NCLEX Review 2

The client's nephew walks up to the nurse's station and asks if he can see his uncle's file. The nephew states, "It's okay, I'm a nurse as well. I just want to take a quick look and see how my uncle is doing." What is the nurse's most appropriate response?

"I will need permission from your uncle first" Explain: According to the Health Insurance Portability and Accountability Act (HIPAA), the nurse must first obtain consent from the client to allow the relative to view their file.

The cardiac nurse is evaluating cardiac markers to determine whether or not their patient's heart has suffered from muscle damage. The nurse is aware if damage has occurred, CK-MB levels will be their highest after how many hours?

18 hours CK-MB, or creatine kinase myocardial muscle, levels measure muscle cell death and are at their highest elevation 18 hours after cardiac muscle damage. CK-MB levels first begin elevating about 3 to 6 hours after a cellular injury or myocardial infarction and stay elevated for about 48 to 72 hours.

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

A B-complex vitamin should be taken to help with the neuropathy Explain: INH is a first-line therapy treatment for pulmonary tuberculosis. The major adverse effect associated with INH is peripheral neuropathy. This may be ameliorated by a client taking prescribed B-complex vitamins as INH depletes the stores of pyridoxine (Vitamin B6).

You are providing discharge teaching for a 3-year-old patient with CHF. She is going home on digoxin. Which instructions are essential to teaching her parents regarding the administration of this medication?

A. Administer digoxin one hour before or two hours after meals B. Call the doctor if the child starts eating poorly and vomiting frequently

The nurse is assessing a client with Lyme disease. Which of the following would be an expected finding?

A. Lymphadenopathy B. Fatigue C. Arthralgias D. Myalgias E. Conjunctivitis

Which of the following are functions of parathyroid hormone?

A. Moves calcium from bones to the bloodstream B. Promotes renal tubular reabsorption of calcium C. Enhances renal production of vitamin D metabolites

Battery

Actual wrongful and inappropriate touching of a client or an intentional act of physical harm

Omphalocele

An omphalocele is a congenital abnormality where the abdominal contents come through the umbilicus while remaining in the peritoneal sac

Amphotericin b is a potent antifungal that is given intravenously. Hypokalemia is a common adverse reaction associated with amphotericin b therapy. Hypokalemia associated with this medication is caused by the kidneys leaking the potassium via the collecting ducts. Potassium supplementation may be necessary during amphotericin b therapy.

Authorize another person to make medical decisions for a person if they become unable to on their own.

The nurse cares for a client with suspected congestive heart failure (CHF). Which of the following laboratory tests would the nurse expect the primary health care provider (PHCP) to prescribe to confirm the diagnosis?

B- type natriuretic peptide (BNP) Explain: Congestive Heart Failure (CHF) may be confirmed by an elevation of the B-type natriuretic peptide (BNP). This peptide is elevated when it is cleaved from the ventricle wall because of increased ventricular filling pressures.

The nurse is caring for a child with nephroblastoma. To prevent complications from this tumor, the nurse should closely monitor the client's

Blood pressure Explain: Nephroblastoma is a childhood cancer involving the kidney(s). Hypertension may occur because of the surge in renin triggered by the tumor.

The nurse is planning a staff educational conference about indwelling urinary catheters. Which of the following information should the nurse include?

Daily use of soap and water should be used around the urinary meatus Explain: Soap and water is an acceptable practice for daily catheter care as alcohol, CHG, and other antiseptics may be highly irritating to the urinary meatus.

The nurse is caring for a client with congestive heart failure (CHF). The nurse should anticipate a prescription for which medication?

Enalapril Explain: Enalapril is an ACE inhibitor and this drug class is indicated in the treatment of heart failure to prevent ventricular remodeling.

The nurse is assessing a client with acute cholecystitis. Which of the following physical assessment findings would be expected?

Episodic upper abdominal pain Explain: Episodic abdominal pain originating in the right upper quadrant or epigastric area is commonly associated with cholecystitis. The pain may be induced by a meal high in fat.

A pregnant woman with preexisting hypertension is being seen in the clinic. Her blood pressure continues to rise despite attempting first-line therapy with anti-hypertensives. Which of the following medications will be used for the prenatal patient resistant to other blood pressure-lowering medications?

Hydralazine Explain: Hydralazine is the second-line therapy for high blood pressure in prenatal patients who are not seeing any results from other medications.

A common prerenal cause of acute kidney injury is

Hypovolemia

The client is undergoing labor in the delivery room. The fetal monitor shows that there are late decelerations. What is the initial action of the nurse?

