Xerostomia , what is it & how do you treat it = feeling of oral dryness-treat w/ sugarless candy or gum
Labs to check for pernicious anemia = B12
... [Show More] Contraindication for the use of combination oral contraceptives = HYPERtension (↑ BP)
Sign of mild anxiety = Extreme focus
What is remote memory loss = Inability to remember things from YEARS ago
Heart failure dietary teaching = Low sodium & fluid restriction
Diverticu litis dietary teaching = Low fiber
Diverticu losis dietary teaching = High fiber
IBS dietary teaching = High fiber
Urine Culture on baby = straight catheter
Parents are nervous about how their 3-year-old will act when newborn arrives. What can they do = Provide gift
from the infant to the sibling
Methylprednisolone sodium succinate lab to watch for? Serum glucose (because glucocorticoids cause
hyperglycemia)
At 14 weeks' gestation, what should the patient report to the MD = Swelling of the face (sign of preeclampsia)
A patient is 14 weeks pregnant , where do you check to find the FHR = below the pubs symphysis area.
Change of shift report should include = The blood lost
Patient teaching for colostomy care = patient doesn't need to change the bag every day (only needs to be changed
every 4-7 days)
Scoliosis manifestation = Lateral curvature of the spin & asymmetrical hips/ribs
Lab values that are elevated for Cushing's disease = ↑ Cortisol, ↑sodium, ↑ glucose
Cushing disease Sx: Moon face
Administering medications through an NG tube =
* Administer meds separately
* DO NOT mix with enteral feedings
* Dissolve crushed tablets in 15-30mL of water
* Flush tubing before & after each medication with 10-30mL of water
Tobramycin adverse reaction = Ototoxicity (hearing damage & loss of balance) & Cloudy/bloody urine
(nephrotoxicity
Anorexia expected finding = pre-albumin 10 (normal is 3.5-5)
Amniocentesis patient teaching = empty bladder before the procedure (S/E: can cause contractions)
Expected finding during cardiac catheterization = Patient will feel warmth and flushed when dye is inserted
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Retinoblastoma = white eye reflex
What action should you instruct the patient to do prior to postural drainage? Administer a bronchodilator or
nebulizer prior to treatment, postural drainage should be done 1 hour before meals or two hours after meals
(perform twice daily)
IV phlebitis =Discontinue IV & apply a warm/moist compress
IV is infiltrated = Discontinue IV & apply a cool compress
Female is to undergo an NST = Doppler transducer placed around abdomen
When a patient is receiving mannitol , what should the nurse monitor for = Hypovolemia
Co-worker is impaired , what do you do = Report it to the charge nurse
Fine hair is a result of this disease = HYPERthyroidism
How do you draw blood out of a PICC line = Draw 10mL of blood and discard it, then draw another 10mL of blood
for sample, and then flush with 10mL of 0.9% sodium chloride
Crohn’s disease = LOW fiber diet
latex allergy if they have a sensitivity to what food = Bananas
Buddhist patient = vegetarians
Food Label = greatest weight is listed first.
Child with positional plagiocephaly = Child will wear a molded helmet for 23 hours a day
Pregnant women should eat more of what to prevent neural defects = Folate/folic acid
A caregiver states they are becoming tired when caring for their parent with Alzheimer's disease , what can the
nurse suggest = Respite care (care to give caregivers a break)
Cleft palate teaching for feeding = don’t use a spoon, Position infant upright while cradling head & burp them
frequently
A wound that would heal by primary intention = A surgical incision
Sign of glaucoma is loss of = Peripheral vision loss
Baby w/reflux = small frequent meals, thicken formula with rice cereal, HOB 30
Radiation implant precautions =
* Private room with radiation sign
* Wear dosimeter film badge
* Limit visitors to 30 min and to remain 6ft away from the patient
* Keep lead container in room and tongs
* No pregnant ladies or anyone under the age of 16 should come into contact with the patient
Discharge teaching for a patient who is going home with HIV/AIDS =
* Good hygiene & frequent hand washing
* Avoid crowds
* Avoid cleaning litter boxes
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* Avoid raw foods such as veggies or meats
Adolescent nutrition = 1300mg of calcium
Priority nursing care for a patient who has been sexually assaulted = Assess their anxiety
Identifying a need for hearing evaluation =
* Absence of talking by 7 months
* Uses gestures rather than talking by 15 months
* Speaks in monotone
* Speaks loudly for the situation
Compartment syndrome = client with cast and has white extremity (6 P’s assessment)
NG placement in the Jejunum = X-ray
How should you confirm the placement of an NG tube = Aspirate gastric contents (pH less than 4)
Methylphenidate patient teaching = It's Ritalin, so take once daily in the morning
Simvastatin reaction that you report to the MD = Muscle aches/pain (rhabdomyolysis)
Diabetic foot care patient teaching = Cut toe nails straight across, No lotion between toes, wear clean socks made
of cotton or wool
Where should you insert a peripheral catheter = Distal veins in the non-dominant hand
Who receives Rhogam = an O- women following a spontaneous abortion
Losartan adverse effect = Angioedema
Patient teaching for dabigatran = Report bleeding (it's an anticoagulant)
Pacemaker teaching = Take pulse at same time each day & report if HR is less than 5bpm below the pacemaker
rate, Report dizzy, fatigue, hiccups or palpitations
EKG that has no P wave , has a wavy baseline and increased HR = Atrial fibrillation
Newborn genetic screening = Heel-stick test done 24 hours after birth and the infant must be fed within those 24
hours for accurate results
Acupuncture contradiction: Herpes Zoster
What medication is given for an ectopic pregnancy = Methotrexate
Washing hands for a patient who is immunosuppressed = use chlorohexidine
Betamethasone causes HYPERglycemia in the mom & HYPOglycemia in the neonate
Betamethasone = used to promote fetal lung maturity
NG Tube feeding = suction gas residuals every 4 hours.
