EAQ #3
Furosemide (Lasix)
HTN develops in a school-age child with acute glomerulonephritis. Which med would the nurse anticipate providing teaching for?
botulism
A client exhibits dysphasia, dry mouth, drooping eyelids, blurred vision, vomiting and diarrhea. Within 24 hrs, the client develops bilateral cranial nerve impairment and descending weakness. Which bioterrorism agent presents with these clinical manifestations?
wash hands thoroughly
When obtaining the BP of a client with AIDS which action must the nurse implement?
Gonorrhea
When planning a teaching program for clients with acute salpingitis (infection of fallopian tubes), which condition would the nurse include?
blurred vision exophthalmos
Which are NEUROLOGICAL manifestations of hyperthyroidism?
local or systemic and usually mild
Which are the characteristics of reactions associated with immunizations for a 2 mo infant?
protruding eyes
Which assessment in a female client suggests an abnormal endocrine finding?
Active movement against gravity only and not against resistance
Which client response is consistent with a score of 3 on the muscle-strength scale?
client B, compartment syndrome
Which client with complications of fracture would the nurse expect may be treated with a fasciotomy?
The number of CD4+ T-cells
Which diagnostic test result indicates if a client will develop AIDS from HIV?
Mifepristone is an antiprogesterone that blocks the progesterone receptors and acts as an abortifacient.
Which drug acts as an abortifacient in female clients?
Call the clinic if marked drowsiness occurs.
Which education would the nurse provide parents of an infant receiving the first DTaP at 2 months of age?
lead functions as barrier
Which explanation would the nurse provide the outpatient radiology staff regarding storage of radium in lead containers?
Pillows covered with ultra-mesh fabric Cloth drapes removed from all windows Air-conditioning unit running in the home Carpeting replaced with hard wood floors
Which home visit observations indicate effective teaching of avoidance therapy for a client with type I rapid hypersensitivity reactions?
cortisol
Which hormone is formed from cholesterol? NOTE: lipid soluble hormones are synthesized from cholesterol Water soluble hormones are synthesized from amino acids
- pertussis - inactivated poliovirus - Tetanus immune globin
Which immunizations would the nurse determine are safe for a child who is receiving prednisone?
removing the catheter
Which intervention is most important in preventing hospital acquired CAUTIs?
obtain an order for a polymerase chain reaction (PCR) screen
A client scheduled for surgery reports a history of MRSA in a healed surgical site from 9 months ago. Which action would the nurse implement? Which action would the nurse implement?
eat a mechanical soft diet
A client with scleroderma reports difficulty chewing and swallowing. Which intervention would the nurse recommend to facilitate eating safely?
osmotic
A child is prescribed IV mannitol. The nurse understands mannitol belongs to which classification of diuretics?
the client has been exposed to the tubercle bacillus
A client had an annual PPD test, and the area of induration was 10 mm within 48 hrs after planting. Which conclusion would the nurse make the client's response to this diagnostic?
glucagon
The nurse is caring for a client who reports sweating, tachycardia, and tremors. The laboratory report of the client reveals serum cortisol less than normal and a blood glucose level of 60 mg/mL. Which med would be admin to this client?
determine what the adolescent knows about diabetes
The nurse is planning to teach an adolescent about diabetes and self administration of insulin. Which would the nurse complete first?
Low-grade fever
The nurse is teaching parents about the side effects of immunization vaccines. Which expected side associated with the Hib vaccine would the nurse include in the teaching?
Systemic Corticosteroid
Which type of med would put a person at risk if they were exposed to the varicella virus?
Hep A and Hep E
Which types of hepatitis most commonly spread by consuming contaminated food and water, or by fecal contamination?
teeth may become stained
which information would the nurse include when teaching parents about the side effects of iron supplements?
edema, ischemia, induration, tissue damage
when assessing a client with a type IV delayed hypersensitivity reaction, which clinical manifestations would the nurse expect?
oxytocin and vasopressin (ADH)
which hormones are secreted by the posterior pituitary gland?