Let the client lie on her left side

The charge nurse is observing a newly hired nurse care for a patient who sustained a closed head injury, is receiving mechanical ventilation, and is at risk for developing increased intracranial pressure (ICP). Which of the following actions, if performed by the newly hired nurse, would require intervention by the charge nurse?

Maintaining the head of the patient's bed more than 90 degrees Explain: Maintaining a patient's head of the bed more than 90 degrees is detrimental for a patient with a traumatic brain injury ( TBI). The patient should avoid hip and neck flexion as this raises intracranial pressure ( ICP). While elevating the head end of the bed beyond 30 degrees may drop the ICP further, it can also cause an unwanted drop in the mean arterial pressure ( MAP)

Which of the following growth milestones are expected for female adolescents?

Menarche - first menstruation Thelarche- beginning of breast development at the onset of puberty

A 68-year-old woman arrives at the emergency department after feeling dizzy. After assessing the patient, the nurse notices hypotension, muffled heart tones, and jugular venous distention. What does the nurse suspect that this patient has? What is this triad called?

Pericardial tamponade; Beck's triad

A client at 32 gestational weeks reports the sudden onset of painless, bright red vaginal bleeding. The assessment showed a normal fetal heart rate and a non-tender uterus. The nurse understands that this client is at the highest risk of developing

Placenta previa Explain: Placenta previa may occur as early as 20 gestational weeks. The manifestations of painless, bright red vaginal bleeding coincide with this condition. Commonly, the presentation of placenta previa is a finding on routine ultrasound examination at approximately 16 to 20 weeks.

The nurse is assisting a client using a fracture bedpan. Which action should the nurse take?

Raise the head-of-bed to 30 degrees

The nurse is assisting a client with their insulin pump. The nurse understands which insulin is commonly loaded into the pump?

Rapid acting A rapid-acting insulin is the most common insulin used in insulin pumps. A rapid-acting insulin is correctional insulin and should be appropriately dosed 10-15 minutes before a client's meal or while actively eating.

A nurse is caring for a client diagnosed with a duodenal ulcer. Which medication facilitates healing by forming a protective lining over the client's ulcer?

Sucralfate

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

Testosterone levels

A nursing student is currently learning about domestic violence and wonders why the abused individual cannot "just quickly get out of the relationship." Which theoretical model helps in explaining the cyclical and progressive nature of domestic and spousal abuse?

The cycle of violence Phase 1: tension-building Phase 2: Explosion/ crisis Phase 3: Calm or Honeymoon period

A patient is being evaluated in the clinic for pancreatitis. Besides an elevated white blood cell count and serum lipase levels, which assessment finding indicates a positive finding for pancreatitis?

The discoloration of the abdomen and periumbilical area

Which of the following is a priority that must be considered and critically thought about by the nurse before referring a client to a healthcare setting or service external to their current healthcare setting?

The external healthcare setting's or service's admission criteria.

Benchmarking

The nurse manager compares best practices from top hospitals to her unit and adapts the best unit's methods to improve unit performance

The client with a communicable disease just expired. Which information should the nurse provide to the mortuary staff?

The nurse should inform them of the client's diagnosis Explain: The mortuary team should be informed of the client's diagnosis since they are also part of the health care team.

Rhonchi

Thick, tenacious secretions that clear with coughing cause rhonchi

A client at 32 weeks gestation arrives at the maternity unit stating she has not felt her baby move for nearly six hours. An external fetal monitor is attached for a nonstress test (NST). The nurse attempts to reassure the client by telling her she has a reactive nonstress test. Which of the following would be indicative of a reactive nonstress test?

Three acceleration in a 15-minute period, all ranging between 17 and 21 beats/minute over the baseline heart rate Explain: When undergoing a nonstress test (NST), results are considered reactive (reassuring) if there are a minimum of two accelerations of 15 beats/minute above the baseline, each lasting a minimum of 15 seconds over the 20-minute testing period.

A client complaining of dysuria is prescribed numerous prescriptions, including phenazopyridine. As part of client teaching, the nurse should inform the client of which of the following?

Urine will turn orange in color Explain: The use of phenazopyridine produces a harmless orange (to red) color in the client's urine.

Purified protein derivative (PPD) skin test

When administering a PPD, the nurse should administer the test intradermal at an angle of 15-degrees. The appropriate gauge and length of the needle should be 25- to 27-gauge, ½- to 5⁄8-inch.

