75 FREE NCLEX QUESTIONS - C/O
BRILLIANTNURSE.COM Q AND A
TheginursegiisgitakinggithegihealthgihistorygiofgiagipatientgibeinggitreatedgiforgiEmphysemagiandgiChronicgiBronc
is.giAftergibeinggitoldgithegipatientgihasgibeengismokinggicigarettesgiforgi30giyears,githeginursegiexpectsgitoginote
hichgiassessmentgifinding?
1.giIncreasegiingiForcedgiVitalgiCapacitygi(FVC)
2.giAginarrowedgichestgicavity
3.giClubbedgifingersgi
4.giAngiincreasedgiriskgiofgicardiacgifailuregi-gianswer--1.giIncreasegiingiForcedgiVitalgiCapacitygi(FVC)
ForcedgiVitalgiCapacitygiisgithegivolumegiofgiairgiexhaledgifromgifullgiinhalationgitogifullgiexhalation.giAgipatientgiw
giCOPDgiwouldgihavegiagidecreasegiingiFVC.giIncorrect.
2.giAginarrowedgichestgicavity
AgipatientgiwithgiCOPDgioftengipresentsgiwithgiagi'barrelgichest,'giwhichgiisgiseengiasgiagiwidenedgichestgicavity.g
correct.
3.giClubbedgifingersgi-giCORRECT
Clubbedgifingersgiaregiagisigngiofgiagilong-term,giorgichronic,gidecreasegiingioxygengilevels.
4.giAngiincreasedgiriskgiofgicardiacgifailure
Althoughgiagipatientgiwithgithesegiconditionsgiwouldgiindeedgibegiatgiangiincreasedgiriskgiforgicardiacgifailure,gith
isgiagipotentialgicomplicationgiandginotgiangiassessmentgifinding.giIncorrect.
Theginursegiisgitakinggithegihealthgihistorygiofgiagi70-year-
oldgipatientgibeinggitreatedgiforgiagiDuodenalgiUlcer.giAftergibeinggitoldgithegipatientgiisgicomplaininggiofgiepigas
gipain,githeginursegiexpectsgitoginotegiwhichgiassessmentgifinding?
1.giMelena
2.giNausea
3.giHernia
4.giHyperthermiagi-gianswer--1.giMelenagi-giCORRECT
Melenagiisgithegifindinggithatgitheregiaregitracesgiofgibloodgiingithegistoolgiwhichgipresentsgiasgiblack,gitarrygifeces
ThisgiisgiagicommongimanifestationgiofgiDuodenalgiUlcers,gisincegithegiDuodenumgiisgifurthergidowngithegigastr
anatomy.
2.giNausea
Nauseagimaygibegipresent,gibutgiisgiagigeneralizedgisymptomgiandgibygiitselfgidoesn'tgiindicategiagiDuodenalgiU
r.giIncorrect.
3.giHernia
AgiHerniagiisgiagiprotrusiongiofgiagisegmentgiofgithegiabdomengithroughgianothergiabdominalgistructure.giItgiisgino
associatedgiwithgiangiUlcergiandgiisgiagicondition,ginotgiangiassessmentgifinding.giIncorrect.
4.giHyperthermia
,Hyperthermia,giagihighgitemperature,giisginotgiangiassessmentgifindinggiofgiagiDuodenalgiUlcer.giIncorrect
AginursegiisgiprovidinggidischargegiteachinggiforgiagipatientgiwithgiseveregiGastroesophogealgiRefluxgiDisease
Whichgiofgithesegistatementsgibygithegipatientgiindicatesgiagineedgiforgimoregiteaching?
1.gi"I'mgigoinggitogilimitgimygimealsgitogi2-3gipergidaygitogireducegiacidgisecretion."
2.gi"I'mgigoinggitogimakegisuregitogiremaingiuprightgiaftergimealsgiandgielevategimygiheadgiwhengiIgisleep"
3.gi"Igiwon'tgibegidrinkinggiteagiorgicoffeegiorgieatinggichocolategianygimore."
4.gi"I'mgigoinggitogistartgitryinggitogilosegisomegiweight."gi-gianswer--1.gi"I'mgigoinggitogilimitgimygimealsgitogi2-
3gipergidaygitogireducegiacidgisecretion."
