Luckyexams

After a permanent pacemaker is inserted, a client's discharge teaching plan includes the client goal of "The client will verbalize symptoms of pacemaker failure." Which symptoms are most important for the practical nurse (PN) to reinforce with the client? -ANSWER Feelings of dizziness The health care provider prescribes codeine USP 60 mg every 4 hours for a client who is 3 days postoperative. The pharmacy has available codeine USP 30 mg/tablet. How many tablets should the practical ...

The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take? - ANSWER Inflate blood pressure cuff to 120 mm Hg. A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self care at home? - ANSWER Have the...

an 82-year old client is admitted to the hospital with a fractured right hip. following surgical repair, a footboard is placed at the clients feet. what is the reason the nurse will offer concerning the footboard? - ANSWER footboard is used to prevent foot drop. An adult female client is admitted to the psychiatric unit with diagnosis of major depression. After 2 weeks of antidepressant medication therapy, the nurse notices the client has more energy, is giving her belongings away to her visi...

A clinet in cardiac arrest is noted on bedside monitor to be in pulseless vetricular tachycardia. What is the first action that should be taken? - ANSWER Defibrilation A pericardial thump is only indicated in - ANSWER pulseless VT of VF or when ventricular asytole on the motnitor responds to a thump with a QRS complex 4 common causes of fluid volume DEFICIT - ANSWER GI causes: vomiting, diarrhea, GI suctioning, decreased fluid intake, increase in fluid output like sweating, massive edema, ...

Which instruction is correct for injection sites? - ANSWER Rotate injection sites to prevent lipohypertrophy. Which lab should be monitored before starting furosemide? - ANSWER Serum potassium. What best describes informed consent? - ANSWER Patient signs consent after understanding procedure, risks, benefits, and alternatives. What precautions should a patient with C. difficile diarrhea be placed on? - ANSWER Contact precautions with emphasis on handwashing with soap and water. What ...

How does the nurse prevent hypoxia during suctioning? - ANSWER Deliver 100% O2 (hyperinflating) before and after each endotracheal suctioning. During mechanical ventilation, what are three major nursing interventions? - ANSWER Monitor client's respiratory status and secure connections; establish a communication mechanism with the client; keep airway clear by coughing and suctioning. When examining a client with emphysema, what physical findings is the nurse likely to see? - ANSWER Barre...

A nurse developing a plan of care for a client with a spinal cord injury includes measures to prevent autonomic dysreflexia (hyperreflexia). Which of the following interventions does the nurse incorporate into the plan to prevent this complication? A) Keeping a fan running in the client's room B) Keeping the linens wrinkle-free under the client C) Limiting bladder catheterization to once every 12 hours D) Avoiding the administration of enemas and rectal suppositories - ANSWER Answer: B ...

Which of the following patients would benefit from hyperbaric oxygen therapy? a. 85 y/o with extensive burns b. 48 y/o with a recent kidney transplant c. 37 y/o with pneumonia d. 25 y/o with a brain tumor - ANSWER Answer: a -Hyperbaric oxygen therapy increases oxygenation to compromised tissue, such as wounds and burns -Increasing the oxygen supply to the affected tissue aids in wound healing -Transplants, tumors, and pneumonia are not treated with hyperbaric oxygen therapy A nurse is ...

3. A patient experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the use to encourage the patient to eat? a. Using open-ended questions and silence b. Sharing personal prefernce regarding food choices c. Documenting reasons why the patient does not wat to eat d. Offering opinions about the necessity of adequate nutrition - ANSWER (A) Using open-ended questions and silence RATIONALE: Open-ended questions and silence are str...

A cough brought on by swallowing is a sign of dysphagia, which is a finding of particular concern in a client with stomatitis. Dysphagia can cause numerous problems, including airway obstruction, and should be reported to the healthcare provider immediately. The nurse is teaching a client diagnosed with peripheral arterial disease. Which genitourinary system complication should the nurse include in the teaching? Altered sexual response. Sterility. Urinary incontinence. Decreased pelvic ...

