Nursing Int.
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