Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
NURSING REVIEW
PSYCH TECH 91
| Question | Answer |
|---|---|
| The Psychiatric Technician is assisting an 86-year old male client with bowel training. which of the following is an appropriate goal for this client? | Resume the previous pattern 3x a week bowel movement. |
| The 81-year old client is complaining of difficulty moving her bowels. Which of the following mediations taken by the client is the one most likely to be causing this problem? | Artane |
| It has been determined that the client is impacted with feces. Which of the following actions would be the most appropriate for the Psychiatric Technician to take first? | Administer an enema as prescribed by the physician |
| The 92 year-old client's BP at 10:00 am was 138/88. At 3:00 pm it is found be 110/76. Which of the following actions by the Psychiatric Technician would be most appropriate for this client? | Recheck the blood pressure and report the findings to the charge nurse. |
| The Psychiatric Technician is helping a group of teenage mom-to-be understand how to use the food pyramid. Which of the following food choices would satisfy the intake requirements according to the guidelines on the food pyramid for a day? | 1 serving of broccoli, 2 small apples, 1 banana, 1 carrot, I tomato |
| The Psychiatric Technician observes a human bite on the arm of a client who has just been in a fight. Which of the following is the most appropriate action for the Psychiatric Technician to take first? | Wash the wound with soap and water and apply a bandage |
| The Psychiatric Technician is caring for a client who received a human bite on the arm. After the washing the wound with soap and water and dressing it which of the following would be the most appropriate action to take next? | Call the Physician for further instructions |
| What should the Psychiatric Technician do for a 12 year-old client who developed a nose bleed after walking into a pole.? No other injuries are present and no alternation of consciousness is evident. | have the client sit in a chair and pinch the nose shut |
| The Psychiatric Technician is giving first aid to a client with a laceration in the right forearm. After applying pressure directly over the wound and elevating the affected arm the bleeding continues. Which of the following would be most appropriate? | Apply pressure at a pressure point in the upper arm of the affect arm. |
| Which of the following described the proper technique for applying a pressure dressing after prior attempts to stop or slow the bleeding from a client's arm have not worked? | Apply the bandage with traditional pressure and use overlapping turns with a roller bandage. |
| In a postoperative patient, forcing liquids helps prevent_____? | Constipation |
| Forced feeding through a gastric tube is called? | Gavage |
| A client with hepatitis A needs to consume a diet... | Moderately high in fat and high in carbohydrate and should eat the largest meal in the morning. |
| A patient with acute renal failure should receive.. | A high calorie diet that is low in protein and may be low in potassium and sodium |
| In an adult, a hemoglobin level below 11mg/dl suggest that the patient has_____ and needs further evaluation | Iron deficiency anemia |
| The consumer who is taking a liquid iron preparation should be taught.. | To take the iron through a straw to avoid staining teeth |
| Anuria refers to a daily urine output of less than___ ml. | 100 |
| During colostomy irrigation, the irrigation bag should be hung____ above the stoma. | 18 inches |
| Pernicious anemia results from failure to absorb____ in the GI tract and causes primarily GI an neurologic signs and symptoms. | Vitamin B12 |
| A patient in a bladder retraining program should be given the opportunity to void____ during the day and twice at night. | Every 2 hours |
| A consumer has been instructed to obtain a stool a sample for ova and parasite test. Instructions should include: | Take specimen to the lab without delay or refrigerate |
| When care for a patient with a nasogastric tube, the Psychiatric Technician should intake: | A water soluble lubricant |
| An acetaminophen (Tylenol) overdose can severely damage the: | Liver |
| An 83year old complains to you about chronic constipation. Which dietary recommendation would you make? | Increase foods high in fiber |
| Oral care for a consumer with stomatitis includes: | Mouth rinse with hydrogen peroxide and water three times a day. |
| The client with a history of right side heart failure should be monitored for which of the following symptoms? | Peripheral edema |
| The client with a history of left side heart failure should be monitored for which of the following signs or symptoms? | Dyspnea |
| Which of the following best describes the "Babinski" sign? | Movement of the great toe upward and fanning of the other toes. |
| The lab results indicate that the client has a fasting blood glucose level of 100 mg/dl. What action by the Psychiatric Technician would be most appropriate ? | Notify the physician and take no other action |
| The client receiving Lasix has a serum potassium level of 4.9 mEq/L. What action by the Psychiatric Technician would be most appropriate for this client? | Notify the Physician, if requested; take no other action |
| The client's hematocrit is 39% following a hysterectomy. There is no unusual post op bleeding. Which action by the Psychiatric Technician would be most appropriate for this client? | Notify the physician; prepare to give a bolus of normal saline. |
| The Psych Tech is preparing to make a bed occupied by the client. Which of the following is the first action to be taken by the Psych Tech? | Place the bed at a waist level |
