle is inserted into the skin at the ventrogluteal site the nurse thens
A)pull back on the syringe plunger and observe for blood
B)false

A

69

Sensory Function

,

70

The further the dominator is the near sighted the person is ex 20/80 or 20/200
A)true
B)false

A

71

The PN clusters data and compares it with which information
A)defining characteristics of the problem
B)outcome

A

72

Emphasizes of vowels with person with hearing problem make it worse
A)true
B)false

A

73

Patient with hearing problem the nurse should us low pitched conversational tones
A)true
B)false

A

74

Always pull the conjunctiva down when giving eye drops
A)true
B)false

A

75

Throw rugs are risk for safety because the edges can cause the patient to trip
A)true
B)false

A

76

"You think I'm a helpless old man and can't take care of myself anymore" the nurse should
A)stay in the room, sitting with him quietly
B)reassure him that he will not always be helpless

A

77

Parasthenia refers to abnormal sensation such as burning,tingling, numbness, pins and needles
A)true
B)false

A

78

Management of the problem that developed should be included in the patient medical record
A)true
B)false

A

79

Do not put incident report in client medical record
A)true
B)false

A

80

Skin Integrity

,

81

Skin sites that feel spongy and beefy indicate that pressure ulcer has occurred
A)true
B)false

A

82

Impaired skin integrity, the etiology of a patient with paraplegic is
A)impaired motor function
B)false

A

83

A transparent dressing can be changed up to 1 week.
A)true
B)false

A

84

Client has MSRA and you need to irrigate the wound the nurse should wear
A)gloves,gown,mask,googles
B)gloves,gown, googles

A

85

When mixing the linezolid the nurse should turn the bottle upside down 3-5times
A)true
B)false

A

86

When safely administering liquid medications,place the medication cup on a flat surface at eye level
A)true
B)false

A

87

What test determines drug toxicity
A)peak and trough
B)culture and sensitives

A

88

An healing ulcer still requires hydrocolloid dressing for need of protection and moist environments
A)true
B)false

A

89

Sleep Pattern

,

90

An adult has 4 to 6 sleep cycles, each with NREM and REM sleep during a normal nights sleep
A)true
B)false

A

91

Anxiety stimulates the sympathetic nervous system resulting in less sleep
A)true
B)false

A

92

Temazepam (restoril) is what classification of drug
A)hypnotic
B)antidepressant

A

93

Lying in bed awake for more than 30 mins may increase anxiety and inhibit the onset of sleep. A quiet activity such as reading or muscle relaxation can be helpful
A)true
B)false

A

94

The presence of unusual stimuli or the absence of familiar sleep stimuli may inhibit sleep
A)true
B)false

A

95

Obstructive sleep apnea, there is a lack of airflow through the nose and/or mouth for periods of 10secs or longer during sleep.
A)true
B)false

A

96

Although the PN wants to promote sleep, the patient must be awakened when oxygen sat is 84%, to relieve the obstruction and increase oxygen saturation
A)true
B)false

A

97

"How much does he sleep each day"
This information is need to determine what is "too much"
A)true
B)false

A

98

Urinary Patterns

,

99

A size 16-18 French catheter is the size typically in adult males
A)true
B)false

A

100

If patient has not voided in 2hours observer the urinary drainage tubing
A)true
B)false

A

101

Creatine level elevated means drug toxicity due to reduce drug excretion
A)true
B)false

A

102

If have a capsule med, determine if it is extended release
A)true
B)false

A

103

After removing a catheter if the patient has not voided with in 6-8 hours then report to the doctor
A)true
B)false

A

104

MED-surg

,

105

BPH DISORDER

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106

Hesitancy, nocturia, frequency, post-voiding dribbling when starting the urine stream, and hematuria is a common manifestation of BPH
A)true
B)false

A

107

If the prostate gland is blocking the flow of urine, there may be some degree of kidney damage that can be detected with these tests
A)true
B)false

A

108

When taking flomax cation the patient to change positions slowly such as when standing up
A)true
B)false

A

109

When taking Proscar the PN should monitor
A)liver function test
B)serum electrolytes

A

110

12 French straight catheter is selected to perform residual catheterization at the clinic
A)true
B)false

A

111

Thrombotic complications onset would be chest pain and dyspena which could lead to pulmonary embolism
A)true
B)false

A

112

Elevating feet above the heart level promotes venous return, increasing the circulatory volume.
A)true
B)false

A

113

The highest priority in implementing care is
A)altered CARDIC output
B)altered body temp

A

114

COPD WITH PNEUMONIA

,

115

Tachycardia is consistent with an infectious process, which can indicate pneumonia
A)true
B)false

A

116

pCO2 is 55 means
A)respiratory acidosis
B)respiratory alkalosis

A

117

Before taking antibiotics also get an specimen for the lab
A)true
B)false

A

118

When taking ventolin the nurse should monitor BP and pluse
A)true
B)false

A

119

A client that is taking azmacort the nurse needs to monitor for what lab test
A)potassium
B)magnesium
C)blood glucose
D)calcium

A C D

120

Morphine sulfate and opioid Analgesic contribute to constipation
A)true
B)false

A

239

PEPTIC ULCER DISEASE

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