Flashcards in General Bullets #2 Deck (200):
An _______________ is a group of people who share one or more common characteristics.
______________ is a technique used to desensitize a client with a phobia.
Fluvoxamine (Luvox) is used to treat
One characteristic of Native Americans is that they're
A Latin-American client may seek assistance and guidance of a ___________________, a folk or faith healer.
During the postoperative phase, a pink-red stoma is __________; a stoma with a dark red or purplish hue indicates ________________; and a brown or black stoma indicates _______________.
normal; ischemia; necrosis
Unless contraindicated, place a client on his left side with the right knee flexed when inserting a
When bottle-feeding a newborn with a cleft palate, hold the infant's head in an _______________ position.
Because of circulating maternal antibodies that will decrease the immune response, the MMR vaccine shouldn't be given until the infant has reached:
1 year of age
If a client complains of increased pain when palpating the testicle, suspect:
If a client is relieved when the scrotum is lifted, suspect:
A __________________ is a written policy, regulation, order, or rule that provides specific guidance on how to handle a particular treatment issue, problem, or concern.
Boneless, skinless baked chicken is low in:
fat and triglycerides
If a client is _______________, call the physician and report this information before applying a transdermal patch.
______________ is a practice of Asian cultures wherein the edge of a coin is rubbed back and forth across a person's oiled skin to rid the body of disease.
In _______________, a bottle or other container is filled with steam and placed against the skin to draw out poison. In the process, the skin is burned.
Muslims will accept an _______________ if it will prolong life.
Last-rite chanting often follows the death of a:
In the _______________________, burial is believed to reflect proper care of the remains; cremation is discouraged.
Church of Jesus Christ of Latter-day Saints (Mormons)
Friends (Quakers) don't believe in life after death, and they believe God is ______________.
Baptism is mandatory in the ________________ religion. Organ transplant is acceptable.
The ______________ believe that a healthy boy is a gift from parents and ancestors.
_____________ believe that the universe is controlled by God's will and there are supernatural forces in existence.
___________ people believe that good health is the balance between yin and yang, which are the opposing yet complementary aspects of all creation.
In _______________ culture, illness is thought to be caused by an imbalance between hot and cold. Illness is seen as a punishment from ____________.
____________________ believe that health is derived from being in harmony with nature and the universe.
Frozen human milk shouldn't be microwaved because it decreases the milk's:
A newborn typically wets:
6-10 diapers per day
Normal v/s of a neonate include:
HR 120-140, RR 30-50, axillary temp 97.3-98.6 F
Gavage feeding is the preferred method of ensuring adequate nutrition of neonates who are unable to:
When blood is drawn from an infant under a phototherapy lamp, the light is turned off to prevent:
destruction of bilirubin.
Signs and symptoms of pelvic inflammatory disease are:
Malodorous vaginal discharge
The most adequate diet for an infant in the first 6 months of life is:
An infant can usually chew food by:
An infant can usually hold a spoon by:
An infant can usually drink fluid from a cup by:
1 year of age
Choking from __________________ is the leading cause of death (by suffocation) for infants younger than 1 year of age.
The _____________ is used to determine the patency of the fallopian tubes.
Sickling, as seen in sickle cell anemia, is caused by:
One of the easiest methods used to prevent sickling of RBC's is:
hemodilution (increasing fluid intake).
Folic acid is needed by the body to form _____, the iron-containing protein in hemoglobin.
To best assess FHT when a fetus is in the left sacrum anterior lie, place the stethoscope on the:
left side of the maternal abdomen just above the umbilicus.
To best assess FHT when a fetus is in the left occiput posterior lie, place the stethoscope:
just below the umbilicus on the left side.
To best assess FHT when a fetus is in the left occiput anterior lie, place the stethoscope on the:
lower aspect of the abdomen on the mother's left side.
To best assess FHT when a fetus is in the right sacrum anterior lie, place the stethoscope on the:
right side of the maternal abdomen just above the umbilicus.
To best assess FHT when a fetus is in the right occiput posterior lie, place the stethoscope:
just below the umbilicus on the right side.
To best assess FHT when a fetus is in the right occiput anterior lie, place the stethoscope on the:
lower aspect of the abdomen on the mother's right side.
Typical non-life-threatening adverse effects of chemotherapy include:
Nausea & vomiting
Changes in taste perception
Toxic effects of chemotherapy that may be life-threatening include:
hematologic toxicity (bone marrow depression)
A nurse should wear gloves at all times when working with a:
___________ is for IV use only and can be fatal if given intrathecally.
Monitor a client receiving vincristine for life-threatening:
An early sign of mitral valve prolapse is:
Signs and symptoms of esophageal cancer are:
a sensation of something in the throat
pain during swallowing
The primary symptom of _____________ is dyspnea on exertion initially and then dyspnea at rest.