I left my pills in the bedroom and forgot to take them with breakfast
Which reason would the nurse document as "nonadherence" for the client not adhering to the prescribed antibiotic therapy? Nonadherence is accidental failure to take medication.
its actions are opposite to that of parathyroid hormone
Which statement regarding calcitonin is correct? NOTE: it reduces serum calcium levels
It is a viral infection characterized by convulsions and difficulty swallowing
Which statement would the nurse recall when encountering a client reporting a recent bite from a raccoon located in an area endemic with rabies?
wearing gloves & hand hygiene
Which strategy is most effective for preventing the transmission of infection?
Ligaments
Which tissue connects the client's tibia to the femur at the knee joint?
Home care
Which type of continuing care would a client expect if discharged home with an infusion device to continue treatment for a leg wound?
spheroidal
Which type of joint is present in the client's shoulders?
red urine
A child with Wilms tumor is prescribed doxorubicin hydrochloride. Which common side effect unique to doxorubicin would the nurse expect to observe in the child?
-Fever -Generalized ache -pain at the injection site
After initiating antibiotic therapy on a client with syphilis, the nurse suspects a Jarisch-Herxheimer reaction. Which clinical manifestations support the nurse's suspicion?
maternal antibodies interfere with the development of active antibodies by the infant when immunized.
The parent of a newborn asks the nurse why, except for Hep B vaccine, the immunization schedule does not start until the infant is 2 months old. Which response would the nurse provide?
all family members including your child, need to wash their hands after using the bathroom
The parents of a child diagnosed with Hep A express concern that other family members may contract hepatitis because they only have one bathroom. Which response would the nurse reply?
dirty hands
identify an example of microorganisms transmitted via indirect contact.
corn
Which foot disorder is caused by continual pressure over bony prominences?
Careful monitoring of intake and output
Which nursing intervention is a priority for a school age child with lead poisoning undergoing chelation therapy
Fidaxomicin, Metronidazole, Vancomycin
Which prescribed medications would the nurse anticipate initiating for a client with a Clostridium difficile-associated disease (CDAD)?
HPV (human papilloma virus)
Which sexually transmitted infection causes condylomata acuminate?
stage 2 CD4+T cell count 200-499 cells/mm^3
Which stage of HIV would a client with a CD4+T cell count of 325 cells/mm^3 be classified?
Ten 4-oz (120-mL) servings is required.
A 4 yo child weighing 33 lb (15 kg) has a prescription to receive 100 mL/kg per 24hrs for the 1st 10 kg and then 50 mL/kg per 24 hrs for the next 10 kg. Which parental statement would the nurse recognize as correctly reflecting the child's recommended daily fluid intake?
checking for protein in the urine
A child with plumbism is prescribed edetate calcium disodium (calcium EDTA). Which assessment would be the most appropriate for the nurse to conduct before admin EDTA?
roommate with MRSA in urine, is ambulatory and confused
A client with a urinary catheter in place was admitted to the hospital and has a diagnosis of MRSA in the urine. No private rooms are available. Which room assignment would be appropriate for this client?
frequent yeast infections
A client with diabetes mellitus who shows decreased glucose tolerance is at risk for which complication?
admin the platelets rapidly through the IV line
A platelet transfusion is to be administered to a child with acute lymphocytic leukemia?
auscultate breath sounds
The nurse admin albuterol to a 4 yo. Which intervention would assist the nurse in evaluating the effectiveness of this med?
oxytocin and ADH
Which hormone is released from the posterior pituitary gland?
missing doses of the prescribed medications
Identify the most important reason why medications used to treat AIDS become ineffective.