CORRECTgi-
giLargegimealsgiincreasegithegivolumegiandgipressuregiingithegistomachgiandgidelaygigastricgiemptying.giIt'sgirec
mmendedgiinsteadgitogieatgi4-6gismallgimealsgiagiday.
2.gi"I'mgigoinggitogimakegisuregitogiremaingiuprightgiaftergimealsgiandgielevategimygiheadgiwhengiIgisleep"
Incorrectgi-giThisgiisgiagicorrectgiverbalizationgiofgihealthgipromotiongiforgiGERD.
3.gi"Igiwon'tgibegidrinkinggiteagiorgicoffeegiorgieatinggichocolategianygimore."
Incorrectgi-giThisgiisgiagicorrectgiverbalizationgiofgihealthgipromotiongiforgiGERD.
4.gi"I'mgigoinggitogistartgitryinggitogilosegisomegiweight."
Incorrectgi-giThisgiisgiagicorrectgiverbalizationgiofgihealthgipromotiongiforgiGERD.
TheginursegiingithegiEmergencygiRoomgiisgitreatinggiagipatientgisuspectedgitogihavegiagiPepticgiUlcer.giOngiasse
inggilabgiresults,githeginursegifindsgithatgithegipatient'sgibloodgipressuregiisgi95/60,gipulsegiisgi110gibeatsgipergimi
te,giandgithegipatientgireportsgiepigastricgipain.giWhatgiisgithegiPRIORITYgiintervention?
1.giStartgiagilarge-boregiIVgiingithegipatient'sgiarm
2.giAskgithegipatientgiforgiagistoolgisample
3.giPreparegitogiinsertgiangiNGgiTube
4.giAdministergiintramusculargimorphinegisulphategiasgiorderedgi-gianswer--1.giStartgiagilarge-
boregiIVgiingithegipatient'sgiarm
CORRECTgi-
giTheginursegishouldgisuspectgithatgithegipatientgiisgihaemorrhaginggiandgiwillgineedgineedgiagifluidgireplacemen
herapy,giwhichgirequiresgiagilargegiboregiIV.
2.giAskgithegipatientgiforgiagistoolgisample
Incorrectgi-
giWhilegithisgiisgiusefulgiingithegidiagnosisgiandgiassessmentgiofgiPepticgiUlcergiDisease,giitgiisginotgithegiprioritygii
ervention.
3.giPreparegitogiinsertgiangiNGgiTube
Incorrectgi-
giWhilegithisgiinterventiongimaygibegiusedgiingithegilatergistagesgiofgiPepticgiUlcergiDisease,giitgiisginotgithegifirstgia
giprioritygiintervention.
4.giAdministergiintramusculargimorphinegisulphategiasgiordered
Incorrectgi-giWhilegithisgiisgiangiimportantgiinterventiongitogimanagegipain,giitgiisginotgithegiprioritygiintervention.
,Agifemalegipatientgiwithgiatrialgifibrillationgihasgithegifollowinggilabgiresults:giHemoglobingiofgi11gig/
dl,giagiplateletgicountgiofgi150,000,giangiINRgiofgi2.5,giandgipotassiumgiofgi2.7gimEq/
L.giWhichgiresultgiisgicriticalgiandgishouldgibegireportedgitogithegiphysiciangiimmediately?
1.giHemoglobingi11gig/dl
2.giPlateletgiofgi150,000
3.giINRgiofgi2.5
4.giPotassiumgiofgi2.7gimEq/Lgi-gianswer--1.giHemoglobingi11gig/dl
Thisgiisgibelowginormal,gibutgiaginormalgifemalegihemoglobingiisgi12-14.giTheregiisgiagimoregicriticalgilabgiresult.
2.giPlateletgiofgi150,000
Thisgiisgialsogibelowgitheginormalgivalues,gibutgiisginotgithegimostgicriticalgilabgiresult.
3.giINRgiofgi2.5
Thisgiisgiagitherapeuticgirangegiforgiagipatientgiwhogiisgitakinggiangianticoagulantgiforgiatrialgifibrillation
4.giPotassiumgiofgi2.7gimEq/L
CORRECTgi-giAgipotassiumgiimbalancegiforgiagipatientgiwithgiagihistorygiofgidysrhythmiagicangibegilife-
threateninggiandgicangileadgitogicardiacgidistress.