Early complications of tracheostomy are:
laryngeal nerve damage
The most common complication of a teen pregnancy is:
______________ is a term used to describe an infant who falls below the 5th percentile for weight and height on a standard measurement chart.
Failure to thrive
A _________ medication shouldn't be swallowed.
Problem solving approaches include:
trial and error
the scientific method
Developmental theories include:
Havighurst's age periods and developmental tasks
Freud's five stages of development
Kohlberg's stages of moral development
Erikson's eight stages of development
Piaget's phases of cognitive development
Macrosomia occurs in an infant with a birth weight greater than:
4,000 grams (8 pound, 13 ounces)
The primary concern with infusing large volumes of fluid is:
playground equipment accidents
Factors that contribute to suicide include:
prolonged medical illness
loss of a lifelong mate
__________ are more likely to commit suicide.
White adult males
In Islam, __________ is prohibited; meat products must be slaughtered in accordance with religious guidelines; and daytime fasting occurs during:
In Judaism, food must be prepared in accordance with ____________; only meat from animals that are vegetable eaters, cloven-hoofed animals, and animals slaughtered in accordance with religious guidelines are permitted.
In Judaism, fish with ____________ are allowed under religious law (shellfish wouldn't be).
scales and fins
Jews fast for 24 hours during _______________ (the very ill and pregnant women are exempted from complying).
In Judaism, combinations of ________________ are prohibited.
meat and milk
During Passover, only _______________ bread can be consumed in the Jewish faith.
For Jehovah's Witnesses, any food or food product that has ________ added to it is prohibited.
For Buddhists, Seventh Day Adventists (Church of God), and Baptists, _____________ is prohibited.
Roman Catholics fast on ___________ and ____________. During Lent, meat is discouraged on _______.
Ash Wednesday; Good Friday
In the Church of Jesus Christ of Latter-Day Saints (Mormons), ____________, ______, and ________ are prohibited; fasting occurs on the first _____________ of the month.
In Hinduism, ______ and ______ are prohibited; various sects fast at different times of the week; __________ are prohibited from fasting; and members of this faith are vegetarians.
Food preferences of Hispanic Americans generally include:
Food preferences of African Americans generally include:
Food preferences of Native Americans generally include:
fruits and berries
fish and game
An ________________ occurs when there's a conflict between two seemingly equal ethical principles.
A child in Bryant's traction who's younger than 3 or weighs less than 30 lb should have the:
buttocks slightly elevated and clear of bed
knees should be slightly flexed
legs should be extended at a right angle to body
Unlike false labor, true labor produces:
regular rhythmic contractions
progressive descent of the fetus
progressive effacement & dilation of cervix
Pernicious anemia results from the failure to absorb ___________ in the GI tract and causes primarily GI and neurologic signs and symptoms.
In a client with hypokalemia, presenting S/S include:
A client who has a pressure ulcer should consume a diet high in __________________ and ____________ unless contraindicated.
The CK-MB isoenzyme level is used to assess tissue damage in:
After a 12-hour fast, the normal fasting blood glucose level is:
A blood pressure cuff that's too narrow can cause a falsely:
elevated blood pressure
A blood pressure cuff that's too wide can cause a falsely:
decreased blood pressure
A client who's experiencing digoxin toxicity may report:
yellow-green halos around images
Administering high levels of oxygen to a premature neonate can cause blindness secondary to:
Anuria is daily urine output of:
A woman or girl taking a _____________ is at risk of candidiasis because of an overgrowth of Candida albicans.
_____________ are the rumbling sounds heard on lung auscultation. They're more pronounced on________________.
___________ is forced feeding, usually through a gastric tube.
Risk of a fat embolism is greatest in the first _____ hours after the fracture of a long bone and is manifested as respiratory distress.
To help venous blood return in a client who's in shock, the nurse should elevate the client's legs no more than ________. This procedure is contraindicated in a client with a head injury, however.
The _______________ is the difference between the apical and radial pulse rates when taken simultaneously by two nurses using the same watch.
To reduce the client's risk of vomiting and aspiration, the nurse should schedule postural drainage before _____ or _____________ hours after meals.
before; 2-4 hours
A positive _____________, seen in meningitis, occurs when an attempt to flex the hip of a recumbent patient causes painful spasms of the hamstring muscle and resistance to further extension of the leg at the knee.
