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Flashcards in General Bullets Deck (200):
1

Signs and symptoms of Shigellosis are:

Fever and crampy abdominal pain. Severe cases include bloody diarrhea requiring hospitalization for fluid support and other care.

2

A child with HIV+ blood should receive which type of polio vaccine?

Inactivated poliovirus vaccine (IPV) rather than oral (OPV)

3

A client with a hiatal (esophageal) hernia should remain in what position after eating?

Upright

4

How often should a woman between the ages of 35 and 40 have a mammogram?

Once. Then yearly after age 40.

5

CO poisoning manifests with symptoms including:

headache, dizziness, nausea, and death

6

Legitimate power is:

derived from a position

7

Personal power:

derives from self-confidence

8

Reward power:

derives from the ability to provide incentives

9

Referent power:

derives from the desires of others to associate and affiliate

10

Coercive power:

derives from the ability to punish

11

The process of cultivating the belief in one's own capability is:

Empowerment

12

Conditions such as Cushing's syndrome, extensive burns, trauma, long-term steroidal use, excessive urination, inadequate intake of dietary potassium, and excessive alcohol intake can all cause:

hypokalemia

13

Renal failure and Addison's disease cause hyperkalemia or hypokalemia?

hyperkalemia

14

Renal diseases, chronic alcoholism, and diuretic therapy cause hyper or hypomagnesemia?

Hypomagnesemia

15

End-stage renal failure, diabetic ketoacidosis, pheochromocytoma, and adrenal insufficiency cause hyper or hypo magnesemia?

Hypermagnesemia

16

Paget's disease, cancer, excessive intake of Vitamin D, multiple fractures and hyperthyroidism cause hyper or hypocalcemia?

Hypercalcemia

17

Protracted bed rest and immobilization, acute pancreatitis, massive burns and infection, and hypothyroidism can hyper or hypocalcemia?

Hypocalcemia

18

Before undergoing the glucose-tolerance test, the client should consume a high-carbohydrate diet for how many days before the test?

3

19

The client should fast for how many hours before a fasting blood glucose test?

8

20

Elevated blood urea nitrogen (BUN) usually indicates:

Renal damage

21

Urea is normally filtered out of the body through the :

Glomerulus

22

The normal values of CK-MB (heart enzyme) are:

0 - 7 U/L

23

The desirable total cholesterol level in an adult is below:

200 mg/dL

24

The desirable triglyceride level is below:

150 mg/dL

25

Acetaminophen, phenytoin, chloramphenicol, and theophylline have a normal blood range of:

10 to 20 mcg/mL

26

Pain that is resistant to cure is called:

Intractable pain

27

A type of treatment for intractable pain is a:

Nerve block

28

Expect the family to perform ritual cleaning and preparation of the body for a __________ client who has died.

Muslim

29

The family of a deceased client may remain with the body for 2 to 3 hours, or before:

rigor mortis

30

Recognizing the differences between one's own culture and the culture of another is called:

cultural awareness

31

Renal failure, neurologic dysfunction, and death are complications associated with:

Systemic lupus erethematosus

32

An alkaline ash diet is prescribed to decrease pH. Foods on this diet include:

Fruits
vegetables
limited meats and fish
Milk

33

Components of total parenteral nutrition (TPN) are:

Carbohydrates (glucose)
amino acids
lipids
vitamins
minerals
electrolytes

34

To offset the high concentration of glucose, _____________ may be added to TPN.

insulin

35

To limit the formation of a fibrous clot at the tip of the catheter, _____________ may be added to TPN.

heparin

36

A weight gain greater than __________ per day for a client receiving I.V. fluids suggests excessive fluid intake.

1 lb (0.4 kg)/day

37

The _________ in the forearm act as a natural splint by providing support to an I.V. access site.

bones

38

Don't select an _____________ on a paralyzed or traumatized arm.

I.V. site

39

Question any order that requires that dextrose solutions be administered to a _______________ patient.

diabetic

40

The basilica vein is normally used for a __________________.

PICC

41

Because the insertion of a PICC line is below the level of the heart, an air embolism is or is not an expected occurrence?

