EAQ SAFETY

Which statementcorrectly characterizes pregnancy in the adolescent population? SATA.

-Pregnant adolescents often seek out less prenatal care. -Adolescent mothers need competent daycare for their infants. -Infants of adolescent mothers are at increased risk for prematurity.

Which characteristics can be observed in abusive parents?SATA.

-Social isolation. -Poor coping skills. -Family authoritarianism. -Feeling of no control over life. -Inability to seek help from others. -Expects child to satisfy need for love.

A health care provider prescribed 250mg of medication. The vial reads 500mg/mL. How many milliliters of medication will the nurse adimister?

0.5ml

The nurse needs to administer lidocaine HCL at 1.5mg per minute. The medication is available as 500mg in 100ml of D5W. The nurse will set the IV infusion pump to deliver how many milliliters per hour?

18mL/h

How far would the nurse depress the lower sternum when performing cardiac compression on an adult client?

2 to 2.4 inches (5-6cm)

Which complication would the nurse monitor in a client who sustained a transection of the spinal cord, but no other injuries?

Autonomic hyperrelfexia

A 2 year old toddler is to have an intravenous (IV) antibiotic therapy. Which action will the nurse take to prevent the child from pulling out the IV line?

Cover the IV site with a protective device

Which condition may result from immunoglobulin IgE antibodies on mast cells reacting with antigens? SATA.

Hay fever and asthma

Which assessment after administration of diltiazem to a client with supraventricular tachycardia (STV) and a heart rate of 170 beats/min indicates that the medication was effective?

Heart rate of 98 beats/min

Which sign in the newborn infant would reflect an Apgar score of 1 in the category of respiration?

Slow, weak cry

Which nursing objective would the nurse add to the place of carefor a child with attention-deficit/hyperactive disorder (ADHD) who engages in self-destructive behavior?

Keeping the child from inflicting any self injury

Which substance will the home care nurse instruct a client to use after Laryngectomy to cleanse the stoma site?

Mild soap and water

Which hypothalamic hormone would the nurse identify as helping treat postpartum uterine atony and hemorrhage?

Oxytocin

Which statement by the client receiving corticosteroids after a bilateral adrenalectomy indicated to the nurse that additional education is needed?

"I am glad that I only have to take the medications once a day."

At which interval are humidified oxygen replaced to prevent infection?

1 day

Nortriptyline is prescribed for a depressed client. Which time period identifies when the nurse would expect a therapeutic response?

2-3 weeks

Acyclovir 0.8g by mouth is prescribed for a client with herpes zoster. The oral suspension contains 200mg/5mL. How many milliliters will the nurse administer?

20mL

A client has a prescription for 125mg of Phenytoin by mouth three times a day. Phenytoin is supplied as an oral suspension of 25mg/5ml. How many milliliters of solution will the nurse administer for each dose?

25mL

Atenolol 150mg by mouth is prescribed for a client with hypertension. Each tablet contains 50mg. How many tablets will the nurse administer?

3 tab

Metformin by mouth is prescribed for a client with type 2 diabetes. Each tablet contains 500 mg. how many tablet will the nurse administer?

4mg

Which medication may cause photophobia as an adverse effect?

Clomiphene

Which medication used to promote fertility would the nurse identify as a potential cause of esophageal burns?

Clomiphene

Which medication is a teratogen that may cause masculinization of a female fetus?

Danazol

Which hospital department plays a role in disaster preparedness?

Emergency department

Which action would the nurse take when caring for an older adult with a history of recent memory loss?

Employ electronic devices that provide alerts.

A client is receiving haloperidol for agitation, and the nurse is monitoring the client for side effects. Which response identified by the nurse is unrelated to an extrapyramidal tract effect?

Hypertensive crisis

A client in active labor who is 90% effaced, 7cm dilated with the vertex presenting at 2+ station, complains of pain and asks for medication. Which medication would the nurse anticipate causing repsiratory depression in the newborn?

Meperidine

Which medication is indicated to treat shift work sleep disorder (SWSD)?

Modafinil

Which action would be taken when the nurse observes a client who is experiencing a seizure while making rounds?

Move obstacles away from the client.

Which relationship reflects the relationship of naloxone to morphine sulfate?

Protamine sulfate to heparin

Which colors are often included in an organizational disaster plan for us during triage?SATA.

Red, black, green, yellow

In which order would clients receive care based on triage tag color?

Red, yellow, green,black

Which characteristics of a therapeutic milieu would the nurse consider important for a confused older adult with socially aggressive behavior?

Set limits

Which tissues related to antibiotic use in an increased risk for the older adult?

Toxicity

Which parental statement would the nurse recognize as indicating the need for further education about bicycle safety for school aged client?

