PN Comprehensive Practice A Questions and Answers Rated A+

PN Comprehensive Practice A Questions and Answers Rated A+ A patient four hours post operative following gastrointestinal surgery has an NG tube in place for gastric decompression. The nurse should instruct pt to do what (Keep plugged tube) above stomach level (when ambulating) Talking to a bunch of adolescent girls about puberty the nurse to teach the students that they will make most likely do what before what Gain weight (before getting) taller A nurse is reviewing the critical path way of a client who is four days post operative following a knee at the plasty the clients vital signs are temp of 102 heart rate 116 respiratory rate 24 blood pressure 152/92 which of the following actions should the nurse take Document findings as a negative verience (there is only one critical pathway for a specific surgical procedure) Rifampin for TB interacts with what med Oral contraceptives (use a secondary method of birth control) If a pt on rifampin for TB develops a headache, fever or muscle weakness (flu like symptoms) is this a harmless side effect ? No (indicates a infection which can lead to meningitis) A school age child with pediculosis Capitol (Lice); should the parent spray the furniture with insecticides No (because it is a danger to children and small animals) An adverse effect of atorvastatin Muscle pain (myopathy) Montelukast should be taken when ? Daily at bedtime A nurse is caring for a newborn who is 12 hours old should instruct the parents to expect what type of stool in the first 24 hours of birth Dk green viscous (thick) A nurse is teaching a group of male adolescence about adverse affects of anabolic steroid use which of the following manifestations to the nurse include Reduced height (potential) What is anabolic steroids Enhances athletic performance (testosterone) When it comes to car seat safety a 12-year-old child should place the shoulder lap seatbelt we're Low over hips (to reduce the risk of injury) When it comes to car seat safety should a parent place a light blanket between the baby in the car seat strap No (additional padding interferes with even strap support-dangerous) How tall does a child have to be to ride without a booster seat 4'9" Generalize petechiae on a newborn's skin indicates Infection (or decreased platelets; report immediately) When testing blood glucose in a type one diabetes patient,what is the very first step Hold finger in a dependent position A nurse is talking to a patient who says their provider agreed to initiate a do not resuscitate prescription DNR after leaving the clients room which of the following actions should the nurse take first Chk documentation that DR spoke with pt about DNR A nurse is preparing to administer a dose of digoxin to a patient who is receiving continuous tube feeding should the nurse stop the tube feeding 30 minutes prior to administering the medication No (dose not need to be given on an empty stomach) When administering digoxin to a patient who is receiving continuous tube feedings which of the following should the nurse do Flush feeding tube (before and after/30mL) When used in a FLACC scale to determine the level of pain for a 11 month old infant who is post operative which of the following factors to the nurse considered when using the pain scale Level of activity (also facial, consolability) A nurse in a long-term care facility is documenting care of an older patient which of the following information should the nurse include in the weekly summary Hydration status A patient that his postoperative wants to sit on the side of the bed what is the first step the nurse should take ? Place pt in what position? side lying (the elevate head of bed) Antiembolic stockings should be applied before when Pt gets out of bed When using a PCA pump for morphine for pain what the nurse instructed the patient to do Increase fluids Is it normal for seven month old infant to support themselves leaning forward and using their hands for support Yes (they sit by themselves at 9mo) Epoetin alfa is administered with what kind of injection? Subcut What over the counter medication should be avoided in a patient that is taking captopril for hypertension Ibuprofen ( or any other nonsteroidal anti-inflammatory meds that reduce antihypertensive effects of captopril) A nurse is collecting data from an older client who has a hip fracture which of the following findings should the nurse expect External rotation (and shortening of affected extremity) A nurse is reinforcing teaching about managing manifestations of anxiety with a client who has a generalized anxiety disorder which of the following information to the nurse include in the teaching Say stop (when upsetting thoughts occur) A nurse is collecting data from an older adult client with a gastric ulcer which of the following findings should the nurse identify as a complication to report to the provider Hematemesis (vomiting bright blood-GI hemorrhage) When removing PPE what should the nurse remove first Gloves (they are most contaminated) A patient taking phenytoin should have what done daily Gum massage (to reduce risk of gingival hyperplasia) A patient receiving radiation therapy for cancer of the Lennox should do what when they're outside Wear soft scarf (to protect area from uV rays-sunlight) A patient with iron deficiency anemia