A client who has chronic obstructive pulmonary disease (COPD) is resting in a semi-Fowler's position with oxygen at 2 L/min per nasal cannula. The client develops dyspnea. Which action should the nurse take first? A. Call the HCP B. Obtain a bedside pulse oximeter C. Raise the head of the bed higher D. Assess the clients vital signs - ANSWER C. Raise the head of the bed higher For COPD you want an SpO2 >90%. Fowler's position can help to open up the chest wall and aid in breat...

• The patient with GERD should be instructed to eliminate which of these activities? a. Swimming b. Weight lifting c. Golfing d. Walking - ANSWER B Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant (RUQ) pain, abdominal cramping, nausea, and vomiting. Your differential diagnosis might be: a. Diverticulitis b. Gastritis c. Cholecystitis d. Appendicitis - ANSWER C A 46-year-old female patient is seen in the clinic with abdominal pain. Which...

Goal of A1C for diabetics? - ANSWER 6-8% S/Sx of Graves? - ANSWER bulging eyes, thin fine hair, tachycardia S/Sx of Cushings? - ANSWER Moon face, buffalo hump, hyperglycemia Cushings is an excess of what? - ANSWER Cortisol S/Sx of Addisons? - ANSWER bronze skin, hypotension, hypoglycemia,hyponatremia Addisons is not enough what? - ANSWER Cortisol S/Sx of Hashimotos? - ANSWER course hair, fatigue, lethargy, brittle nails What is myxedema? - ANSWER endocrine emergency, severe ...

Differential diagnosis for major mood disorder - ANSWER Thyroid disorder •Sleep disorder •Unrecognized bipolar •Neurological •Medications •Substance use •Adrenal functioning Clinical features of Major depressive disorder - ANSWER The DSM-5 symptom criteria for major depression state that five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning. At least one of the symptoms is either (1) depres...

Clinical manifestations of Articular disorders? - ANSWER *characterized by deep or diffuse pain, pain or limited ROM on active and passive movement *swelling *crepitus Clinical manifestations of Non-Articular disorders? - ANSWER *Tend to be painful on active but not passive (assisted) ROM. *Seldom demonstrate swelling, crepitus, instability, or deformity by itself. What diagnostic assessment is most useful in a patient who presents with lumbar radiculopathy? - ANSWER The straight leg r...

ACE inhibitors are given to clients with diabetes who have - ANSWER persistent proteinuria A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic lifestyle changes (TLC) and medical nutritional therapy (MNT). Which oral antidiabetic agent is recommended as monotherapy? - ANSWER metformin An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following manifestations are commonly seen in the elderly with hyperthyroidism? - A...

Define Dementia - ANSWERVarious causes, gradual change with mental status, months to years, progressive to irreversible (speech, memory, mood, judgment) An older adult with delirium would present with what type of behaviors? - ANSWERAgitation and restlessness At the onset of alzheimers, what category of medications should be initiated? - ANSWERCholinesterase inhibitors what factors contribute to a patient being high risk for falls? - ANSWERHistory of falls medications

What should you include in the patient education to prevent spreading of the various parasitic skin problems? - ANSWER Avoid close contact. Wash all bedding, clothing, cloth items, and stuffed animals in hot water. All close contacts family members, people you live with and sexual partners need to be treated as well. Which bacterial skin infection is considered highly contagious? - ANSWER Impetigo What is the "classic" presentation of impetigo? - ANSWER Honey crusted lesions What ...

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and mental strength to do what is right, with confidence and resolution, even in the face of temptation or adversity. Commitment (Navy Core Values) - ANSWER The day-to-day duty of every man and woman in the Department of the Navy is to join together as a team to improve the quality of our work, our people, and ourselves. What are the Chief of Naval Operation's Core Attributes? - ANSWER Integrity, Accountability, Initiative, and Toughness Integrity (CNO's Four Core Attributes to Gu...