Is not

42

If a client has a high temperature, notify the physician before administering any:

blood product

43

No solution or product other than _______________ should be added to blood or blood product.

Normal saline

44

A running IV should be checked how often for children?

15 minutes

45

A running IV should be checked how often for adults?

30 minutes

46

To achieve postural drainage in an infant:

place a pillow on the nurse's lap and lay the infant across it

47

Glycerin suppositories are given how many minutes before expected defecation time?

30

48

To limit bacterial growth, don't provide more than _______ hours of feeding in the delivery system.

4

49

Don't administer tube feedings if bowel sounds are:

absent

50

Ureteral and nephrostomy tubes should never be:

clamped

51

Notify the physician immediately when urine output from ureteral or nephrostomy tubes is less than __________ ml/hr or there is no urine output for __________ minutes.

30 mL/hr; 15 minutes

52

Placement of an ETT is confirmed by:

X-ray

53

Proper placement of an ETT is 1-2 cm above the:

carina

54

Drainage from a __________ tube shouldn't exceed 200 mL/hr over 2 hours.

chest tube

55

Fertilization occurs in the:

upper section of the Fallopian tube

56

Fertilization occurs within 12 hours of ovulation and _________ hours of insemination.

72

57

The zygote implants about ______________ after ovulation.

1 week

58

The typical manifestation of an inguinal hernia is:

protrusion of a mass in the groin

59

Transferrin transports ___________ from the intestine into the ____________.

iron; blood

60

One of the most common adverse effects of antibiotic use is:

diarrhea

61

During a nasogastric tube feeding, the head of the bed should be elevated for ________ minutes to aid in the absorption process.

30

62

A child with cystic fibrosis should eat more ______, ________, ___________, and ___________ than a child without the disease.

calories
protein
vitamins
minerals

63

Expect bowel sounds to return with __________ hours after abdominal surgery.

12-24

64

The most effective method of increasing oral fluid intake is to frequently offer:

small amounts of favorite fluids

65

Elderly clients have a decreased need for ____________ due to a decrease in activity.

calories

66

The salicylate contained in aspirin and ibuprofen can irritate ___________________, especially in clients with peptic ulcer disease.

gastric mucosa

67

Processed fruits and vegetables have more ________________ than fresh fruits and vegetables.

sodium

68

Bile is produced in the liver and stored in the :

gallbladder

69

The liver produces ______________ mL of bile every day.

600-1200

70

Bile is needed to metabolize:

fat.

71

When bile is blocked or not produced in sufficient quantity, a typical clinical manifestation is:

fatty, bulky stools

72

Because of the risk of aspiration, a client receiving continuous nasogastric tube feedings should be placed in a :

reverse Trendelenburg (head-upward) position.

73

During the embryonic stage, the kidneys begin to form urine by the _______________ week of gestation.

12th

74

Infants subsisting on cow's milk only don't receive a sufficient amount of _____________, which will eventually lead to iron deficiency anemia.

iron (ferrous sulfate)

75

Painless enlargement of the testicle is the typical first sign of:

testicular cancer

76

Gentamicin sulfate (Garamycin) is __________ and can cause ________________.

ototoxic; hearing loss

77

To prevent exposure to rubella and other typical childhood infections, a ___________________ nurse shouldn't work in a pediatric setting.

pregnant

78

In vitro exposure to ________________ can harm the fetus, resulting in deafness, heart murmurs, or cataracts.

rubella

79

Hepatitis A vaccine (HAV) administered ____________ exposure to the virus effectively prevents the disease.

before

80

The transdermal method has the _________________ absorption rate of all methods of administering medication.

slowest

81

The bacterium that causes acne is:

Propionibacterium acnes

82

_______________ are common in dark-skinned clients and usually disappear with age.

Mongolian spots

83

Erythema in a dark-skinned client appears ______________ or _____________ in color; in a light skinned client, erythema appears diffusely red.

dusky red or violet

84

Expect substantial bleeding in the hours after _____________ surgery.

abdominal

85

In the days after abdominal surgery, bleeding should advance from ___________ to _________________.