The nurse is providing instructions to the family members of a diabetic patient who has just received a right-side below the knee amputation (BKA). The nurse should inform the family to watch the patient closely for which of the following concerning issues?

Wound dehiscence

Continuous quality improvement

continually assesses and evaluates the effectiveness of client care

Quality management

is the act of overseeing all activities and tasks needed to maintain a desired level of excellence. This includes the determination of a quality policy, creating and implementing quality planning and assurance, as well as quality control/improvement

Democratic style of management

staff members are encouraged to participate in the decision-making process whenever possible. The majority of the decisions are made by the group, not the manager in this management style.

Site ecchymosis is a complication of intravenous therapy that can be prevented by

starting the infusion before releasing the tourniquet

Codependency

the client's dysfunctional relationship with another individual, enabling dependency or addiction to substances or behaviors (i.e., alcohol, drugs, gambling, etc.).

Libel

written defamation of character

Magical health

beliefs vary significantly among cultures and religions. The wearing of an amulet and the use of a medicine man are examples of magical health beliefs and practices.

Laissez-faire leadership

Little direction, structure, or support is provided by the manager in a Laissez-faire type of management. The manager abdicates responsibility and decision-making whenever possible in this type of management.

Lorazepam

Lorazepam is a benzodiazepine used in the management of alcohol withdrawal symptoms. The client is exhibiting these symptoms as evidenced by perspiration on the forehead, nystagmus, coarse tremors, and visual hallucinations.

Which of the following is true regarding therapeutic communication with infants (1 month to 12 months)?

A. They use crying as a means for communication and you should take their crying seriously B. They respond to touch and therefore patting and rubbing are effective calming methods. Infants do not understand any words yet

The nurse is caring for a client with Meniere's Disease. Which of the following assessment findings would be expected? Select all that apply.

A. Tinnitus B. Vertigo C. Hearing loss

Your client had an appendectomy 4 to 5 days ago. He is tolerating an oral diet. Which of the following assessment findings would be a priority?

A. WBC count B. Temperature

The nurse is preparing to obtain a wound culture on an infected leg ulcer. Before swabbing the wound to obtain the culture, the nurse should

A clean the wound with normal saline Explain: Cleansing the wound with normal saline immediately before obtaining a wound culture is appropriate. This action will ensure that no residual skin flora will be sent with the sample, potentially making the result inaccurate. The nurse should never collect a wound culture sample from old drainage.

A nurse is in-training for the correct way to monitor blood glucose levels. Arrange the following steps of the blood glucose monitoring technique in the correct sequence.

1. Verify and confirm that the code strip corresponds to the meter code. 2. Disinfect the client's finger with an alcohol swab. 3. Prick the side of the finger using the lancet. 4. Turn the finger down so the blood will drop with gravity. 5. Wipe off the first drop of blood using sterile gauze. 6. Collect the next drop on the test strip 7. Hold the gauze on the client's finger after the specimen has been obtained. 8. Read the client's blood glucose level on the monitor

The nurse is calculating intake for a client. The client received two 100 mL intravenous antibiotics. Two eight-ounce cups of ice One eight-ounce cup of coffee Three eight-ounce cups of water. The nurse should calculate the client's total intake as how many mL? Fill in the blank.

1400 mL To calculate the client's total intake, the nurse must recall that one cup is eight ounces, equating to approximately 240 mL. The client received two 100 mL intravenous antibiotics → 200 mL Two cups of ice → 240 mL total When determining the total mL for a cup of ice, the nurse should divide the volume by 1/2 since the ice melts One cup of ice is 240 mL, and it would be divided by half to account for the melt = 120 mL 120 mL x 2 (number of cups the client consumed) One cup of coffee → 240 mL Three cups of water → 720 mL When added up, the total intake was 1400 mL

You are on the team preparing to give positive-pressure ventilation to a newborn. You have selected the correct size mask and suctioned the infant's mouth and nose. You know that you should start positive-pressure ventilation with:

21% oxygen (room air)

Which of the following drugs is associated with photosensitivity?

A. Ciprofloxacin B. Sulfonamide C. Norfloxacin D. Sulfamethoxazole and Trimethoprim E. Isotretinoin

The nurse is assessing a client with urolithiasis. Which of the following would be an expected finding?

