EAQ Quiz 1- Patient Education
An infant has been admitted with failure to thrive. The nurse knows that more education is needed when one of the parents makes which statement?
"I can double the amount of water in the formula to save money."
Which statement by a breast-feeding mother indicates that the nurse's teaching regarding stimulating the let down reflex has been successful?
"I will apply warm packs and massage my breasts before each feeding." - helps dilate milk ducts, promote emptying of the breasts, and stimulate further lactation
Which statement by parents indicates that teaching has been effective regarding their child's pinworm infestation?
"I'll have to reinforce her hand-washing habits before she handles food"
A mother whose son has acute glomuerulonephritis (AGN) is fearful that her other children may contract the disorder. Which would the nurse tell the mother about the origin of AGN?
"It is a result of autoimmune response after a streptococcal infection." - the beta-hemolytic streptococcal immune complex becomes trapped in the glomerular capillary loop, resulting in acute poststreptococcal AGN
after surgery, an adolescent has a PCA pump that is set to allow morphine delivery every 6 minutes. Which statement indicates to the nurse that the family understand instructions about the PCA pump?
"She needs to push the PCA button whenever she needs pain medication."
A client diagnosed with acquired immunodeficiency syndrome (AIDS) states, "Im not worried because they have a cure for AIDS." Which response would the nurse use?
"There is no cure for AIDS, but there are medications that can slow down the virus"
Which parental statement would the nurse recognize as indicating the need for further education about bicycle safety for a school aged client?
"my child should be able to safely ride after being supervised for a couple of weeks"
The mother of a 2 year old girl expresses concern that her daughter's growth rate has slowed. Which explanation would the nurse give regarding the growth rate of a toddler?
"this growth pattern is typical at this age"
Which age would the nurse teach the parents of a school-age client to expect mandibular second molars to erupt?
11-13 years
Which blood glucose levels would the nurse identify as hypoglycemia?
68mg/dL
How many hours of sleep would the nurse recommend for the 11 year old client?
9 hours
The nurse is planning to provide self care health information to several clients. Which client would the nurse anticipate will be most motivated to learn?
A 56 year old client who had a heart attack last week and is requesting information about exercise
Which cytokine would the nurse teach a client is treatment for multiple sclerosis?
B-interferon
A client with stage II Hodgkin's disease is started on a multiple drug- regimen of doxorubicin, bleomycin, vinblastine, and dacarbazine. Why are so many drugs necessary?
Each drug destroys the cancer cell at a different time in the cell cycle- cells are vulnerable to specififc drugs through the stages of mitosis
Immediately after a bilateral adrenalectomy, a client is receiving corticosteroids that are to be continued after discharge from the hospital. Which statement by the client indicates to the nurse that additional education is needed?
I am glad that I only have to take the medication once a day - usually a larger dose is given at 8am and the second dose is given before 4pm to mimic expected hormonal secretion and prevent insomnia
A mood- stabilizing medication is prescribed for a client's bipolar disorder. After the nurse completes a teaching session about the medication, which client comment indicated to the nurse that further teaching is needed?
I know I wont have to stay on this medication for too long - long term adherence to the pharmacological regimen is important in managing bipolar disorder
When admitting an older client, the stool specimen confirmed a diagnosis of MRSA.The nurse inquires about potentially assigning room 2010, Bed B, the same isolation room as another client who has MRSA. Which response would the nurse receive?
Placing clients with the same infection in 1 room is safe
The nurse provides discharge instructions to the parents of a child who had undergone tonsillectomy. Which statement indicates that the parents need further teaching?
a cherry milkshake will ease the pain- serious postop complication is hemorrhage, red liquids are contraindicated because they may mask bleeding
Which potential health problem would the nurse include in the young adults discharge teaching?
accidents, including their prevention
Prednisone is prescribed for a client with an exacerbation of colitis. Which explanation would the nurse provide for administering prednisone?
although the medication decreases intestinal inflammation. it will not cure the colitis.
