Clicker questions
Which of following interventions would a nurse utilize for a patient with thrombocytopenia?
Use an electric razor when shaving and avoid taking rectal temperature
Which intervention should a nurse plan to incorporate in the care of a surgical client to decrease the risk of deep venous thrombosis (DVT) and pulmonary embolism (PE)?
Use of intermittent compression devices on the lower extremities
Which statement by the patient indicates the development of a deep vein thrombosis?
"My left leg is swollen compared to my right."
The maximum amount of any medication that can be given in one site for a subcutaneous injection is:
1 mL
1.Lab value monitoring for Coumadin therapy 2.Lab value monitoring for Heparin Therapy 3.Antidote for Coumadin 4.Antidote for Heparin A. Protamine Sulfate B. PT/INR C. PTT D. Vitamin K
1- B 2-C 3-D 4-A
1.Contracture 2.Atrophy 3.Orthostatic Hypotension A.Muscles decrease in size when not used- leading to a loss of both strength and muscle mass B.Permanent fixation of joints and muscles as a result of disuse C.Drop in systolic BP of 15mmhg or more when going from a sitting to standing position
1- B 2- A 3- C
1.Protein responsible for osmotic/oncotic pressure 2.Breakdown of hemoglobin 3.Estimate of Renal function A.GFR B.Bilirubin Albumin
1-C 2-B 3-A
A patient with diabetes mellitus self monitors blood sugar at home. Now the primary care provider wants to assess the client's average blood sugar over a 3-month period. The best test for this would be:
Hemoglobin A1C
A client who is weak, dyspneic, and jaundiced has an elevated bilirubin level. With which problem are these clinical findings consistent?
Hemolytic anemia
A patient with atrial fibrillation is receiving warfarin (Coumadin) 5 mg each day. His INR today is 2.4 (N= 0.8-1.2). What is the expected change in medication dosage?
His INR is within desired range. No change in warfarin dose is needed.
Mrs. Redor, age 55 years, was hospitalized. She takes 5 medications. She is being discharged home. In preparing her discharge, which of the following is least likely to be helpful?
Leave medication brochures by her bed
The implementation of diagnosis-related groups (DRGs) by Medicare in 1983 affected hospitals in which way?
Medicare pays only the amount of money preassigned to a treatment for a diagnosis.
A primary health care provider writes a prescription of "Restraints PRN (as needed)" for a client who has a history of violent behavior. Which action would the nurse take?
Notify the provider that PRN prescriptions for restraints are unacceptable.
You are giving a community presentation on Medicare Part D. Medicare Part D:
Pays a portion of prescription drug costs.
An immobile postoperative client asks the nurse why it is so important to deep-breathe and cough after surgery. When formulating a response, the nurse incorporates the understanding that retained pulmonary secretions in a postoperative client can lead to which condition?
Pneumonia
The hospital readmission reduction program looks at:
Readmission rates of patients during a 30-day period after discharge.
The nurse is administering a medication by intravenous bolus when the client reports pain and burning at the IV site. What is the next action by the nurse?
Stop the infusion and assess for signs of infiltration.
A nurse is assessing the extremities of a client who had wrist restraints applied 2 hours ago. Which assessment finding, if present, is of greatest concern?
The skin of the hand feels cool to the touch and is pale.
The nurse is providing restraint education to a group of nursing students. Which reason to use restraints is incorrect to teach?
To prevent an adult client from getting up at night when there is insufficient staffing on the unit
A nurse discovers that she made a medication error. What should be the nurse's FIRST response?
Asses the patient for any possible side effects of the error
An outpatient care nurse is providing instructions to a patient who is scheduled for a colonoscopy to remove a polyp. Which instructions are appropriate for client preparation for this procedure?
A bowel preparation will be required in preparation for the procedure.
Which point requires correction regarding the use of restraints?
A written order for restraints is not required.
The nurse is caring for a client with cancer who is neutropenic. Which plan would be inappropriate?
Avoid any spicy foods
1.The equipment (syringe, needle) you choose for injections are based on: 2.Quantity of solution 3.Route to be administered 4.Type of medication 5.Body size 6.Viscosity of solution A.1, 2, 3 B.2, 3, 4 C.3, 5 D.All the above
All the above
A nurse is caring for a client scheduled for a CT scan with contrast. Which action is most appropriate?
Checking the client's creatinine level
The nurse performs range of motion exercises on an immobile client to avoid which complication associated with immobility?
Contractures
A client brought to the emergency department states that he has accidentally been taking two times his prescribed dose of warfarin (Coumadin) for the past week. After noting that the client has no evidence of obvious bleeding, the nurse plans to take which action?
Draw a sample for prothrombin time (PT) and international normalized ratio (INR).
The nurse is caring for a child with neutropenia. Which beverage is unsuitable for the client with a low neutrophil count?
Fresh squeezed lemonade
The nurse has admitted a client to the postoperative unit following a bowel resection and is providing postoperative health education on coughing and deep breathing. What does the nurse explain to the client about why these actions are important?
If you continue to breathe shallowly or cough ineffectively, this can lead to atelectasis and pneumonia.
A nurse is caring for a client with a diagnosis of polycythemia vera. The client asks, "Why do I have an increased tendency to develop blood clots?" Which effect of the polycythemia vera should the nurse explain increases the risk of these thromboses?
Increased blood viscosity
