Nursing Int.

Pataasin ang iyong marka sa homework at exams ngayon gamit ang Quizwiz!

which patient is at risk for developing hypokalemia

answer: kidney

Primary prevention for diabetes in school

Answer: Educate promotion of fruit and vegetables

Pt comes to ER with weakness after being in the hot sun, the nurse will conduct for which electrolyte deficiency

Answer: Hyponatremia

Nurse teaches post operative patient about most effective way of managing pain. What shows the client understands instructions correctly

Answer: I will take the medication before pain becomes severe

Client returned to hospital from PACU and is experiencing pain at 7 which drug provides relief fast

Answer: Intravenous 0.2

Nurse is developing plan for care with client who has panic disorder that includes medicine. Which med does nurse expect to administer

Answer: MAOIs

A client is experiencing panic attack which intervention is important

Answer: Provide safety

A client is admitted after thyroidectomy, how would the nurse best position client

Answer: Semi-Fowler's with the head supported on two pillows

Client has Bones peaking through and necrosis what kind of pressure ulcer i this

Answer: Stage 4 ulcer

Client has poor nutrition and blood, persisten cough

Answer: Tuberculosis

Which of the following diagnosed with type 1 diabetes is most likely to reach therapeutic goal of glucose control

Answer: a client who never deviates from medically described medicine

Nurse has meds for a severely psychotic patient. Client refuses medication what nursing intervention should be used

Answer: accept the clients decision

Which intervention will be affective in reducing fluids

Answer: administer diuretic medication

Nurse is preparing for wet to dry dressing

Answer: administer pain meds

What should be nurse's primary goal of seclusion for pt with violent behavior

Answer: assure the client of safety and others

After receiving the change of shift report which client should nurse assess first

Answer: client taking levothronyx and has 130 beats per min

Which pt should the nurse accept first

Answer: client with bilateral leg fracture with oxycodone po 3 hours ago

Which assessment indicates hypothyroidism

Answer: cold intolerance

A comm health nurse is working to empower a vulnerable population which shows the nurse is reaching the goal

Answer: collaborating with health care providers

What an example of a positive symptom a nurse may see in schizophrenia

Answer: command hallucination

The nurse is planning care for hospitalized client who can change position without help, whats the purpose of surveillance of client's skin

Answer: detect pressure ulcers early

Nurse know which of the following is not a clinical manifestation of diabities melietus

Answer: dysphagia

Public health nurse is advocating for vulnerable population, what's the best way to make the biggest impact

Answer: educate decision-makers

Safety considerations for pt with binder

Answer: examine fit of the binder to ensure no lung damage, examine fit to ensure circulation, assess how many hr clients wear binder, discuss bathing routine of binder

Morphine IV 15 min ago what should the nurse do first

Answer: give narcan

A client in the ER has anaphylaxis what is ED nurse priority

Answer: give pt epinephrine

A client with type has finger stick glucose level of 56

Answer: give the patient 15g of carbs and recheck bg every 15

Nurse reviews electronic health care, what med should nurse recommend to withhold 48 hr before CT Scan

Answer: glucophage

Nurse prepares to assess client with dizziness fatigue and hypothyroid stool

Answer: gown in gloves and put patient on isolation precaution

Elderly pt for diabetes at risk for infection based on what chain link

Answer: host factor

Hemmoraghic Stroke admitted to ICU what education needs to be taught to family

Answer: how to correctly modify the home environment

Pt comes in for ankle sprain is red and swollen what initial intervention should the nurse do treatment

Answer: ice pack applied and heels elevated

Which are considered interventions for clients with cushings disease

Answer: improve body image, monitor bg levels, protect from exposure of infection

26 students absent due to influenza what is this rate calculating

Answer: incidence

Psychosis and suicide ideation. Which nursing diagnosis is highest for the priority

Answer: injury to self and others

Court order for commitment

Answer: involuntary outpatient

A community heath nurse is afraid a community doesn't understand education due to low literacy

Answer: its very important for pt to be able to give feedback to know if they understood

Large-thickness wound Which should be included in the education plan

Answer: keep eating food with high protein to help heal

Working with clients who abuse alcohol should know which of the following long term chronic problems may develops

Answer: liver cirrhosis, memory loss, muscle weakness, muscle wasting

A pt appears paranoid agitated, scars all over, teeth are missing and rotten, the nurse knows this pt can be under the influence of which type of drug

Answer: meth

Nurse assesses client with POCU client breathes through mouth while sleeping

Answer: nasal canula

The preoperative nurse noticed client didn't sign the consent form, the client says they are unsure if they want to have the surgery or not

