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narcoleptic nurses
final
| Question | Answer |
|---|---|
| What is a common symptom of pyelonephritis? | flank pain |
| what is the priority nursing measure for a pt with head and neck burns? what would you focus on? | Airway |
| for wound healing what would you be telling your pt to eat? | protein and vit c |
| what foods are rich in iron | green leafy veggies and organ meats |
| what is the most serious drug allergy reaction | anaphylaxsis |
| when skin testing is done to confirm allergies..if you reply scratch test would that be correct? | correct |
| in the rehab of burn care the nurses primary concern is to provide intervention to what? | preventing infection |
| a pt has partial to full thickness burn on 25% of his body surface. he is in danger of suffering what type of shock? | hypovolemic because of fluid losses/shifts |
| you initiate measures to promote adequate fluid balance in a pt with full thickness burns. which of the following would indicate that the measures need to be reassessed? | urinary output of 200 cc in 10 hours |
| which of the following nursing intervention would be most important during the emergent phase of burn care? | establish an airway |
| after being stung by a bee the pr becomes edematous and she begins to wheeze based on that assessment you would be prepared to administer what? | epi 0.1-0.5 |
| a pt with low RBC count may have what? | tachycardia |
| an important nursing care goal to establish for a pt who has iron deficient anemia is what? | alternate a period of activity and rest to balance o2 supply and demand |
| a pt who develops acute glomerulonephritis may give a history of what? | upper respiratory infection |
| how much blood does a drip set deliver? | 10 |
| what would you do if they had a reaction to the blood admin? | stop it, infuse saline and call md |
| what would you have at the bedside when admin blood? | saline |
| what is the flow rate for the transfusion? | 42 |
| fluid loss that cannot be accurately measured is aka immeasurable loss. a body function through which this loss occurs is what? | perspiration |
| you are admin a 150 cc bag of vancomycin in one hr with a macro drip infusion set the flow rate is what? | 25 |
| an order for iv therapy reads 1000 D5W NS with 20 meq of potassium 500 D5W 1000 1/2 NS with one multivitamin. the infusion set you should select to infuse the IV is what? | macrodrip |
| for a regular IV you would choose what? | macro |
| the flow rate for the IV fluid itself would be what? | 17 drops |
| if you suspect a pt has thrombophlebitis at the IV site what would you do first? | remove the catheter |
| if the pt IV has infiltrated you will find that the site? | swollen and cool to touch |
| what do you usually do as a monitor for a pt with fluid imbalance? | daily weights |
| the urine of a dehydrated pt has what characteristic? | high specific gravity because its more concentrated |
| which of the following would be a sign of dehydration in a 2 month old with vomitting and diarrhea? | absence of tears when crying |
| what is the buffer system of the body primarily to do? | it prevents acid imbalance in the body |
| if you are giving fluid to a pt at KVO rate what is the infusion set that you should use to deliver how much? | 60 |
| if the pt has an internal vascular access for hemodialysis to assure patency of the access you would do what? | palpate for a thrill |
| where is the largest amount of fluid located in the body? | intracellular |
| a pt suffering from severe burns usually develops shock because of what? | loss of large amount of plasma in the blood |
| how does the resp system attempt to help the body correct a state of acidosis? | increasing your respirations( hyperventilating) |
| which of the following would you most likely observe in a pt who has retained excessive fluid? | daily weights/ weight gain |
| which of the following electrolytes help the body retain fluids? | sodium |
| in addition to blood buffers other body systems that work to keep the ph of the body within a normal range is? | resp and kidneys |
| besides building bone and teeth calcium is important for the following activity? | blood clotting |
| the med assoc with the loss of potassium is what? | lasix |
| retinal detachment results in the loss of vision because of what | blood suply to the retina is impaired |
| when giving a pt eye drops the med should fall in the | inside the lower lid |
| prevention of corneal dryness is an important nursing diagnosis. it is accomplished by doing what | frequent application of prescribed lubricant |
| when ambulating a blind residnet of a long term care facility which of the following indicates the best technique | allowing the resident to take your arm and follow you to the destination |