Sanguineous to serosanguineous

86

Steroidal bronchodilators increase the client's risk for _______ because of a compromised ________________.

infection; immune system

87

Have a client rinse his mouth after use of steroidal bronchodilators to reduce the risk of acquiring an ___________________.

oral fungal infection

88

Clients who have had cataract extraction should move their heads slowly to avoid increasing:

intraocular pressure

89

A ___________________ should be placed in water and stored in the plastic container in which it was issued. The fluid doesn't need to be sterile.

prosthetic eye

90

Before abdominal paracentesis, the client should void in order to minimize the risk of __________________.

rupturing the bladder

91

A breast-feeding mother should increase ___________ and __________ in her diet.

Calcium and protein

92

Nursing interventions that cause ___________ should be clustered together to minimize the frequency of painful experiences.

pain

93

Don't obtain the client's temperature orally when a client is receiving oxygen via a:

mask

94

Glucocorticoids promote _______________, so a client receiving such treatment should be on a low-___________ diet.

sodium retention; sodium

95

Rocky Mountain spotted fever is transmitted by ___________.

tick bite

96

Rocky Mountain spotted fever manifests as prolonged:

fever and headaches

97

Haemophilus influenza type b vaccine is administered to children and infants to prevent:

bacterial pneumonia
bacterial meningitis
sepsis
epiglottitis

98

The initial treatment for a client with hemarthrosis is:

immobilization with the joint slightly flexed

99

Hemarthrosis is:

bleeding within a joint

100

Before pouring a sterile solution contained within a clean container into a sterile receptacle, the nurse should pour a small amount out to:

clean the lip

101

A child with undiagnosed infection should be placed in:

isolation

102

A pregnant women with ______________________ needs supplemental iron to maintain iron stores and enhance the oxygen-carrying capacity of the blood by increasing the hemoglobin.

sickle cell anemia

103

The initial and continuing assessment of a client who has suffered a dislocation includes assessing:

pulsations below the level of the dislocation

104

The best method of determining the client's customs, traditions, and religious beliefs is to:

ask the client

105

The classic symptoms of meningitis are:

nuchal rigidity
severe headache
high temperature

106

Only the client can rate his own:

pain

107

If the physician writes a PRN order for pain medication, the nurse __________ _____________ the client's request for the medication.

cannot refuse

108

To prevent altering the electrolyte balance, the pregnant client shouldn't use ___________________ for heartburn.

sodium bicarbonate

109

In order to decrease the risk of bacteria ascending to the bladder via catheter tubing, a client with a urinary catheter should:

take a shower instead of bathe

110

To prevent damage to the urethra when inserting a catheter into a male client, straighten the penis so that it's:

perpendicular to the body

111

Clients who have neurogenic bladder dysfunction are candidates for:

clean intermittent self-catheterization (CISC)

112

A _____________ is used to deliver oxygen and medication.

nebulizer

113

Alternatives to meat for a vegetarian client are:

soybean curds
meat analogs
textured soy protein

114

A high-fat diet is associated with __________ cancer.

colon

115

A client with lactose intolerance should avoid:

milk and cheese

116

Alcohol consumption in absence of food intake can cause:

hypoglycemia

117

The mucus in the large intestine protects the intestinal wall from:

bacteria and fecal acid

118

An elderly client is predisposed to ___________ because of a loss of tonus of the smooth muscles in the colon.

constipation

119

_____________________ is the temporary cessation of intestinal movement following surgery.

Paralytic ileus

120

The client with paralytic ileus is maintained NPO until ______________.

bowel sounds return

121

The appropriate diet for a client with Crohn's disease is a :

low-fat, lactose free diet

122

A natural intestinal deodorizer is:

cranberry juice

123

Foods rich in magnesium sulfate are:

nuts
grains
green leafy vegetables

124

Protein (albumin) in the urine is a sign of:

glomerular injury

125

The proper procedure to follow when questioning an order is to contact:

the person who wrote or issued the order

126

An infant usually triples his birth weight by the end of his:

first year

127

_________ potentiates the effects of lithium carbonate.

Alcohol

128

Possible signs and symptoms of a client who sustained a frontal lobe injury include:

dysfunction with affect
emotional lability
impaired judgment

129

Clinical signs of a dehydrated infant include:

lethargy
irritability
dry skin
decreased tearing
decreased urinary output
increased pulse