"My child should eb able to safely ride after being supervised for a couple of days."

Which response would the nurse provide to a client receiving digoxin who calls the clinic and complains of "yellow vision."?

"This medication may need to be discontinued. Come to the clinic this afternoon."

After the nurse provides education about all terrain vehicle (ATV) safety for a parent of a 11 year old child, which statement made by the parent indicates an understanding of the information?

"i will make sure my child does not get on an ATV."

Which medication of choice would be prescribed for breast- feeding mother diagnosed with syphilis?

Benzathine penicillin

Which step would the nurse take when preparing to administer Rho (D) immune globulin to postpartum client?

Ensure that the client is Rh negative and the neonate is Rh positive.

Which color tag would be given to "walking wounded" clients according to the disaster triage tag system?

Green

Which action would the nurse perform FIRST when a healthcare provider prescribed Milrinone for a client with congestive heart failure?

Have the prescription, dosage calculations and pump settings checked by a second nurse

For which client illness would droplet precautions be implemented?

Influenza and pneumonia

Which medication is the first choice of medication for the treatment of attention-deficit/hyperactivity disorder (ADHD)?

Methylphenidate

Which preferred medication of choice would be prescribed for the treatment of syphilis in a pregnant adolescent?

Penicillin G

Which effect has resulted in the avoidance of tetracycline use in children under 8 years old?

Permanent tooth and discoloration

Which team member acts as a liaison between the health care facility and the medical?

Public information officer

A client has been prescribed lithium. which intervention must be implemented while the client is on lithium therapy?

Regularly testing the serum medication level

Which condition would the nurse monitor for in the client on aminoglycoside therapy and skeletal muscle relaxant?

Respiratory arrest

Which clinical manifestations indicate a client who sustained head and chest injuries from a motor vehicle accident, responded to medical treatments, and is ready for transfer to a critical care unit?

Stabilized vital signs and complaints of pain.

Which action will the nurse take during administration of blood products to ensure the clients safety?

Stay with the client during first 15 minutes of infusion

Which drug category applies to cocaine?

Stimulant

which situation would indicate the need for naltrexone to be administered?

To decrease the recovering alcoholics desire to drink

Which clinical indicator would the nurse monitor to determine if the clients simvastatin is effective?

Triglycerides

Which nursing action has the HIGEST PRIORITY when preparing to transfer an unconscious client who sustained a head injury from the emergency department to a neurological trauma unit?

Validating availability of a bag valve mask during the transfer.

Which adverse effect will the nurse assess for when caring for a client taking morphine sulfate for sever metastatic pain?

respiratory depression

What is the purpose of Diltiazem hydrochloride purpose?

slow down heart rate

What adverse effect can be seen in a female client with gonadotropin deficiency and who is undergoing hormone replacement therapy?

thrombosis

A client with a history of schizophrenia, who responds poorly to medication, is now being treated for acute depression. Which informaton would the nurse provide in light of the information elicited from the medication list and laboratory results?Laboratory ResultsHemoglobin: 13.5 g/dLHematocrit: 45%.Red blood cells (RBCs): 48 × 10/ml.Platelet count: 150,000 mmWhite blood cells (WBCs): 3,500 mmNeutrophils: 100 mmMedicationsClozapineFluoxetine

"Come in for weekly blood tests to monitor for medication-induced agranulocytosis."

Phenytoin suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5mL. How many milliliter will the nurse administer?

8mL

Which antipyretic medication may cause Reye syndrome in children?

Aspirin

For which circumstance would the nurse use the Z track technique to administer a medication?

The medication is irritating to subcutaneous tissue and skin.

Which action is accurate in explaining how neuroleptic medications act in the body to promote mental health for clients diagnosed with schizophrenia?

They block access to dopamine receptors at the postsynaptic receptor sites.

Which reason explains why so many psychiatric clients are given benztropine or trihexyphenidyl in conjunction with phenothiazinederivative neuroleptic medications?

They combat the extrapyramidal side effects of the neuroleptic medication.

Which age group has the highest incidence of leading poisoning?

Toddler

A client is receiving metoclopramide 15mg orally before meals. The concentrated solution contains 10 mg/ml. How many milliliters of solution will the nurse administer?

1.5mL

Which type of behavior exhibited by a patient would haloperidol MOST effectively treat?

Overactive

Which action would the nurse take for a client who is a psychologist and has questioned the authority of the treatment team and advised other clients that their treatment plans are wrong?

Accept that the client is unable to control this behavior while setting appropriate limits.

Which action would the nurse confirm before approving a clients transfer to radiology for magnetic resonance imaging (MRI)?

All metal objects, such as jewelry, hair ornaments, and collecting containing metal were removed.