Hypovolemic shock
A 6 yo child is receiving an IV solution of 10% glucose and mannitol to reduce cerebral edema. Which complication would the nurse monitor the child for?
there is no cure for AIDS, but there are meds that can slow down the virus
A client diagnosed with AIDS states, 'I'm not worried because they have a cure for AIDS.' Which response would the nurse use?
if the mother is breast-feeding the baby
A mother diagnosed with AIDS states she has been caring for her baby even though she has not been feeling well. Which important information would the nurse determine regarding the care provided by the mother?
Dexamethasone Diphenhydramine hydrochloride Hydrocortisone sodium succinate
After administering epinephrine to a client experiencing an anaphylactic reaction, which 2nd-line medication would the nurse prepare to administer?
seek approval circumstances and procedures from a review panel
The circulating nurse in the OR tested positive for HIV. Which action would the nurse implement regarding participation in exposure-prone procedures?
hypothyroidism
The PHCP instructs the client to increase their intake of seafood and protein in the diet. Which rationale would prompt this instruction?
1.Institute airborne precautions. 2.Have a chest x-ray performed. 3.Perform a PPD intradermal skin test. 4.Obtain a sputum specimen. 5.Notify the Department of Health.
The health care provider suspects a client has TB and prescribes a PPD test, chest x-ray, and sputum culture. Prioritize implementation of the ordered interventions.
Erythrocytes
The nurse caring for a child with a low platelet count would monitor the child's urine for the presence of which component?
I'll make sure to give each pill with 6-8 oz of fluid
Trimethoprim/sulfamethoxazole is prescribed for a child with a UTI. Which statement by the parent indicates the nurse's instructions about admin have been understood?
90 mL
A 20 lb infant has a normal saline enema ordered, at a dose of 10 mL/kg. Which dose would the nurse administer?
With the other medicines, it helps you get rid of the things that are making you sick
Allopurinol is prescribed for a child undergoing chemotherapy for cancer of the bone. When given the medication, the child asks, "why do I have to take this pill?" Which response by the nurse is most appropriate?
Cleansing the wound with soap and water
a client in the RD states "I was bitten by a raccoon while repairing a water pipe under my house.' Which intervention would be an effective 1st-aid treatment for the nurse to implement for this client?
diabetes insipidus (DI)
which disorder is caused by the deficiency of antidiuretic hormone?
it decreases inflammation
The nurse is caring for a child undergoing chemo for acute lymphoid leukemia. The parents ask why the child needs prednisone. Which response by the nurse would be correct?
- start an IV line - Obtain consent for blood product admin
A child is prescribed IVIG for Kawasaki disease. Before admin of IVIG, which actions would the nurse take?
it suppresses inflammation
The nurse is caring for a child receiving prednisone. Which consideration is most important for the nurse to remember when administering adrenocorticosteroid therapy?
Occurred in conjunction with treatment for an illness
Which criteria would the nurse consider when determining if an infection is a health care-associated infection?
increased bone breakdown increased serum calcium levels increased net release of calcium & phosphorus
Which effect does the parathyroid hormone have on bones?
high fever after 1st dose
Which health history would the nurse consider a contraindication to administering the 2nd DTaP immunization to a 4 month old infant?
- toothbrush soaking in bleach - washed dishes in warm, soapy water before use - applied gloves before weeding houseplant
Which home visit observations indicate the client with AIDS integrated acute care discharge teachings?
MSH - Melanocyte-stimulating hormone CRH - Corticotropic-releasing hormone GHRH - Growth hormone-releasing hormone
Which hormones are released by the hypothalamus?
2-6 weeks
Which length of time would the nurse teach a client regarding the incubation period of syphilis?
hypercalcemia
a client with parathyroid disorder reports nausea, vomiting, weight loss, and epigastric pain. Which electrolyte disturbance would be responsible for the client's manifestations?