After an orchiectomy, the ____________________ level is monitored for elevation. A rising level of this tumor marker is consistent with nonseminomatous malignancy of the testicle that has spread to other parts of the body.
alpha feto protein
Herniated nucleus pulposus (intervertebral disk) most commonly occurs in the:
lumbar and lumbosacral regions
_____________ is surgical removal of the herniated portion of an intervertebral disc.
Surgical treatment of a gastric ulcer includes severing the vagus nerve (vagotomy) to reduce the amount of ____________ secreted by the gastric cells.
_______________ is an alteration in thought processes that's characterized by skipping from one topic to another, unrelated topic.
Flight of ideas
__________________ is the lack of concern for a profound disability, such as blindness, deafness, or paralysis that may occur in a client who has a conversion disorder.
La bell indifference
In an infant, a bulging fontanel is the most significant sign of increasing _____.
Moderate anxiety decreases a person's ability to perceive and concentrate. The person is selectively inattentive (focuses on immediate concerns), and the perceptual field narrows (______________).
A client who has a phobic disorder uses self-protective ______________ as an ego defense mechanism.
In a client with anorexia nervosa, the highest treatment priority is correction of ___________ and __________ imbalances.
nutritional and electrolyte
A normal lithium therapeutic level is:
0.5 to 1.2 mEq/L
The ______________ forces exhalation against a closed glottis, such as when taking a deep breath to blow up a balloon or bearing down, as with a bowel movement. it increases _______________ and often slows tachycardia.
Early s/s of alcohol withdrawal include:
S/s of alcohol withdrawal may begin as early as _____ after the last alcohol intake or be delayed as long as _______ days.
The nurse shouldn't administer chlorpromazine (Thorazine) to a client who has ingested _________ because it may cause oversedation and _____________.
When mean arterial pressure falls below ______ and systolic blood pressure drops below ________, vital organ perfusion is seriously compromised.
Lidocaine is the drug of choice for reducing ____________________.
premature ventricular contractions
Lithium toxicity can occur when sodium and fluid intake are insufficient, causing:
_______________ is artificial rupture of the amniotic membranes.
An alcoholic who achieves sobriety is called a _________________ because there's no cure for alcoholism.
A client is at greatest risk of dying during the first _________ after a myocardial infarction.
During a myocardial infarction, the _____ ventricle usually sustains the greatest damage.
The pain of a myocardial infarction results from myocardial ischemia cause by:
An oral ________________ solution should be given after meals and client should swish the drug in his mouth.
_____________ is more likely to affect a full-term infant than a premature infant because of the slow growth of the full-term infant and the initial decreased amount of nutritional intake.
For a client who has heart failure or cardiogenic pulmonary edema, nursing interventions focus on:
decreasing venous return to the heart and increasing left ventricular output.
The interventions to decrease venous return and increase left ventricular output included:
placing client in high Fowler's
positive inotropic drugs
A positive tuberculin skin test is an induration of _______ or greater at the injection site.
The s/s of ________________, a chronic systemic fungal infection, resemble those of tuberculosis.
Fluid oscillation in the tubing of a chest drainage system indicates that the system is
In burn victims, the leading cause of death is _______________. The second leading cause is __________.
The exocrine function of the pancreas is the secretion of enzymes used to digest:
carbohydrates, fats and proteins
A client with hepatitis A (infectious hepatitis) should consume a diet that's moderately high in fat and high in _____________ and __________, and should eat the largest meal in the ____________.
carbohydrates and protein
The nurse should place a client who has a Sengstaken-Blakemore tube in
Esophageal balloon tamponade shouldn't be inflated
> 20 mm Hg
Overproduction of ____________ by the pituitary gland can cause galactorrhea and amenorrhea.
Intermittent claudication is a classic symptom of _________________ in the leg.
During pregnancy, weight gain averages
25-30 lbs (11 - 13.5 kg)
In ________________, the most common finding is gross, painless, hematuria.
The nurse can elicit _______________ by occluding the brachial or radial artery.
Hand and finger spasms that occur during occlusion of the brachial or radial artery indicate Trousseau's sign and suggest:
Trousseau's sign can also be elicited by inflating a BP cuff 20 mmHg above the client's systolic pressure for:
Parenteral administration of heparin sodium is contraindicated in clients with:
renal or liver disease
recent surgery or trauma
Drugs that potentiate the effects of anticoagulants include:
According to Erikson, the school-age child (ages 6-12) is in the _____________________ stage of psychosocial development.
For a burn patient, care priorities include:
maintaining a patent airway
preventing or correcting fluid and electrolyte imbalance
Elastic stockings should be worn on both legs and should only be removed for:
________________ is the formation of antibodies within the body in response to vaccination or exposure to disease. The length of immunity is longer than that of passive immunity.
_________________ is administration of antibodies that were preformed outside the body.
Chickenpox causes a rash that has four stages:
Chickenpox lesions of various stages occur ______________ during the illness.
