NRS 200

When does the pubertal growth spurt for reach peak for female clients

12 years of age

When does pubertal growth spurt happen for boys

14 years of age

Doxorubicin (Adriamycin) side effects

-Urine and tears turn a red color -Excessive lacrimation -Heart failure months or years after use

decreased platelet count

-decreased production (HIV, radiation, bone/blood cancers) -severe hemorrhage -sepsis

Sickle Cell Anemia (SCA)

an inherited disease in which a genetic defect in the hemoglobin results in abnormal structure of the red blood cells

Which adolescent behavior increases the risk of injury? Select all that apply. - Poor diet - Substance abuse - Unprotected sex - Sedentary lifestyle - Increased screen time

- Substance abuse - Unprotected sex -THE REST CAN LEAD TO OBESITY NOT INJURY

Yin-Yang Balance

-Everything viewed as a product of interaction between yin/yang and the 5 elements -When there is a balance between yin-yang and the five elements there is harmony and prosperity -Balance between yin-yang vital to the body -Illness and such viewed as result of imbalance -Food and how food prepared are associated w/ yin-yang and 5 elements

Digoxin side effects

-Fatigue -Bradycardia -Anorexia -Nausea/Vomiting

How far away should the drops be administered when administering ear drops to a 4 year old?

1 cm above the ear canal

A five-year-old school age client requires how many hours of sleep?

11 1/2 hours per night

Warfin

anticoagulant works by blocking the recycling of vitamin K - causing a deficiency or lowering of the active amount of vitamin K should stay away from foods containing high amounts of this vitamin (green leafy vegetables)

Symptoms of type one diabetes as a result of the bodies inability to metabolize glucose adequately include

3 P's Excessive thirst (Polydipsia), Excessive Hunger (Polyphagia), Frequent urination (Polyuria)

normal potassium range

3.5-5.0 mEq/L

Hypertonic solutions are

Less concentrated = contain less than .85 g of sodium chloride in each 100 mL than body fluids

Which sign in the newborn infant would reflect an Apgar score of 1 in the category of respiration? 1. Good cry 2. Grimace 3. Absent respiration 4. Slow, weak cry

4. Slow, weak cry

St. John's Wort herbal therapy

???

What is the CHANCRE of syphilis?

???

apathetic demeanor

??? -Schizophrenic or depressive disorder

What is included in a neurological assessment?

Level of consciousness, pupillary activity, reflex activity, motor function

Erythropoietin is

A hormone produced and released by the kidney that stimulates the production of red blood cells by the bone marrow.

Multiculturalism

A perspective recognizing the cultural diversity of the United States and promoting equal standing for all cultural traditions

transbronchial biopsy

A pulmonologist performs a diagnostic bronchoscopy with biopsy. The endoscope was introduced into the bronchus, and attachments were used to perforate the bronchial wall. Tissue was obtained and submitted to the pathologist, who identified it as "lung parenchyma." What type of biopsy was performed?

Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The nurse advice of the client to anticipate pain relief will begin with which period of time? A. 1 to 3 minutes B. 4 to 5 seconds C. 30 to 45 seconds D. 10 to 15 minutes

A. 1 to 3 minutes - Nitroglycerin sublingual tablets onset of action is rapid and duration of action is 30 to 60 minutes

Which product would the nurse instruct intravenous drug users / IUDs to use for cleaning of needles and syringes between uses? a. Bleach b. Hot water c. Ammonia d. Rubbing Alcohol

A. Bleach

Which assessment finding would the nurse observe in a client with bipolar disorder, manic phase? A. Constant singing B. Ritualistic behavior C. Flat affect D. Apathetic Demeanor

A. Constant singing - Typical in a bipolar disorder manic phase -Ritualistic = OCD -Flat affect + Apathetic = Schizophrenic or depressive disorder

Which of these cultural groups uses a combination of yin treatment, and yang treatment to prevent and treat illness? A. East Asian B. Hispanic C. Asian Indian D. Native American