| The Psych Tech is preparing a client for a elective surgery that will take place in 2 weeks. The client is taking a variety of medications including an MAOI. After checking with the physician, which of the following instructions would the Psych Tech offer | Stop taking the MAOI 2 weeks prior to the surgery |
| The client is receiving tube feedings while recovering from ingestion of Iye. Following the feeding the client complains of abdominal cramping> which of the following is the most likely cause of this? | The feeding was administered too quickly |
| The client with depression is being treated for fractured ribs. She has no other medical problems. Which of the following would be the most appropriate diet for this client? | Well balanced diet |
| The Psychiatric Technician is assisting the client with inflammatory bowel disease to complete his hospital menu. Which of the following would be appropriate items to be included in this client's diet? | Broiled fish |
| The client with full and lower dentures is experiencing a grand mal seizure. which of the following actions is the most appropriate for the Psychiatric Technician to take at this time? | Do nothing, as the seizure must run it's course |
| The client you are caring for has recently discovered he is allergic to tomatoes. Which of the following actions by the Psychiatric Technician would be most appropriate? | Instruct client that a serious reaction does not occur if the client has a previous sensitivity to the allergen. |
| Which of the following measures will the Psychiatric Technician carry out to help the client on bed rest avoid pressure sores in the most common location? | Turn the client from side to side relieving pressure on the sacrum. |
| When assisting a client to a chair from a bed, it is the Psychiatric Technician's major responsibility to... | maintain safety |
| When pressure is applied to patient's toes causing them to be positioned in plantar-flexion for an extended period the primary complication that may arise is.. | Alteration in the length of the muscles in the feet |
| When teaching the patient to use crutches it is most important to.. | Be sure they understand that their body weight is primarily supported by the hands and arms |
| When the Psychiatric Technician is practicing good hand washing technique, she will turn off the faucet: | With a paper towel |
| Which actions would yield the most accurate oral temperature after the client has just smoked a cigarette? | Wait 15 minutes to take the temperature |
| Which area must be suctioned first when using a single catheter? | Tracheostomy |
| Which bed positioned is most likely to help a client with breathing difficulties: | Fowler's position |
| Which blood pressure reading would be regarded as hypertension in the adult: | Over 160mm Hg systolic and/or 110 mmm Hg diastolic. |
| Which blood sugar is in the normal range for blood glucose? | 90 |
| Which blood sugar would necessitate holding the dose of insulin and notifying the physician ? | 30 |
| Which blood sugar would require administration of extra insulin? | 150 |
| Which of the following conditions, in addition to trauma, contributes to disorientation in the elderly who have recently been admitted to the hospital? | New surroundings and routines |
| Which of the following drinks would make a hypnotic less affective? | Mountain Dew. |
| Which of the following statements made by the patient indicates that the teaching you have given them about crutch walking using a swing through gait has been effective? | "I will have both crutches move forward first, followed by both legs, returning the weight of the body to the uninjured Leg" |
| Which procedure is necessary when removing liquid medication from a glass vial? | Inject air into the vial to displace the liquid to be removed |
| Which solutions would the Psychiatric Technician instruct the family to purchase for tracheostomy care? | Normal saline and hydrogen peroxide |
| Which symptoms are most characteristic of immune compromised clients: | Fatigue, night sweats, intermittent fever, and severe diarrhea |
| Which technique is correct when suctioning a client? | Enter the trachea without suction applied |
| Who should check insulin dosages prior to administration to the client? | The Psychiatric Technician administered the dosage and another licensed person. |
| You are checking a patient's nasogastric tube for residual. Which result would cause you concern? | 120cc |
| You are doing perineal care for an adult developmentally disabled female with contractures. You would clean the perineal area in the following way: | From front to back, urethra to anus |
| You have an order to give your patient regular and NPH insulin at the same time. Which procedure below is correct? | Call pharmacy to obtain premixed insulin in the correct concentration |
| Your client has a 3-way catheter inserted as gastrostomy tube. One port is for the balloon, the second is for flow of the feeding. What is the third port used for? | Release of gas |
| To ensure the success of a treatment for scabies the Psychiatric Technician know they should follow it with: | Leave the solution on for 48 hours |
| A moderately retarded development disabled client tells the Psychiatric Technician he has reddish bump that is not sore on his penis? The Psychiatric Technician notifies the physician as this may be indicative of? | Syphilis |
| A patient diagnosed with a Stage III decubitus needs wound care. The Psychiatric Technician cleans the wound with an antiseptic | From clean to dirty |
| A patient who has liver disease would receiving a diet restricted in: | Sodium and fluid |