9.5 mg
A 28lb toddler is prescribed amoxicillin 145 mg by mouth 3xs daily. Med available is supplied as a suspension of 250 mg/5 mL. The safe dosage is 35 mg/kg/24 hrs. How many milligrams within the safe dosage limit is the dose?
ensuring meticulous oral hygiene
A child is prescribed dactinomycin and doxorubicin therapy after a nephrectomy for Wilms tumor. Which intervention would the nurse include in the plan of care?
watch for white patches in the mouth and report to the health care provider
A child is prescribed fluticasone after an acute asthma attack. Which instruction would the nurse give the family about the administration of this med?
offer a snack to prevent hypoglycemia during the night
A child is prescribed insulin glargine before breakfast. Which instruction is most appropriate for the nurse to give the parents regarding a bedtime snack?
preventing exposure of the child to infection
A child recovering from a severe asthma attack is given oral prednisone 15 mg 2xs daily. Which intervention would be a priority for the nurse?
it is a stimulant that has a calming effect on children with ADHD
A child with ADHD is prescribed methylphenidate. The mother asks about its action and side effects. Which response by the nurse is most appropriate?
Fatigue (per decreased metabolism) Dry skin (per decreased glandular function) Progressive weight gain (per decrease in metabolic rate)
A client is diagnosed with hyperthyroidism and is treated with I-131. Before discharge the nurse teaches the client to observe for signs and symptoms of therapy-induced hypothyroidism. Which signs and symptoms would be included in the teaching?
cefazolin
A client who has been receiving treatment for osteomyelitis reports hives, mouth sores, an bloody diarrhea. Which medication would the nurse expect to see in the client's medication administration records?
Whitish-yellow lesions in the oral cavity
An older client who has been undergoing months of treatment for osteomyelitis reports perianal itching and diarrhea. Which assessment finding would the nurse expect to identify?
at scheduled intervals
The nurse is caring for a child with an exacerbation of leukemia. The nurse would plan to administer the prescribed analgesic for bone pain at which time?
Nose blowing Teeth brushing Bending forward
The nurse is teaching a client who underwent a hypophysectomy for hyperpituitarism about self-management. Which actions performed by the client could cause complications on the 2nd postoperative day?
the pump is an attempt to mimic the way a healthy pancreas works
The nurse is teaching a school-age child how to use an insulin pump. Which instruction by the nurse is most important for the child to understand?
Tertiary stage (last stage)
The nurse prepares a teaching plan for client with syphilis. In which stage would the nurse teach the client that syphilis is not considered contagious?
QRS duration of 0.28 seconds
When the nurse is administering IV potassium to a client with hypokalemia, which finding is most important to communicate to the health care provider?
Chlamydia
Which STI is most commonly reported?
- offer ice chips throughout day - instruct on the use of oral antifungal medication - collaborate with the dietician for small, frequent meals - schedule routine mouthcare, avoid alcohol-based mouthwashes NOTE: increase vit A, not vit D
Which nutritional interventions would the nurse include when planning care for a client with AIDS?
Anaphylaxis
Which reaction is an example of a type I hypersensitivity?
do you want the IV in your right or left arm
Which response by the nurse is most appropriate when a 6 yo child, who is to have an IV catheter inserted, starts to cry?
which arm should I use to give you the med
Which response by the nurse would be most appropriate to promote a sense of control in a 6 yo child who is about to receive an injection?
I should report any hearing loss to the primary HCP
Which statement by the client indicates that the nurse's teaching was effective regarding intravenous gentamicin therapy?
- will avoid alcohol because my liver is scarred and the alcohol causes more damage - will eat 4-7 small snacks or meals per day - will eat foods high in carbs, but moderate in fats and proteins
Which statement by the client, recovering from an acute case of viral hepatitis, indicates understanding of the discharge instructions presented by the nurse?
- I can contract HIV from oral sex - HIV is contracted by using contaminated needles - babies can contract HIV because of contact with maternal blood during birth
Which statement indicates a client understands transmission of HIV?