A. East Asian

The nurse is teaching a high school student about scoliosis treatment options. On which priority information would the nurse focus? A. Effect on body image B. Least invasive treatment C. Continuation with schooling D. Maintenance of contact with peers

A. Effect on body image - Major developmental task of adolescent = ESTABLISHING AN IDENTITY / AFFIRMATION OF SELF IMAGE - Image is huge for adolescents trying to "fit in"

Which would the nurse consider to be the center of decision-making when providing client care? A. Ethic B. Nursing Skills C. Analytical skills D. Research-based practice

A. Ethic

Which is the nurse demonstrating when labeling the African-American client a drug abuser for requesting pain medication? A. Ethnocentrism B. Multiculturalism C. Cultural encounter D. Cultural Imposition

A. Ethnocentrism

Which would the nurse do first if an allergic reaction to a blood transfusion transfusion occurs? A. Shut off the infusion B. Slow the rate of the flow C. Administer an antihistamine D. Call the health provider (HCP)

A. Shut off the infusion -PRIMARY FOCUS IS TO PREVENT COMPLICATIONS AND HALT THE ALLERGIC REACTION -Administering an antihistamine is dangerous as an initial action because the degree of the allergic reaction cannot be determined at this time

How does glyburide decrease serum glucose levels? A. Stimulates the pancreas to produce insulin B. Accelerates the livers release of stored glycogen C. Increases glucose transport across the cell membrane D. Decreases absorption of glucose from gastrointestinal system

A. Stimulates the pancreas to produce insulin

Which consistent approach would the nurse use for a client with an antisocial personality disorder? A. Warm and firm without being punitive B. Indifferent and detached but nonjudgmental C. Conditionally acquiescent to client demands D. Clearly communicative of personal disapproval

A. Warm and firm without being punitive

Aripiprazole

Abilify Antipsychotic Side Effects: Sedation Fatigue Weight gain Vomiting Somnolence Tremor

What would a nurse hear when assessing a client suffering from pneumothorax

Absence of breath sounds on auscultation

What manifestation indicates secondary syphilis?

Alopecia and condylomata

Immunoglobulin (IgA)

An antibody that inhibits bacterial growth. Has very low circulating levels and is responsible for preventing infection in upper and lower respiratory tracts, and gastrointestinal and genitourinario tracts

Define isolation

Limiting the exposure to individuals with an infection.

Heparin

anticoagulant (prevents blood clotting) found in blood and tissue cells

Where should a pulse oximetry for an adolescent be placed

Attach the probe to a finger or earlobe

The spouse of a client with pulmonary tuberculosis received a skin test. The nurse examined the skin test and identified an area of induration greater than 10 mm. Which response to this finding would the nurse implement? A. No further action is required at this time B. Additional tests are necessary to determine infection status C. Immediately repeat the skin test for confirmation D. Results are positive, indicating an active infection

B. Additional test are necessary to determine infection status. The test does not indicate whether TB is dormant or active. However, a client with an induration of 5 mm or greater is considered positive

Which structure lies inside and parallel to the sclera? A. Lens B. Choroid C. Conjunctiva D. Collard processes

B. Choroid

Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator? A. Is able to obtain pulse oximeter readings B. Demonstrates use of a metered-dose inhaler C. Knows the health care provides office hours D. Can identify triggers that may cause wheezing

B. Demonstrates use of a metered-dose inhaler

Which of these cultural groups uses a combination of prayers, herbs, and other rituals to prevent and treat illness? A. East Asian B. Hispanic C. Asian Indian D. Native American

B. Hispanic

An adolescent visits the allergy clinic protesting. Which laboratory finding indicates that an allergic's response is in progress? A. Decreased platelet count B. Increased eosinophil level C. Increased lymphocyte count D. Decreased immunoglobin level

B. Increased eosinophil level

Which over-the-counter medications are used to treat vulvovaginal candidiasis? Select all that apply. A. Tinidazole B. Miconazole C. Clotrimazole D. Azithromycin E. Metronidazole

B. Miconazole C. Clotrimazole -Azithromycin = Treats chlamydia -Metronidazole = Treats bacterial vaginitis and trichomoniasis - Tinidazole = Treats trichomoniasis

Which culturally based behavior would the nurse expect to observe in an Asian client who has symptoms of anxiety and panic? A. Reluctance to take medication B. Minimal eye contact C. Desire to have an Asian nurse D. Offense at being touched

B. Minimal eye contact - As a show of respect, people in Asian cultures tend to make little eye contact, particularly with people perceived as authority figures.