| A pedal pule site is used to: | Determine circulation to the foot |
| A pulse rate of 140 beats per minute is known as: | Tachycardia |
| Ascites is best described as: | An accumulation of fluid in the peritoneal cavity |
| Communicable disease are: | Diseases that can be transmitted from one person to another |
| Coronary artery disease is a condition in which there is: | A narrowing of coronary arteries sufficient to prevent adequate blood supply. |
| Organisms that are normally found in the body are called: | Flora |
| Patients may acquire infections while in the hospital setting. These infections are called: | Nosocomial |
| Smoking is prohibited in the room of a patient with COPD receiving oxygen because: | Oxygen supports combustion |
| The client is preparing to self-administer eye drops. Which of the following would be the first action to be taken by the client? | To wash his hands |
| The client recovering from abdominal surgery asks when his NG tube will be removed. Which of the following would be the best response by the Psychiatric Technician ? | "When you have bowel sounds and pass gas rectally." |
| The Psychiatric technician is assessing the client's fluid status. Which of the following is the best indication of this in the adult client? | Skin Turgor |
| The Psychiatric Technician is caring for a client who is recovering from a fractured fibula but who has no other physical problems. Which of the following diets would be the most appropriate one for this client? | Well balanced diet |
| After days in the cast, the Psychiatric Technician noticed swelling of the patient's right toes. The Psychiatric Technician suspected circulatory impairment. The most important diagnostic finding to look for would be: | Numbness and tingling in the right toes. |
| The patient experiences angina pectoris. The Psychiatric Technician knows that this symptom manifests itself as: | Severe pectoral pain |
| Patients diagnosed with a stroke and is in Phase 2 of their rehabilitation. During this phase the patient is encouraged to strengthen their muscles and help themselves. What is the best way to help them achieve these goals: | Provide them with finger foods |
| The patient has had a coffee grounds emesis. The Psychiatric Technician knows that the patient probably has: | Had a recent GI bleed that has subsided |
| The Physician orders a stool specimen for ova and parasites (O&P) The Psychiatric Technician will be conscious of which of the following principles? | The Specimen must be kept warm and taken to the laboratory within thirty minuets. |
| The population at greatest risk for developing cirrhosis of the liver are: | Alcohol abusers |
| The Psychiatric Technician knows that skin is impenetrable to most organisms if its: | Unbroken |
| The Psychiatric Technician has been invited to talk at a High School Healthy Day. Which Rh factor incompatibility would the Psychiatric Technician describes as on that would place the fetus at risk. | Rh negative blood and the fetus has Rh positive blood |
| The Psychiatric Technician has just completed the A.M. care for his/her assigned client. What is the safest action the Psychiatric Technician should take before leaving the bedside. | Put both side rails up on and place the bed in the low position |
| The Psychiatric Technician is helping a post-surgical keep record of intake and output. The patient consumed 8 ounces of milk, 4 ounces of coffee, 2 ounces of jello, and 2 ounces of ice cream. What would be recorded as intake? | 480 ml |
| The client is receiving Lodine (etodolac) and should be given which of the following instructions? | Avoid the concurrent use of alcohol, aspirin and NSAIDs. |
| The client is experiencing speech difficulties while recovering from a cerebral vascular accident. Which of the following actions should the Psychiatric Technician take to minimize frustration caused by communication problems? | Listen and observe for all nonverbal cues |
| The client is recovering from a MI. The Psychiatric Technician knows that the MI is least likely going to affect which of the following? | The client's ability to make decisions |
| The client with a positive wound culture is managed with which of the following isolation precautions? | Contact precautions |
| The client Admitted to the unit has an initial diagnosis of active T.B. Which of the following is true about the care of this client? | All hospital personnel exposed to this individual must use a specially fitted facemask. |
| The Psychiatric Technician is helping to plan the activity for a client recovering from an MI. Which of the following would be actions to be taken the client? | Follow a low sodium diet. |
| The client experiencing communication difficulties while recovering from a from a cerebral vascular accident. Which of the following interventions should the Psychiatric Technician take? | Restate verbalizations to see if correct meaning is understood. |
| Which of the following helps a child cope with procedures to be done in a hospital? | Allow the child to handle the equipment ahead of time, when possible. |
| The client is having some impairment of swallowing following a stroke. Which of the following actions will help reduce the likelihood of the client aspirating his foods? | Reduce distractions in the room. |
| When assisting the client to transfer from the bed to a chair it would be important for the health care worker to do which of the following? | Flex knees and keep feet about 18 inches apart when lifting. |
| Professional accountability requires that the Psychiatric Technician: | Assume ethical responsibility for the client |