Which required noninvasive assessment and management skills certification would the nurse need to perform airway maintenance and cardiopulmonary resuscitation? (CPR)

Basic life support (BLS)

Which medication is used to treat acne has a bleaching effect?

Benzoyl peroxide

Which color tag is assigned the lowest PRIORITY for care in a mass casualty event?

Black

Which condition would be a contraindication to electroconvulsive therapy (ECT)?

Brain tumor

A client with schizophrenia who is receiving an antipsychotic medication beings to exhibit a shuffling gait and tremors. The primary health care provider prescribes the anticholinergic medication benztropine, 2mg daily. Which symptom should the nurse should inquire about when assessing the client?

Constipation

A child becomes cyanotic during a generalized tonic- clonic seizure. which action would the nurse Take?

Continue to observe the seizure.

Which medication would a nurse suspect is the cause of severe nausea and a heartbeat that is irregular and slow in a client who takes multiple medication?

Digoxin

Which emergency severity index (ESI) level would be considered high PRIORITY for the nurse caring for clients in the ED?

ESI-1 (Unstable condition)

A client is diagnosed with Alzheimer disease an is exhibiting hyperorality. Which parameter would the nurse closely monitor to keep this client safe?

For attempts at eating inedible objects

Which disease is caused by the virus that causes chickenpox?

Herpes zoster

Which medication is unsafe to administer as an intravenous (IV) bolus?

Potassium chloride

Which initial action would the nurse take when a toddler with autism spectrum disorder suddenly runs to the wall and starts banging his head on it?

Restrain the toddler to prevent head injury.

Which primary objective of nursing interventions would the nurse maintain for clients with dementia, delirium, and other neurocognitive disorders?

Safety within the environment

Which site would the nurse assess first for the amount of drainage from a client discharged from the postenesthesia care unit (PACU)?

Surgical incision

A client with schizophrenia is given an antipsychotic medication. Which adverse effect would lead to this medication being discontinued?

Tardive dyskinesia

A client is to receive 0.22g of zinc sulfate by mouth. Each tablet contains 110 mg. How many tablets will the nurse administer?

2 tab

Colchicine 1200mcg orally is prescribed for client with gout. Each tablet contains 0.6mg. How many tablets will the nurse administer?

2 tab

Which conditions poses an increased risk for injury for an adolescent? SATA.

-Substance abuse. -Motor vehicle accidents.

Which term does the A of the mnemonic ABCDE of primary nursing survey stand for?

Airway

Which intervention would the nurse encourage the parent of a child with plumbism (leading poisoning) to do?

Assess the familys home environment for lead sources and have them removed.

The nurse understands which antihypertensive medication is contraindicated in lactating women?

Atenolol

Which instructions would the nurse share with the client being discharged afterrhinoplasty?

Avoid items that may trigger sneezing

Which patient condition would contraindicate the nurse of the medication clozapine?

Bone marrow depression

Which advice would the nurse include in a teaching plan to reduce the side effects of diltiazem?

Change slow from sitting to standing

When planning for a clients care during the detoxification phase of early alcohol withdrawal, which action would the nurse take?

Check on the client frequently

For which client illness would airborne precautions be implemented?

Chickenpox

Which assessments findings indicates an improvement when the nurse is evaluating the results of treatment with erythropietin?

Decreased pallor

A client, transferred to the postanesthesia care unit after an transurethral resection of the prostate (TURP) has an intravenous (IV) line and a urinary retention catheter. During the immediate postoperative period, for which potentially critical complication would the nurse monitor?

Hermorrhage

Which type of needs would the nurse identify as a HIGH PRIORITY in the prioritization of client care?

Needs that affect safety

Which PRIMARY advantage applies to the use of fluphenazine for treatment of schizophreina?

It has long lasting effects

A client with a diagnosis of schizophrenia, paranoid type, has been receiving a phenothiazine medication. Which action is important for the nurse to take to assist this client when the psychiatric daycare center plans a finishing trip?

Provide. the client with sunscreen.

Which action would the nurse take FIRST if an allergic reaction to a blood transfusion occurs?

Shut off the infusion.

Which precaution will the nurse consider when initiating treatment with fluoxetine?

The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks.

Which side effects will the nurse monitor for when assessing a client who has been receiving fluphenazine for several months?SATA.

Tremors and uncoordinated movement of extremities

Which action will the nurse take when a client is receiving buspirone is admitted to the hospital with a diagnosis of possible hepatits?

Withhold the medication

An older adult living in a long term care facility has been receiving 600 mg of lithium twice a day for 3 weeks to ease manic behavior. The client is experiencing nausea and vomiting, diarrhea, thirst, polyuria, slurred speech, and muscle weakness. Which intervention is appropriate?

Withhold the next dose of lithium and drawing blood for lithium level.