The nurse teaches a father how to provide oral care for his child who is undergoing chemotherapy. The nurse determines that he needs further teaching when he tries to use which dental hygiene product?
an electric toothbrush
How can the nurse describe heart failure to a client?
an inability of the heart to pump blood in proportion to metabolic needs
Which clinical condition is associated with lead poisoning?
anemia- lead can interfere with the binding of iron onto the heme molecule
A client with epilepsy is prescribed phenytoin for seizure control. Which instruction about phenytoin will the nurse provide during discharge teaching?
antiseizure meds will probably be continued for life - seizure disorders are associated with marked changes in the lectrical activity of the cerebral cortex, dosage may need to be adjusted, therapeutic blood level must be maintained through consistent admin., absence of seizure= correct med dose rather than change in condition.
Which intervention would the nurse do before formulating a teaching plan for a child who is to undergo ostomy surgery?
assess the child's developmental level
What is the nurse's first action when developing a teaching plan for self administration of insulin to a school aged child?
assessing the child's development level
The home health nurse provides education for a client with cancer of the tongue who will begin gastrostomy feedings at home. Which client statement indicated effective teaching?
before i start the procedure, I will measure the residual volume - establishes the absorption amount of the previous feeding, if exceeds parameter identified by the health care provider or is over 200mL, a feeding may be held
Which medication used to treat acne has a bleaching effect?
benzoyl peroxide
Upon assessment, the nurse finds the following. The nurse will prepare the client for which type of surgery?
cataract removal - due to increased lens density
which advice would the nurse include in a teaching plan to reduce the side effects of diltiazem?
change slowly from sitting to standing - prevent the side effect of orthostatic hypotension
The health care provider prescribed an oral hypoglycemic medication for the client with type 2 diabetes. Which statement will the nurse need to consider when developing the teaching plan?
clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control
A client diagnosed with pulmonary tuberculosis, the health care provider prescribes a combination of rifampin and isoniazid. The nurse evaluates that the teaching regarding the medication is effective when the client reports which action as most important?
continue taking the medication even after I feel better
The nurse is teaching a class about nutrition to a group of adolescents. Taking into consideration the prevalence of overweight teenagers, which is the best recommendation?
decrease fast food intake
While awaiting surgery, a client with a history of Crohn disease is receiving total parenteral nutrition (TPN) on an outpatient basis. The nurse teaches the client that TPN helps prepare for surgery by what process?
decreasing fecal bulk
Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator?
demonstrate use of metered dose inhaler
Which are the leading causes of accidental death in infants under 1 year of age?
drowning, suffocation, MVA
At which point during a human pregnancy does the embryo become a fetus?
during the 8th week of the pregnancy
Which is the role of the nurse explaining the reason for the intravenous infusion and kit to the client?
educator
The nurse is teaching a high school student about scoliosis treatment options. On which priority information would the nurse focus?
effect on body image - major developmental task of the adolescent is related to the affirmation of self image
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?
effleurage
Why would lactulose be prescribed for a client with a history of cirrhosis of the liver?
elevated ammonia levels are lowered
Which is a primary focus of teaching for a pregnant adolescent at her first prenatal clinical visit?
encouraging her to continue regularly scheduled prenatal care
A client with Hodgkin's disease adds doxorubicin to current therapy. Which advice will the nurse provide about this medication?
expect urine to turn red for a few days after taking this medication
The nurse provides discharge teaching to a client who had a total hip replacement. The client states that the plan is to go swimming in the community pool the dat after discharge. Which action would the nurse take in response to the client's comments?
explain that the incision should not be immersed in water until it has completely healed.
A client who takes rifampin tells the nurse "my urine looks orange." Which action would the nurse take?
explain that this is expected - causes reddish orange discoloration of secretions such as urine, sweat, and tears
The parent of an infant with heart failure questions the necessity of weighing the baby every morning. Which would the nurse say that this daily information is important in determining?
fluid retention - inadequate cardiac output decreases blood flow to the kidneys and thus leads to increased intracellular fluid and hypervolemia
Which descriptor would the nurse use when explaining to a client how to time the frequency of contractions?
from the beginning of 1 contraction to the beginning of the next contraction
Which topic would the nurse include in a teaching session for the parents of a 13 month old child?
gradual weaning from the bottle
Which is the goal of school health nursing programs?