| The client's family ask why their family member has been restrained. The Psychiatric Technician replies that the restraints are used primarily to: | insure the safety of the client |
| When establishing goals for nursing care of clients with actual or potential sensory alternations, the Psychiatric Technician will include measures with: | Focus on function of compromised senses. |
| The target distance that the Psychiatric Technician will use for insertion of a nasogastric tube is from the: | Tip of the nose to the ear to just below the xiphoid process. |
| The Psychiatric Technician will position the client who is orthopneic in which of the following positions? | Fowler's |
| Which of the following statement is most appropriate for the Psychiatric Technician to make in order to determine how well the client is adapting to the process of transferring from the bed to a chair? | " Do you feel light headed or dizzy ?" |
| While lying in the dorsal recumbent position, the leg externally rotates. In order to prevent this, the Psychiatric Technician will utilize which of the following devices ? | A trochanter roll |
| The client with an indwelling urinary catheter is being transferred to a wheelchair. In order to prevent reflux of urine into the bladder, the Psychiatric Technician should plan to: | Hang the drainage bag on the chair at a site below the client's hips. |
| Which of the following physical signs will require more assessment by the Psychiatric Technician? | Respiratory rate of 30 |
| The client is on a turning and positioning schedule. When the client is turned, the Psychiatric Technician notes a small red area on the coccyx. The initial nursing intervention is to: | Order an air mattress for the bed |
| The Psychiatric Technician is legally required to: | Notify authorities about instances of child abuse. |
| When provided care to clients with varied cultural backgrounds, it is imperative that the Psychiatric Technician understand that: | Current health standards should allow cultural practices in the clinical setting if safe |
| When describing the rhythm, cadence, speed and style of walking in the client's record, the psychiatric technician is charting the client's: | Gait |
| The doctor's order states to give 0.25 Gm. of digoxin daily. The Psychiatric Technician will: | Call the doctor and question the order. |
| The patient experiences angina pectoris. The Psychiatric Technician knows that this symptom manifests itself as: | Severe pectoral pain. |
| The Patient has had a coffee grounds emesis. The Psychiatric Technician knows that the patient probably has: | Had a recent GI bleed that has subsided |
| A patient diagnosed with a stage III decubitus needs wound care. The Psychiatric Technician cleans the wound with an antiseptic | From clean to dirty |
| A pedal pule site is used to: | Determine circulation to the foot |
| A pulse rate of 140 beats per minute is known as: | Tachycardia |
| The client body should be bathed in what order? | Face, arms and hands, chest and abdomen, legs and feet, back and perineum |
| The client has been diagnosed with urinary tract infection. The patient complained of the following signs and symptoms: | Hematuria, frequency, and flank pain. |
| The client in the emergency room was taught the three point crutch gait. The client demonstrated the following sequence in his/her gait. | both the crutches and the weaker limb; then the stronger limb. |
| The client is diagnosed with a fracture of the right tibia. The Psychiatric Technician educates the client on the importance of promoting healing and suggests the need for: | increased calcium in the diet. |
| The client's scoliosis continued to worsen in spite of a brace. She was admitted to the hospital for corrective surgery using a Harrington rod. Following the surgery the technician staff will: | Log roll the client keeping her spine straight. |
| The most effective nursing strategy to prevent infection would be to: | Wash hands before and after any direct client contact. |
| The most rapid acting insulin is: | Regular |
| Anuria refers to a daily urine output of less than ____ ml. | 100 |
| During colostomy irrigation, the irrigation bag should be hung___ above the stoma. | 18 inches |
| A patient in a bladder retraining program should be given the opportunity to void_____ during the day and twice at night. | Every 2 hours |
| When care for a patient with a nasogastric tube, the Psychiatric Technician should include: | A water soluble lubricant |
| Oral care for a consumer with stomatitis includes: | Mouth rinses with hydrogen peroxide and water three times a day. |
| A patient with a gastric ulcer may complain of: | Gnawing or burning epigastric pain. |
| In developing a diet for a patient with a peptic ulcer, the Psychiatric Technician should remember this guideline: | Include foods in the diet that the patient can tolerate. |
| If a patient has a gastric tube in the place to a suction, the Psychiatric Technician should expect a physician's order for: | Potassium chloride |
| Clients with gastric ulcers frequently complain of pain_____ | Shortly after eating |
| The Psychiatric Technician should not give analgesics to a consumer with abdominal pain caused by appendicitis because | The drugs may mask the pain that accompanies a ruptured appendix. |
| When a rectal tube is used to relieve flatulence or enhance peristalsis, it should be inserted for no more than_____ minutes? | 20 |
| Which of the following is contraindicated in a patient with a appendicitis, acute surgical abdomen, fecal impaction, or intestinal obstruction? | Mineral Oil |
| The consumer with cirrhosis may have portal hypertension. This condition can lead to which other complication? | Esophageal varices |
Created by:
barragan_93230