Quiz 1 Flashcards

(36 cards)

1
Q

What is the typical pH range of human blood?

A

B. 7.35–7.45

The blood pH in humans is tightly regulated to stay within this range, ensuring optimal physiological functioning.

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2
Q

What is the major constituent of plasma crucial for maintaining proper blood volume and fluid balance?

A

E. Water

Water makes up about 90-92% of plasma volume and is essential for maintaining blood volume and fluid balance.

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3
Q

Which cell type is most likely predominant in a marathon runner’s blood sample?

A

D. Erythrocytes (red blood cells)

Erythrocytes are essential for transporting oxygen from the lungs to tissues throughout the body.

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4
Q

What does hematopoiesis refer to?

A

C. The process of blood cell production or the formation of blood cellular components

Hematopoiesis occurs in the bone marrow and generates red blood cells, white blood cells, and platelets.

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5
Q

What is the primary action of aminophylline (theophylline) prescribed for acute bronchitis?

A

C. Relax smooth muscles of the bronchial airway

Aminophylline is a bronchodilator that relaxes smooth muscles in the bronchial airway.

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6
Q

What is the correct procedure for assessing collateral circulation before drawing a radial ABG?

A

B. Radial and ulnar arteries, releases one, evaluates the color of the hand, and repeats the process with the other artery.

This is known as Allen’s test.

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7
Q

What condition is indicated by a client with a ‘barrel chest’?

A

B. Emphysema

Emphysema leads to hyperinflation of the alveoli and increased anteroposterior diameter of the chest.

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8
Q

What is an expected outcome for a client recovering from an upper respiratory tract infection?

A

D. Experience less nasal obstruction and discharge.

A client recovering should report decreasing or no nasal discharge and obstruction.

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9
Q

Who should receive the highest priority for an influenza vaccination?

A

C. A 50-year-old woman caring for a spouse with cancer.

Household members or caregivers for high-risk individuals are prioritized for immunization.

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10
Q

What should a client with allergic rhinitis do to decrease symptoms?

A

D. Keep a diary when your symptoms occur.

This helps identify triggers that precipitate allergic attacks.

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11
Q

How many mL should the nurse administer for Guaifenesin 300 mg if the dosage strength is 200 mg/5 mL?

A

7.5 mL

Calculation: Desired/Amount on Hand x Quantity = 300mg/200mg x 5mL.

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12
Q

What standard is used to determine if the nurse was negligent in administering terbutaline without checking the client’s pulse?

A

The actions of a reasonably prudent nurse with similar education and experience.

This refers to the standard of care expected from nurses in similar circumstances.

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13
Q

Which route should Nurse Trish avoid when administering morphine sulfate to a client with a low platelet count?

A

IM

The IM route is avoided due to the risk of bleeding in clients with a platelet count of 22,000/ul.

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14
Q

How should the nurse document the order for Digoxin to prevent a dosage error?

A

Digoxin 0.125 mg PO once daily.

Always place a zero before a decimal point to prevent misreading the dosage.

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15
Q

What nursing diagnosis should receive the highest priority for a client diagnosed with deep vein thrombosis?

A

Ineffective peripheral tissue perfusion related to venous congestion.

This diagnosis is prioritized because it directly addresses the complications of blood flow obstruction.

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16
Q

Which client should Nurse Betty see first after endorsement?

A

A 44 year-old myocardial infarction (MI) client who is complaining of nausea.

Nausea can indicate a worsening condition in MI and requires immediate assessment.

17
Q

What should the client care plan include after placing a client in four-point restraint?

A

Check circulation every 15-30 minutes.

This ensures that the restraints do not restrict blood flow to the extremities.

18
Q

What is the purpose of H2 receptor antagonist therapy for a client with severe burns?

A

Prevent stress ulcer.

Curling’s ulcer is a risk in burn patients due to stress response affecting gastric acid production.

19
Q

What action should the nurse take after recording urine output of 50 ml and 60 ml for two consecutive hours?

A

Continue to monitor and record hourly urine output.

The output is within normal limits (approximately 60 mL/hour).

20
Q

Which statement by Tony suggests that ice application has been effective?

A

My ankle feels warm.

An effective ice application reduces pain and swelling; warmth can indicate a positive response.

21
Q

When administering a loop diuretic, which electrolyte imbalance should the nurse anticipate?

A

Hypokalemia.

Loop diuretics can lead to the loss of potassium along with water and sodium.

22
Q

What behavior is most likely exhibited by managers with a benevolent authoritative style?

A

Have condescending trust and confidence in their subordinates

Benevolent-authoritative managers pretentiously show their trust and confidence to their followers.

23
Q

Which statement is true about functional nursing?

A

Provides continuous, coordinated, and comprehensive nursing services.

Functional nursing is focused on tasks and activities and not on the care of the patients.

24
Q

What type of medication order might read ‘Vitamin K 10 mg LM. daily × 3 days’?

A

Standard written order.

A standard written order is a single order for medications given only once.

25
What clinical manifestation frequently occurs in a client with fecal impaction?
Liquid or semi-liquid stools. ## Footnote Passage of liquid or semi-liquid stools occurs from seepage of unformed bowel contents around the impacted stool.
26
To perform an otoscopic examination on a female client, how should the nurse position the ear?
Pulling the helix up and back. ## Footnote This straightens the ear canal for proper visualization.
27
What instruction should nurse Tom give to a male client undergoing external radiation therapy?
Protect the irritated skin from sunlight. ## Footnote Irradiated skin is very sensitive and must be protected.
28
What should the nurse encourage a female client to do after receiving preoperative medication?
Void following preoperative medication. ## Footnote This is important for client safety before surgery.
29
What assessment finding reflects a diagnosis of acute pancreatitis?
Sudden onset of continuous epigastric and back pain. ## Footnote This is due to autodigestion of tissue by pancreatic enzymes.
30
What dietary guideline is important for a client with burns?
Provide high-protein, high-carbohydrate diet. ## Footnote A positive nitrogen balance is crucial for tissue repair and infection resistance.
31
What priority information should the nurse have before administering a unit of whole blood?
Blood pressure and pulse rate. ## Footnote Establishing a baseline is essential to recognize an anaphylactic or hemolytic reaction.
32
What is the priority action if a nurse suspects a broken leg after a fall?
Immobilize the leg before moving the client. ## Footnote This is imperative to prevent further injury.
33
What priority action should the nurse take for a client with a radium implant for bladder cancer?
Admit the client into a private room. ## Footnote This reduces exposure of others to radiation.
34
What is the priority nursing diagnosis for a newly admitted client diagnosed with agranulocytosis?
Risk for infection. ## Footnote Agranulocytosis is characterized by a reduced number of leukocytes, increasing infection risk.
35
What is the priority action if a client receiving total parenteral nutrition shows signs of an air embolism?
Place the client on the left side in the Trendelenburg position. ## Footnote This may prevent air from entering the pulmonary veins.
36
What leadership style is described as task-oriented and directive?
Autocratic. ## Footnote The autocratic style is characterized by a focus on tasks and directive behavior.