Practise practise Practise!! Flashcards
(23 cards)
Your patient currently has an intravenous infusion of Normal Saline 0.9% running
at 125mls/hr. You know that Normal Saline is a Isotonic solution that
“Has a solute concentration equivalent to the cell and therefore remains in the extracellular space without drawing water from the cell”
Hypovolaemic shock is a genuine risk for patients with extensive burn injuries.
This is primarily caused by:
Increased oncotic pressure in the interstitial space related to increased vessel wall permeability due to burns
The doctor prescribes a crystalloid solution to be administered to restore blood
volume. The nurse knows that a crystalloid solution is:
A water-based solution that passes across semi-permeable membranes via osmosis.
- Probenecid is prescribed in conjunction with penicillin as treatment for syphilis because probenecid helps
a) Inhibit excretion of penicillin
- in education this client, the nurse should emphasise that in women gonorrhoea
a) may not cause symptoms until complications occur
- as winstons condition worsens, his rising intracranial pressure would be indicated by
a) rising blood pressure and falling pulse rate
- When assessing josies respiratory status, which of the following symptoms may be an early indicator of hypoxia
Restlessness
- Baby john was admitted with streptococcal pharyngitis. Upon discharge his mother was told to return to the doctors in 2 weeks with a urine specimen. The urine would mostly be examined
For protein to determine if acute glomerulonephritis is developing
Eriksons theory of human development describes
Eight psycholocial crises all people are thought to
- While caring for a child recovering from viral penumonia, you examine his lungs for evidence of exudate and fluid. Which finding would suggest cause for concern
a) Dullness of his lower lobes heard on percussion
- Bronchiolitis is a common __________ infection, which peaks in incidence in children aged __________. Symptoms usually peak around day __________
Viral, less than two years of age, three to five
- Which of the following statements is NOT true of bacterial meningitis
There is usually no associated temperature rise
- Which of the following would the nurse explain to the mother of a child receiving digoxin (lanoxin) as the primary reason for giving this drug
a) To improve the strength of the heartbeat
- During the acute state of meningitis, a 3 year old child is restless and irritable. Which of the following would be most appropriate to institute
a) Hemorrhagic skin rash
- Which of the following would first alert the nurse to suspect that a child with severe gastroenteritis who has been receiving intravenous therapy for the past several hours may be developing circulatory overload
a) Auscultation of moist crackles
- A 10 year old child with a history of asthma uses an inhaled bronchodilator only when needed. He takes no other medications routinely. His best peak expiratory flow rate is 270 L/min. the childs current peak flow reading is 180 L/min. the nurse interprets this reading as indicating which of the following
a) The child needs to begin treatment with inhaled cromolyn sodium (intal) for asthma control
a) The child needs to begin treatment with inhaled cromolyn sodium (intal) for asthma control
a) Achieving age appropriate social skills
Which of the following statements obtained from the nursing history of a toddler would alert the nurse to suspect the child has had a febrile seizure
Which of the following statements obtained from the nursing history of a toddler would alert the nurse to suspect the child has had a febrile seizure
- The nurse judges that the mother understands the term cerebral palsy when she describes it as a term applied to impaired movement resulting from which of the following
a) Non progressive brain damage caused by injury
- When developing the plan for care for a child with early duchennes muscular dystrophy, which of the following would the nurse identify as the primary nursing goal for the child
Maintaining function of unaffected muscles
- Which of the following would be an important assessment finding for an 8 month old infant admitted with severe diarrhea
a) Depressed anterior fontanel
- Which of the following age groups are most susceptible to meningococcal meningitis
Children below 5 years of age
- When developing the postoperative plan of care for an adolescent who has undergone an appendicectomy for a ruptured appendix, in which of the following positions would the nurse expect to place the client during the early postoperative period
a) The semi fowlers position