Answer: notify the surgeon that the client has questions and the form is not signed

Nurse works in community outreach clinic, which intervention is secondary prevention

Answer: nurse organize free mamogram screening event

What is the best way for pt to prepare for self-administering insulin

Answer: observe the client drawing up the insulin

Pt taking Lithium is experiencing nausea

Answer: obtain an immediate blood sample to see the lithium level

Client is prescribe corticosteroids therapy

Answer: patient is at risk for infection

While assessing pt with schizophrenia pt says the government is watching, what type of delusion is this

Answer: persecutory

When donning sterile gloves what steps are correct in putting on the first sterile glove

Answer: picking up the glove by sliding your hand under the cuff of the glove

How can community health nurse best address with health inequities native amercian communities

Answer: policy devolopment and enforcement

Which intervention is appropriate for caring for stage 1 of pressure ulcer

Answer: put pillows

Putting client in restraints before trying something else

Answer: receiving treatment in a restrictive environment

Which are fall risk and preventative measures :

Answer: remove clutters, assess each patient, answer call light in timely manner, have patients put on non skid socks

What an example of negative assesment with patient that has schizophrenia

Answer: restricted affect and no emotion

4 yr old is diagnosed with type 2, nurse refers to eye doctors what type of screening is this

Answer: secondary

If the client is experiencing a lot of stress what indicates it could be a panic attack

Answer: shortness of breath, going crazy

What mental health assessment would indicate inappropriate affect

Answer: smiling and laughing at a traumatic event

Pressure ulce 2 by 5 on cocyx, area of undermining 2 cm deep, subcutaneous is visible

Answer: stage 3

Which of the following is important to implement to client newly diagnosed cushings disease:

Answer: stop any use of steroid medications

When administering IV pt developed rash and hives

Answer: stop infusion immediately

A nurse develops care plan for pt with schizoaffective disorder

Answer: suicide

Nurse is teaching pt with RA about antiinflammatory drugs what should informed

Answer: take med with food or milk, schedule regular times with med, black or tarry stool, sitting 30 min upright

Pt has involuntary muscle spasm after being on anti psychotic schizophrenia meds for many years which problem would nurse expect

Answer: tardive dyskinesia

Client with scizo is afraid they're being watched by the government because of job

Answer: tell me more about how you're being watched

Right side paralysis and unable to speak patient is in therapy

Answer: tertiary

Nurse is caring for pt with Addison disease whos discharging when teaching client about hormone replacement what should be addressed

Answer: the need for life long steroid replacement

Definition of competency

Answer: understanding information given during consent process

Which nursing assessment will support finding for hypovolemia

Answer: urine output of 100

Example of what mode of transmission

Answer: vector

Post-op day 5 nurse evaluates for infection, which would be an indicator of infection

Answer: warm, red, etc.

What patient education should be included for Diabetes Mellitus

Answer: wash and infect feet daily, walk barefoot

A pt with type 2 diabetes what info is needed to prevent foot ulcers

Answer: wear flat appropriately sized shoes

The nurse is examining the possibility of a high prevalence of TB in unhousing shelter

Answer: web of causation

A pt diagnosed with hypothyroidism is given levenoxtheyrone what should nurse assess for side effects

Answer: weight gain

Which is most appropriate for patient with droplet precautions

Answer: where a mask but door can remain open

Public health nurse working in communicable disease

Answer: whos at risk,prevention and treatment, infectious agents

Surgical incision to the knee and contact precautions are needed cause by MRSA what do they need:

Answers: gloves, goggles, everything

True statements about incidence and prevalence:

Answer: A. Incidence refers to the number of new cases of a specific health condition that develop in a population within a defined period. B. The cure for a disease or the death of a patient does not affect the incidence of the disease whereas it decreases the prevalence

When working with native american communities the public health nurse knows:

Answer: :learn about the communities...

Which consists of quality care for all

Answer: All of them

Client is giving bp med for low bp. Which assesment is important before giving medication answer

Answer: Blood pressure

When developing primary prevention tool, A public health nurse its important to do which of the following?

Answer: Culturally inclusive, easy reading level, has to be related to accessibility

What is the modifiable risk factor for stroke

Answer: Diet

Client with thyroid cancer has undergone surgery and significant amount of thyroid has been removed, what should nurse ask?

Answer: Do you feel any muscle twitching or spasms

Which of the following statements are included for diagnostic substance abuse

continuously use the drugs despite knowledge of impact of substance abuse


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