health promotion
The nurse is educating a couple concerning the process of fertilization. Which hormone would the nurse explain as stimulating the release of estrogen and progesterone after fertilization?
human chorionic gonadotropin (hCG) - after fertilization stimulates the corpus luteum to produce estrogen and progesterone
After the nurse has finished teaching a client about sickle cell anemia, which statement indicates that the client has a correct understanding of the condition?
i have abnormal hemoglobin
The nurse teaches a teenager who is undergoing chemotherapy about the need for special mouth care. Which statement by the teenager leads the nurse to conclude that the instructions have been understand?
i'll use a soft bristles toothbrush to clean my teeth
A client is admitted to the hospital for a subtotal thyroidectomy. When discussing postoperative medication therapy with the client, which advice will the nurse include in the teaching?
if you develop palpations, nervousness, or tremor, the dose of thyroid hormone may need to be decreased
which type of hypersensitivity reaction would the nurse teach a client with rheumatoid arthritis (RA)?
immune complex
The nurse is preparing a child who has undergone a myringotomy for discharge. Which would the parents be taught about their child's care at home?
insert earplugs whenever a bath is given - water in ears supports the growth of pathogens and should be avoided
A 50 year old client seen for a routine physical asks why a stool specimen for occult blood testing has been ordered. Which is the correct nursing response?
it is performed routinely starting at your age as part of an assessment for colon cancer - routine for any client over the age of 40
A client with cystic fibrosis asks why the percussion procedure is being performed. Which rationale would the nurse give to the client?
it loosens pulmonary secretions
Which complication associated with type 1 diabetes should the nurse include in the teaching plan for the parents of a newly diagnosed child?
ketoacidosis
A student athlete reports muscle pain after a practice session. Which product of muscle metabolism would the nurse explain as being a cause of pain?
lactic acid
A child is placed in a bilateral hip spica cast for the treatment of developmental hip dysplasia. Which would the parents monitor for and report to the practitioner?
leg numbness - indicated pressure on the nerves and blood vessels
The nurse is teaching the client about cerumen when irrigating the ear. Which ares will the nurse indicate to the client?
located in the external auditory canal
The nurse is teaching crutch walking to an adolescent. Which action indicates the need for more teaching?
looks down when placing the crutches
Which is a consequence on the neonate of maternal smoking during pregnancy?
low birth weight - smoking results in decrease in placental perfusion
Which foods identified by the mother of a child with celiac disease indicate that she understands which foods to avoid feeding the child?
macaroni and cheese
Which sign related to rubeola (measles) should alert parents to seek medical help?
macular rashes - starts with discrete maculopapular rash on the face and spreads downward, eventually becoming confluent
A client with hemiparesis voices a reluctance to use a cane. Which rationale would the nurse use to explain the cane's purpose to the client?
maintain balance and improve stability
The nurse is teaching an adolescent newly diagnosed with type 1 diabetes about self-care. Which is the primary long term goal?
maintaining normoglycemia
which is another name for rubeola?
measles
Which level of anxiety enhances the client's learning abilities
mild
Which substance will the home care nurse instruct a client to use after laryngectomy to cleanse the stoma site?
mild soap and water
Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks?
mold, cold air, pet dander, air pollution, cigarette smoke
Medication is prescribed for a child with attention-deficit/hyperactivity disorder (ADHD_. Which information would the school nurse emphasize when discussing this child's treatment with the parents?
monitoring the effects of the medication on their child's behavior
The nurse is providing care to an infant who is diagnosed with cystic fibrosis (CF). Which parental statement indicates further education related to potential for poor growth?
my child will have a poor appetite, which will lead to poor growth- clients experience poor growth despite a healthy appetite and diet
After teaching a family member how to administer subcutaneous enoxaparin sodium, how will the nurse evaluate the effectiveness of the training?
observing the family member administering to client
When teaching a client about their disease process, which term would the nurse use to describe bone loss greater than normal but less than that caused by osteoporosis?
osteopenia - osteomyelitis is infection of bone or bone marrow, osteomalacia is softening of bones due to calcium or vitamin D deficiency, osteoarthritis is cartilage deterioration in the joints
Which intervention relieves pruritus associated with varicella (chickenpox)?