WhilegireceivingginormalgisalinegiinfusionsgitogitreatgiagiGIgibleed,githeginurseginotesgithatgithegipatient'sgilowerg
gsgihavegibecomegiedematousgiandgiauscultatesgicracklesgiingithegilungs.giWhatgishouldgitheginursegidogifirst?
1.giStopgithegisalinegiinfusiongiimmediately
2.giNotifygiPhysician
3.giElevategithegipatient'sgilegs
4.giContinuegithegiinfusion,gisincegithesegiareginormalgifindingsgi-gianswer--
1.giStopgithegisalinegiinfusiongiimmediately
CORRECTgi-
githegipatientgihasgiagifluidgivolumegioverloadgiasgiagiresultgiofgioverlygirapidgifluidgireplacement.giTheginursegish
dgistopgithegiinfusiongiandginotifygithegiphysician.
2.giNotifygiPhysician
Thisgiisginotgithegifirstgiactiongitheginursegishouldgitake.
3.giElevategithegipatient'sgilegs
Thisgiwouldgihelpgiwithgithegiedema,gibutgiisginotgiagipriority
4.giContinuegithegiinfusion,gisincegithesegiareginormalgifindings
Thisgiisginotgiaginormalgifinding
TheginursegiisgiworkinggiingiagisupportgigroupgiforgiclientsgiwithgiHIV.giWhichgipointgiisgimostgiimportantgiforgitheg
rsegitogistress?
1.giTheygimustgiinformgihouseholdgimembersgiofgitheirgicondition
2.giTheygimustgitakegitheirgimedicationsgiexactlygiasgiprescribed
3.giTheygimustgiabstaingifromgisubstancegiuse
4.giTheygimustgiavoidgilargegicrowdsgi-gianswer--
1.giTheygimustgiinformgihouseholdgimembersgiofgitheirgicondition
Incorrectgi-
giEachgipatientgihasgiagirightgitogiprivacygiofgitheirgimedicalgicondition.giItgiisgitheirgichoicegiwhethergitheygiinform
ouseholdgimembers.
, 2.giTheygimustgitakegitheirgimedicationsgiexactlygiasgiprescribed
CORRECTgi-giAntiretroviralsgimustgibegitakengiexactlygiasgiprescribedgitogipreventgidrug-
resistantgistrains.giEvengimissedgidosesgicangireducegithegieffectivenessgiofgifuturegitreatment.
3.giTheygimustgiabstaingifromgisubstancegiuse
Incorrectgi-
giWhilegisubstancegiusegishouldgibegidiscouraged,giusinggisafegipracticesgiwithgineedlesgicangipreventgitransm
siongiofgiHIV.
4.giTheygimustgiavoidgilargegicrowds
Incorrectgi-
giAvoidinggilargegicrowdsgitogipreventgiinfectiongiisgiagiprioritygiingithegilatergistagesgiofgiHIV,giwhengithegipatientg
asgiAIDS.
Aginursegifindsgiagi30-year-
oldgiwomangiexperiencinggianaphylaxisgifromgiagibeegisting.giEmergencygipersonnelgihavegibeengicalled.giThe
nurseginotesgithegiwomangiisgibreathinggibutgishortgiofgibreath.giWhichgiofgithegifollowinggiinterventionsgishould
heginursegidogifirst?
1.giInitiategicardiopulmonarygiresuscitation
2.giCheckgiforgiagipulsegi
3.giAskgithegiwomangiifgishegicarriesgiangiemergencygimedicalgikit
4.giStaygiwithgithegiwomangiuntilgihelpgicomesgi-gianswer--1.giInitiategicardiopulmonarygiresuscitation
Incorrectgi-giCPRgiisgiprematuregiatgithisgipoint,giandgitheregiisgianothergiactiongithatgicangibegitakengifirst.
2.giCheckgiforgiagipulse
ThisgiisgithegifirstgistepgiwhengiassessinggiforgiinitiationgiofgiCPR,gibutgiCPRgiisginotgithegibestgiandgifirstgicourseg
iactiongiforgithisgisituation.giThegiwomangiisgistillgibreathing,giwhichgimeansgiCPRgiisginotginecessarygiatgithisgitim
.
