Hurst questions/answers

creatinine level range

0.6-1.2

A client with a history of schizophrenia says "Why should I hurt them?" What would be an appropriate intervention by the nurse?

1. Directly ask the client "Are you hearing voices?" 3. Focus on reality based topics of conversation. 4. Observe for signs of increasing anxiety in the client. 6. Inquire about what the client believes he or she is being told to do. When you think a client is hallucinating, you should directly ask the client about the hallucination by asking such questions as: "Are you hearing voices?" In order to intervene with a client who is experiencing a hallucination, you should focus on reality-based diversions including reality-based topics of conversation. The nurse can explore the hallucination experience with this client by asking directly "What are the voices telling you to do?" Another way to specifically explore the hallucination with this client is to ask if they are being told to do something that would cause harm to someone.

What test should the nurse use to test a client's gross hearing acuity?

1. Weber's 2. Rinne 3. Audiometry 4. Whisper

Which signs/symptoms noted by the nurse would support a client history of chronic emphysema?

2. Increased anteroposterior (AP) diameter. 3. Breathlessness. 4. Use of accessory muscles with respiration. 6. Clubbing of fingernails

When would you hold giving potassium iodide for hyperthyroidism?

2. Potassium >5 4. if client is taking losartan 5. if client is taking methimazole

Which primipara client should the nurse see first?

39 weeks with a board like abdomen and scant dark red bleeding. This client has symptoms of a placental abruption (abruptio placentae). There is an extremely high risk for fetal loss and maternal disseminated intravascular coaculation (DIC) which is a potentially life threatening clotting disorder in which blood clots form throughout the body's small blood vessels.

Normal creatinine clearance

75-125 mL/min

If a baby has development dislocated hips and is in Bryants traction, at what angle of hip flexion do you put the infant in?

90 degrees

what foods can I not eat when im taking MAOIs?

Clients taking MAOIs cannot consume foods containing large amounts of tyramine. MAOIs block monoamine oxidase which breakdown tyramine. Having a MAOI prescribed and eating a diet high in tyramine can cause a severe increase in blood pressure. Smoked ham and avocados are high in tyramine.

how to prevent back injuries on the job

Comfortable, low heeled shoes provide good foot support and reduce the risk of slipping, stumbling, or turning your ankle. Move toward or away from your center of gravity. Pivot to turn while holding an object, this avoids twisting of the spine.

diabetes insipidus

Diabetes insipidus results when the body is deficient in anti-diuretic hormone (ADH), resulting in a fluid volume deficit and shock. Blood becomes concentrated and urine dilute because of extreme loss of water. Specific gravity is very low, as evidenced by a lab result of 1.004. serum levels of sodium (149 mEq/L (149 mmol/L)) and hemoglobin (20 g/dL (200 g/L)) are high due to concentration.

how to measure crutches

Measuring the client from 2 inches below the axilla to 6 inches lateral to the client's heel correctly measures a client for crutches. This is the correct size while a client is standing.

Disulfuram

Medicine that causes flushing and vomiting if alcohol is consumed Disulfiram works by reacting with alcohol to produce negative side effect which may last up to two weeks after discontinuation of the drug.The client should not consume any alcohol including hidden alcohol such as mouthwash and cough syrups. Disulfiram is not a cure for alcoholism. It is used in combination with supportive care and psychotherapy. Disulfiram can increase the side effects of caffeine, so avoid chocolate and other caffeine containing substances.

Which immunization recommendations should teenagers off to college have before they start?

Meningococcal vaccine - protects against bacterial meningitis and is recommended for students entering college. Influenza vaccine Human papilloma virus vaccine - for protection against the virus which causes cervical and anal cancers.

Potassium Iodide is used to treat what condition?

Potassium iodide is used along with antithyroid medicines to prepare the thyroid gland for surgical removal, to treat hyperthyroidism, and to protect the thyroid in a radiation exposure emergency. It works by shrinking the size of the thyroid gland and decreasing the amount of thyroid hormones produced. In this situation, it has been prescribed to decrease the number of thyroid hormones produced.

While preparing an information sheet for a client diagnosed with a vancomycin-resistant enterococcus (VRE) urinary tract infection (UTI), the home health nurse should include which instructions?

The bathroom and kitchen should be cleaned with warm water and bleach to decrease contamination. wash hands after using the bathroom and before preparing food.

While suctioning a client's endotracheal (ET) tube, the nurse notes that the client's heart rate has gone from 78 to 44. The nurse stops suctioning the ET tube. What is the nurse's best action?

The drop in pulse rate indicates acute hypoxia, which can be caused by suctioning. The nurse should stop suctioning and oxygenate with 100% oxygen.

what does it mean when you have scrotal pain and edema?

This client is likely to have testicular torsion, which requires immediate intervention. Infarction of the testes can occur if not treated promptly.

do you turn off a continuous tube feeding when respositioning a pt?

Yes, The nurse should turn off tube feeding before reposition client, but Prior to turning feeding back on, tube placement needs to be verified.

can a nurse mix a crushed medication into a 9 months olds food?

Yes, but needs to be in 1 oz of food and the food needs to be something that the parents have already introduced the baby to.

pheochromocytoma symptoms

benign tumor of the adrenal medulla 1. Profuse sweating 2. Hypertension 4. Tachycardia 5. Palpitations This is due to an increased release of epinephrine and norepinephrine.

an indication of effective CPR on an adult

effective if the nurse or medical personnel can palpate a femoral pulse with each chest compression. Though the lay person is taught to assess a carotid pulse, the femoral pulse is utilized in a hospital setting.

Cholinergic Crisis symp mneumonic

excessive stimulation to one of the body's neuromuscular junction points. common cause of cholinergic crisis episodes is the unintended overdose of treatment drugs in myasthenia gravis clients. Diarrhea and abdominal cramping Urination increased Miosis (pinpoint pupils) Bradycardia Emesis (nausea and vomiting) Lacrimation Lethargy Salivation. Remember this: DUMBELLS as a mnemonic to help you recall these signs and symptoms.

Diverticulitis diveritculits symptoms

inflammation of a diverticulum-a small pouch, or sac, found in the lining or wall of a the colon. Caused by chronic constipation create excessive pressure in the colon, causing the formation of small diverticula. severe lower left abdominal pain fever with chills bloating and gas nausea / vomiting

what position should mom be in after epidural?

left-lateral

how to prevent otitis externa

thorough ear canal drying and use of applying astringent drops after swimming or bathing.

how to determine where to give insulin injection

when you give insulin choose a site that is 1 inch away from the previous site.