pat lesions while applying the prescribed calamine lotion
A client has a prescription for a sublingual nitroglycerin tablet. Which technique will the nurse teach the client to use?
place the pill under the tongue and let it dissolve
A client newly diagnosed with myasthenia gravis voiced conerns about fluctuations in physical condition and generalized weakness. When providing care for this client, which nursing intervention would the nurse implement?
preplan the spacing of activities throughout the day
The nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates the production of milk during lactation?
prolactin - initiates milk production
Which statement explains why women have a greater risk for recurrent urinary tract infections than men do?
proximity of the urethra to the anus
The nurse is caring for a client who receiving azathioprine, cyclosporine, and prednisone before receiving kidney transplant. Which medication action would the nurse identify as the purpose of these medications?
reduce antibody production - these drugs suppress the immune system, decreasing the body's production of antibodies in response to the new organ which acts as an antigen, decrease the risk of rejection
A client with RA asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question?
reduce inflammation
Which instruction would the nurse include in a teaching plan for nitroglycerin patches?
remove a previous patch before applying the next one
The nurse is developing a teaching plan for a client with lower extremity arterial diseae (LEAD). Which directions will the nurse include in the teaching plan?
seeking professional treatment for any minor injuries to the extremities - diminished circulation leads to inadequate healing
The nurse determines that an adolescent with newly diagnosed type 1 diabetes has sufficient knowledge of the disorder. Which is the next appropriate action?
setting goals with the client
Which mechanism of action explains how glyburide decreases serum glucose levels?
stimulates the pancreas to produce insulin
To ensure a quality specimen and an accurate test result, which instruction would the nurse give a client who is scheduled to undergo urine endocrine testing?
store the urine specimen in a cooler with ice
Which object would the nurse teach the client with a newly implanted pacemaker to avoid?
strong magnet - they can change the settings and function of the pacemaker
Which instruction would he nurse suggest to a 14 year old girl who suspects her friend is using self-induced vomiting to keep weight down?
talk to the school nurse about her concerns
A client has completed therapy and requests to discontinue treatment with benzodiazepines. Which information would the nurse provide to prevent injury?
taper dose over several months
The parents of a child with recently diagnosed leukemia ask the nurse why their child has too many white blood cells. Which is the nurse's best response?
the bone marrow is not controlling your child's white blood cell production as it should
A client is hospitalized with a diagnosis of emphysema. The nurse provides teaching and would begin with which aspect of care?
the disease process and breathing exercises
A female client receiving cortisone therapy for adrenal insufficiency expresses concern that she is developing facial hair. How would the nurse respond?
the medication contains a hormone that causes male characteristics - possess 17-keto-steroid (androgenic) properties which result in hirsutism
Which information would the nurse include in the discharge teaching of a postpartum client?
the prenatal kegel tightening exercises should be continued - resume immediately and should be done for the rest of the clients life because they help strengthen muscles needed for urinary incontinence and may enhance sexual intercourse
The nurse identifies 12mm of induration at the site of a client's tuberculin purified protein derivative (PPD) test. Which rational would the nurse use to explain this test?
the result indicated a need for further tests and a chest x-ray
The nurse is educating parents about the changes to expect when their child enters toddlerhood. Which information would the nurse include?
the toddler has a protruded abdomen - bodies start appearing slender around the age of three
a client expresses concern regarding the lack of annual flu vaccines because of a supply and demand problem. Which response by the nurse is the best?
there are other things you and your family can do to prevent the flu, such as handwashing
How do toddlers learn self protection?
through trial and error strategies - developing autonomy, is curious, and learns from experience,
Which would the nurse state to the mother of a toddler to promote safety?
throw plastic bags away
Enoxaparin 40mg subcutaneously daily is prescribed for a client who had abdominal surgery. The nurse explains that the medication is given for which purpose?
to provide prophylaxis against postoperative thrombus formation - is a low- molecular weight heparin, prevents the conversion of fibrinogen to fibrin and of prothrombin to thrombin by enhancing the inhibitory effects of antithrombin III
A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole. Which purpose would the nurse provide?
to treat helicobacter pylori infection - found in approximately two thirds of clients with peptic ulcer disease
Which would the nurse teach the parents of a child who is being discharged from the hospital after diagnosis of acute spasmodic laryngitis to help prevent another croup episode?