3.giAskgithegiwomangiifgishegicarriesgiangiemergencygimedicalgikit
CORRECTgi-giManygipatientsgiwhogihavegiagiknowngihistorygiofgianaphylaxisgicarrygiepi-
pensgiingitheirgipocketsgiorgibelongings.giThisgiisgithegibestgiwaygitogistopgiagihypersensitivitygireactiongibeforegi
becomesgilife-threatening.
3.giStaygiwithgithegiwomangiuntilgihelpgicomes
Incorrectgi-giWhilegithisgishouldgibegidone,giit'sginotgithegibestgiandgifirstgicoursegiofgiaction.
Agimangiisgiprescribedgilithiumgitogitreatgibipolargidisorder.giTheginursegiisgimostgiconcernedgiaboutgilithiumgitox
tygiwhengiheginoticesgiwhichgiofgithesegiassessmentgifindings?
1.giThegipatientgistatesgihegihadgiagimanicgiepisodegiagiweekgiago
2.giThegipatientgistatesgihegihasgibeengihavinggidiarrheagieverygiday
3.giThegipatientgihasgiagirashygipruritisgiongihisgiarmsgiandgilegs
4.giThegipatientgipresentsgiasgiseverelygidepressed
5.giThegipatient'sgilithiumgilevelgiisgi1.3gimcg/Lgi-gianswer--
1.giThegipatientgistatesgihegihadgiagimanicgiepisodegiagiweekgiago
Incorrectgi-
giHavinggiagimanicgiepisodegiisginotgiangiindicationgiofgilithiumgitoxicity.giThisgifindinggiindicatesgithatgithegilithium
sginotgieffectivegiorgiisginotgiatgiagitherapeuticgilevel.
2.giThegipatientgistatesgihegihasgibeengihavinggidiarrheagieverygiday
Correctgi-giPersistentgidiarrheagicangileadgitogidehydration,giwhichgicangiincreasegithegiriskgiofgilithiumgitoxicity.
BRILLIANTNURSE.COM Q AND A
TheginursegiisgitakinggithegihealthgihistorygiofgiagipatientgibeinggitreatedgiforgiEmphysemagiandgiChronicgiBronc
is.giAftergibeinggitoldgithegipatientgihasgibeengismokinggicigarettesgiforgi30giyears,githeginursegiexpectsgitoginote
hichgiassessmentgifinding?
1.giIncreasegiingiForcedgiVitalgiCapacitygi(FVC)
2.giAginarrowedgichestgicavity
3.giClubbedgifingersgi
4.giAngiincreasedgiriskgiofgicardiacgifailuregi-gianswer--1.giIncreasegiingiForcedgiVitalgiCapacitygi(FVC)
ForcedgiVitalgiCapacitygiisgithegivolumegiofgiairgiexhaledgifromgifullgiinhalationgitogifullgiexhalation.giAgipatientgiw
giCOPDgiwouldgihavegiagidecreasegiingiFVC.giIncorrect.
2.giAginarrowedgichestgicavity
AgipatientgiwithgiCOPDgioftengipresentsgiwithgiagi'barrelgichest,'giwhichgiisgiseengiasgiagiwidenedgichestgicavity.g
correct.
3.giClubbedgifingersgi-giCORRECT
Clubbedgifingersgiaregiagisigngiofgiagilong-term,giorgichronic,gidecreasegiingioxygengilevels.
4.giAngiincreasedgiriskgiofgicardiacgifailure
Althoughgiagipatientgiwithgithesegiconditionsgiwouldgiindeedgibegiatgiangiincreasedgiriskgiforgicardiacgifailure,gith
isgiagipotentialgicomplicationgiandginotgiangiassessmentgifinding.giIncorrect.
Theginursegiisgitakinggithegihealthgihistorygiofgiagi70-year-
oldgipatientgibeinggitreatedgiforgiagiDuodenalgiUlcer.giAftergibeinggitoldgithegipatientgiisgicomplaininggiofgiepigas
gipain,githeginursegiexpectsgitoginotegiwhichgiassessmentgifinding?