130

Appropriate care of a child with meningitis includes:

frequent assessment of neurologic signs
measuring the circumference of the head

131

Subdural effusions and obstructive hydrocephalus can develop as manifestations of:

meningitis

132

A client on heparin or Coumadin (warfarin sodium) should use ____________________ and report unusual bruising.

an electric razor

133

Expected clinical findings in a newborn with cerebral palsy include:

reflexive hypertonicity and
criss-crossing or scissoring leg movements

134

A sign of heart failure is:

bibasilar inspiratory crackles

135

Papules, vesicles, and crust are all present at the same time in the early phase of:

chicken pox

136

Topical ______________ shouldn't be used on chickenpox lesions.

corticosteroids

137

A client is revealing the most resistive behavior if he continues to _____________ while undergoing treatment for addiction.

use drugs

138

A serving size of a food is usually ________________ for each year of age.

1 tablespoon

139

The characteristic of fifth disease (erythema infectiosum) is __________________ on the face, primarily the ___________, giving a "slapped face" appearance.

erythema; cheeks

140

To assess recent memory, ask the client about (known) events that occurred within the past ___________ weeks.

2

141

______________ may brave pain, especially in front of their peers.

Adolescents

142

During ____________________, the client may experience confusion, disorientation, hypertension, extreme agitation, tremors, diaphoresis, tachycardia, and fever.

delirium tremens (DTs)

143

Signs that a child with cystic fibrosis is responding to pancreatic enzymes are the:

absence of steatorrhea
improved appetite
absence of abdominal pain

144

Lidocaine shouldn't be administered unless there's continuous:

cardiographic monitoring

145

Adverse effects of lidocaine are:

bradycardia, heart block, cardiovascular collapse, and cardiac arrest

146

When teaching a client, assess his level of _____________ and learning style first.

knowledge

147

A stage __________ pressure ulcer is red (granulation of tissue), and there's loss of subcutaneous tissue.

III

148

_________ appears as discrete rose-pink macules that first appear on the trunk and that fade when pressure is applied.

Roseola

149

Xanax (alprazolam) gives short-term relief of:

panic attacks

150

The first action to take when a loop of the umbilical cord is seen protruding from a woman in labor is to place the client in a ____________ or _____________ position.

Trendelenburg; knee-chest

151

Silver sulfadiazine (Silvadene) is effective against:

Pseudomonas

152

Monitor the urine for ____________ in a client receiving sulfadiazine therapy for burns.

sulfa crystals

153

If blood-tinged fluid is leaking from the nose of a client who sustained a head injury, the appropriate dressing to apply is a :

bulky, loose dressing

154

A ninety degree-ninety degree traction is used for fracture of a child's:

femur or tibia

155

Before undergoing __________________________, the client will need to sign an informed consent, have a spinal X-ray study, and have urine and blood samples drawn.

electroconvulsive therapy

156

Undescended testis or cryptorchidism is associated with ________________ later in life.

testicular cancer

157

Mitral insufficiency is manifested by ____________ which is caused by fluid retention and diminished heart function.

exertional dyspnea

158

Gastroesophageal reflux disease (GERD) is aggravated by a:

fatty diet
smoking
alcohol
chocolate
meperidine (Demerol)

159

A nurse doesn't have to participate in:

euthanasia
assisted suicide
termination of life-sustaining treatment
withdrawal or withholding of food and fluids

160

One sign of developmental dysplasia is:

limping during ambulation

161

___________ wouldn't be performed on a male child with hypospadias because the foreskin may be needed during surgical reconstruction.

