hindu post mortem
dont touch the patient's body
Vancomycin Resistant Enterococcus (VRE)
Methicillin Resistant Enterococcus (MRE); Precaution?
... [Show More] PPE?
Contact Precaution
Gloves and Gown
What is the signs of digoxin toxicity?
blurred vision
Patient taking warfarin and INR is 5 what to do?
vitamin k
Patient reports frequent vomitting what's the indication that the patient have hyperemesis gravidum
Ketonuria
Proteinuria indication of what in pregnancy
Preeclampsia
Blurred vision during pregnancy is an indication of
Preeclampsia
Newborn normal heart rate
110-160
Dorsalis pedis location
front of the foot
Bathing infant
Sponge until the cord falls off
A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?
A. Use three pronged grounded plugs.
B. Cover extension cords with a rug.
C. Check the tingling sensations around the cord to ensure the electricity is working.
D. Remove the plug from the socket by pulling the cord.
A. Use three pronged grounded plugs.
What signs that indicates effectiveness of levothyroxine?
weigh loss
measure abdominal girth daily
Ascites
Clean traechostomy
from inward to outward motion
Lumbar puncture what to expect after
headache
candiasis
white milky substance
occupational therapy
when patient having trouble with upper extremities like feeding self
therapist for swallowing
Speech therapy
Palliative care purpose
quality of life and comfort
Pacrealipase
take with meals
HIgh ph and abnormal pac02
respiratory alkalosis
A nurse is caring for a client who has a hearing impairment. When speaking to the client, the nurse should incorporate which of the following communication methods?
-make sure room is lite
44. Which of the following foods is a patient to avoid for 2 days before collecting a stool sample for guaiac testing?
A) Milk
B) Red meat
C) Rice
D) Grapefrui
tE) Cereal
B) Red meat
Client privacy nurse talking in hallway
tell them to stop the conversation
A nurse is caring for a client who is 2 days postoperative following a lumbar laminectomy and is reporting nausea. Which of the following actions should the nurse take first?
- Administer an antiemetic
A nurse is preparing to provide discharge teaching to a client who has an ileal conduit due to treatment for bladder cancer. Which of the following instructions should the nurse include in the teaching?
- cleanse the skin around the stoma with a mild soap and warm water
A nurse is caring for a client who is receiving IV antibiotics and tests positive for C. difficle. Which of the following action by the nurse is appropriate?
- Place the client on contact precautions
A nurse is discussing a living will with a client. Which of the following statements by the client indicates an understanding of this document?
"It communicates my wishes for end-of-life care."
A nurse is caring for a client following a thyroidectomy. For which of the following complications should the nurse assess the client?
a. Hypokalemia
b. Muscular depression
c. Laryngeal stridor
d. Hyperglycemia
c. Laryngeal stridor
A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first?
A. Turn the client on their side.
B. Administer an analgesic
C. Administer antiemetic
D. Monitor the client's vital signs.
A. Turn the client on their side.
A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following condition in the child's medical history should the nurse identify as a contraindication to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma
C. Hypertension
A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
A. Excessive sweating
B. Increased urinary frequency
C. Dry cough
D. Metallic taste in mouth
A. Excessive sweating
A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who has major depressive disorder. Which of the following should the nurse include in the teaching?
A general anesthetic is administered prior to ECT treatments
acetaminophen overdose antidote
acetylcysteine
A nurse is performing a nutritional assessment on a client who has a calcium deficiency. The nurse should identify that the client is at risk for which of the following?
Tetany
A nurse is caring for a client who is receiving enteral nutrition. Which of the following findings indicates a need to decrease the rate of the enteral feeding?
diarrah
A nurse is assessing a client who has schizophrenia and takes haloperidol 3 times daily. The client has developed involuntary writhing movements of the tongue and constant lip smacking. These manifestations indicate which of the following adverse effects of haloperidol?
A. Akathisia
B. Acute dystonia
C. Tardive dyskinesia
D. Pseudoparkinsonism
Screen the client for tardive dyskinesia
A nurse is preparing to administer vancomycin to a client who has as infected wound. The nurse should plan to __ for which of the following adverse reactions?
Ototoxicity
A nurse is caring for a client who is receiving gentamicin. Which of the following findings indicates the client is developing toxicity?
Tinnitus
lithium carbonate labs?
- thyroid hormone
A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect?
Answer: Tremors Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia.
Nurse leaves the room but promises to come back later
Fedility
Patient active stage of dying what intervention should the nurse include in the plan of care
The nurse should administer atropine to reduce terminal respiratory secretions and reduce noisy ventilations called "the death rattle."
When should the nurse perform sputum collection
In the morning
94. A nurse is teaching the parent of an infant who has Down syndrome. Which of the following statements by the parent indicates an understanding of the teaching?
A. "I should expect him to have frequent diarrhea."
B. "I should place a cool mist humidifier in his room."
C."I should avoid the use of lotion on his skin."
D."I should expect him to grow faster in length than
B. "I should place a cool mist humidifier in his room."
When palpating the fundus of a woman 18 hours after birth, the nurse notes that it is firm, 2 fingerbreadths above the umbilicus, and deviated to the left of midline. The nurse should:
A) massage the fundus.
B) administer Methergine, 0.2 mg PO, that has been ordered prn.
