11/2

What is clopidogrel used for?

- used for preventing MI, ischemic stroke, acute coronary syndrome, peripheral artery disease

A positive Babinski's reflex in a neonate is a normal finding because

immaturity of the central nervous system

What is the goal urethral catheter placed after surgical repair of hypospadias

keeps the new urethra from closing

S/E of Ketoconazole

leukopenia thrombocytopenia hepatitis erythema multiforme

What is the indicative of intensity

- severity of pain - evaluating the efficacy of pain mgnt

Pt edu for clopidogrel

- should not stop med abruptly - be aware of bruise and bleed a little - can take the med with or without food

Every day for the past 2 weeks, a client with schizophrenia has stood during group therapy and screamed, "Get out of here right now! The elevator bombs are going to explode in 3 minutes!" The next time this happens, how should the nurse respond? 1. "Why do you think there is a bomb in the elevator?" 2. "I know you think there are bombs in the elevator, but there aren't."

"I know you think there are bombs in the elevator, but there aren't." Acknowledging the statement and then telling the client that bombs aren't in the elevator is the most therapeutic response because it orients the client to reality. Asking why the client thinks a bomb is in the elevator and stating that the client said the same thing the day before are condescending responses. Telling the client to follow group rules sounds punitive and could embarrass the client.

A nurse is caring for a male client of a different culture. Which nursing actions should the nurse include to provide culturally appropriate care to this client? Select all that apply.

- Allowing the daughter to bring food from home appropriate to the client's dietary plan. - Including the religious leader in the care plan - Inquiring about a dining ritual that is often used at home.

A value system is

- an organization of values in which each is ranked along a continuum of importance - often leading to a personal code of conduct.

An employee health nurse is assisting a stressed working mother with value clarification. Which best defines value clarification? 1. A process by which people come to understand their own values and value systems. 2. A systematic inquiry into principles of right and wrong conduct, of virtue and vice, and of good and evil, as they relate to conduct.

1. A process by which people come to understand their own values and value systems.

Extra teaching needs for a client with peripheral artery disease who has recently been prescribed clopidogrel. 1. "I should not be surprised if I bruise easier or my gums bleed a little when brushing my teeth." 2. "I should stop taking clopidogrel if it makes me feel weak and dizzy."

2. "I should stop taking clopidogrel if it makes me feel weak and dizzy."

The son of an older adult reports that his father just "stares off into space" more and more in the last several months but then eagerly smiles and nods once the son can get his attention. What further assessments should the nurse make? 1. dementia 2. hearing loss

2. hearing loss

What disease/problem is indicative of jaundiced, stool is pale and light color? ABO incompatibility Rh isoimmunization Biliary atresia Esophageal varices

Biliary atresia Jaundice that persists past the third or fourth day of life and pale, light stools are associated with biliary atresia. Alkaline phosphatase levels will also be elevated. Surgical intervention is necessary to remove the blockage. Rh isoimmunization and ABO incompatibility are associated with neonatal anemia as the red blood cells are hemolyzed by the antibodies. Esophageal varices are associated with cirrhosis of the liver and large amounts of bleeding when the vessels rupture. The child with esophageal varices will exhibit manifestations of anemia such as pallor and may experience hemorrhage and shock.

The nurse should instruct the client to avoid taking which drug while taking metoclopramide hydrochloride? antacids antiHTN CNS depressents anticoagulants

CNS depressants

What is metoclopramide?

Dopamine receptor antagonist

s/s of thiothixene?

EPS (akinesia, hallucination) Tardive dyskinesia (TD) NMS

Fluid intake and urine output should relate in

Fluid intake should be about equal to the urine output

Which part of a thorough pain assessment is most significant for this client 1. location 2. intensity 3. cause

Intensity

What segment may indicate myocardial damage?

ST segment

functions of hypothalamus

TAN HATS: Thirst/water balance Adenohypophysis control Neurohypophysis control Hunger Autonomic regulation Temperature regulation Sexual urges

What is the purpose of metoclopramide hydrochloride used for

To prevent or reduce nausea and vomiting from emetogenic cancer chemotherapy

value is

a belief about the worth of something - about what matters, that acts as a standard to guide one's behavior

Value clarification is

a process by which people come to understand their own values and value systems.

What is the side effect of Thiothixene? wt gain hypotension akinesia sedation

akinesia, bc of EPS

Drug interactions of metoclopramide hydrochloride

anticholinergic antiHTN antipsychotic CNS depressants digoxin MAOI Phenothiazines

Therapeutic class of Ketoconazole?

antifungal

What is thiothixene

antipsychotic

dysregulation of the amygdala is

behavior changes

What should be the nurse's priority assessment after an epidural anesthetic in active labor? - contraction pattern - blood pressure - fetal position

blood pressure

adverse effects of codeine (3)

dizziness, nausea, and constipation.