1.giMelena
2.giNausea
3.giHernia
4.giHyperthermiagi-gianswer--1.giMelenagi-giCORRECT
Melenagiisgithegifindinggithatgitheregiaregitracesgiofgibloodgiingithegistoolgiwhichgipresentsgiasgiblack,gitarrygifeces
ThisgiisgiagicommongimanifestationgiofgiDuodenalgiUlcers,gisincegithegiDuodenumgiisgifurthergidowngithegigastr
anatomy.
2.giNausea
Nauseagimaygibegipresent,gibutgiisgiagigeneralizedgisymptomgiandgibygiitselfgidoesn'tgiindicategiagiDuodenalgiU
r.giIncorrect.
3.giHernia
AgiHerniagiisgiagiprotrusiongiofgiagisegmentgiofgithegiabdomengithroughgianothergiabdominalgistructure.giItgiisgino
associatedgiwithgiangiUlcergiandgiisgiagicondition,ginotgiangiassessmentgifinding.giIncorrect.
4.giHyperthermia
,Hyperthermia,giagihighgitemperature,giisginotgiangiassessmentgifindinggiofgiagiDuodenalgiUlcer.giIncorrect
AginursegiisgiprovidinggidischargegiteachinggiforgiagipatientgiwithgiseveregiGastroesophogealgiRefluxgiDisease
Whichgiofgithesegistatementsgibygithegipatientgiindicatesgiagineedgiforgimoregiteaching?
1.gi"I'mgigoinggitogilimitgimygimealsgitogi2-3gipergidaygitogireducegiacidgisecretion."
2.gi"I'mgigoinggitogimakegisuregitogiremaingiuprightgiaftergimealsgiandgielevategimygiheadgiwhengiIgisleep"
3.gi"Igiwon'tgibegidrinkinggiteagiorgicoffeegiorgieatinggichocolategianygimore."
4.gi"I'mgigoinggitogistartgitryinggitogilosegisomegiweight."gi-gianswer--1.gi"I'mgigoinggitogilimitgimygimealsgitogi2-
3gipergidaygitogireducegiacidgisecretion."
CORRECTgi-
giLargegimealsgiincreasegithegivolumegiandgipressuregiingithegistomachgiandgidelaygigastricgiemptying.giIt'sgirec
mmendedgiinsteadgitogieatgi4-6gismallgimealsgiagiday.
2.gi"I'mgigoinggitogimakegisuregitogiremaingiuprightgiaftergimealsgiandgielevategimygiheadgiwhengiIgisleep"
Incorrectgi-giThisgiisgiagicorrectgiverbalizationgiofgihealthgipromotiongiforgiGERD.
3.gi"Igiwon'tgibegidrinkinggiteagiorgicoffeegiorgieatinggichocolategianygimore."
Incorrectgi-giThisgiisgiagicorrectgiverbalizationgiofgihealthgipromotiongiforgiGERD.
4.gi"I'mgigoinggitogistartgitryinggitogilosegisomegiweight."
Incorrectgi-giThisgiisgiagicorrectgiverbalizationgiofgihealthgipromotiongiforgiGERD.
TheginursegiingithegiEmergencygiRoomgiisgitreatinggiagipatientgisuspectedgitogihavegiagiPepticgiUlcer.giOngiasse
inggilabgiresults,githeginursegifindsgithatgithegipatient'sgibloodgipressuregiisgi95/60,gipulsegiisgi110gibeatsgipergimi
te,giandgithegipatientgireportsgiepigastricgipain.giWhatgiisgithegiPRIORITYgiintervention?
1.giStartgiagilarge-boregiIVgiingithegipatient'sgiarm
2.giAskgithegipatientgiforgiagistoolgisample
3.giPreparegitogiinsertgiangiNGgiTube
4.giAdministergiintramusculargimorphinegisulphategiasgiorderedgi-gianswer--1.giStartgiagilarge-
boregiIVgiingithegipatient'sgiarm
CORRECTgi-
giTheginursegishouldgisuspectgithatgithegipatientgiisgihaemorrhaginggiandgiwillgineedgineedgiagifluidgireplacemen
herapy,giwhichgirequiresgiagilargegiboregiIV.