A. Hematuria B. Renal colic C. Dysuria D. Increased urinary frequency Explain: A diagnosis of renal calculi (kidney stones) describes the presence of uric acid, calcium, cystine, or struvite crystals in the urine that form painful stones within the urinary tract. Typical signs/symptoms of renal calculi include hematuria (blood in urine), renal colic (unilateral pain spasms in flank), and severe radiating pain, which can cause nausea/vomiting, sweating, and elevated blood pressure. Additionally, clients may experience dysuria and increased urinary frequency.

The nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following complications should the nurse assess for during the therapy? Select all that apply.

A. Hyperglycemia B. Infection C. Air embolism D. Dehydration

Which of the following statements regarding the infection impetigo are true?

A. It is the most common bacterial skin infection between the ages of 2 and 5 B. Impetigo is not usually a systemic infection Explain: In most cases, the infection is confined only to the skin where the sores break out - most commonly the area around the nose, mouth, hands, and feet. Topical antibiotics can usually treat impetigo. The child is well appearing other than the obvious skin infection and usually remains afebrile.

Risk factors for colorectal cancer

A. Low in fiber B. Rich in red meat C. Overweight BMI 25 D. Sedentary E. Alcohol excessive consumption F. Age <50 G. AA, Jews of Eastern-European descent H. Hereditary non-polyposis colon cancer, Lynch syndrome, Familial adenomatous polyposis I. Type 2 DM J. Inflammatory Bowel Disease

The nurse documents the presence of a skin lesion as a "palpable solid mass measured at 1 cm." What types of skin lesions might this describe?

A. Plaque B. Nodule Explain: Plaque and nodules are palpable, elevated, solid masses that may measure 1 cm.

You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

A. Prednisone B. Antivirals

Which of the following are potential complications of dexamethasone administration?

A. Risk of infection B. Hyperlipidemia Steroid- high risk for infection. Hyperlipidemia is a side effect of dexamethasone.

The nurse cares for a client with a potassium of 5.7 mEq/L. The nurse understands that this potassium level may be caused by Select all that apply.

A. Salt substitutes B. Adrenal insufficiency

The nurse reviews lab values for a client and notes a serum sodium level of 125 mEq/L. The nurse knows that this sodium level could be attributed to which conditions? Select all that apply.

A. Syndrome of inappropriate antidiuretic hormone (SIADH) B. Addison's disease C. Psychogenic polydipsia

A nurse is talking to new volunteers at an elderly community club regarding elder abuse. The nurse identifies which of the volunteer's clients as the one that is most vulnerable to abuse?

An 87-year-old woman with Parkinson's disease Explain: Most elder abuse victims are females of advanced age and have at least one physical or mental impairment that limits their ability to perform activities of daily living.

The nurse is concerned that a child has epiglottitis. Which physical assessment finding is consistent with epiglottitis?

Absence of spontaneous cough Explain: Epiglottitis has an abrupt onset and requires immediate treatment because it can cause progressive obstruction and may lead to respiratory arrest. The absence of spontaneous cough is a common feature of epiglottitis because of severe edema. Edematous epiglottis blocks the airway making it difficult to cough.

The nurse has just finished administering two units of packed red blood cells (PRBCs) to a client with anemia. Before the blood transfusion, the client's hemoglobin was 5.5 g/dL and hematocrit was 26%. The nurse would expect which laboratory values upon the next blood count?

Approximate hemoglobin of 7.5 g/dL and hematocrit of 32% Explain: Each unit of PRBCs increases the hemoglobin by 1 g/dL and hematocrit by 3% around 4-6 hours after completion of a blood transfusion. When two units of PRBCs are infused, the nurse expects the hemoglobin levels to increase by 2 g/dl and hematocrit levels to increase by 6%.

You are the nurse performing education for a patient with AIDS at the community clinic. Which of the following statements is an example of appropriate teaching?

Clean all utensils and dishes before resuing them

While at work on a medical-surgical floor, you hear an overhead announcement through the speaker system stating "Code Silver" three times, indicating an active shooter in the facility. Which of the following options is the most appropriate initial response for you to take?

Close all the client's doors to their rooms

While working in the emergency department, the nurse assesses a 3-day old infant brought in by the mother. The mother states, "My baby is always so sweaty and hot, and just doesn't want to eat! I think something is wrong." The nurse is unable to palpate a femoral pulse but notes +3 brachial pulses. Based on this assessment, which congenital heart defect does the nurse suspect?

Coarctation of the aorta Explain: there is a stricture in the aorta preventing blood flow out of the left ventricle. It usually occurs beyond the blood vessels that branch off to your upper body and before the blood vessels that lead to your lower body. So blood flow to the upper body is abundant, but hardly any of it can make it to the lower part of the body. Therefore, there are decreased lower extremity pulses and increased upper extremity pulses.