What is the main edu of metoclopramide hydrochloride

do no take alcohol during therapy

How to relieve edema of the toes

elevating the food of the bed at the heart level

what diets to reduce homocysteine levels?

folate vit B12 Vit B6

What are the lobes of the brain?

frontal, parietal, occipital, temporal

functions of temporal lobe

hearing and smell

What causes to decrease in preload

hemorrhage sepsis anaphylaxis

functions of parietal lobe

movement, orientation, recognition, perception of stimuli

A positive Babinski's reflex in a neonate is a (normal/abnormal) finding?

normal

Which guidelines define and regulate what the nurse may and may not do as a professional? a. facility policies and procedures b. nurse practice act c. standards of care

nurse practice act

The nurse on a medical-surgical unit has interventions to complete in the morning. Which tasks are most appropriate to delegate to an unlicensed assistive personnel (UAP)? Select all that apply. applying a hydrogel to a sacral pressure injury opening breakfast foods on the breakfast tray assisting a client with ambulation

opening breakfast foods on the breakfast tray assisting a client with ambulation

What medication is a probable cause of this disorder of toxic epidermal necrolysis. 1. furosemide 2. phenytoin 3. NSAID 4. Sulfa

phenytoin

CI of Ketoconazole

pt is on HTN drugs Pt has liver damage > inc hepatotoxicity

What is Ketoconazole used for?

suppresses adrenal steroid secretion.

treatment for chronic constipation

take stool softener such as docusate sodium daily

A nurse is caring for a client who has a tracheostomy tube and who is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by 1. suctioning the tracheostomy tube frequently. 2. the tracheostomy shouldn't be plugged 3. using the minimal-leak technique with cuff pressure less than 25 cm H2O.

using the minimal-leak technique with cuff pressure less than 25 cm H2O.

A client's history of violence toward others and inability to cope with anger, what should the nurse use as the most important indicator of goal achievement before discharge? verbalization of feelings in an appropriate manner acknowledging feelings of anger and describing situations

verbalization of feelings in an appropriate manner

functions of occipital lobe

vision

A client with a history of cocaine abuse is receiving intravenous therapy and exits the hospital "to visit a friend." The client returns to the nursing unit 1 hour later, agitated, aggressive, combative, and reporting "chest pain." Place the nurse's actions in priority order from first to last. All options must be used. - Obtain an ECG. - Obtain a urine sample. - Contact the security department. - Initiate a referral to obtain drug rehabilitation counseling.

- Contact the security department. - Obtain an ECG. - Obtain a urine sample. - Initiate a referral to obtain drug rehabilitation counseling

What is clopidogrel, and what is the S/E

- antiplatelet - S/E: weakness, dizziness, HA

What is Acetazolamide?

- carbonic anhydrase inhibitor - use for for acute angle-closure glaucoma - decreases IOP - decreasing the secretion of aqueous humor.

S/S of epidural block?

- maternal hypotension - fetal bradycardia - loss of bearing down reflex

A school nurse is planning a program for parents on "Drugs Commonly Abused by Teenagers". Which information should be included about inhalants?

- Monitor for paper bags and rags that may have been used for breathing inhalants. - Deaths from inhalants occur from asphyxiation, suffocation, and aspiration of vomit. - Inhalants usually cause depression of the central nervous system. - The basic groups of inhalants are hydrocarbon solvents such as glue, aerosol propellants from spray cans, and anesthetics/gases.

s/s Multiple sclerosis

- muscle weakness of the extremities - inability to ambulate independently - urinary incontinence

s/s of biliary atresia

- neonatal jaundice -develop 1-6 weeks after birth - pale and light color stools, dark urine - hepatomegaly

What are the frontal lobes?

- portion of the cerebral cortex - lying just behind the forehead - involved in speaking and muscle movements and in making plans and judgements

what are two major functions of the kidney performs to assist in acid-base balance.

- returning bicarbonate to the body's circulation from urinary filtrate - excrete acid in the urine

The nurse notices a fire in a wastebasket in a client's room. In which order of priority from first to last should the nurse perform the actions? All options must be used. - Remove the client from the room. - Confine the fire by closing the door to the client's room. - Pull the fire alarm at the alarm pull station. - Extinguish the fire.

- Remove the client from the room. - Pull the fire alarm at the alarm pull station. - Confine the fire by closing the door to the client's room. - Extinguish the fire.

The nurse plans to place graduated compression stockings on a client in the preoperative setting. List in order the steps the nurse will follow. All options must be used. - Review medical record and medical orders for graduated compression stockings. - Identify the client and explain procedure. - Place the client in supine position. - Turn the stocking inside out and ease the stocking over the foot and heel. - Smoothly pull the stocking over the ankle and calf. Apply powder or lotion to legs.

- Review medical record and medical orders for graduated compression stockings. - Identify the client and explain procedure. - Place the client in supine position. - Apply powder or lotion to legs. - Turn the stocking inside out and ease the stocking over the foot and heel. - Smoothly pull the stocking over the ankle and calf.

expected outcome of a pt who has total laryngectomy 1. communicate feelings about body image changes. 2. regain the ability to taste and smell food 3. demonstrate sterile suctioning technique for stoma care

1. communicate feelings about body image changes. It is important that the client be able to communicate his or her feelings about the body image changes that have occurred as a result of surgery. Open communication helps promote adjustment. The client may not regain the ability to taste and smell food because of no longer breathing through the nose or because of radiation therapy treatments, or both. A gastrostomy tube would not typically be placed after a total laryngectomy, nor would it be necessary for the client to demonstrate sterile suctioning technique for stoma care. The client would use clean technique.