- I will take the antibiotic at the same time every day - I will take the antibiotic with food if I develop gastric distress while on it - I will notify my HCP and stop taking the med if I develop a rash or shortness of breath
Which statements indicate effective discharge teaching for a client with osteomyelitis?
cohorting
Which term describes the practice of placing clients with the same infection in a semi-private room?
Hyperplasia of the adrenal cortex
which cause of Cushing Syndrome would the nurse consider before assessing a client for physiological responses?
dry eyes
which characteristic is common in clients with Sjogren Syndrome (SS)?
granulocyte-macrophage colony-stimulating factor
which cytokine increases growth and maturation of myeloid stem cells?
"I should take three tablets at a time." "I should take the tablet twice a week." "I should take the tablet on an empty stomach."
The nurse teaches a client about cortisone therapy. Which statements made by the client indicate the need for further teaching?
- diagnosed with TB in 1985 - received blood transfusions in 1980 during a total hip replacement surgery - engaged in sexual relations with someone of the same sex for several years
Which events indicate a need to suggest testing of a client for HIV?
Prolactin
Which hormone has both inhibiting and releasing action?
Changes in the chest shape Changes in the lip thickness Changes in the length of hands
While reviewing the client's laboratory reports, the nurse finds that there is an elevation in the client's growth hormone levels. Which key physical changes would the nurse expect to find if acromegaly is suspected?
symptoms are often overlooked, because females can be asymptomatic
Why is an infection caused by Neisseria gonorrhoeae particularly troublesome for a female client?
cold sores (fever blisters)
Which complication would the nurse in a client with genital herpes disease?
antibiotics
Which intervention is most likely to decrease mortality in the septic client?
- records the volume of the air inspired - performs 10 breaths per session every hour - takes a long, slow, deep breath keeping the mouthpiece in place
Which observations by the nurse indicate a client with pneumonia is able to use an incentive spirometer correctly?
Blurry, spotty, or hazy vision
Which physiological changes would the nurse expect to find in a client with a 20 yo history of type 2 diabetes?
bleach
Which product would the nurse instruct intravenous drug users to use for cleaning of needles?
Abduction movement of a structure away from its midline
Which term describes synovial joint movement away from the midline of the body?
amenorrhea
Which term would the nurse use in a report to describe the absence of menstrual periods in a 35 yo nonpregnant client?
1.6 mL
A HCP prescribes 160 mg of acetaminophen elixir for a child. The label on the bottle reads "100 mg/mL." How many mL of acetaminophen would the nurse administer?
10 mg
A child who weighs 44 lb is prescribed prednisone. The recommended dosage for children is 2 mg/kg/day given in four divided doses. which amount would the nurse admin to the child in each dose?
blood uric acid level of 7.5 mg/dL should be 2.5-5.5 mg/dL
Which laboratory test result would alert the nurse that fluid intake would need to be increased in a child receiving vincristine?
Steps to stimulate antibody-mediated immunity
1. invasion of new antigens in body 2. interaction of macrophage & helper T cells recognize the antigen 3. sensitization of B lymphocyte to the new antigen 4. production of antibodies by B lymphocytes 5. binding of antibodies to the antigen and formation of immune complex 6. neutralization or elimination of the antigen
Take the child for regularly scheduled blood tests, because reactions to it include thrombocytopenia, leukopenia and lymphocytosis.
A school-age child with a seizure disorder is prescribed divalproex. The nurse would include which instruction when teaching the parents about administering this medication?
basophils
Which leukocyte is responsible for the allergic response?
systemic steroid
Which med therapy lowers a child's resistance to varicella?
Factor VIII concentrate
Which med would the nurse expect to admin to control bleeding in a child with hemophilia A?
Spastic gait is a musculoskeletal abnormality, caused by cerebral palsy, that results in short steps and dragging of the foot
Which musculoskeletal abnormality would the nurse suspect in a client who exhibits short steps and drags a foot?