A child with chickenpox can return to school after all the lesions have:
______________ has a teratogenic effect on the fetus during the first trimester. It produces abnormalities in up to 40% of cases without interrupting the pregnancy.
To calculate a pediatric dose using ______________, the nurse should multiply the adult dose by the child's weight in pounds and divide the result by 150.
To calculate a pediatric dose using _______________, the nurse should multiply the adult dose by the child's age in years and divide the result by the sum of the child's age plus 12.
A client who's receiving digoxin (Lanoxin) shouldn't receive a ___________ preparation because of the increased risk of ________________. Concomitant use may affect cardiac contractility and lead to arrhythmias.
For blood transfusion in an adult, the appropriate needle size is
16 to 20 gauge
_____________________ is inflation of the lung during inspiration with compressed air or oxygen. The goal of this therapy is to keep the lung open.
Intermittent positive-pressure breathing
To prevent infection in clients with sickle cell anemia, penicillin prophylaxis is started at age
___________ is caused by paralysis of the extensor muscles in the forearm and hand.
_____________ results from excessive plantar flexion and is usually a complication of prolonged bed rest.
The goal of diet therapy for a client with _______________ is to achieve normal body weight and to maintain it.
______________ is pain that incapacitates a client and can't be relieved by drugs or conventional therapies.
In clients who have glucose-6-phosphate dehydrogenase (G6PD) deficiency, the RBC's can't metabolize adequate amounts of glucose, and _________ occurs.
The unit measurement of sound is
On-call medication is medication that should be ready for immediate administration when the call to administer it is received. It should be administered within _____ minutes of receiving the call.
If gagging, nausea, or vomiting occurs when an airway is removed, the nurse should place the client in a lateral position with the upper arm:
supported on a pillow
Emancipated minors are individuals younger than the age of majority who aren't under parental control, such as:
those who serve in the military
college students who live away from home
___________ consent is required for any invasive procedure.
A client who can't write his name to give consent for treatment must make an ________ in the presence of two witnesses, such as a nurse, priest, or physician.
When a postoperative client arrives in the recovery room, the nurse should position the client on his ______ or with his head turned to the _______ and the chin extended if he can't be placed on his side.
In the immediate postoperative period, the nurse should report a:
RR > 30
temp > 100 or
Immunity to rubella can be measured by a ___________________. This test identifies exposure to rubella infection and determines susceptibility in pregnant women. A titer _______ indicates immunity.
hemagglutination inhibition test (rubella titer)
When used to describe the degree of fetal descent during labor, _____________ means the presenting part isn't engaged in the pelvic inlet, but is freely movable (ballotable) above the pelvic inlet.
Irreversible brain damage may occur if the central nervous system is deprived of oxygen for more than
When used to describe the degree of fetal descent, _____________ occurs when the largest diameter of the presenting part has passed through the pelvic inlet.
The _______________ I.M. injection technique seals the drug deep into the muscle, thereby minimizing skin irritation and staining. It requires a needle that's _____ or longer. The needle used to draw up the drug shouldn't be the one used to inject it.
Fetal station indicates the location of the presenting part in relation to the _____________. It's described as -1, -2, -3, -4, -5 to indicate the number of centimeters above the level. Station -5 is at the _________________.
Station 0 is at the level of the :
Fetal station +1, +2, +3, +4, +5 indicates the number of centimeters it is below the:
During the first stage of labor, the _____________ position usually provides the greatest degree of comfort., although the client may assume any comfortable position.
During delivery, if the umbilical cord can't be loosened and slipped from around the neonate's neck, it should be:
clamped with two clamps and cut between the clamps
prepare to ventilate neonate during birth
An APGAR score of ________ indicates no immediate distress.
An APGAR score of ________ indicates moderate distress.
An APGAR score of ________ indicates severe distress.
Treatment for polycythemia vera includes______________ to suppress bone marrow growth:
chemotherapy agents (chlorambucil & nitrogen mustard)
A client with acute renal failure should receive a __________ calorie diet that's low in _________, __________, and ___________.
Addison's disease is caused by hypofunction of the adrenal gland and is characterized by:
bronze skin pigmentation
Without _____________ therapy, Addison's disease is usually fatal.
The RACE acronym stand for:
R - remove the client
A - activate the alarm
C - contain the fire by closing the door
E - extinguish the fire if it can be done safely
When caring for a depressed client, the nurse's first priority is ____________ because of the increased risk of suicide.
Glaucoma is managed conservatively with beta-adrenergic blockers such as timolol (Timoptic), which decrease ____________ sympathetic impulses to the eye, and with miotic eyedrops such as pilocarpine (Isopto Carpine), which ___________ the pupils.