A client who has a history of domestic abuse = discuss an escape plan
Cleansing a radiation area = Clean with mild soap or water, Avoid use of powders/lotions/creams
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Furosemide & gentamicin drug interaction causes = Kidney problems & dehydration
What can you expect after ECT treatments = Temporary short term memory loss
When a group strep B culture is obtained during the 35-36 week of gestation and is positive , what do you do =
Administer penicillin every 4 hours during labor
List some ways to prevent or treat supine hypotension syndrome = Left-lateral side lying, Semi-fowlers, Wedge
under one hip while supine
Long term use of Protein Pump Inhibitors causes = osteoporosis
Magnesium Sulfate = Is an anticonvulsant, Reduces the seizure threshold, Secondary effect - lowers BP***
Administering Magnesium Sulfate = Restrict fluids to 100-125mL/hour, Maintain urine output of 30mL/hour
S/S of Magnesium Sulfate Toxicity:
C - Cardiac dysrhythmias
O - Output less than 30mL/hour
R - Respirations less than 12/min
A - Absent deep tendon reflexes (HYPOREFLEXIA)
L - LOC is decreased
Prednisone adverse reaction = Infection, Fluid retention, Hyperglycemia
SIDS Prevention = Place babies on their backs to sleep, Pacifier when sleeping, Breastfeeding
Sumatriptan is used for = Migraines
Pregnant adolescent with no financial help = refer to case manager
Absence Seizure = Brief sudden lapse in attention, patient may appear to be day dreaming or staring into space
Valporic Acid levels to watch for = This med can cause hepatic toxicity - monitor serum liver enzymes
Kidney donor contraindication = Diabetes
Situational Crisis example = Lost a grandparent in a MVC (unexpected event)
Coarctation of the aorta symptoms = Diminished pulses in extremities (weak femoral pulses)
Cocaine patient Signs/Sx = ↑ Temp
Patient teaching for parents taking child home after circumcision = Petroleum jelly with diaper changes (change
diaper every 4 hrs)
Screening test done at 16 weeks' gestation = alpha-fetoprotein (AFP)
3-year-old child can do what? = ride a tricycle
Stimulant withdrawal symptom = fatigue
Patient teaching for patient with peripheral artery disease = apply lotion to feet to prevent dry, cracked skin.
Patient experiencing mania = give a PB&J for a portable snack
Patient has diarrhea with enteral feeding , what should you do = administer at slower rate (admin. at room
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temperature)
When a patient is taking phenelzine what foods should be removed from their meal tray = Caffeinated beverages,
Chocolate, Fava beans, Ginseng
Lab test for pernicious anemia = Schilling test
Sign of hypervolemia = Bounding pulses
To ↓cardiac demand in an infant = feed infant when awake or crying
Tidaling in water chamber of a chest tube is = Normal (bubbling is NOT)
Narcissistic personality disorder expected behavior = infatuated with weight/appearance
Clozapine lab contraindication = WBC 2900 (normal is 5,000-10,000)
Anterior fontanelle closes = 12-18 months
Confused patient = raise 1 side rail
Posterior fontanelle closes = 2-3 months
Acupuncture contraindication = Herpes zoster
Chronic kidney disease hemodialysis patient teaching = 1g/kg of protein a day & ↑K
Metoprolol report to MD = bradycardia
Pregnant lady exercising teaching = drink lots of water
Patient experiencing mania what should you encourage = encourage time in the day room
Gentamicin adverse effect = creatinine 2.7
Sertraline adverse effect = dry cough
Biofeedback is.... = a technique used to learn to control you body's functions
Antisocial personality disorder can be characterized by = Lack of remorse
Methadone withdrawal in newborn symptoms = hypertonicity
Patient in ventricular tachycardia is found to be pulseless , what do you do = defibrillate
Small pox expected finding = rash in mouth
Preventing uric acid stones = YOGURT!