While assessing a newborn infant in the nursery, you observe bounding +3 radial pulses and faint +1 pedal pulses, You also notice that the feet are cold and pale, while the hands are warm and pink. Which cardiac defect do you suspect this infant has?

Coarctation of the aorta (COA) Coarctation of the aorta is a narrowing of the aorta near the ductus arteriosus. Because of this narrowing, there is increased blood flow to the upper extremities and decreased blood flow to the lower extremities. That is what causes the symptoms described in the question: bounding upper pulses, faint lower pulses, and overall better perfusion to the upper extremities.

Enalapril is an ACE inhibitor and this drug class is indicated in the treatment of heart failure to prevent ventricular remodeling.

Constipation ALC Pupil constriction Urinary retention

Amphotericin b is a potent antifungal that is given intravenously. Hypokalemia is a common adverse reaction associated with amphotericin b therapy. Hypokalemia associated with this medication is caused by the kidneys leaking the potassium via the collecting ducts. Potassium supplementation may be necessary during amphotericin b therapy.

Fetal heartbeat

The nurse is caring for a client who has type 2 diabetes mellitus and hypertension. The client is nothing by mouth status (NPO) before a scheduled surgery. Which of the following prescribed medications should the nurse question?

Glipizide Explain: Glipizide is a sulfonylurea and is given to the client with meals to manage blood glucose. This medication will lower blood glucose and could potentially cause hypoglycemia. The client is NPO and will not receive any food. Thus, the nurse should question the administration of this medication to prevent the client from developing hypoglycemia.

The patient is admitted to the ICU following a motor vehicle accident in which he sustained multiple fractures. He is scheduled to go to surgery for repair of his fractured femur. The physician has ordered famotidine 20 mg IV as one of the pre-operative medications. The nurse knows that this medication will:

Help prevent ulcers Explain: Famotidine is a histamine antagonist often referred to as an H2-blocker. This class of drugs treats and prevents duodenal and gastric ulcers caused by increased acid production in the stomach. In the pre-operative setting, it can also be used to reduce the risk of aspiration pneumonitis that can be caused by reflux from increased stomach acid.

Total parenteral nutrition (TPN) is being considered for your client. Your client tells you, "My doctor is thinking about hyperalimentation, and I know nothing about it. Can you tell me what it is?". You should respond to this client's statement with:

Hyperalimentation is one kind of parenteral nutrition that gives you feedings with a special IV line Explain: Parenteral nutrition, which is synonymous with hyperalimentation and IV hyperalimentation, provides the client with complete food when it is indicated for a client such as one who is adversely affected TPN= Hyperalimentation

The nurse is caring for a client who is receiving prescribed varenicline. Which of the following statements would indicate a therapeutic response if made by the client?

I am not smoking cigarettes anymore. Explain: Varenicline is a medication intended to reduce nicotine withdrawal symptoms and cravings.

The nurse is caring for a child experiencing a celiac crisis. The nurse should anticipate which prescription from the primary healthcare provider (PHCP)?

IV fluid Explain: A celiac crisis is manifested by severe diarrhea, leading to significant dehydration and electrolyte derangements. A key intervention in the management of a celiac crisis is to replete the lost fluids and correct the electrolyte imbalances.

A post-coronary artery bypass graft patient developed a fever of 38.8° C. The nurse notifies the physician of the elevated temperature because:

It may increase cardiac output Explain: An increase in temperature leads to increased metabolism and cardiac workload.

While caring for a patient who has recently suffered from a fracture, the nurse sees that the patient's injured extremity will be placed in traction. Which of the following actions should the nurse refrain from performing?

Keeping the pulley system tightened so that they may not move freely Explain: The nurse caring for a patient in traction should avoid keeping the pulley system tight. The pulley system should move freely uninhibited by knots or tension. Traction is used to reduce and immobilize a fracture.

Opioid Epidural infusion

Monitor the client at least every hour for the first 24 hours for any signs of respiratory depression and level of sedation

A patient is being discharged from the hospital after being diagnosed with lupus erythematosus. The patient is advised to follow up with what to monitor his condition?

Monthly urine specimens Explain: A patient with SLE needs monthly urine specimens to check for proteinuria and any kidney functioning damage.

The nurse reviews a client's medical history and identifies a diagnosis of presbycusis. The nurse should integrate which intervention in the care plan?

