Nursing terms and other things

Which pain scale would the nurse use to measure the intensity of pain in toddlers? 1 FACES scale 2 Visual analog scale 3 Numerical rating scale 4 Verbal descriptor scale

1

Which education would the nurse provide the parents of an infant with pyloric stenosis?

1 It is unlikely that surgery will be necessary. Correct 2 This is a condition with an excellent prognosis. 3 This condition results from an error of metabolism. Incorrect 4 Special feedings will be needed for a few weeks after surgery. answer is 2

What should the nurse teach parents about their newborn's diagnosis of phenylketonuria (PKU)? 1. A low-phenylalanine diet is required. 2. Phenylalanine is not necessary for growth. 3. Phenylalanine can be administered to correct the deficiency. 4. A substitute for phenylalanine is an increased amount of other amino acids.

1.A low-phenylalanine diet is requiredReducing dietary phenylalanine helps prevent brain damage. The PKU diet is planned to maintain the serum phenylalanine level at 2 to 8 mg/100 mL. Phenylalanine is essential for growth and development of the brain. Administering phenylalanine is contraindicated. There are no substitute for phenylalanine, which is one of the essential amino acids.

A client presents with chief complaints of unexplained weight gain and back pain from a compression fracture of the vertebrae. On assessment, there is truncal obesity with excessively thin extremities, a moon-shaped face, a buffalo hump, thin hair, and adult acne. The symptoms described are suggestive of which disease? Addison disease Cushing disease Multiple sclerosis Kaposi sarcoma

2

When providing postoperative teaching, which rationale would the nurse give to explain the purpose of administering an opioid analgesic via epidural catheter? 1 Facilitates oxygen use 21Relieves abdominal pain 3Decreases anxiety and restlessness 4 Dilates coronary and peripheral blood vessels

2

Which condition would the nurse document to describe a client presenting with the loss of the ability to taste after cancer treatment has affected the client's ability to eat food? 1 Mucositis 2 Dysgeusia 3 Dysphagia 4 Xerostomia

2

Which technique would the nurse suggest to a laboring woman's partner that involves gently stroking the woman's abdomen in rhythm with her breathing during a contraction? 1 Massage 2 Effleurage 3 Acupressure 4 Counterpressure

2

How would the nurse incorporate the quality of accuracy into client documentation? 1 By providing a logical order for the communication 2 By using exact measurements for each client's activity 3 By providing complete and appropriate information in each client's record Incorrect 4 By recording descriptive and objective information that he or she sees, hears, feels, and smells

2 By using exact measurements for each client's activity

A client with a coronary occlusion is experiencing chest pain and distress. Which is the primary reason that the nurse administers oxygen? 1 To prevent dyspnea 2 To prevent cyanosis 3 To increase oxygen concentration to heart cells 4 To increase oxygen tension in the circulating blood

3

On her first visit to the neonatal intensive care unit to see her preterm newborn, the mother's only comment to the nurse is, "My baby looks so fragile. Do you think my child will make it?" Which is the most appropriate response by the nurse? 1 "Many infants born as small as yours have done just fine." 2 "The staff is confident in your child's prognosis because preterm babies do look like this at first." 3 "Understandably, your baby looks fragile to you. What have you learned about the condition?" 4 "Your baby is not as fragile as it appears. Do you find it so frightening that you cannot touch your child?"

3 "It's understandable that your baby looks fragile to you. What have you learned about the condition?"

A client asks the nurse, "Should I tell my partner that I just found out I'm human immunodeficiency virus (HIV) positive?" Which is the nurse's most appropriate response? 1 "Do not tell your partner unless asked." 2 "This is a decision you alone can make." 3 "You are having difficulty deciding what to say." 4 "Tell your partner that you don't know how you became sick."

3 "You are having difficulty deciding what to say."

After abdominal surgery, a client reports pain. Which action would the nurse take first? 1 Reposition the client. 2 Obtain the client's vital signs. 3 Administer the prescribed analgesic. 4 Determine the characteristics of the pain.

4

antivenin

A serum that counteracts the effect of venom from an animal or insect.

Nursing Process

Assessment Diagnosis Planning Implementation Evaluation

3 examples of objective data

Blood pressure Heart rate Respirations

A client in the emergency department states, "I was bitten by a raccoon while I was fixing a water pipe in the crawl space of my basement." Which is the most effective first-aid treatment for the nurse to use for this client?

Cleansing the wound with soap and water

The nurse is about to perform a wound irrigation on a client who had a left hemispheric stroke 1 year ago. Which assessment is most important for the nurse to perform before beginning the irrigation? Tachycardia Hypotension Rigid abdomen Nausea and vomiting Back and shoulder pain

Correct1 Tachycardia Correct2 Hypotension Correct3 Rigid abdomen Correct4 Nausea and vomiting Correct5 Back and shoulder pain

Which medication is used in the treatment of a client with intervertebral disc disease?

Cyclobenzaprine

The parents of a toddler who has been admitted to the pediatric unit for surgery to correct hypospadias ask the nurse when this defect happened. Which fetal development time period would the nurse respond? 1 First 12 weeks 2 Third trimester 3 Second 16 weeks 4 Implantation phase

First 12 Weeks

4 Agonal breaths

Gasping

2 Tachycardia

Heart rate over a 100

Which would the nurse discuss with new parents to assist them in preparing for infant care?

Learning specific behaviors involving states of wakefulness to promote positive interactions

Which important intervention would be included in the nursing care provided immediately after a sexual assault? 1. Obtaining the assault history from the client 2. Reporting the assault to the police before the client is examined 3 Having the client void a clean-catch urine specimen 4 Testing the client's urine for seminal alkaline phosphatase

Obtaining the assault history from the client

3 examples of subjective data

Pain, Dizziness, Exhaustion

PPE -

Personal Protective Equipment

RACE -

Rescue, Activate alarm, Confine the fire, Evacuate/Extinguish

SMART goals

Specific, Measurable, Attainable, Realistic, Timely

SOP

Standard Operating Procedure (defined in Queensland mining legislation)

Clinical judgment

a judgment based on experience in observing and treating patients

ABCS

airway, breathing, circulation

dysphagia

condition in which swallowing is difficult or painful

Dyspnea

difficult or labored breathing

dysgeusia

distortion of the sense of taste

antihypertensive

drug that lowers blood pressure

xerostomia

dryness of the mouth

Palliative care

hospice care; taking care of the whole person—body, mind, spirit, heart and soul—with the goal of giving patients with life-threatening illnesses the best quality of life they can have through the aggressive management of symptoms

glomerulonephritis

inflammation of the glomeruli of the kidney

Objective data

information that is seen, heard, felt, or smelled by an observer; signs

pyloric stenosis.

narrowing of the opening of the stomach to the duodenum

mucositis

painful inflammation of oral mucous membranes

hematuria

presence of blood in the urine

Etiology

the study of the causes of diseases

Subjective data

things a person tells you about that you cannot observe through your senses; symptoms

Debillitated

weakened