TB adversely affects older adults with chronic illness
An older client with a history of CHF expresses concern about potential exposure to TB from his or her roommate at the extended care facility. The roommate coughs a great deal and sometimes spits up blood. Which is the primary reason that the nurse pursues more information about the roommate?
Bathing clients with chlorhexidine gluconate (CHG) solution
Which nursing action helps reduce the development of health care associated methicillin-resistant Staphylococcus aureus (HA-MRSA)?
having them avoid contact with infected persons
Which nursing intervention would the nurse implement when providing care for pediatric clients with leukemia on chemotherapeutic protocols?
gown & gloves when handling articles contaminated by urine and feces
Which nursing interventions are required for hepatitis A?
blowing the nose and sneezing
During a follow-up visit, the nurse finds increased intracranial pressure in a client who has undergone nasal hypophysectomy for hyperpituitarism. Which action taken by the client is responsible for this condition?
Lack of knowledge related to correct condom application and use
During and AIDS education class a client states, 'petroleum jelly works great when I use condoms.' Which conclusion about the client's knowledge of condom use would the nurse draw from this statement?
"They affect antigen-antibody immunity."
Which statement by the nurse explains the reason clients prescribed corticosteroid therapy for a chronic health problem develop frequent infections?
protein substances are formed within the body to neutralize antigens
Which statement reflects a client's active immunity response to an infection acquired from traveling abroad?
can produce sterility
In addition to being highly infectious, which additional fact would the nurse teach the client with gonorrhea?
1. blood vessel changes cause redness & tissue warmth 2. increased blood flow to area causes swelling at the site 3. capillary leak causes pain 4. edema from plasma leaking protects further injury 5. cytokine is released to produce more WBCs
In which order do events occur in stage I of the inflammatory process?
1. Hematoma formation 2. Invasion of granulation tissue 3. callus formation 4. osteoblastic proliferation 5. Bone remodeling
In which order do the steps of bone healing occur?
1.Exposure/invasion 2.Attraction 3.Adherence 4.Recognition 5.Cellular ingestion 6.Phagosome formation 7.Degradation
In which order would the nurse explain the process of phagocytosis?
bones
Which structures protect a client's internal organs, support blood cell production, and store minerals?
renal
On which body system would the nurse focus when assessing a client with suspected Goodpasture syndrome?
suppressed inflammatory process
Which outcome would the nurse expect when caring for a child receiving adrenocorticoid therapy?
maternal antibodies provide immunity for about 1 year
Which parent edu would the nurse give about why the MMR vaccine is admin at 12-15 months of age?
hypophysectomy
Which surgery will a client undergo if pituitary gland must be removed?
after breakfast
The nurse is teaching the parents of a 6 yo child with ADHD about the admin of methylphenidate. Which statement by the parents indicates an understanding of when they should admin the med?
learn to use the needle and syringe by practicing on an insulin pad first
The nurse plans to teach a 5th grader with type 1 diabetes how to self-admin lispro and glargine insulin. Which action would the nurse include in the teaching plan?
11 mg
The nurse prepares to admin prednisone to a 4 yo who weighs 48 lb. The dose for a child is 2 mg/kg/day in four divided doses. How much prednisone would the nurse admin for one dose?
hand hygiene & gloves
The IV line infiltrates and needs restarting on a client diagnosed with AIDS. Which precautions would the nurse take when restarting the IV?
- applying cold compress - elevating the extremity above the heart level
The RN is evaluating the plans of a nursing student for providing preoperative care to a client who has compartment syndrome. Which item listed in the nursing student's plan of care would the nurse need to revise?
- my roommate will take care of our cat's litter box - I will rinse my toothbrush in bleach once a week - I will use a different cup every time I have a drink - I will wash my hands thoroughly after shaking hands with anyone
The nurse provides discharge teaching to a client with AIDS and a low WBC count. Which client statements indicate understanding of the content?
wear a gown and gloves
Which intervention would the nurse implement to prevent cross-contamination of herpes genitals from one client to another?