Move closer to the better-hearing ear

The nurse encounters an infant with irritability from acute otitis media while working in the pediatric clinic. The nurse should know that the infant is at much higher risk than an adult for otitis media due to which of the following?

Narrower, shorter, and more horizontal Eustachian tubes

This nurse cares for a client at 30 weeks gestation at risk of delivering preterm. Which of the following medication would the nurse anticipate the primary healthcare provider (PHCP) to prescribe?

Nifedipine Explain: Nifedipine is a calcium channel blocker indicated as a tocolytic in preterm labor. This medication relaxes smooth muscle and reduces uterine contractions.

You are caring for an infant who may or may not be experiencing pain as a result of circumcision. Which independent nursing intervention would you implement in terms of managing this pain, if any pain is present?

Play an audiotape of a heartbeat Explain: playing an audiotape of a heartbeat that mimics the mother's heart when the infant was in utero is an age-appropriate, independent nursing intervention that you could implement in terms of managing this pain.

The nurse is caring for a client prescribed amphotericin b. Which laboratory data is necessary for the nurse to monitor during treatment?

Potassium Explain: Amphotericin b is a potent antifungal that is given intravenously. Hypokalemia is a common adverse reaction associated with amphotericin b therapy. Hypokalemia associated with this medication is caused by the kidneys leaking the potassium via the collecting ducts. Potassium supplementation may be necessary during amphotericin b therapy.

Participative style leadership

Problems are identified by the manager and presented to the staff with several solutions. Staff members are encouraged to provide input however, the manager makes the final decision.

The patient just arrived from the operating room after the hypophysectomy surgery was performed. In order to reduce the possibility of surgical complications, which position is the best option for this patient?

Semi-fowler's to Fowler's

Which statement about behavior management is accurate?

Skinner's theory scientifically supports behavior management techniques and procedures

Holistic Health

beliefs reflect the highly complex interactions of humans and the environment and the whole or integral part of the person. As such, holistic health beliefs create and recreate the harmony and balance of the person within their environment.

Select the disorder which is accurately paired with its preferred corrective action.

Tick: Removing it with a tweezer

Milieu therapy

an emphasis of this therapy is the setting, the structure, and the emotional climate as important to the client's healing.

Macules and Patches

are circumscribed, flat, nonpalpable changes in skin color. Macules are less than or equal to 1 cm, and patches are more significant than 1 cm.

Bulla and pustules

are circumscribed, superficial skin elevations formed by free liquids in a cavity with skin layers. Bulla is higher than 0.5 cm, whereas pustules are filled with pus.

Occupational therapist

assist clients with ADLs and provide assistive device

Scientific health

beliefs are grounded in scientific research and evidence-based practice. With research and science, we can know the etiology of diseases and also ways to treat illnesses/disorders.

Petit mal (absence seizure)

characterized by blank staring an impaired level of consciousness. This type of seizure usually begins between the ages of 3 and 15 years

Assault

conduct that makes an individual fearful and apprehensive

Biophysical profile

considers five variables, and fetal glucose is not one of these variables

Case manager

coordinate care along the continuum of care and they manage insurance reimbursements. Physicians order medications and therapies.

Autocratic leadership

decisions are made with little or no staff input. The manager makes all the decisions in the unit.

Bipolar disorder

episodes of mania and depression, which may alternate, although many clients have a predominance of one or the other

Celiac disease

gluten free No restaurant french fries (Standard precaution)

Infiltration prevented by

insuring that the catheter is securely stabilized

Furosemide

is a loop diuretic that should be dosed early in the day. This prevents the client from experiencing nocturia. This also reduces the risk of falls by the client as they will not have to wake up at night when there is reduced lighting.

Maternal Serum alpha-fetal protein (MSAFP)

is a test that assess neural tube defects

Catheter embolus can be prevented by

never reinserting the stylet into the catheter during insertion

Physical therapist

perform restorative and rehabilitative care including helping clients with balance/gait exercise and ambulation

Chorionic Villous Sampling (CVS)

performed as early as week ten to determine if the fetus has any chromosomal abnormalities

Borderline personality disorder

pervasive pattern of instability and hypersensitivity in interpersonal relationships, instability in self-image, extreme mood fluctuations, and impulsivity.

Obssessive-Compulsive Personality Disorder

pervasive preoccupation with orderliness, perfectionism, and control (with no room for flexibility) that ultimately slows or interferes with completing a task.

Hematomas are a complication of intravenous therapy that can be prevented by

releasing the tourniquet before initiating the intravenous flow