2.giAskgithegipatientgiforgiagistoolgisample
Incorrectgi-
giWhilegithisgiisgiusefulgiingithegidiagnosisgiandgiassessmentgiofgiPepticgiUlcergiDisease,giitgiisginotgithegiprioritygii
ervention.
3.giPreparegitogiinsertgiangiNGgiTube
Incorrectgi-
giWhilegithisgiinterventiongimaygibegiusedgiingithegilatergistagesgiofgiPepticgiUlcergiDisease,giitgiisginotgithegifirstgia
giprioritygiintervention.
4.giAdministergiintramusculargimorphinegisulphategiasgiordered
Incorrectgi-giWhilegithisgiisgiangiimportantgiinterventiongitogimanagegipain,giitgiisginotgithegiprioritygiintervention.
,Agifemalegipatientgiwithgiatrialgifibrillationgihasgithegifollowinggilabgiresults:giHemoglobingiofgi11gig/
dl,giagiplateletgicountgiofgi150,000,giangiINRgiofgi2.5,giandgipotassiumgiofgi2.7gimEq/
L.giWhichgiresultgiisgicriticalgiandgishouldgibegireportedgitogithegiphysiciangiimmediately?
1.giHemoglobingi11gig/dl
2.giPlateletgiofgi150,000
3.giINRgiofgi2.5
4.giPotassiumgiofgi2.7gimEq/Lgi-gianswer--1.giHemoglobingi11gig/dl
Thisgiisgibelowginormal,gibutgiaginormalgifemalegihemoglobingiisgi12-14.giTheregiisgiagimoregicriticalgilabgiresult.
2.giPlateletgiofgi150,000
Thisgiisgialsogibelowgitheginormalgivalues,gibutgiisginotgithegimostgicriticalgilabgiresult.
3.giINRgiofgi2.5
Thisgiisgiagitherapeuticgirangegiforgiagipatientgiwhogiisgitakinggiangianticoagulantgiforgiatrialgifibrillation
4.giPotassiumgiofgi2.7gimEq/L
CORRECTgi-giAgipotassiumgiimbalancegiforgiagipatientgiwithgiagihistorygiofgidysrhythmiagicangibegilife-
threateninggiandgicangileadgitogicardiacgidistress.
WhilegireceivingginormalgisalinegiinfusionsgitogitreatgiagiGIgibleed,githeginurseginotesgithatgithegipatient'sgilowerg
gsgihavegibecomegiedematousgiandgiauscultatesgicracklesgiingithegilungs.giWhatgishouldgitheginursegidogifirst?
1.giStopgithegisalinegiinfusiongiimmediately
2.giNotifygiPhysician
3.giElevategithegipatient'sgilegs
4.giContinuegithegiinfusion,gisincegithesegiareginormalgifindingsgi-gianswer--
1.giStopgithegisalinegiinfusiongiimmediately
CORRECTgi-
githegipatientgihasgiagifluidgivolumegioverloadgiasgiagiresultgiofgioverlygirapidgifluidgireplacement.giTheginursegish
dgistopgithegiinfusiongiandginotifygithegiphysician.
2.giNotifygiPhysician
Thisgiisginotgithegifirstgiactiongitheginursegishouldgitake.
3.giElevategithegipatient'sgilegs
Thisgiwouldgihelpgiwithgithegiedema,gibutgiisginotgiagipriority
4.giContinuegithegiinfusion,gisincegithesegiareginormalgifindings
Thisgiisginotgiaginormalgifinding
TheginursegiisgiworkinggiingiagisupportgigroupgiforgiclientsgiwithgiHIV.giWhichgipointgiisgimostgiimportantgiforgitheg
rsegitogistress?
1.giTheygimustgiinformgihouseholdgimembersgiofgitheirgicondition
2.giTheygimustgitakegitheirgimedicationsgiexactlygiasgiprescribed
3.giTheygimustgiabstaingifromgisubstancegiuse
4.giTheygimustgiavoidgilargegicrowdsgi-gianswer--
1.giTheygimustgiinformgihouseholdgimembersgiofgitheirgicondition
Incorrectgi-
giEachgipatientgihasgiagirightgitogiprivacygiofgitheirgimedicalgicondition.giItgiisgitheirgichoicegiwhethergitheygiinform
ouseholdgimembers.