Circumcision

162

Neonatal abstinence syndrome is manifested in:

hyperirritability
gastrointestinal symptoms (watery stool)

163

______________________ is a belief that simply thinking of an event will make it happen.

Magical thinking

164

A panic disorder is characterized by:

shear terror
fear
apprehension

165

Onset of a panic disorder is unpredictable, although certain events, situations, or locations may ___________

precipitate an attack

166

A mild transient fever is expected after:

surgery

167

A high sustained fever after surgery indicates complications:

atelectasis within first 48 hours
infection of the wound within 1 week
UTI in first 5 days
thrombophlebitis within first week

168

Advantages to not using a _________________ on a wound include better visualization of the wound; elimination of conditions that bacteria need including moistness, warmth, and darkness; and lower cost.

bandage

169

__________________ is obstruction of the superior vena cava by a tumor or enlarged lymph node.

Superior vena cava syndrome

170

Signs and symptoms of superior vena cava syndrome are:

facial swelling
chest pain
cough
dysphagia
"tight collar" sensation

171

When communicating with a client who has had a stroke:

speak slowly
use visual cues
face the client
use gestures
repeat information as necessary

172

Any _________ can precipitate a sickle cell crisis.

stress

173

Involve clients with ________________ in activity that uses the larger muscle groups and requires less concentration, for example, table tennis rather than checkers.

bipolar disorder

174

Signs of relapse in a poly-drug user are:

visiting "old buddies"
frequenting places where drugs/alcohol sold/consumed
skipping meals

175

A male client who's quadriplegic can achieve an erection through stimulation of the ________ because it's a reflex reaction.

genitalia

176

Assigning a task to a lower-level-trained nurse is called

delegation

177

Assigning a task to an equally-trained nurse is called

transfer of assignment

178

Intellectually looking at a situation and using available knowledge to deduce a reason or a decision is called

critical thinking

179

When the client asks questions about an upcoming surgical procedure, assume that the client isn't informed and contact the:

physician

180

____________________ refers to a review or study of various cultures and the care provided to clients relative to their view, values, and beliefs.

Transcultural nursing

181

In clients with _____________, encourage intake of large amounts of fluid (2-3L) to prevent the precipitation of urate in the kidneys.

gouty arthritis

182

Validation is the process of

double-checking

183

Signs and symptoms of renal hemorrhage in a client with multiple bone fractures include _____________ in the flank on the affected side.

pain and hematoma

184

Gonorrhea can cause irreparable damage to fallopian tubes, resulting in:

obstruction
increased risk of tubal pregnancies
sterility

185

Compartment syndrome results from an accumulation of fluid within a _________________, which decreases blood flow to tissues and can lead to neuromuscular deficiency and tissue death.

muscle compartment

186

Classic signs of shaken baby syndrome are:

seizures
slow apical pulse
difficulty breathing
retinal hemorrhage

187

To reduce the risk of infection in a client with a vancomycin-resistant infection, contact precautions as well as ____________________ should be implemented.

standard precautions

188

The clinical test hemoglobin A1c provides useful information on how well ______________ is being controlled.

diabetes

189

The ____________________ test requires that a sputum sample be collected on 3 consecutive days.

acid fast bacillus (AFB)

190

An infant born to an HIV+ mother should receive all ___________ on schedule.

immunizations

191

Maternal glucose crosses the placental barrier, but __________ does not

insulin

192

The most important task to complete when problem-solving is to ____________ or _____________ the problem.

identify; define

193

Reverse delegation occurs when a subordinate assigns a task to a

superior

194

Disciplining a subordinate shouldn't be

delegated

195

____________ in the arms and legs is essentially the same in infants.

BP

196

When a painful procedure has to be performed, at least one of the team members should maintain ___________ with the client.

eye contact

197

When washing hands before a ________ procedure, hold the hands higher than the elbows.

sterile

198

When drying hands before a __________ procedure, dry fingers to elbows using a sterile towel, drying in a __________ motion with one hand. Then follow the same procedure for the other hand using another sterile towel.

sterile; circular

199

Imposing one's own cultural beliefs and values onto another is called

cultural imposition

200

___________ can be prevented through weight-bearing activity and adequate intake of calcium and Vitamin D, or prevented from further progression, but it cannot be reversed.

Osteoporosis