When making rounds, the nurse observes a client who is experiencing a seizure. Which action would the nurse take? A. hyper extend the clients neck. B. Move obstacles away from the client. C. Restrain the clients body movements. D. Attempt to place an area in the clients mouth.

B. Move obstacles away from the client. -RESTRAINING MAY INJURE CLIENT

An 8-year-old child has experienced the death of a sister. The child begins to ask many questions about what happens to the body after death. The parents wonder if this is abnormal behavior picked up from playing video games. Which is the best response by the nurse? A. Playing video games can cause morbid behaviors B. School-aged children are inquisitive and ask a lot of questions about death C. Children handle the event of death more realistically than adults do D. Giggling, attracting attention, and playing are the usual ways of dealing with death

B. School-aged children are inquisitive and ask a lot of questions about death A. Playing video games can cause morbid behaviors - Video games don't change how children deal with death C. Children handle the event of death more realistically than adults do - More of an adolescence thing not school-age D. Giggling, attracting attention, and playing are the usual ways of dealing with death - Preschool reaction

Which concept would the nurse consider when caring for school-aged children who are obese? A. Which concept would the nurse consider when caring for school-aged children who are obese. B. There are familial influences on childhood eating habits. C. Childhood obesity is usually not a predictor of adult obesity. D. Children with obese parents destined to become obese themselves.

B. There are familial influences on childhood eating habits. - Childhood obesity is KNOWN predictor of adult obesity - Children with obese parents are NOT necessarily destined to become obese themselves

protamine sulfate

antidote for heparin

Which response would the nurse make to a client who says, "I feel so guilty. None of this makes any sense. Everyone must really think Im crazy, after performing a complex ritual?" A. Your behavior is bizarre, but it serves a useful purpose B. You're concerned about what other people are thinking about you C. I am sure people understand that you can't help this behavior right now D. Guilt serves no useful purpose. It just helps you stay stuck where you are.

B. You're concerned about what other people are thinking about you - Paraphrasing encourages further ventilation of feelings and concerns

The nurse is evaluating the results of the treatment with Erythropoietin . Which assessment finding indicates an improvement in the underline condition being created? A. 2+ pedal pulses B. decreased Pallor C. decreased jaundice D. 2+ deep tendon reflexes

B. decreased Pallor

Ethnocentrism

Belief in the superiority of one's nation or ethnic group.

Which of these cultural groups adopts a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness? A. East Asian B. Hispanic C. Asian Indian D. Native American

C. Asian Indian

hyperglycemia

high blood sugar

Hypernatremia

high sodium

The parents of an adolescent treated for allergies privately tell the nurse that they suspect that their child is a hypochondriac. Which therapeutic response would the nurse provide? A. Explaining potentially serious complications of allergies B. Explaining that the parents may be transferring their fears to their adolescent C. Discussing developmental behaviors of adolescents D. Discussing some of the underlying causes of hypochondriasis

C. Discussing developmental behaviors of adolescents - Adolescents are very aware of their changing bodies and become especially concerned with any alteration resulting from illness and injury - In school and bodies are changing and growing rapidly - BIG CHANGES TO BODY = SELF CONSCIOUS

A new mother says to the nurse, "I would like to care for my baby independently rather than depending on the baby's grandparents." From this information, which culture would the nurse infer that the new mother belongs to? A. Asian culture B. African culture C. North American culture D. Latin American culture

C. North American culture - Possess individual characteristics

During what stage of development are boys and girls classified as different very little in terms of size? A. Toddler B. preschool C. School-age D. Adolescence

C. School-age

Which is the middle layer of the eyeball? A. Sclera B. retina C. uveal tract D. transparent cornea

C. uveal tract

Which manifestation indicates primary syphilis?