- applying cold compress - elevating the extremity above the heart level
Which interventions will be contraindicated for a client who has a fracture and compartment syndrome?
Treponema pallidum
Which is the causative organism for syphilis?
2 According to the diagnostic criteria for rheumatoid arthritis, involvement of one to three small joints (with or without large-joint involvement) is given a score of 2.
on reviewing the XR report of a client with rheumatoid arthritis, the nurse learns that 3 small joints are involved. Which score will the nurse assign the client for joint involvement?
additional tests are necessary to determine infection status
the spouse of a client with pulmonary TB received a PPD. The nurse examined the skin test and identified an area of induration greater than 10 mm. Which response to this finding would the nurse implement?
- restlessness - muscular rigidity - respiratory tract spasms - spastic voluntary muscle contractions
which clinical manifestations would the nurse assess in the newborn diagnosed with tetanus?
aldosterone
which hormonal imbalance would the nurse suspect in a client who has low serum sodium levels?
Gummas (granulomas), chronic destructive lesions affecting the skin, bone, liver and mucous membranes.
which manifestation indicates tertiary syphilis?
have child drink dilute Fe prep through a straw
A 3 yo child is prescribed a liquid iron preparation. The nurse would include which intervention when teaching the parent about the admin of this med?
independence is fostered
which statement by the nurse is most appropriate regarding the greatest advantage of using an insulin pump?
natural enzymes are not as effective and you need to discuss with your HCP
The parents of a child with cystic fibrosis tell the nurse they have switched to natural pancreatic enzymes because of financial issues. Which response by the nurse is most appropriate?
Epitaxis (nosebleed)
The nurse is assessing a child receiving chemotherapy for treatment of leukemia. Which side effect would the nurse anticipate?
48-72 hrs
When would the client have a PPD read?
Adrenaline
Which hormone binds to the receptor site on the surface of a target cell? NOTE: water-soluble hormones have receptors on the surface of target cell Lipid-soluble hormone have receptors inside the target cell
prolactin growth hormone
Which hormones are most COMMONLY produced in excess with hyperpituitarism?
Azathioprine (antiproliferative) Prednisone (corticosteroid)
Which prescribed medications would the nurse expect as maintenance therapy for a client with a kidney transplant?
prevent maxillary osteonecrosis
Which rationale explains why the nurse would advise a client to have dental examination before beginning prescribed therapy with zoledronic acid?
- applying ice to the cast - positioning the casted extremity above the heart level
Which roles could the nurse assign to UAP in caring for a client with a cast?
Pancreas - secretes insulin & glucagon thyroid gland - secretes T3 & T4 adrenal cortex - secretes cortisol
Which glands secrete hormones that regulate metabolism of carbohydrates, proteins, and fats?
Walking for 30 min/day performing weight bearing activities Urinating immediately after sexual intercourse
The nurse is teaching a client who has decreased production of estrogen because of menopause about self-management and prevention of complications. Which actions performed by the client would help reduce the complications?
offering warm saline mouthwash
A 5 yo child is receiving dactinomycin and doxorubicin therapy after nephrectomy for Wilms tumor. Which intervention would the nurse include when planning care?
I'll check for white patches in the mouth
A 6 yo child with asthma is prescribed an inhaled corticosteroid. The nurse would conclude the mother understands teaching about the medication side effects when the mother makes which statement?
Fluconazole (Diflucan) - antifungal
A client reports fever, cough, muscle aches, night sweats, and chest pain. The client's lab report indicates the presence of Coccidioides organisms in the respiratory tract. Which medication would the nurse anticipate administering to this client?
Ensuring the client's platelet count to be more than 100,000/mm3
The RN is evaluating the plans of a nursing student for providing preoperative care to a client scheduled for a kyphoplasty. Which item listed in the nursing student's plan of care would the nurse need to revise?