should add what to their diet Red meat (rich in iron) Rubeola needs what kind of precautions? Airborne (private room, negative air flow, and 95 mask) Is 2.5 an normal potassium level No (it's low) A patient who has eight liquid stools in the past six hours would normally have what type of lab value Low k (electrolytes) Herpes zoster is contagious until what Blisters heal A patient who has alcohol use disorder is to begin Disulfiram. What does the nurse have to secure prior to administration Informed consent (makes pt sick Iif they drink alcohol on it) A medication that is used for alcohol use disorder that will make the drinker very sick if they use alcohol while taking this medication a informed consent is needed prior to giving this medicine Disulfiram (Antabuse) A patient is scheduled for peritoneal dialysis what action should the nurse take first Ensure it is at room temp (dialysate solution) Is a supine position good for a patient in labor No (can lead to uteroplacental perfusion) A patient in labor leaning forward while kneeling will do what Relive pain (good position) Is it good to use a squatting position while using a birth ball when a patient is in labor Yes (relaxes the pelvis/relives contractions) A patient that has anorexia nervosa should do white with their food habits Record amount (not a food diary. That's only good for compulsive over eating) What is the first step in performing a tracheostomy care for a client Open sterile packages What is an indication that a patient 34 weeks of gestation who has mild preeclampsia is progressing to severe preeclampsia Blurred vision Normal PR (ECG) intervals are how long ? 0.12-0.20 Normal QRS intervals are how long 0.04-0.12 A normal ventricular rate is what with a ECG ? 60-100 What wave shows prior to QRS complex in a ECG ? P A five-year-old child reports that they are having frequent nightmares which of the following statements by the parents indicates the to the nurse that the child is experiencing sleep terrors rather than nightmares ? The child does what after the sleep terror ? sleeps right away (quickly after incident) A patient is unrestricted sodium diet what is a good diet choice cottage cheese, canned peaches, lean ham, or wheat cracker ? Canned peaches What is the medication pancreplipase for ? Decrease in # of stools (steatorrhea, or fatty stools) A continent urinary diversion contains valves that prevent urine from doing what Exiting the pouch (must Catheterize the pt-intermittently) A continent urinary diversion contains valves that prevent those urinate from exiting, so what is needed for this pt ? Intermittent cath (catheterization) A urinary diversion that contains valves that prevents urine from exiting, so intermittent catheterization is needed. What is this apparatus referred to as ? continent (urinary diversion) Does chlamydia increase the risk for cervical cancer No Gonorrhea can lead to what PID (pelvic inflammatory disease resulting in infertility) Protamine sulfate is a antidote for what other med Heperin What is hemoptysis Blood in sputum A school age child with anemia is receiving a blood transfusion of packed RBCs what indicates a possible hemolytic transfusion reaction that the nurse should report to the charge nurse and provider Cold chills (stop immediately) A patient unjustly accused is the nurse of stealing their money out of the room what is the best response the nurse can make How did you decide who took ur money (open ended and therapeutic) Foods high in purine causes what Gout (gout-arthritis; osteoarthritis) If a patient has osteoarthritis what should the nurse include with patient instructions Apply capsaicin cream 4/day (provides warmth and relieves joint pain) What ailment is a contraindication for oral contraceptive use coronary artery disease (increased risk of MI) What 3 abbreviations are prohibited when documenting medication because it is prone to error MS hs & (all prohibited) A patient who has asthma has a new prescription for Theophylline what should the pt avoid caffeinated drinks (it intensifies effects resulting in tachycardia) A nurse is collecting a urine specimen from a patient who has diabetes insipidus what is an expected finding (Urine) Specific gravity 1.002 (low) Is protein urea a symptom of diabetes insipidus No If a client prefers bathing in the evening should that be included in the written plan of care Yes (pt's preferences should be included and avoid abbreviations) What is a harmless side effect of metronidazole Red brown urine A pt stating that "My doctor has glasses that have lasers and will burn a hole in my brain" is an example of a what Delusion (delusion of persecuting) Can a Jewish person eat dairy products and meat together No (30min apart at least) Patient with stage four cancer on palliative care who needs pain medication should they be see this with an IM injection No (because of decreased blood flow in a pt that's dying-any other route is better) A patient that is on palliative care and is dying should be administered what drug to reduce secretions and reduce noisy ventilations called a death rattle Atropine The Glasgow coma scale is used to obtain information about what Motor response A patient with a gastrostomy tube should do what if the tube becomes clogged Flush with 60mL of water Does the Jackson have to be taken on an empty stomach No (with food is fine)