Health Care Concepts 2

venous insufficiency symptoms

Edema worsening when feet are dependent venous stasis ulcers (open sores in skin)

Nurse caring for client that has pneumonia. Which action should the nurse take to promote thinning of secretions?

Encourage client to increase fluid intake

Nurse caring for 6 mos old baby post op. Which pain scale?

FLACC

a nurse is assessing a client who has hyperthyroidism. THe nurse should expect the client to report which of the following manifestations?

Frequent mood changes

Laboring mother. Reports feeling light headed. What is priority action?

GIve oxygen via mask 10L

Hypercalcemia

Greater than 11 decreased neuromuscular activity diminished reflexes decreased LOC

Hypermagnesemia

Greater than 2.5 Decreased neuromuscular activity diminished reflexes decreased LOC

A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan?

Grilled chicken breast with white rice.

The nurse is reviewing lab values for a femal client suspected of having a fluid imbalance. Which lab value evaluated by the nurse supports the diagnosis of dehydration

Hematocrit 53%

a nurse is caring for a client hwo has Addison's disease and is at risk for Addisonian crisis. What action should the nurse take?

Weigh the client daily

Hypernatremia

greater than 145 Impaired cerebral function, decreased LOC thirst TREAT WITH HYPOTONIC

signs of preeclampsia

hypertension and protein in the urine

Introjection

incorporation and outside factors into oneself

SIADH

increased amount of ADH resulting in retention of water

Desensitization

involves exposing the client to increasingly intense situations that the client fears. WITH NO HARM

Hypomagnesemia

less than 1.5 increased neuromuscular excitability muscle cramps twitching hyperactive reflexes seizures

Hyponatremia

less than 132 Symptoms N/V decreased LOC, impaired cerebral function seizures TREAT WITH HYPERTONIC

Hypocalcemia

less than 9 increased neuromuscular excitability, muscle cramps, twitching hyperactive reflexes seizures positive Chvosteck's and Trosseau's signs

mitral stenosis

low pitched rumbling murmer and week pulse

CLient in ED after passing out. Fasting with ketones in urine

metabolic acidosis

Repression

unconsciously forgetting a stressor

Hyperglycemia symptoms

warm skin, rapid respirations nausea lethargy

FOur older adult clients. Who to administer vaccine to

Client that takes medicine for peptic ulcers

Which of these for patients is at risk for urinary stones?

QUadripelegic bc of immobility

Enteral feeding indications

dysphagia, long term intubation, damage/surgery to esophagus

nurse caring for client with urolithiasis which is an associated risk

family hx

A nurse is caring for a client who has a history of alcohol abuse disorder. The nurse comes into the room and finds the client shouting "get these bugs off me." Which is the appropriate response?

"I don't see any bugs, but you seem very anxious."

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which statement indicates a further need fo rteaching

"I will reducae my exercise to 3 times a week"

A nurse is caring for a client who was involved in heavy combat and observed war casualties. THe nurse would suspect that the client is suffering from PTSD because?

"In my dreams all I can see are the wounded reaching out and trying to grab me."

Small bowel obstruction symptoms

Abdominal distention high pitched HYPO active bowel sounds Water stools leaking around the obstruction

Antivirals

Acyclovir (varicella) Ribavirin (RSV) Antiretroviral therapy (HIV and AID

Which infant should receive a higher neonatal abstinence score?

An infant with a high pitched cry and a respiratory rate greater than 60 with retractions. And tremors of the arms

Early withdrawl symptoms of alcohol

Anxiety, diaphoresis, irratibility, mood swings, tremors, dilated pupils, tachycardia, hypertension, anorexia, and insomnia

Nurse caring for client one day post op. Reporting incisional pain. Which action should nurse take?

Ask the patient to rate the pain

A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following lab values is the priority for the nurse to assess?

Aspartate aminotransferase. (AST)

A nurse is caring for a clinet who has cushing's syndrome. Which of the following interventions should the nurse expect to perform?

Assess for jugular venous distention

Indications of toxicity with Magnesium sulfate

Bradychardia, urine output of less than 30 ml an hour, resp rate less than 12/min diminished deep tendon reflexes.

Deep vein thrombosis symptoms

Calf pain Redness Swelling (Confirmed via Venous doppler studies)

Side effects of ACE inhibitors

Dry cough

A nurse is teaching a client who has a history of hemophilia A about manifestations of the disorder. THe nurse should include which element of the teaching.

Disabling joint pain.

Ventricular septal defect

Hole in the wall that seperates the heart's lower chamber

Priority in early detox of alcohol withdrawl

Hydration. Safety. Rest.

Nurse providing infor for pain control. Gastric re-suction. Whih indicates understaind fo information

I will call for pain medicine before the previous dose wears off.

Nurse teaching students about kidney infections. Which statement should be included:

Increases chances of pregnant women's preterm labor

Planning care for cystitits what should be included?