use a cool mist vaporizer in the child's room
The nurse is caring for an older adult who was admitted to the hospital to be treated for dehydration. While the nurse is providing discharge teaching, the client asks what to do about itchy, dry skin. Which response by the nurse is appropriate?
use moisturizer on the skin daily to help reduce itching
To reduce the incidence of human immunodeficiency virus (HIV) transmission, which basic strategies would the nurse teach a health class?
using condoms, practicing sexual abstinence
The nurse instructs the parents of an adolescent with asthma on how to reduce the allergens in the child's bedroom. The mother tells the nurse what she plans to do to make the room hypoallergenic. Which idea indicates that further teaching is needed?
using flat outdoor carpeting to cover hardwood floors
Which intervention would the nurse recommend for post- cesarean gas pain?
walking around the room
Which statement would the nurse include in the teaching plan of a client anticipating discharge with acquired immunodeficiency syndrome (AIDS)?
wash dishes in hot soapy water
Which teaching point would the nurse include when teaching a client about how to care for the skin around a colostomy stoma?
wash with soap and water
Which statement by the parents satisfies the nurse that they understand the principles of care for the child with sickle cell who recently had a vasoocclusive (painful crisis) episode?
we are encouraging the child to engage in low intensity activities - strenuous exercise leads to increase cellular metabolism, resulting in tissue hypoxia, which can precipitate sickling
Which foods would be eliminated from the diet of a child found to have celiac disease?
wheat based breads and cereals - unable to adequately digest wheat, barely, rye, and oats
Which food would the nurse recommend for a child who is at risk for developing rickets?
yogurt- rickets caused by calcium and vitamin D deficiency
Which statement indicates understanding of content taught about removing his or her three-way indwelling catheter and continuous bladder irrigation (CBI)?
"I will probably experience some burning on urination"- because of the trauma to the mucous membrane of the urinary tract
A client with arthritis takes large doses of aspiring. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?
disturbances in hearing - has effect on the eighth cranial nerve
The nurse is teaching a client about tricyclic antidepressants. Which potential side effects would the nurse include?
dry mouth, drowsiness, constipation, orthostatic hypotension
The nurse concludes that the teaching about sickle cell anemia has been understood when an adolescent with the disorder makes which statement?
"I'll start to have symptoms when I drink less fluid" - dehydration precipitates sickling of red blood cells and is a major causative factor for painful episodes, number of platelets (thrombocytes) is unrelated, iron intake is unrelated, white blood cell count is unrelated
How much sleep should a preschooler get each day?
12 hours
The nurse explains to the parents of a 6 year old child with a pinworm infestation how pinworms are transmitted. Which statement indicates that the teaching has been understood?
infestation transferred by way of the oral- anal route so wash hands, hands should be kept away from nose and mouth
A client with hyperthyroidism is to receive methimazole. Which information would the nurse provide?
initial improvement will take several weeks - takes several week for stored hormones to be released and metabolized, large doses can cause toxic effects
Which would the nurse emphasize when teaching lifelong management of type 1 diabetes to an adolescent?
inspecting both feet frequently for signs of trauma
During a teaching session about insulin injections, a client asks the nurse, "Why can't I take the insulin in pills instead of taking shots." How will the nurse respond?
insulin is destroyed by gastric juices, rendering it ineffective
The nurse is planning to teach the four point alternate crutch gait to a 9 year old child with cerebral palsy. How would the nurse explain this choice to the parents?
it provides for equal but partial weight bearing on each limb
A client who is receiving combination chemotherapy for stage II Hodgkin disease is at risk for stomatitis. Which information would the nurse include in the teaching plan?
"Clean mouth with a soft toothbrush or a gentle spray." - chemotherapy destroys the rapidly dividing cells of the oral mucosa
After the nurse provides education about ATV safety for a parent of a 11 year old child, which statement made by the parents indicates an understanding of the information?
"I will make sure my child does not get on an ATV." - recommended that children under 16 years of age not ride or operate an ATV
The spouse of a client with an intracranial hemorrhage asks the nurse, "Why aren't they administering an anticoagulant?" How will the nurse respond?
