Passpoint
Which response would the nurse give to a client who asks what does a positive PPD test and a negative chest x-ray mean, in relation to his or her tuberculosis (TB) exposure?
"I will teach you how to monitor for signs and symptoms of developing TB" the pt. has a latent infection and it could develop a repeated chest x-ray because they do not have active symptoms
Men and children usually use what muscles to breath
abdominal
Pain at McBurney's point could indicate what
appendicitis
The nurse would ensure a client with Clostridioides difficile diarrhea is placed on which type of isolation precaution?
contact isolation
How is ferous sulfate usually administered?
diluted in juice to prevent staining of teeth and enhance absorption do not give with dairy products or caffeine because this could affect absorption
A common side effect of antihypertensives/ACE inhibitors is
dizziness
Classic sign of glomerulonephritis
edema of face and periorbital area, hematuria, fever, chills
How is Hepatitis B transmitted?
IV drug use, blood transfusion
Polycythemia
excess of red blood cells
A client with cancer of the cervix has an intracavity radioactive sealed implant in place. Which precaution would the nurse take to protect against excessive exposure to radiation?
exit the room walking backwards while wearing a lead apron
What breath sounds are most commonly associated with heart failure?
fine crackles fine crackles sounds are associated with the fluid accumulation in the lungs that occurs with HF
Jugular vein distention (JVD) is usually associated with
heart failure (this is indicative of the failure of the heart to pump blood)
Which laboratory result would be of concern to the nurse for a client receiving digoxin therapy for cardiomyopathy?
hypokalemia this increases the risk for digoxin therapy
changes in LOC or restless in the patient indicates
increasing ICP
Which action would the nurse perform first for a client in the emergency department reporting diarrhea, abdominal pain, shortness of breath, and nose bleeds?
inquire if the pt has recently traveled to Asia or the middle east because these symptoms match the bird flu
A client who has syphilis tells the nurse that it must have been contracted from a toilet seat. The nurse knows that this cannot be true because of which property of the causative agent of syphilis?
it is inactivated when exposed to a dry environment
Which form of skin cancer is associated with human immunodeficiency virus (HIV) infection?
kaposi sarcoma
Which intervention is required for a client with a radium implant for cancer of the cervix?
limit the client's activity to avoid dislodging the radium insert
Which action would be most effective in reducing the incidence of hospital-associated urinary tract infections?
limit use of indwelling urinary catheters
What side effect needs to be monitored with metropolol?
low HR
What is the best way to monitor the effectiveness of total parental nutrition (TPN)?
monitoring the client's daily weight
If a patient has itching underneath the cast, it is important to teach them that
nothing should be inserted inside the cast, you may use a syringe or hairdryer on cool setting to put air in
How is Hepatitis A typically transmitted?
oral-fecal route, contaminated foods
When should an eye patch be used for a client who just had a stroke?
over the affected eye
Murphy's Sign
pain with palpation of the RUQ during inspiration, indicative of cholecystitis (gallbladder obstruction)
Which action would the nurse perform first when caring for an older adult client on 10 days of antibiotics who reports frequent loose stools?
place the client on contact precautions
Friction rubs are auscultated when
pleural inflammation
What is the most important thing to monitor with furosemide
potassium levels furosemide lowers potassium levels
Dumping syndrome diet
small frequent meals, no dairy, limit water with meals
Why does the patient in DKA have fruity breath?
the body is trying to rid itself of keytones, even through the lungs, which causes the fruity breath
Hyper and hypometabolism is caused by malfunctions of which gland
thyroid gland
Why may the HCP order antiembolitic stockings to be worn during or after surgery?
to promote venous return and reduce risk for deep vein thrombosis
After surgery for cancer of the posterior pharynx, a client is receiving gavage feedings through a nasogastric tube. A family member asks the nurse why this is necessary. Which response is appropriate?
tube feedings promote healing by reducing the risk for infection this allows the suture lines to heal before it comes in contact with food
How is Hepatitis C transmitted?
unprotected sex, bodily fluids
to relieve itching under a cast
use a syringe to direct air under the cast
In assessing for digoxin toxicity, the nurse should assess for
vision changes, like halos around objects
With what deficiency does the patient bruise easily because their blood clotting is impaired?
vitamin K
Lack of RBC's in the body produce which symptoms in the patient
weakness and fatigue
