ATI NURSING- Test Mark Klimek Blue Book (Q & A) 100%
Quiz:> Pulmonary embolus is an obstruction of the pulmonary ______ bed by a dislodged _____ or
... [Show More] foreign substance
{{{Answer}}} (Capillary, thrombus)
Quiz:> Where do the emboli that cause pulmonary embolus usually come from?
{{{Answer}}} (the leg)
Quiz:> Besides a thrombus what else can cause an embolus in the lung?
{{{Answer}}} (Air, fat, tumor cells)
Quiz:> What treatment modality can lead to pulmonary embolus?
{{{Answer}}} (Bed rest)
Quiz:> What class of drugs can lead to pulmonary embolus?
{{{Answer}}} (Oral contraceptives)
Quiz:> What heart problem can lead to pulmonary embolus?
{{{Answer}}} (Atrial fibrillation ( RIGHT A-fib causes pulmonary embolus; LEFT A-fib causes cerebral embolus))
Quiz:> What genetic disorder can lead to pulmonary embolus?
{{{Answer}}} (Sickle cell anemia)
Quiz:> What is the first sign of pulmonary embolus?
{{{Answer}}} (Dyspnea)
Quiz:> The dyspnea of pulmonary embolus is accompanied by _____ ______.
{{{Answer}}} (pleuritic pain)
Quiz:> Does the HR increase or decrease in pulmonary embolism?
{{{Answer}}} (Increase)
Quiz:> With severe pulmonary embolus the client will look as though they are in _______.
{{{Answer}}} (shock)
Quiz:> What are the two major treatments of pulmonary embolism?
{{{Answer}}} (02, anticoagulants)
Quiz:> Name the anti-coagulant given for immediate anticoagulation by IV or SQ route.
{{{Answer}}} (Heparin)
Quiz:> A drug for long term anticoagulation in any disorder would be?
{{{Answer}}} (Coumadin)
Quiz:> What two lab tests monitor Coumadin therapy?
{{{Answer}}} (Prothrombin time and the INR)
Quiz:> When Coumadin is therapeutic, the INR should be between ____ - _____.
{{{Answer}}} (2.0-3.0)
Quiz:> What is lovenox?
{{{Answer}}} (Low dose heparin used for anticoagulation in POST OP THROMBOPHLEBITIS PREVENTION; NOTTTT used for PULMONARY EMBOLUS)
Quiz:> Heparin therapy is monitored by daily measurement of the ______.
{{{Answer}}} (PTT)
Quiz:> Effective heparin therapy raises the PTT to approximately _____ times normal.
{{{Answer}}} (2 1/2)
Quiz:> Clients on Heparin should use an electric razor a safety razor?
{{{Answer}}} (electric)
Quiz:> What is the best way to prevent pulmonary embolus in post op patients?
{{{Answer}}} (early ambulation)
Quiz:> Is it appropriate to massage the legs of the client to prevent pulmonary embolus?
{{{Answer}}} (No, never)
Quiz:> Heparin is used in the acute phase of pulmonary embolus. What drug is used for 6 months after PE?
{{{Answer}}} (Coumadin)
Quiz:> Coumadin therapy is monitored by what daily test?
{{{Answer}}} (PT (prothrombin time))
Quiz:> What is the #1 difference between sealed and unsealed radiation?
{{{Answer}}} (Both are internal forms of radiotherapy however, in sealed, a solid object is placed in a body cavity; in unsealed a radioactive substance is injected in liquid form into a vein)
Quiz:> what are the three principles the nurse uses to protect self when caring for a client with a sealed radioactive implant
{{{Answer}}} (Time, distance, shielding)
Quiz:> What is another name for external radiation therapy?
{{{Answer}}} (Beam or x-rays)
Quiz:> What is the difference between external radiation treatment and internal radiation treatment?
{{{Answer}}} (In external the tumor is bombarded with x rays and nothing is placed in the body; in internal there is some radioactive substance introduced into the body)
Quiz:> Of sealed internal, unsealed internal, and external radiation treatment, which is MOST dangerous for the nurse?
{{{Answer}}} (Sealed internal then unsealed internal, external radiation treatment is of no danger to the nurse unless the nurse is in the radiation treatment room during the treatment)
Quiz:> Should pregnant nurses care for a patient receiving sealed internal radiotherapy?
{{{Answer}}} (Never)
Quiz:> Should pregnant nurses provide care for a patient receiving unsealed internal radiotherapy?
{{{Answer}}} (Maybe, as long as they don't contact body secretions)
Quiz:> What skin products should the patient receiving external radiotherapy AVOID?
{{{Answer}}} (No ointments with metals like zinc oxide, no talcum powder)
Quiz:> Describe the hygiene measures that you teach the patient receiving external radiotherapy?
{{{Answer}}} (Use plain water only, no soaps, pat dry, can use cornstarch for itch)
Quiz:> What are the major side effects of radiotherapy?
{{{Answer}}} (Pruritis, erythema, burning, sloughing of skin, anorexia, nausea and vomiting, diarrhea, bone marrow depression)
Quiz:> When the patient is receiving radioactive iodine what precautions is/are most important?
{{{Answer}}} (Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.)
Quiz:> Rape is a crime of passion (t/f)
{{{Answer}}} (false, its a violent act)
Quiz:> Most rapes occur involving two people of different races (t/f)
{{{Answer}}} (false, usually the same race)
Quiz:> When must psychological care of the rape victim begin?
{{{Answer}}} (In the ER)
Quiz:> Name the two phases of Rape Trauma Syndrome
{{{Answer}}} (Disorganization phase, re-organization phase)
Quiz:> Immediately after rape, a woman who is calm and composed is adjusting well (t/f)
{{{Answer}}} (False, calmness and a composed attitude are signs of rape trauma syndrome, (calm person is just as disorganized as the crying and upset lady))
Quiz:> Name the 3 phyiscal symptoms of rape trauma syndrome
{{{Answer}}} (GI irritability, itching or burning on urination, skeletal muscle tension, PAIN)
Quiz:> Victims of rape often blame_______
{{{Answer}}} (themselves)
Quiz:> In the long term reorganization phase the woman is likely to change ________.
{{{Answer}}} (residence or/and telephone number)
Quiz:> In the long-term re-organization phase the woman is likely to experience _____ during sleep.
{{{Answer}}} (nightmares)
Quiz:> In the long term re-organization phase the woman has four common fears. Name them ....
{{{Answer}}} (1) indoors or outdoors (depending where rape occurred)
2) Being alone or in crowds
3) People being behind them
4) Sexual fears)
Quiz:> Before evidence from the woman's body can be gathered for rape, ______ ______ much be completed
{{{Answer}}} (consent forms)
Quiz:> Should a female staff member be present when the rape victim is being examined?
{{{Answer}}} (Always)
Quiz:> The rape victim requires only a pelvic exam and a head to toe exam is not done, so the client is not stressed (t/f)
{{{Answer}}} (false, the exam is a very long, invasive head to toe exam)
Quiz:> During exam the vaginal speculum is lubricated before it is placed in the vagina (t/f)
{{{Answer}}} (false, lubrication could alter the evidence) [Show Less]