Chancre

What STI is most commonly reported?

Chlamydia

What STI is the most common?

Chlamydia

Hypospadias is often associated with what

Chordee

Acute Postinfectious Glomerulonephritis symptoms

Classic sign of this is Cola colored (red-brown) urine. Other signs are: sudden onset of flank pain, irritability, malaise, fever, gross or microscopic hematuria, dysuria, edema, hypertension & oliguria.

Pneumothorax (PTX)

Collapsed lung due to trauma or a spontaneous small rupture of the lung

cultural encounters

Cross-cultural interactions that provide opportunities to learn about other cultures and develop effective intercultural communication

Which factor increases an adolescents risk for injury in the community? A. Employment B. Eating disorders C. Sleep deprivation D. Distracted driving

D. Distracted driving

Which of these cultural groups uses a combination of prayers, herbs, chanting, supernatural, psychological factors to prevent and treat illness? A. East Asian B. Hispanic C. Asian Indian D. Native American

D. Native American

Hyperthermia occurs when: A. Snowmobiling B. Skiing in the winter C. Hiking Alaskan mountains D. Performing strenuous activity in high humidity

D. Performing strenuous activity in high humidity

Which key factor assists the nurse in assessing how a client will cope with the body image change after an above-the-knee amputation? A. Extent of the change B. Suddenness of the change C. Obviousness of the change D. Personal perception of the change

D. Personal perception of the change - Reality of the situation is not the important issue at this, but the clients feelings or perceptions about the change are the most important determinant of the clients ability to cope.

The nurse manager works on a unit where the nursing staff members are uncomfortable taking care of clients from cultures that are different from their own. Which action would the nurse manager take to address this problem? A. Assign articles about various cultures so that the nurses can become more knowledgeable B. Relocate the nurses to units where they will not have to care for clients from a variety of cultures C. Rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures D. Plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work

D. Plan a workshop that offers opportunities to learn about the cultures the nurses might encounter while at work - Provides opportunity to discuss cultural diversity and ask questions - ROTATING NURSES ASSIGNMENTS WILL CAUSE TENSION ON UNIT

What is a major causative factor for painful episodes associated with sickle cell anemia

Dehydration/Drinking less fluid

Delusions of nihilistic

Delusions of total or partial non existence

Lethargy occurs due to what in a patient with type one diabetes

Due to a lack of metabolize glucose for energy

Supraventricular Tachycardia (SVT)

Episodes of abnormally fast/racing heartbeat

The Denver II developmental screening test

Evaluate gross, fine motor skills, as well as social and language skills

Clozapine side effects

Side effects: NEUROLEPTIC MALIGNANT SYNDROME, sedation, salivation, dizzy, H/A, tremors, sleep problems, akinesia, fever, seizures, confusion, insomnia, slurred speech, dystonia, tachycardia, hypo/hypertension, blurred vision, drooling, constipation, abd pain, N/V/D weight gain, dry mouth, urinary abnormalities, leukopenia, agranulocytosis, rigidity, diaphoresis, death (demented geriatrics)

Immunoglobulin (IgM)

First antibody formed by newly sensitized B-lymphocyte plasma cell,

Determinism belief

Focuses on the outcomes that are externally preordained and cannot be changed

What are Condylomata Acuminate?

Genital warts caused by HPV (exclusively?)

Celiac disease is also called

Gluten induced enteropathy

What manifestation indicates tertiary syphilis?

Gummas

Which is better for a patient suffering from asthma, hardwood floor or carpet?

Hardwood floor without a rug

Which is more hypoallergenic, hardwood floors or rugs/ carpet?

Hardwood floors

Immunoglobulin G (IgG)

Heavily expressed on second and subsequent exposures to antigens to provide sustained, long term immunity against invading microorganisms

Should the nurse use a hospital provided interpreter or a clients family member to translate?

Hospital Provided Interpreter

Should a nurse use a hospital provided translator or clients family member to communicate with a patient who speaks another language?

