Kenroger

1. Hematological Disorders: Determining Priority Client A. Acute vs. chronic, urgent vs. nonurgent, stable vs. unstable -A client who has an acute problem takes priority over a client who has a chronic problem. -A client who has an urgent need takes priority over a client who has a nonurgent need. -A client who has unstable findings take priority over a client who has stable findings. B. Sickle Cell Anemia- Vaso-occlusive crisis (painful episode) -Acute (related to dehydration and decrease...

• Bacterial Meningitis o Couple questions on the ATI Final o Nursing Care for Meningitis (Highlights) ▪ Reportable findings: The presence of petechiae or a purpuric-type rash requires immediate medical attention ▪ Isolate the client as soon as meningitis is suspected and maintain droplet precautions per facility protocol. • Droplet precautions require a private room or a room with clients who have an infection from the same microorganism, ensuring that each client has his or h...

Focused Review Notes Manifestations of Vitamin A Toxicity • Can cause teratogenic effects on fetuses • Blurred vision • Bone pain or swelling • Hypercalcemia • ICP • Liver damage • Skin peeling, itching • Nausea and vomiting • Abnormal softening of the skull bone (children) and bulging fontanels Planning Care for a Client Who Follows Seventh-Day Adventist Dietary Laws • Vegetarianism o Do not consume animal products of any type INCLUDING eggs and milk produc...

Carbohydrate, protein and fat 3 main nutrients. Carbs: 45-65% of daily calories function: energy, regulate fat, cardiac and cns system, protein metabolism. Glycogen: stored carb in the liver and muscle and it release between the meals to regulate the Blood glucose level. Carbs 4 calories per gram per energy * Fiber intake 25gr women, for M 38gr per day * Protein 10-35% daily calories, 0.8 gr per kg body weight, tissue building, immune function, neutral nitrogen balance. Wound healing is im...

1. A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (select all that apply) A. Occupation B. Menstrual history C. Childhood infectious diseases D. History of falls E. Recent blood transfusions A. CORRECT: Occupational hazards include exposure to teratogenic substances in the workplace, such as radiation, chemicals, herbicides, and pesticides. B. CORRECT: Menstrual...

A nurse us admitting a school-aged child who has pertussis. Which of the following actions should the nurse take? Initiate droplet precautions for the child A nurse is caring for a newly-admitted school-aged child who has hypopituitarism. Which of the following medications should the nurse expect the provider to recommend to the parents for treating the child’s condition? Recombinant growth hormone A nurse is interviewing the parents of an 18-month old toddler during a well-child visit. ...

1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor- vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred? c. Volkmann ischemic contracture 2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching? b. Avoid foods containing milk products 3)...

A client has been prescribed metoclopramide. Which of the following should the nurse include in client education regarding this medication? Select one: a. Notify your provider if you experience restlessness or spasms of the face or neck. An adverse effect of Reglan is extrapyramidal symptoms. The client should stop the medication and notify the provider if these occur. b. This medication can cause urinary frequency. c. Decrease your fluid intake while taking this medication. d. This medicat...

A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? A) Potassium mEq/L B) aPTT times the control C) Hemoglobin g/dL D) Platelets 96,000/mm^3 D) Platelets 96,000/mm^3 A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The n...

1. A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a continuous IV infusion of mannitol 25% for one hour which of the following adverse affects should the nurse report to the provider immediately a. Peripheral edema i. The greatest risk to the client receiving mannitol IV is development of heart failure therefore the nurse should report peripheral edema to the provider immediately 2. A nurse is providing teaching to a client with peptic ulcer disea...

1. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? educate children about nutrition and exercise at a daycare center 2. A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action? participate in community assessment to identify community health problems 3. A home health nurse is scheduling client visits for the day. Whi...

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? Provide education about risk factors for hypertension. Conduct a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. Implement an exercise program for clients who have hypertension. A school nurse is serving o...

1. A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for? The adverse effects that the nurse should teach the client to watch for when taking ipratropium is dry mouth and hoarseness. The nurse should teach the client to sip fluids and suck on sugar-free hard candies to help with the dry mouth and hoarseness. 2. A client has a new prescription for salmeterol. The nurse is teaching the client about adver...

What class of medication is amitriptyline and why is this medication used as an adjuvant medication for pain? • Therapeutic class: Antidepressant • Pharmacological class: Tricyclic Antidepressant (TCA) • Used as an adjuvant med for pain because it treats chronic pain syndromes, such as neuropathic pain, by potentiating both serotonin and norepinephrine in the CNS. A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for the treatment of asthma. W...

1. A chest radiograph film is ordered for a child with suspected cardiac problems. The child’s parent asks the nurse, “What will the radiograph show about the heart?” What knowledge about the x-ray should the nurse include in the response to the parents? a. Bones of chest but not the heart b. Measurement of electrical potential generated from heart muscle c. Permanent record of heart size and configuration d. Computerized image of heart vessels and tissues ANS: C A chest radiograph w...

1. A nurse in an alcohol treatment facility is caring for a client who states, “My job is so stressful that the only way I can cope is to drink.” The nurse should recognize that the client is displaying which of the following defense mechanisms? A. Introjection (Unconscious adoption of the ideas or attitudes of others) B. Repression C. Rationalization D. Intellectualization Repression ● Unconsciously putting unacceptable ideas, thoughts, and emotions out of awareness ● ADAPTIVE US...

1.Most communicable diseases can be prevented with immunizations. Antibiotics and antitoxins reduce serious complications. Immunizations are a form of primary prevention. Secondary prevention includes the control of the spread of the disease to others. Conjunctivitis, which is also known as pink eye, is spread by direct contact. Incubation will depend on the infection. Pertussis, which is also known as whooping cough, is spread through direct contact, droplet, and indirect contact with freshly ...

A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? "Procedures prescribed by the provider do not require consent." "This is a procedure that does not require written informed consent." • "You are right. I will discuss this issue with the charge nurse." "Would you mind s...

1. A nurse is teaching a group of older adults about expected changes of aging. Which of the following statements by a group member indicates that the teaching has been effective? "I should expect my heart rate to take longer to return to normal after excessive as I get older." 2. A nurse is caring for a client who is postoperative and has paralytic ileum. Which of the following abdominal assessments should the nurse expect? Absent bowel sounds with distention 3. A nurse is planning care f...

64. A nurse in a clinic is reviewing the health history of a client during her first prenatal visit. Which of the following findings indicates a risk for gestational diabetes mellitus? A. 1-hr glucose tolerance test if 128 mg/dL B. Previous miscarriage C. Delivery of a low birth-weight infant D. BMI of 31 65. A nurse is caring for a client who is incontinent and has a stage II pressure injury on their coccyx. Which of the following interventions should the nurse implement? A. Apply loti...