, 2.giTheygimustgitakegitheirgimedicationsgiexactlygiasgiprescribed
CORRECTgi-giAntiretroviralsgimustgibegitakengiexactlygiasgiprescribedgitogipreventgidrug-
resistantgistrains.giEvengimissedgidosesgicangireducegithegieffectivenessgiofgifuturegitreatment.
3.giTheygimustgiabstaingifromgisubstancegiuse
Incorrectgi-
giWhilegisubstancegiusegishouldgibegidiscouraged,giusinggisafegipracticesgiwithgineedlesgicangipreventgitransm
siongiofgiHIV.
4.giTheygimustgiavoidgilargegicrowds
Incorrectgi-
giAvoidinggilargegicrowdsgitogipreventgiinfectiongiisgiagiprioritygiingithegilatergistagesgiofgiHIV,giwhengithegipatientg
asgiAIDS.
Aginursegifindsgiagi30-year-
oldgiwomangiexperiencinggianaphylaxisgifromgiagibeegisting.giEmergencygipersonnelgihavegibeengicalled.giThe
nurseginotesgithegiwomangiisgibreathinggibutgishortgiofgibreath.giWhichgiofgithegifollowinggiinterventionsgishould
heginursegidogifirst?
1.giInitiategicardiopulmonarygiresuscitation
2.giCheckgiforgiagipulsegi
3.giAskgithegiwomangiifgishegicarriesgiangiemergencygimedicalgikit
4.giStaygiwithgithegiwomangiuntilgihelpgicomesgi-gianswer--1.giInitiategicardiopulmonarygiresuscitation
Incorrectgi-giCPRgiisgiprematuregiatgithisgipoint,giandgitheregiisgianothergiactiongithatgicangibegitakengifirst.
2.giCheckgiforgiagipulse
ThisgiisgithegifirstgistepgiwhengiassessinggiforgiinitiationgiofgiCPR,gibutgiCPRgiisginotgithegibestgiandgifirstgicourseg
iactiongiforgithisgisituation.giThegiwomangiisgistillgibreathing,giwhichgimeansgiCPRgiisginotginecessarygiatgithisgitim
.
3.giAskgithegiwomangiifgishegicarriesgiangiemergencygimedicalgikit
CORRECTgi-giManygipatientsgiwhogihavegiagiknowngihistorygiofgianaphylaxisgicarrygiepi-
pensgiingitheirgipocketsgiorgibelongings.giThisgiisgithegibestgiwaygitogistopgiagihypersensitivitygireactiongibeforegi
becomesgilife-threatening.
3.giStaygiwithgithegiwomangiuntilgihelpgicomes
Incorrectgi-giWhilegithisgishouldgibegidone,giit'sginotgithegibestgiandgifirstgicoursegiofgiaction.
Agimangiisgiprescribedgilithiumgitogitreatgibipolargidisorder.giTheginursegiisgimostgiconcernedgiaboutgilithiumgitox
tygiwhengiheginoticesgiwhichgiofgithesegiassessmentgifindings?
1.giThegipatientgistatesgihegihadgiagimanicgiepisodegiagiweekgiago
2.giThegipatientgistatesgihegihasgibeengihavinggidiarrheagieverygiday
3.giThegipatientgihasgiagirashygipruritisgiongihisgiarmsgiandgilegs
4.giThegipatientgipresentsgiasgiseverelygidepressed
5.giThegipatient'sgilithiumgilevelgiisgi1.3gimcg/Lgi-gianswer--
1.giThegipatientgistatesgihegihadgiagimanicgiepisodegiagiweekgiago
Incorrectgi-
giHavinggiagimanicgiepisodegiisginotgiangiindicationgiofgilithiumgitoxicity.giThisgifindinggiindicatesgithatgithegilithium
sginotgieffectivegiorgiisginotgiatgiagitherapeuticgilevel.
2.giThegipatientgistatesgihegihasgibeengihavinggidiarrheagieverygiday
Correctgi-giPersistentgidiarrheagicangileadgitogidehydration,giwhichgicangiincreasegithegiriskgiofgilithiumgitoxicity.