Hospital provided translator

What sti infection causes Condylomata Acuminate?

Human Papillomavirus /HPV

Which treatment would the nurse anticipate for an infant admitted with bronchiolitis caused by respiratory syncytial virus / RSV?

Humidified cool air and adequate hydration

Sodium retention is a sign of

Hyper adrenaline

Sign of excessive adrenal hormones is

Hyperglycemia

Intravenous solution of .45% sodium chloride is hypotonic or hypertonic ?

Hypertonic

diaphoresis occurs with

Hypoglycemia

after an adrenalectomy what is important to monitor

Hypotension

When you think adolescent behavior you should think...

Identity and appearance

What causes varicose veins?

Incompetent valves of superficial veins

Hinge joint

Joint between bones (as at the elbow or knee) that permits motion in only one plane

Biomedical belief

Maintain that health and illness are related to physical and biochemical processes with disease being a breakdown of the processes

depressive disorders

Mood disorders in which the individual suffers from depression—an unrelenting lack of pleasure in life.

Immunoglobulin (IgE)

Most common immune system- produced antibody involved in allergic asthma and rhinitis - Associated with hypersensitivity reactions

School each client who is 11 years old requires how much sleep?

Nine hours of sleep

Morphine Sulfate

Opioid Analgesic

Where is the cotton ball placed when administering ear drops to a 4 year old?

Outermost part of ear canal

Sociocultural mores Implies

Person is developing conscience

Void

incomplete relaxation or overactivity of the pelvic floor muscles during voiding (urination). Your urinary tract includes the organs that collect and store urine and release it from your body.

Hypervolemia

increased blood volume

When obtaining a health history from a client recently diagnosed with type one diabetes, the nurse expects the client to report which clinical manifestation?

Polyuria

Define cohorting

Practice of grouping clients who are colonized or infected with the same pathogen.

Raloxifene prescribed for

Prevention and treatment of osteoporosis in post menopausal women

cultural competence

Process in which the health care provider strives to achieve the ability to work effectively within the cultural context of a client, individual, family, or community.

Acute Postinfectious Glomerulonephritis

Prototypical immune complex disease following an infection with certain strains of group A streptococci

Which colors are often included in an organizational disaster plan for using during triage?

Red, Black, Green, Yellow

Rifampin causes body fluids and teeth to turn

Reddish-orange

Simavastatin

Reduces "bad" cholesterol and triglycerides while increase"good" cholesterol Also used to lower the risk of stroke, heart attack, and other heart complications in people with diabetes, coronary heart disease, or other risk factors.

What does hydrocortisone do for an Rheumatoid arthritis patient?

Reduces inflammation because steroid have anti-inflammatory effects that reduce arthritic pannus formation

Define colonizing

Refers to the development of an infection in the body

Furosemide does what?

Relieves fluid retention/volume

Risperidone

Risperdal Antipsychotic Side Effects: drowsiness; tardive dyskinesia; dizziness; constipation; hypersensitivity; NMS; hyperglycemia; dysphagia; priapism

Hypospadias and chordee can leed to what in a child future?

Sexual difficulties

How should IDUs be instructed to clean needles and syringes?

Should be instructed to fill syringes with household bleach and shake syringe for 30 to 60 seconds.

bone and socket joint example

Shoulder

Magicoreligious

Supernatural powers predominate in area of health and illness Examples include voodoo, witchcraft, and faith healing

Azathiopine, cyclosporine, prednisone all do what?

Suppress the immune system decreasing the body's productions of antibodies in response to the new organ, which acts as an antigen

myringotomy

Surgical opening into eardrum to permit drainage of accumulated fluid associated with the otitis media

What should you say/do when a patient expresses fear of a procedure?

Tell me what frightens you and allow them to talk about the fear to provide them an opportunity to express the feelings and fears - NO BELITTLING

How long is a child kept on their side when administering ear drops to a 4 year old?

The child is kept in side-lying position for 2-3 minutes

When administering ear drops to a 4 year old the auricle should be pulled how?