C) assist the woman to empty her bladder.
D) recognize this as an expected finding during the first 24 hours following birth.
C) assist the woman to empty her bladder.
The nurse is teaching the parents of a 3-year-old child who has been diagnosed with tonic-clonic seizures. What statement by the parent should indicate a correct understanding of the teaching?
a. "I should attempt to restrain my child during a seizure."
b. "My child will need to avoid contact sports until adulthood."
c. "I should place a pillow under my child's head during a seizure."
d. "My child will need to be taken to the emergency department [ED] after each seizure."
c. "I should place a pillow under my child's head during a seizure."
A patient in traction reports severe pain from a muscle spasm. What is the nurse's priority action?
a. Assess the patient's body alignment
b. Give the patient a PRN pain medication
c. Notify the health care provider
d. Remove some of the weights
a. Assess the patient's body alignment
What is the priority nursing care immediately after an amniocentesis?
Monitoring for signs of uterine contractions
pitting edema( check)
- press firmly on affected extremity
GERD taking med (idk what med)
- 1 hr sitting up
packed rbc adverse effect
Fever
belt restraints
A. Sitting down when applied
B. Check q 4 hrs
A. Sitting down when applied
Identifiers after checking the id band what's next identifiers
A. Home Phone
B. Medical Record Number
C. MAR
home phone
Pump is not working what to do
Tag the pump and replace it
Interminent Catheter where to collect urine sample
A. Drainage bag
B. Sampling Port
A catheter specimen must be obtained from the sampling port on the catheter bag.
A nurse promise a patient to walk her to the courtyard later which ethical dilemma
A. Veracity
B. Nonmalificence
C. Autonomy
D. Fidelity
D. Fidelity
The nurse recieves telephone prescription, what to do next
A. do not give until md sign rx
B. give medication
C. ask md to spell the rx
B. give medication
A nurse instilling a child ophthalmic solution
A. Press lacrimal
B. Dide lying position
C. Eyes side to side
D. Outer to inner
Press lacrimal
Child ear irrigation
A. Side lying unaffected side
B. Pull down
A. Side lying unaffected side
Varicella virus transmission precaution
Airborne
A nurse is collecting a urine specimen for culture and sensitivity for a client who has a urinary tract infection. The client has an indwelling urinary catheter in place. Which of the following actions should the nurse take?
A. Withdraw the specimen from the drainage bag
B. Cleanse the collection port with soap and water
C. Place the specimen in the clean specimen cup
D. Clamp the tubing below the collection port
D. Clamp the tubing below the collection port
Plan pregnancy the mother states I am not sure if I am ready to be a mother. What should the nurse response?
These feelings are normal at the beginning
A nurse is collecting date on a 6 month old infant. Which of the following should the nurse identify as unexpected and report to the provider?
A. Head lag when pulled to a sitting position
B. Weight that has double since birth
C. Absence of a pincer grasp
D. Respiratory rate of 30/min
A. Head lag when pulled to a sitting position
A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of alzheimer's disease. The clients partner ask the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse provide?
A. Ginkgo biloba will probably interfere with the effectiveness of his other medication.
B. You should ask his provider if ginkgo biloba is safe
C. Ginkgo biloba is most effective in the later stage of alzheimer's disease
D. People who have alzheimer's disease should adhere to the medication regimen their provider prescribed.
A. Ginkgo biloba will probably interfere with the effectiveness of his other medication.
Toddler food that risk for choking
Grapes
Hotdog
Marshmallows and nuts
Bagel
A nurse is caring for a client who is receiving continuous enteral feeding through NG tube and develops diarrhea. Which of the following actions should the nurse take?
A. Change the tube feeding bag every 48 hours
B.Chill the formula prior to administration
C. Increase the infusion rate
D. Request for isotonic enteral nutrition formula
D. Request for isotonic enteral nutrition formula
A nurse is preparing to administer an otic antibiotic to an adult client. Which of the following actions should the nurse plan to take?
A. Hold the dropper 1 cm ( .5 inches) above th ear canal during administration.
B. Apply pressure to the nasocomial duct following administration.
C. Place a cotton ball to the inner ear for 30 minutes following administration.
D. Straighten the ear canal by pulling down and back prior to administration.
A. Hold the dropper 1 cm ( .5 inches) above th ear canal during administration.
A nurse is reviewing a medical record of a client who has a prescription for a combination of oral contraceptive. The nurse should identify that which of the following findings is a contraindication to receiving this medication?
A. High cholesterol level
B. Liver disease
C. Family history of ovarian cancer
D. Client reports of hypermenorrhea
B. Liver disease ( also gallbladder, heart disease, blood clots)
A nurse is collecting data from a client who has hypothyroidism and take levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose?
A. Bradycardia
B. Cold intolerance
C. Tremor
D. Hypothermia
C. Tremor
A nurse is reinforcing teaching with the guardian of a newborn about car seat safety. Which of the following pieces of information should the nurse include?
A. Position the child's car seat forward-facing at 1 year of age.
B. Place the retainer clip 2 inches above the newborn's umbilicus
C. Place the should harness in the slots that are level with the new born shoulder.
D. Position the newborn's car seat at a 20 degree angle in the vehicle.
C. Place the should harness in the slots that are level with the new born shoulder. [Show Less]