Instruct client to stay away from carbonated beverages

Nurse reviewing lab values for respiratory acidosis. What should they expect?

Low pH paC02 high HC03 normal or high depending on how long

Treatment for preeclampsia

Magnesium sulfate

Nurse receives pt ED that is comatose. Breathing deeply and rapidly. BGS pH7.25 PCO2 25 HCO3 18

Metabolic acidosis with partial respiratory compensation

Signs of cardiac valve malfunctions

Mitral valve prolapse Aortic regurgitation Mitral stenosis Aortic stenosis

Nurse is discharging a child with sickle cell after crisis episode. What should be included in teaching parents?

Offer fluids to child multiple times a day

Antibiotics used to treat otitis metia. What means it's fixed?

Pain has subsided

Which medications are FDA approved for the management of PTSD

Paroxetine (paxil) and sertraline (Zoloft)

A child with hemophilia is seen for a check up. Which lab value would the nurse expect to be abnormal for the child?

Partial thromplastin time.

A nurse is discussing obsessive compulsive disorder with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of the reason clients with OCD perform ritualistc behaviors

Perfom ritualistic behaviors to provde temporary relief. q

Tetralogy of Fallot

Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy

nurse caring for client post op. respirations are shallow at 9 permin.

Respiratory acidosis

Victim of sexual assault with respiratory rate of 32-36. what should you expect?

Respiratory alkalosis

Nurse in ED providing care for mild ankle sprain

Rest, Ice, Compression, Elevate

A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

Review the clients electroytes

Which is the most effective treatment for separation anxiety in an 8 year old child?

Selective serotonin reuptake inhibitors and cognitive behavioral therapy

Increase for diabetes insipidus

Specific gravity

a nurse is caring for a client who has chrohn's disease. which of the following food choices would follow the recommended diet for clients who have chron's.

Toast with jelly

CNS symptoms of NAS

Tremors, irritability, wakefulness, high muscle tone, hyperactive deep tendon reflexes, seizures, frequent yawning and sneezing

ELements for normal sinus rhythm

Uniform regular P-waves PR interval 0.12-.2 secs A narrow QRS complex associated with P wave Rate of 60-100 6-10 per 6 sec strip

Signs of improvement of CHF

Urine output greater than 30 ml/hr Decrease in adventitiuous lung sounds Decreased use of supplemental oxygen

Mitral valve prolapse

Valves don't close smoothly and bulge upwards. Chest pains, palpitations, exercise intolerance and a systolic click

Treatment of diabetes insipidus

Vasopressin ADH Increased fluid intake to prevent dehydration

ALcohol intolerance is

a decreased response requiring more alcohol to achieve the desired effects.

Hypnosis

a viable treatment option for phobias

right ventricular hypertrophy

abnormal enlargement of cardiac muscle

Which nursing intervention should be implemented for somebody with respiratory acidosis COPD>

administer bronchodialators

Aortic regurgitation

bounding arterial pulses and widened pulse pressure

Side effects of beta blcokers

bradychardia lethargy and drowsiness bronchospasms and wheezing N/V and diarrhea

Arterial insufficiency symptoms

cap refill >3 secs extremities pale and cool weak pedal pulses dependent rubor lack of hair on extremeties leg cramps with activity

Nurse caring for metabolic alkalosis. WHat should the nurse monitor for?

circumoral paresthesia

Acute abdominal pain. Reports pain has subsided

contact provider

Desired effect of Vasopressin

decreased urine output

Pulmonic stenosis

opening to pulmonary valve is too narrow

ABGS provder suspects Acidosis. What should the nurse see?

pH below 7.35

Nurse assessment experiencing N/V for four days. WHat values would you expect to have

pH high PaC02 normal or elevated HC03 elevated

Nurse admitting client with acute pancreatitis what should the nurse anticipate

pantoprazole proton pump inhibitor.

Nurse caring for pt with actue COPD. ph 7.30 pCo2 58 Hco3 32

partially compensated respiratory acidosis

overriding aorta

positioned over VSD

Illness anxiety disorder

preoccupation with various illnesess

Paronoia

refusal of medications related to fear of poisoning

Bolus feeding

residual should be checked and reinstilled. IF GREATER THAN HALF THE VOLUME FROM PREVIOUS FEEDING HOLD FEEDING AND CONTACT PROVIDER

Regression

reverting to childlike behaviors

aortic stenosis

rough systolic crescendo-decrescendo murmur

Hypoglycemia symptoms

sweating tachycardia tremors palpitations hunger, anxiety

Dissociation

the ability to compartmentalize the source of anxiety

Phobias

the fear my seem irrational, but is very real to the client

Conversion disorder

the involuntary loss of sensory function

Diabetes insipidus

the loss of large amounts of urine and extreme thirst