"It is not advisable because bleeding will increase." - it will interfere with clotting and will increase hemorrhage
A burn client is receiving the open method for wound treatment. Which information will the nurse explain to the client?
"Personal protective equipment will be worn by staff." - essential for the prevention of infection
An 8 year old girl who is hospitalized for IV antibiotic therapy tells the nurse that she is bored. The nurse has a discussion with the father about appropriate activities. Which activity suggested by the father would indicate a need for further teaching?
"She'll enjoy having a rubber baseball and plastic bat."
Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The nurse advises the client to anticipate pain relief will begin within which period of time?
1 to 3 minutes
Which range of heart rate is acceptable for a preschooler?
80-110
When teaching an adolescent with type 1 diabetes about dietary management, which instruction would the nurse include?
A ready source of glucose should be available - to rapidly counteract the effects of hypoglycemia, followed by a complex carbohydrate and a protein
A client has been given a prescription for acetylsalicylic acid. The nurse recalls this medication has which property?
Analgesic. Acetylsalicylic acid = aspirin, inhibits production of inflammatory mediators
Electrocardiography (ECG) is scheduled for an infant who has tetralogy of Fallot. The mother asks the nurse what type of test this is and why it is done. Which is the best response by the nurse?
Electrical activity in the baby's heart is recorded, then printed on graph paper
The parents of an adolescent treated for allergies privately tell the nurse that they suspect that their child is a hypochondriac. Which therapeutic response would the nurse provide?
discussing developmental behaviors of adolescents - adolescents are very aware of their changing bodies and become especially concerned with any alteration resulting from illness or injury
An adolescent was recently diagnosed with type 2 DM. Which information will the nurse include when providing education to the family?
The most important interventions are good nutrition and portion control
To which client would the nurse provide education regarding the pubertal growth spurt?
a 12 year old school age female client - pubertal growth spurt reaches a peak at this age for females, in males it is 14 years of age
The nurse would instruct a client with type 1 diabetes to dispose of a used syringe in which container?
a plastic liquid detergent bottle with a screw top lid
Which information would the nurse include in explaining glaucoma to a client?
an increase in the pressure within the eyeball - increase in intraocular pressure (IOP) results from a resistance of aqueous humor outflow
which intervention would the nurse encourage the parents of a child with plumbism (lead poisoning) to do?
assess the family's home environment for lead sources and have them removed.
Which is the most appropriate approach for the school nurse to take regarding children who are to be given medications while in school?
assuring the children that their privacy will be respected - protected by privacy laws
Which instructions would the nurse share with the client being discharged after rhinoplasty?
avoid items that may trigger sneezing
Which product would the nurse instruct IV drug users to use for cleaning of needles and syringes between uses?
bleach- fill syringes and shake for 30-60 seconds
The nurse is teaching the parents of an 18 month old child the procedure for instilling eardrops. How would this procedure be done?
by pulling the pinna down and back to straighten the auditory canal before instillation of the drops
The nurse is caring for a 9 month old infant with gluten induced enteropathy. Which common term for this order would the nurse use when discussing the infant's diagnosis with the parents?
celiac disease
Which instruction would the nurse give to the parent of a child who has had one episode of diarrhea according to evidence based practice for this situation?
continue the child's feeding as usual, observe the frequency of the stools, and bring the child to the clinic tomorrow if the diarrhea continues
The school nurse is planning to teach the importance of hand washing to the children in first grade. Which is the most effective approach for this age group?
demonstrating hand washing and asking for return demonstrations - perceptual phase of cognitive development, too young to understand abstract concepts with discussion on preventing illness
A child has a respiratory tract infection with a low grade fever. When teaching the parents, which intervention would the nurse emphasize?
giving small amounts of liquid frequently to prevent dehydration
A child with iron- deficiency anemia is prescribed oral iron therapy. Anticipatory guidance regarding which side effect would the nurse provide?
greenish- black stool - iron excreted in feced and color results from the insoluble iron compound excreted in stool
the nurse teaches a class about male anatomy. Identify the function of the structure pinpointed in the provided figure?
holds the testes
Which condition is commonly seen following infestation with pediculosis capitis (head lice)?