| a mother brings her 12 month old child to a clinic where she is diagnosedwith otitis media. which of the following signs should the mother be taught to watch for that the infection has reaccurred | tugging on the ear |
| ear drops would be properly instilled in an adult pt when which of the following action is taken | the oracle is pulled up and back |
| which of the following should be included in the discharge teaching for a child who has had a bilateral myringotomy with tubes | prevention of water in the ears |
| a pt who had cataract extraction is being prepared for discharge a pt recieves instruction on self care. which statement by the pt indicates that he understands the instructions | i won't lift heavy objects |
| during a post op period the pt should be observed for s/s of complications of cataract surgery | sharp pain in the eye NO PAIN after CATARACT SURGERY |
| what is the purpose of mydriatic drops | dilate the eyes |
| when admin the prescribed antibiotic ointment the practical nurse should apply the oinment how | call melissa |
| which of the following snacks is most appropriate for the nurse to serve to the pt with acute renal failure to control potassium levels | gelatin |
| after being diagnosed with chronic glomerularnephritis the pt asks why she has anemia when the problem is in her kidneys the nurse understands that one factor is? | the healthy kidney produces erythropoietin so without a healthy kidney..it don't:) |
| a 48y/o pt has urge incontinence. when assessing the pt you would expect to find which of the following symptoms | unable to make it to the bathroom and pees on self |
| what measures should the nurse take to protect the pt from a UTI with a pt with a foley cath inserted | clean the urinary meatus 3 times in 24 hours |
| on the outer surface of the lower lid | |
| a pt is admitted to same day surgery for cataract extraction of the right eye. antibiotic ointment and mydriatic eye drops are ordered which of the symptoms indicate a cataract? | blurred vision |
| you would be correct explaining to a pt that otosclerosis can be treated by performing | stapeendectomy |
| the pt asks the nurse to repeat the term that the md used to describe a procedure in which the eardrum will be (increased? inside?) | myringotomy |
| which one of the following activities described by the pt is most likely assoc with a diagnosis of otitis externa | belonging to a swim team |
| if a pt having taken each of the following group of drugs for a prolonged period of time which one is most likely to contribute to the formation of a cataract | corticosteriods |
| when your reading a MD notation concerning a client with cataracts you would most likely find a reference to | opacity of the lens |
| a pt has understood a MD explanation an iridectomy for the tx of his glaucoma when he says that this procedure will | create a drainage channel to divert where the water is going |
| if a client with glaucoma is most likely to tell the nurse what | they see halos around lights |
| you would be correct in explaining that when tears form they flow across the eye and drain into what | nasal lacrimal duct |
| a pt asks you to explain what the optometrist meant when he said he was myopic | nearsighted |
| in response to a pt question which information of astigmatism is most correct. it is a visual impairment that occurs from what | unequal curvature of the cornea |
| to help a blind client be as self sufficient as possible the most traditional method of explaining the food on the plate | the numbers on the face of a clock |
| which of the following is the best recommendation the nurse would make to an individual worker for preventing eye trauma | wear safety goggles when working |
| if a foreign body is seen floating in the conjunctiva it would be best for the nurse to | remove the cotton swab |
| when you explain the process by which light passes through the eye and is focused on the retina..you would be most accurate in using the term | refraction |
| tracey has impaired hearing to start communication you would do what | face her when speaking |
| what is the most important task to perform if angioedema is developed following admin of a drug | maintain airway patency |
| when discussing pressure ulcers you state that the problem begins to occur because | an area of soft tissue has been deprived of blood supply |
| when an old person has a UTI they present with what symptom | altered mental status |
| what are you going to tell a pt that is taking pyridium | its going to turn your crap orange(tears, sweat) |
| before a pt goes for an IVP what should you assess | an allergy to shellfish iodine |
| which of the following findings on a routine urinalysis report would indicate an abnormal result | 3+protein |
| pt has stress incontinence..part of tx teaching | kegal's |
Created by:
lmtherrera
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