Client in need of PT = Nurse should include client in selection of provider for PT.
Organizing workload (time management question) = goals for the day
Sign/Symptom of preeclampsia = proteinuria
Advanced directives = do not need a lawyer
Sickle cell priority (during crisis) = HYDRATION/FLUIDS
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Pregnant woman has hepatitis C , can she breastfeed = yes, as long as she doesn't have cracked nipples
Albumin is an indicator of = being well nourished
Needles disposal at home = coffee container on top shelf
Dehydration improving in baby sign = flat fontanelle
Methotrexate adverse effect = high blood pressure
NG tube nutrition = ↑ vitamin K
24-month old should be able to = walk up steps
Pregnant woman should get what vaccine = flu shot
To ↑ iron absorption , take with = vitamin C (orange juice)
When scheduling when to take trough levels = take the level 30 minutes before the next dose is given
Burn patient fluid/electrolyte imbalance = metabolic Acidosis
EEG patient teaching = clean hair, no conditioner or gel/hairspray in it
Parkinson Med - levodopa report = dark urine & monitor for HYPOtension
Prostate cancer radiation therapy = wash irradiated area with mild soap & water
Hepatitis A cleaning solution = 1:100 chloride solution
Acarbuse is taken = with the first bite of each meal (diabetes med)
Pregnant woman having late decelerations , what do you do = position the patient in left-lateral position
STD that must reported to the CDC = chlamydia
Side effect of ACE Inhibitors = Cough
Justice = nurse treating a homeless person the same as anyone else
Hypnosis intent = to alter the perception of pain
African American = ↑ risk for heart disease
Patient scheduled for an IV Pyelogram = administer a laxative
High pressure alarm sounds on the vent, what do you assume is the cause = kinks, patient biting tubing
Low pressure alarm sound on the vent, what do you assume is the cause = air leaks, displacement
Patient arrives to ED after MVC, they are hypotensive & unresponsive. What solution will prescribed to increase
intravascular volume & replace blood loss & increase BP ?: = 5% dextrose in LR
Patient's family asks you to pray with them, what is your response = refer them to spiritual services
IUD puts women at risk for = having an ectopic pregnancy
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IV is infiltrated = discontinue and apply cold compress
IV phlebitis has occurred = discontinue and apply warm/moist compress
Patient asks the nurse to see his medical records = you have a right to see your records, let me initiate the process
Adverse reaction of giving a patient a cooling blanket = SHIVERING
Increase in PAWP means = left-sided heart failure
Valproic acid adverse effects = LIVER failure, jaundice
Frequent variable decelerations in FHR, what do you do = turn patient on left side
Patient is in v. tach and pulseless , what do you do = defibrillate
Threatening to insert an NG tube for a patient who refuses to eat is a sign of = assault
Thrombocytopenia , you should avoid = blowing nose (wipe nose, not blow)
Prior to liver biopsy , patient should have labs for = prothrombin time (PTT)
Test for PKU = Guthrie test
When should you take pancreatic enzymes = with each meal
Contraindication of MMR = blood transfusion
Gastric surgery , patient should eat = 3 meals/day
What is true of lice = it can live for 48 hours on surfaces
What do you hear when you palpate the abdomen = resonance
Dying patient wants to be alone, what type of grieving = depression/dysfunctional
Accessing a PICC line you need what type of needle = noncoring needle
Care plan for a patient who has an indwelling urinary catheter = perineal care after defecation
Hyperparathyroidism precaution = fall precaution (due to muscle weakness)
Patient is experiencing diarrhea while receiving intermittent feeding, what nursing intervention should be done =
administer at a slower rate
PICC line understanding of teaching for a newly licensed nurse = informed consent is needed
Epinephrine possible side effects = chest pain
Amitriptyline adverse reaction to monitor for = urinary retention
Group therapy for families adapting to loss of family members is do = determine roles
First step to perform when a patient says they want to have a family home visit = clarify the source
Referral that should be made for a patient who has a non-healing ulcer = dietitian referral
Home safety for an older adult = install grab bars in the tub [Show Less]