AND ANSWERS 100% CORRECT AND
UPDATED!!!
,For cataract extraction surgery, what are the protocols? - ANSWER -avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE
KNEES)
-don't lift anything over 10 lbs
If a patient 24 hours p/o refuses to ambulate, what should you do first? - ANSWER -
assess pain
-THEN you can educate, turn patient, give PRN analgesic
What happens during true labor? - ANSWER -cervix transitions to anterior position
-contractions felt in low ab and back
-increases w/ ambulation
-cervix thins
What are common side effects of amitryptiline (antidepressant)? - ANSWER -dry mouth
and constipation (eat fiber and chew gum) and BLURRED VISION
-take a night to minimize drowsiness
-lack of ability to sweat->avoid overheating
What should you do for diabetes insipidus? - ANSWER -monitor increase urine output
(polyuria->over 4 L/day)
-monitor tachycardia
-orthostatic hypotension
-increased BUN
-monitor for hyperthermia d/t dehydration
What should you do to minimize risk of increased ICP? - ANSWER -place client in quiet
environment
-spread out nursing activities throughout the day
-keep head of bed no more than 25 degrees
What should you do for a client who recently got a stoma and can't afford it d/t lack of
insurance? - ANSWER -arrange for social services
-refer to american cancer society
-refer to support groups
-refer to enterostomal therapist
, -DO NOT delay discharge
What should you give a toddler who has infectious gastroenteritis? - ANSWER -initiate
oral rehydration therapy
-DONT give BRAT (bananas, rice, applesauce, toast) diet because it doesn't have
electrolytes
What should you do if the client vomits on a reusable BP cuff? - ANSWER -send it off in
a labeled bag for contamination
-DONT throw it away
-rinse in cold water immediately after
-use chlorine bleach to clean blood spills
What does petechiae over the chest after a lower leg injury mean? - ANSWER -at risk
for fat embolism syndrome
-PRIORITY FINDING
What is important about newborn safety? - ANSWER -set hot water heater temp at 120
degree F or below
-DONT sleep with blanket
-make sure crib slats are no more than 2.5 in apart
-place baby's car seat rear facing until 2
What is within the LVN scope? Assistive personnel? - ANSWER -LVN: insert NG tube
-AP scope: prepare bed, obtain stool sample
What should you instruct the client of a newborn baby regarding motor vehicle safety? -
ANSWER -place baby at 45 degree angle
-rear facing until 2 year old
-place blanket over baby AFTER harness is set
-secure retainer clip at level of baby's armpit
What about a physicial assessment is wrong? - ANSWER -SHOULDNT write detailed
notes
What are the steps of trach care for a child? - ANSWER 1. Take out inner cannula
2. Remove soiled dressing
3. Clean stoma
4. Replace collar