250 Remediation (Random)

Which iron-rich foods should the nurse encourage an mild anemic client in early pregnancy to eat?

- dark leafy green vegetables - legumes - dried fruit - ground beef patty

How many mL is a cleansing enema for 3 year olds?

250mL to 350mL

What is the size of a urinary catheter for a 3 year old?

8 to 10 Fr

What model is a theory of primacy of caring?

Benner and Wrobel's

What is the most consistent characteristic of urine with a UTI?

Cloudy

What is anonychia?

Complete absence of the nail

What is the gentle stroking in rhythm with a pregnant woman's breaths?

Effleurage

What is hepatomegaly?

Enlargement of the liver

What is splenomegaly?

Enlargement of the spleen - mild to moderate can be detected before the spleen is palpable

What is an antidote to benzodiazepine?

Flumazenil

What substances are needed to make thyroid hormones?

Iodine and Tyrosine

What is paresthesia?

Numbness and tingling - "pins and needles"

Which care plan would the nurse implement for an infant admitted to the pediatric unit with the diagnosis of heart failure?

Offer the infant small, frequent feedings

What theory focuses on patient's self care needs?

Orem's theory

What parts of the kidney do glucose and amino acids get reabsorbed in?

Proximal tubule

What is nystagmus?

Rapid involuntary movement of the eye - can indicate abnormality or be side effect of medication

Nonpharmacologic therapy to ease muscle contractions

Thermotherapy

What can rhonchi be caused by?

Turbulence due to muscle spasms and fluid or mucus in larger airways

What does the FOUR (Full Outline of UnResponsiveness) scale measure?

- 0 to 4 in each category (0 = no function, 4= normal) - Categories : 1) eye 2) motor 3) brainstem 4) respiratory function

Which considerations would be included in caring for an infant who is failing to thrive (FTT)? Select all that apply.

- dietary history - signs of malnutrition - familial stress factors - parent and infant interactions - sustained growth under 5th percentile

Which steps would the nurse take for managing an adolescent who sustained drug poisoning? Select all that apply.

- turn the head of the client to the side - empty the mouth to clean the residue of the drug - call local poison control center before any intervention

How many mL for a cleansing enema in an adolecent child?

500 to 750mL

A back brace is prescribed for a client who had a laminectomy. Which information would the nurse include in the client's teaching plan?

Apply the brace before getting out of bed

What to clean intravenous drug users (IDUs) needles with?

Bleach

What can decorticate and decerebrate posturing indicate?

Brainstem injury

A client develops steatorrhea with malabsorption syndrome . How will the nurse document the finding in the client's medical record?

Bulky and foul smelling

A deficiency in what causes Wernicke's encephalopathy?

Deficiency in B1 (thiamine)

What can cause rickets in children?

Deficiency of calcium and vitamin D

What is a component of the primary survey?

Disability

What domain includes care that supports health of a community?

Domain 7

When is a primigravida fetal heartbeat first heard?

Doppler ultrasound at 10 to 12 weeks

What are the most allergenic foods?

Eggs, milk, and peanuts

Nodule

Elevated solid lesion greater than 0.5cm in diameter

Which intervention regarding skin care would the nurse include in a teaching plan for the client with scleroderma?

Keep skin lubricated with lotion

What level of trauma centers provide full continuum of trauma services?

Level 1

What food should be avoided in a patient with urinary calculus composed of uric acid?

Liver

The nurse applies an ice pack to a client's leg for a total of 20 min. Which physiological effect would occur because of applying cold therapy?

Local anesthesia

A client who has a spinal cord injury at the T4 level wants to use a wheelchair. What exercise would the nurse teach the client to do in preparation for this activity?

Push ups to strengthen arm muscles

When caring for a client in the early postoperative period after a hemorrhoidectomy, the nurse will place the client in which position?

Side-lying

What inhibits insulin and glucagon from secreting?

Somatostatin

What level of care is rehabilitation?

Tertiary care

What does urine smelling of ammonia indicate?

Urinary Tract Infection (UTI) Or possible renal failure

In which location would the Doppler ultrasound transducer be placed to best auscultate fetal heart tones when the fetus is in the right occiput posterior (ROP) position?

below the umbilicus on the right side

How do you calculate the mean arterial pressure (MAP)?

systolic + 2(diastolic) / 3

Which intervention relieves integumentary itching, promoting comfort of the client exposed to poison ivy?

wet compress