know it all
clinical manifestation of myocardial infarction
vomiting
preparation for patient getting an intravenous pyelogram
ensure consent is signed, assess for iodine sensitivity, administer enema
hormone that causes skin discoloration
estrogen
social contract orientation stage of lawrence kohlbergs theory of moral development
individual recognizes that the law needs to be changed in order to improve society
diet for ischemic heart disease
restrict red meats, organ meats, whole milk, chicken broth (high in sodium and fat)
the antipsychotic medication clozapine poses a high risk of
agranulocytosis, especially when combined with fluoxetine
Which medication is the first choice drug for the treatment of attention deficit hyperactivity disorder (ADHD)? Clonidine Guanfacine Atomoxetine Methylphenidate
methylphenidate
A woman has been administered prostaglandin E2 as a part of a treatment to induce labor. Which factor determines if an infusion with oxytocin should be continued?
one contraction every three minutes
aminoglycosides like streptomycin cause
ototoxicity which can cause difficulty with hearing
desired outcomes for NSAIDS
pain relief, antipyresis, reduced inflammation
clinical findings in hyperthyroidism
palpitations, tachycardia, menstrual disturbances
Which hormone regulates blood levels of calcium?
parathyroid
drug therapy for MRSA
Linezolid
When checking the cervical dilation of a client in labor, the nurse notes that the umbilical cord has prolapsed. What is the priority nursing action? Taking the fetal heart rate Turning the client on her side Covering the cord with a sterile saline-soaked cloth Placing client in Trendelenburg position
Placing the client in the Trendelenburg position may prevent further prolapse and should relieve pressure on the umbilical cord. explanations: The fetal heart rate will be taken later; the priority is relieving pressure on the umbilical cord. Turning the client on her side will not relieve pressure on the umbilical cord, although it will promote placental perfusion. Covering the cord with a sterile saline-soaked cloth will not relieve pressure on the umbilical cord.
At 37 weeks' gestation a client's membranes spontaneously rupture; however, she does not have any labor contractions. What action is most important in the nursing plan of care for this client? monitoring for presence of fever monitoring for preeclampsia monitor for heavy vaginal bleeding
The possibility of an ascending infection increases when membranes have ruptured and birth is not imminent; the client must be monitored for signs of infection.
psych medications that are considered neuroleptics? Asenapine Lurasidone Aripiprazole Thioridazine Chlorpromazine
Thioridazine, Chlorpromazine asenapine, lurasidone, aripiprazole are all second generation drugs, which are atypical antipsychotics
what do we give to patient with severe bradycardia
anticholinergic - block parasympathetic effect, causing increased heart rate
Which information in a postpartum client's health history should alert the nurse to monitor the client for signs of infection? Three spontaneous abortions B-negative maternal blood type Blood loss of 850 mL after a vaginal birth Temperature of 99.9° F (37.7° C) during the first postpartum day
blood loss of 850 - normal is 300-500
which psych drug is contraindicated in clients with seizure and eating disorders?
bupropion
While assessing a client recovering from a head injury, the nurse notices a loss of movement in the client's tongue while attempting to talk. Which could be the possible reason for the client's condition?
damage to the hypoglossal nerve
During the first 48 hours after a client has sustained a thermal injury, which conditions should the nurse assess for? Hypokalemia and hyponatremia Hyperkalemia and hyponatremia Hypokalemia and hypernatremia Hyperkalemia and hypernatremia
hyperkalemia and hyponatremia. hyperkalemia occurs because the injured cells release potassium into the blood stream. sodium is lost due to massive edema
Pregnant women with cardiac problems must be assessed more frequently than is typical. Which physiologic adaptation does the nurse suspect is the result of early decompensation? Tachycardia Increasing fatigue generalized edema
increasing fatigue - early signs of decompensating resulting from an increased cardiac workload
Society-Maintaining Orientation stage (Lawrence Kohlbergs theory of moral development)
individual understands that certain actions are not done not because it can lead to punishment, but because the act is not righ
appearance of stools in child with celiac disease
large, pale, foul-smelling
Which parts of the nephron are the sites for the regulation of water balance? Select all that apply. Glomerulus Loop of Henle Descending limb (DL) Bowman capsule (BC) Proximal convoluted tubule (PCT)
loop of henle and descending limb - permeable to water. glomerulus is the site of glomerular filtration and the bowman capsule collects the glomerular filtrate
antihistamine that is safe for pregnant mothers who plan to breastfeed
loratadine (doesn't get excreted in breast milk)
A primigravida at 38 weeks of gestation presents to the clinic with a blood pressure of 142/94 mm Hg, edema in all extremities, and a weight gain of 5 lb (2.3 kg) since the previous checkup 1 week ago. The client has delivered and is receiving magnesium sulfate postpartum. What is the priority nursing action during the immediate 4 hours after delivery? Monitoring blood pressure Monitoring urinary output Observing amount of lochia Assessing breast-feeding technique
observing lochia - priority during the 4 hours after delivery because of the risk of hemorrhage, which normally occurs during the fourth stage of labor, and the increased risk of low platelets because of blood clotting issues that accompany preeclampsia.
hemodialysis patients should be advised to eat which food?
rice high or moderately high in carbohydrates and low in protein, sodium, and potassium are encouraged for clients on hemodialysis.
A client has glomerulonephritis. To prevent future attacks of glomerulonephritis, the nurse planning discharge teaching includes which instruction? "Restrict fluid intake." "Take showers instead of bubble baths." "Avoid situations that involve physical activity." "Seek early treatment of respiratory infections."
seek early treatment of respiratory infections A common cause of glomerulonephritis is a streptococcal infection. This infection initiates an antibody formation that damages the glomeruli. Any fluid restriction is moderated as the client improves; fluid is allowed to prevent urinary stasis. The alkalinity of bubble baths is linked to urinary tract infections, not glomerulonephritis. Moderate activity is helpful in preventing urinary stasis, which can precipitate urinary infection.
sensory function difficult to assess in preschoolers
smell
In teaching a class about sexually transmitted infections, the nurse discusses manifestations associated with each and effects of delaying treatment. During the discussion, gummas, which are tumors that break and ulcerate, and mental and physical disability are described. Which infection is the nurse describing? Chlamydia trachomatis Trichomoniasis Gonorrhea Syphilis
syphilis gummas are associated with tertiary syphilis. Chlamydia trachomatis is sometimes asymptomatic and often is associated with pelvic inflammatory disease. Redness, itching, and burning are associated with trichomoniasis, as is a frothy, foul-smelling discharge. Gonorrhea may be asymptomatic or associated with a yellow urethral or penile discharge.
A client has been receiving fluphenazine for several months. The nurse will assess the client for which side effects? Select all that apply. Tremors Excess salivation Rambling speech Reluctance to converse Uncoordinated movement of extremities
tremors and uncoordinated movement of extremities Acute dystonic reactions such as tremors, dyskinesia, and akathisia are observable side effects of fluphenazine therapy. There is a decrease, not an increase, in salivation with fluphenazine therapy. Rambling speech is not a side effect of this drug; nor is reluctance to converse.