Administering sodium polystyrene sulfonate, a potassium binding and excreting resin that reduces potassium levels
The RN teaches a student nurse regarding the management of increased potassium levels in a client. Which action performed by the student nurse indicates effective learning?
Neisseria gonorrhoeae
The primary HCP ordered a nucleic acid amplification test (NAAT) for the client reporting painful urination, profuse purulent urethral discharge, and enlarged testicles. Which organism may be responsible for the client's condition?
increased immature neutrophils
When evaluating the WBC count differential, which statement indicates the meaning of 'a shift to the left'?
intolerance to cold decreased body temperature
Which METABOLIC manifestations are likely to be observed in a client with hypothyroidism?
have child demonstrate inhaler use
Which action would be the most appropriate way for the nurse to evaluate a child's understanding of how to use an inhaler?
- wash hands before applying sterile gloves - wash while wither soap & water or ABHR before client contact - wash with soap & water when hands are visibly soiled with blood - wash with ABHR if hands are not visibly soiled
Which actions would be included in an organizations' policy for hand hygiene?
IgM antibodies
Which antibody forms first after exposure to an antigen?
scapula sternum
Which bones are examples of a client's flat bones?
olecranon
Which bursae are between the client's elbow and the skin?
- I will inject the med into my thigh - I will keep the med with me at all times - I will replace the medication when the expiration date is approaching
Which client statements indicate effective teaching about an automatic epinephrine injector to self-treat reactions to insect stings?
client A, CD+4 T-cell = 180 cells/mm3
Which client's lab results indicate the 3rd stage of HIV disease? (<200 is stage 3)
hypotension
Which clinical manifestation occurs in a client with vasopressin deficiency?
Dark red urine
Which clinical manifestation would the nurse observe in a client diagnosed with blackwater fever secondary to malaria?
nausea, fatigue, low-grade fever
Which clinical manifestations are associated with TB?
carpal tunnel syndrome
Which condition can be identified in a client using Phalen's test?
decreased PaO2 increased fat cells in urine decreased hematocrit level
Which findings would be present in a client who has fat embolism syndrome?
Administer the prescribed antipyretic and notify the primary health care provider of this change.
a client receiving chemotherapy develops a temp of 102.2F. The temp 6hrs ago was 99.2F. Which nursing intervention is the priority in this case?
ethambutol
Which antitubercular medication may be responsible for a client's reported changes in vision?
produces antibodies against the sensitizing antigen
Identify the role of plasma cells in the antigen-antibody response
inspecting and palpating each neck vertebra
the nurses assesses neck malalignment and tenderness in a client who is unable to rotate the neck. Which additional action would the nurse take?
pulmonary edema
A child with beta-thalassemia is receiving therapy that includes multiple blood transfusions. The nurse understands the child is at risk for which common complication?
passage of worms
A child with pinworms is prescribed mebendazole. Which expected response to the medication would the nurse teach the parents watch for?
"We'll have her massage her gums and floss her teeth frequently."
The nurse teaches the parents of a child prescribed long-term phenytoin therapy about care. Which statement indicates the teaching has been effective?
give in the morning on scheduled days
The nurse teaches the parents of a child with classic hemophilia how to administer plasma component factor VIII prescribed 3xs a week. Which instruction would the nurse give the parents about admin time?
Apply oxygen at 90 to 100% Call the Rapid Response Team Elevate the head of the bed to 45º Ensure emergency airway equipment is at the bedside
Which actions would the nurse implement when a client develops an anaphylactic reaction?
nuchal rigidity (neck stiffness) pharyngeal spasms
Which clinical manifestations would the nurse assess in the client suspected of having rabies?
Hyperthermia Splenomegaly
Which clinical manifestations would the nurse observe when reviewing examination and diagnostic data about a client with malaria?
gangrene
Which complication is a result of Clostridium welchii (Clostridium perfringens) entering the client's wound and causing crepitus?
