Terms in this set (327)
Which PR interval presents a first-degree heart block?
0.24 seconds
Explanation:
In adults, the normal range for the PR is 0.12
to 0.20 seconds. A PR internal of 0.24 seconds
would indicate a first-degree heart block.
1) Before you pour, mix, or draw up a medication
2) After you prepare the medication
3 checks of safe medication administration 3) At the bedside
5 stages of infection Incubation, prodromal, illness, decline, convalescence
, D
Rationale: Because a shower is most beneficial for the client in terms of hygiene,
client should receive teaching first, respecting any personal beliefs such as cultura
spiritual values. After client teaching, the client may still choose option A or B. B
A 20-year-old female client with a noticeable reinforce the teaching.
body odor has refused to shower for the last 3
days. She states, "I have been told that it is
harmful to bathe during my period." Which
action should the nurse take first?
A. Accept and document the client's wish to
refrain from bathing.
B. Offer to give the client a bed bath, avoiding
the perineal area.
C. Obtain written brochures about
menstruation to give to the client.
D. Teach the importance of personal hygiene
during menstruation with the client.
, Potato chips (A) are high in sodium. Tuna (B) is high in protein. Bacon (C) and c
(E) are high in sodium. Only (D) is a meal that is in compliance with a low sodium
protein diet.
Correct Answer: A, B, C, E
64.A low-sodium, low-protein diet is
prescribed for a 45-year-old client with renal
insufficiency and hypertension, who gained 3
pounds in the last month. The nurse
determines that the client has been
noncompliant with the diet, based on which
report from the 24-hour dietary recall? (Select
all that apply.)
A. Snack of potato chips, and diet soda.
B. Lunch of tuna fish sandwich, carrot sticks,
fresh fruit, and coffee.
C. Breakfast of eggs, bacon, toast, and coffee.
D. Dinner of vegetable lasagna, tossed salad,
sherbet, and iced tea.
E. Bedtime snack of crackers and milk.
, The Unna's paste boot becomes rigid after it dries, so it is important to check dista
adequate circulation (A). Kerlix is often wrapped around the outside of the boot a
bandage may be used to cover both, but no bandage should be put under it (B). Th
65.What intervention should the nurse include paste boot should be applied from the foot and wrapped towards the knee (C). Th
in the plan of care for a client who is being paste boot acts as a sterile dressing, and should not be removed q8h. Weekly remo
treated with an Unna's paste boot for leg reasonable (D).
ulcers due to chronic venous insufficiency? Correct Answer: A
A. Check capillary refill of toes on lower
extremity with Unna's paste boot.
B. Apply dressing to wound area before
applying the Unna's paste boot.
C. Wrap the leg from the knee down towards
the foot.
D. Remove the Unna's paste boot q8h to
assess wound healing.
Which PR interval presents a first-degree heart block?
0.24 seconds
Explanation:
In adults, the normal range for the PR is 0.12
to 0.20 seconds. A PR internal of 0.24 seconds
would indicate a first-degree heart block.
1) Before you pour, mix, or draw up a medication
2) After you prepare the medication
3 checks of safe medication administration 3) At the bedside
5 stages of infection Incubation, prodromal, illness, decline, convalescence
, D
Rationale: Because a shower is most beneficial for the client in terms of hygiene,
client should receive teaching first, respecting any personal beliefs such as cultura
spiritual values. After client teaching, the client may still choose option A or B. B
A 20-year-old female client with a noticeable reinforce the teaching.
body odor has refused to shower for the last 3
days. She states, "I have been told that it is
harmful to bathe during my period." Which
action should the nurse take first?
A. Accept and document the client's wish to
refrain from bathing.
B. Offer to give the client a bed bath, avoiding
the perineal area.
C. Obtain written brochures about
menstruation to give to the client.
D. Teach the importance of personal hygiene
during menstruation with the client.
, Potato chips (A) are high in sodium. Tuna (B) is high in protein. Bacon (C) and c
(E) are high in sodium. Only (D) is a meal that is in compliance with a low sodium
protein diet.
Correct Answer: A, B, C, E
64.A low-sodium, low-protein diet is
prescribed for a 45-year-old client with renal
insufficiency and hypertension, who gained 3
pounds in the last month. The nurse
determines that the client has been
noncompliant with the diet, based on which
report from the 24-hour dietary recall? (Select
all that apply.)
A. Snack of potato chips, and diet soda.
B. Lunch of tuna fish sandwich, carrot sticks,
fresh fruit, and coffee.
C. Breakfast of eggs, bacon, toast, and coffee.
D. Dinner of vegetable lasagna, tossed salad,
sherbet, and iced tea.
E. Bedtime snack of crackers and milk.
, The Unna's paste boot becomes rigid after it dries, so it is important to check dista
adequate circulation (A). Kerlix is often wrapped around the outside of the boot a
bandage may be used to cover both, but no bandage should be put under it (B). Th
65.What intervention should the nurse include paste boot should be applied from the foot and wrapped towards the knee (C). Th
in the plan of care for a client who is being paste boot acts as a sterile dressing, and should not be removed q8h. Weekly remo
treated with an Unna's paste boot for leg reasonable (D).
ulcers due to chronic venous insufficiency? Correct Answer: A
A. Check capillary refill of toes on lower
extremity with Unna's paste boot.
B. Apply dressing to wound area before
applying the Unna's paste boot.
C. Wrap the leg from the knee down towards
the foot.
D. Remove the Unna's paste boot q8h to
assess wound healing.
