ARCHERS NCLEX-RN QUESTION BANK NOTES 2023 UPDATED STUDY GUIDE

 The client with HPV has a higher risk for cervical and vaginal cancer.  To reduce this patient’s risk of developing POST OPERATIVE CONTIPATION, increasing activity such as walking or seated exercises would help to stimulate peristalsis and promote bowel movements. Fluid intake should be encouraged in the post-operative phase, recommended 2500 mL/day unless contraindicated for the patient. High fiber foods such as beans and prunes help to add bulk to stool and move it through the intestines, reducing the risk of constipation after surgery.  Broccoli forms gas in the stomach and should be avoided with patients suffering from abdominal pain, bloating and flatulence.  PROPER BLOOD FLOW. The superior and inferior vena cava are the large veins that bring back deoxygenated blood from the body to the right atrium of the heart. The blood enters the right atrium, passes through the tricuspid valve into the right ventricle, and is then pumped into the lungs through the pulmonary artery. Here, in the pulmonary circulation, the deoxygenated blood drops off its carbon dioxide and waste products and picks up fresh oxygen to deliver to the body. It is now oxygenated. The blood returns to the left atrium through the pulmonary veins and passes through the mitral valve to enter the left ventricle and is then pumped out to the body through the aorta. Oxygenated blood is now in the systemic circulation, where it can deliver oxygen to all the tissues of the body.  Avoiding limit setting, encouraging testing behaviors, and telling the client how they should behave does not instill trust.  Wild skunks have a high incidence of rabies and should be considered rabid. The patient should receive rabies immune globulin and vaccine. The CDC recommends the irrigation of the wound with povidone-iodine since that solution is virucidal and may help prevent infection. In the clinical judgment of the provider, saline can be safely substituted for povidone-iodine. Debridement of the wound edges may also help to prevent disease by cutting away tissue, clots, and other material in the wound. Any bite wound should be considered potentially infected, so an appropriate antibiotic and tetanus prophylaxis will be administered.  LITHIUM is excreted almost entirely by the kidneys. Lithium is freely filtered by the glomerulus since it is not bound to serum proteins. In the proximal tubule, lithium is handled similarly to sodium. Thus, factors that decrease GFR or increase proximal tubule reabsorption, such as volume depletion, will increase serum lithium levels. Conversely, factors that decrease proximal tubule sodium reabsorption, such as carbonic anhydrase inhibitors, aminophylline, or osmotic diuretics, will increase lithium excretion and decrease serum lithium levels. Lithium has a narrow therapeutic index, with therapeutic levels between 0.6 and 1.2 mEq/L. Because toxicity can occur at levels 1.5 mEq/L, lithium levels must be carefully monitored and lithium dosage adjusted as necessary. This is especially true following changes in other 1