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Question 1

Where should the weights be for clients who have tractions?

Answer 1

Off the floor free hanging

Knots need to be kept away from the pulleys

Weights should not be kept resting on firm surfaces

HOB is kept low to provide countertraction

Question 2

Which medication should be expected to be prescribed for patients with severe hypoglycemia and in coma?

Answer 2

Glucagon

Question 3

If the nurse notes blood or fluid coming from nose after head injury what is priority intervention?

Answer 3

Contact HCP bc this could indicate a cerebrospinal fluid leak

Question 4

What to do with patient who has detached retina

Answer 4

Place eye patch over affected eye
Reading and watching tv are NOT allowed
Usually prescribed to lie flat-not elevated

Question 5

After hypophysectomy what is a possible complications post op?

Answer 5

Temporary diabetes insipid is due to antidiureti hormone deficiency.

Nurse needs to assess urine specific gravity and notify HCP If result is less that 1.005.

Question 6

Higher oxygen flow rates in COPD pt is contra indicated bc…

Answer 6

It causes a decrease in the clients oxygen based resp drive

Question 7

Altered production of cortisol indicates a difficulty with synthesis of

Answer 7

Glucocorticoids

Question 8

Signs of hypoglycemia

Answer 8

Shakiness palpitations and light headedness

Question 9

A client returning from surgery for a pulmonary lobectomy needs what pieces of equipment at the bedside

Answer 9

Clamp
Vaseline gauze
Suction equipment

Question 10

Signs of spinal shock

Answer 10

Flaccid paralysis

Question 11

Cbc labs would indicate what for SLE patients

Answer 11

Decrease in numbers of all cell types

Question 12

First 6 weeks after cardiac surgery what should be taught to pt in discharge

Answer 12

Use arms for balance not weight support
Do not lift anything heavier than 5 lbs
Do not drive
Do not do activities that involve straining

These are due to allowing time (6 weeks) for the sternum to heal

Question 13

If patient in traction complains of severe pain the nurses priority action is to what?

Answer 13

Call HCP

Question 14

Early signs and symptoms of hungingtons disease

Answer 14

Restlessness
Forgetfulness
Clumsiness
Falling
Balance and coordination issues
Altered speech and hand writing 

Later stages: difficulty swallowing

Question 15

Most important post op teaching for client who underwent transsphenoidal hypophysectomy

Answer 15

Do not brush teeth for at least two weeks after surgery

Question 16

Interventions for patient allergic to latex

Answer 16

Use non latex gloves
Use medications from glass ampules
Keep a latex safe supply cart in room
Avoid use of medication vials that have rubber stoppers

Question 17

Which lab value indicates MI

Answer 17

Cardiac troponin

Question 18

What should nurse do if someone’s eye is bleeding

Answer 18

Cover eye with cold sterile saline gauze

Question 19

Early symptoms of cataract

Answer 19

Blurred vision and decrease in color perception

Question 20

Fractured hip is expected if the injured leg is in this position

Answer 20

Shortened and externally rotated

Question 21

Lab results for intrinsic renal failure

Answer 21

Fixed specific gravity and urine test that is positive for proteinuria

Question 22

Lab results for prerenal failure

Answer 22

Specific gravity is high and there is little to no proteinuria

Question 23

Lab results for post renal failure

Answer 23

Fixed specific gravity and little to no proteinuria

Question 24

Transcutaneous electrical nerve stimulation TENS does what

Answer 24

Portable unit (hospitalization not required)
System allows client to relieve pain and reduce the need for analgesics
It is attached to the skin by electrodes

Question 25

After ear surgery clients should avoid what

Answer 25

Drinking with a straw for 2-3 weeks Avoid air travel Avoid coughing excessively

Question 26

The breakdown of fats for conversion to glucose is related to elevated levels of which substance

Answer 26

Ketones

Question 27

Clients with acute pancreatitis have what kind of pain

Answer 27

Increases after vomiting Pain is a steady and intense epigastric pain that radiates to the clients back and flank Pain may lessen when the client sits up or bends forward Eating exacerbates pain

Question 28

Flurbiprofen (ocufen) should be contraindicated for which condition

Answer 28

A client with glaucoma

Question 29

Histoplasmosis

Answer 29

Caused by inhalation of spores from bat or bird droppings | Cannot be transmitted from one person to another

Question 30

Toxoplasmosis

Answer 30

Caused by ingestion of cysts from contaminated cat feces

Question 31

How does nurse inspect lacrimal apparatus of clients eye

Answer 31

Retract upper eyelid, and ask client to look down

Question 32

Which medication should be available in the event of a client in a cholonergic crisis?

Answer 32

Atropine sulfate

Question 33

Melasa would exhibit which skin characteristics

Answer 33

Blotchy brown macules across the cheeks and forehead

Question 34

How do you remove artificial eye in patient

Answer 34

Separate upper and lower eyelid with the dominant hand and cup the non dominant hand under the eye. Apply pressure with the index finger between the eye and the brow

Question 35

Clients who are at risk for bleeding should have which lab checked periodically

Answer 35

ptt

Question 36

Pain related to skin biopsys

Answer 36

Biopsy is quick and almost painless | The most common source of pain is the administration of local anesthetic which can cause a burning or stinging sensation

Question 37

Aluminum hydroxide (ALternaGEL) does what

Answer 37

Combines with phosphorus and helps eliminate phosphates from the body

Question 38

Signs of adrenal insufficiency after adrenalectomy

Answer 38

Weakness Hypotension Fever Mental status changes

Question 39

Acetazolamide (Diamox) is prescribed to a client with supratentorial lesion for what reason

Answer 39

To decrease production of cerebral spinal fluid

Question 40

What lab data should the nurse identify as possible thyroid surgery complication

Answer 40

Decreased calcium level bc this could indicate removal or injury of parathyroid glands

Question 41

If client arrives to Ed with chemical injury to eye what should nurse do

Answer 41

Tilt head to side of injury | Litmus paper used to test ph of eye before during and after irrigation

Question 42

What type of immunity do immunizations provide

Answer 42

Acquired immunity from disease

Question 43

What type of lesions are expected for herpes zoosters

Answer 43

Clustered skin vesicles

Question 44

Albumin is responsible for maintaining what

Answer 44

Osmolality of blood

Question 45

Ptosis is what

Answer 45

When client has left eyelid drooping

Question 46

A cause for a mechanical ventilator alarm sounds during what complication

Answer 46

Displacement of the endotracheal tube

Question 47

Signs of hyperglycemia

Answer 47

``` Polydipsia Polyuria Polyphagia Blurred vision Fruity breath ```