The nurse would pull the auricle up and out

palliative treatment

Therapy that reduces the effects of a disease or condition but does not remove the disease itself

hypospadias

abnormal congenital opening of the male urethra on the undersurface of the penis

Hypotension

abnormally low blood pressure

Morning sickness disappears by the end of which month?

Third month

TRUE OR FALSE The nurses have a responsibility to teach

True

Endrophonium chloride test

Uses a medication that is cholinergic and anticholinesterase, it blocks the action of cholinesterase at the myoneural junction and inhibits the destruction of acetycholine.

When do symptoms occur with sickle cell anemia?

When a patients drinks less fluid. - Dehydration precipitates sibling of red blood cells and is a major causative factor for painful episodes associated with sickle cell anemia.

Cultural imposition

When one person imposes his or her beliefs, values, and practices on another because he or she believe his or her ideals are superior

What indicates digoxin toxicity?

Yellow vision

digoxin tocixity includes

Yellow vision

myasthenia gravis

a chronic autoimmune disease that affects the neuromuscular junction and produces serious weakness of voluntary muscles

Chordee

a downward curvature of the penis, often associated with hypospadias

Flat affect

a lack of emotional responsiveness - Schizophrenic or depressive disorder

Double bind

a situation in which an individual is given two different and inconsistent messages.

Apgar scale

a standard measurement system that looks for a variety of indications of good health in newborns

sedentary lifestyle

a way of life that involves little physical activity

Increased eosinophils indicate

allergic reaction

Anorexia nerviosa

an eating disorder that involves self-starvation, a distorted body image, and low body weight

Clozapine

atypical antipsychotic Side effects: NEUROLEPTIC MALIGNANT SYNDROME, sedation, salivation, dizzy, H/A, tremors, sleep problems, akinesia, fever, seizures, confusion, insomnia, slurred speech, dystonia, tachycardia, hypo/hypertension, blurred vision, drooling, constipation, abd pain, N/V/D weight gain, dry mouth, urinary abnormalities, leukopenia, agranulocytosis, rigidity, diaphoresis, death (demented geriatric

Delusions of grandeur

belief that you enjoy greater power and influence than you do

Delusions of control

believe their feelings, thoughts, and actions are being controlled by other people

Biaxial joint

bone moves in two planes or axes

Digoxin is used to treat

congestive heart failure

Glyburide is used to treat

diabetes

Enteropathy

disease of the small intestine

hinge joint example

elbow and knee

Polyuria

excessive production of urine

Diaphoresis

excessive sweating

Nocturia

excessive urination during the night

cordectomy

excision of all or part of vocal cord; AKA debarking

haloperidol side effects

extrapyramidal symptoms VERY HIGH

Hypoglycemia

low blood sugar

Hypokalemia

low potassium in the blood

Celiac disease

malabsorption syndrome caused by an immune reaction to gluten

auditory ossicles

malleus, incus, stapes

Pivot joint examples

neck

Naloxone

opioid antagonist

pallor

paleness

Culture shock

personal disorientation when experiencing an unfamiliar way of life

Biaxial joint example

radiocarpal joint of the wrist

Erythropoietin stimulates what ?

red blood cell production

ritualistic behavior

repetitive behavior, habits, or routines that serve to lower anxiety -OCD

Pivot joint

rotating bone turns around an axis; i.e. connection between radius/ulna and humerus

extrapyramidal symptoms

side effects such as restlessness, involuntary movements, and muscular tension produced by antipsychotic medications

what are gummas? when are they seen?

space-filling lesions with granulomas in tertiary syphilis

thoracentesis

surgical puncture to remove fluid from the pleural space

adrenalectomy

surgical removal of one or both adrenal glands

delusions of persecution

the belief that people are out to get you

Angle of Louis, Carina

the junction between the body of the sternum and the manubrium; the starting point for locating the ribs anteriorly

Ambivalence

the state of having contradictory or conflicting emotional attitudes / Opposing emotions simultaneously

Isotonic

when the concentration of two solutions is the same