impetigo- may develop as a secondary bacterial infection because of breaks in the skin caused by scratching
Which explanation will the nurse give when a client asks about what causes varicose veins?
incompetent valves of superficial veins - incompetent valves result in retrograde venous flow and subsequent dilation of veins. abnormal configuration are result of, pressure within the deeps veins is increased, plaque formation is associated with arterial problem
Which mechanism of action explains how hydrocholorothiazide increases urine output?
increases the excretion of sodium - inhibits reabsorption in the nephrons, causing increased excretion of sodium, which increases urine excretion
The nurse teaches a new mother how to position her newborn during feedings. Which is the best way to evaluate if the teaching is effective?
observe the mother feeding the infant
A parent asks the nurse what to do when the toddler has temper tantrums. Which play materials would the nurse suggest that the child be offered as another means of expressing anger?
pegs and pounding board
A child in respiratory distress is admitted to the hospital and diagnosed with acute spasmodic laryngitis (spasmodic croup). At the time of discharge, the mother asks how to handle another attack at home. Which would the nurse recommend?
place him near a cool mist humidifier - this deceases inflammation and is a fast home remedy
Which is the purpose of encouraging active leg and foot exercises for a client who has had hip surgery?
prevent clot formation
The nurse provides education to a group of student nurses about pursed- lip breathing. The nurse would include which primary purpose of the respiratory exercise?
promotes elimination of CO2 - increases positive pressure within the alveoli and makes it easier for clients to expel air from the lungs
Which factor would the nurse explain as a reason why women are at a greater risk than men for contracting urinary tract infection?
proximity of the urethra and anus
A client diagnosed with tuberculosis is taking isoniazid. To prevent a food and medication interaction, the nurse will advise the client to avoid which food item?
red wine - avoid foods containing tyramine such as red wine, tuna fish, and hard cheese
The nurse would teach clients that which diseases may occur due to rickettsial infections?
rocky mountain spotted fever and epidemic typhus
Which actions transmit the human immunodeficiency virus (HIV)?
sharing syringe needles, breast feeding, and anal intercourse
In what order does normal cardiac conduction occur through the heart?
sinoatrial node, atrioventricular node, bundle of His, bundle branches, purkinje fibers
A client asks the nurse how psychotropic medications work. How would the nurse reply?
these medications affect the chemicals used in communication between the nerve cells
A client with type 1 diabetes asks what causes several brown spots on the skin. What would be the best response by the nurse?
they are from small blood vessel damage; the blood contains iron, which leaves a brown spot
Morning sickness generally disappears by the end of which month?
third month - decrease in chorionic gonadotropin
The nurse is teaching a client how to self-administer a medicated douche. In which direction would the nurse instruct the client to direct the douche nozzle?
toward the sacrum - the anatomical direction of the vaginal tract in the back lying position
Which information would the nurse include in a community education session on decreasing the risk for musculoskeletal injuries?
use of seatbelts, obeying speed limits, wearing safety equipment, avoiding impaired vehicle use, refraining from distracted driving
Which organism is the cause of smallpox?
variola virus
Which order should parents introduce new foods to a 5 month old who is now eating fortified cereal mixed with formula?
vegetables and non-citrus fruits ; fish, eggs and cheeses, and citrus fruit and bread should be delayed until after 6 months of age
The school nurse presented a program for teachers about infection control and hand washing techniques. Which evaluation method is the most effective wt for the nurse to evaluate the teachers' knowledge of hand washing techniques?
watch the teachers demonstrate infection control techniques - best way to evaluate learning is by feedback demonstration, it is observable and must meet objective criteria
After teaching a post-radiation therapy client regarding skin care treatment area, which client statements indicate the understanding?
wear loose fitting clothing over the area, avoid using adhesive bandages, avoid exposing the area to cold temperatures; frequently rinse area with saline solution, avoid use of lotions, ointments, perfumes, and makeup
Which nutrients would the nurse teach the parents of a child with celiac disease to avoid?
wheat, oats, and rye
When teaching a client about digoxin, which symptom will the nurse include as a reason to withhold the digoxin?
yellow fever - evidence of digoxin toxicity
