Rnnurse

1. A patient presents with acute otitis externa with obstruction of the ear canal severe enough to prevent patient self administration of pharmacologic treatment. What is the most effective means to administer topical agent solutions. A. Oral/systemic antibiotics B. Aural toileting or wicking or a combination of both C. A nebulizer machine D. Surgical debridement 2. Otitis media, hypothyroid disease, deviated nasal septum, and chronic sinusitis are differential diagnoses for what conditio...

1. For which reasons would a nurse review infant mortality statistics in the United States? (Select all that apply.) A) Measures the quality of pregnancy care B) Reviews information on overall nutrition C) Compares health with those of other states D) Determines infant health and available care E) Provides an index of the country's general health Ans: A, B, D, E Feedback: Infant mortality statistics provide an index of a country's general health, measures the quality of pregnancy care, ...

1. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions the nurse take? A. Request a renewal of the prescription every 8 hr. B. Check the client’s peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client’s condition every 15 minutes 2. A nursing planning care for a school-age child who is 4 hr postoper...

1) A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention? a. Palpate the lymph nodes and spleen b. Examine the posterior oropharynx for petechiae c. Obtain a CBC, throat culture, and heterophil antibody test. d. Obtain an urinalyses and serum for LFTs and amylase Explanation: mo...

: Mr. Cooper is in the critical care unit and requires sedation for an emergency procedure. The prescription reads midazolam (Versed) 10 mcg/kg intravenous now. The patient weighs 220 pounds. How many micrograms of Versed do you give Mr. Cooper? A: 22 mcg. B: 1,000 mcg. C: 100 mcg. D: 2,200 mcg. 2: You are preparing to give Mr. Hamptou his Lopressor (metoprolol tartrate) 100 mg PO daily as prescribed. The pharmacy sends up Lipitor 50-mg tablets. How many tablets do you give to Mr. Ham...

1. The nurse cares for a client diagnosed with superficial partial thickness burn. The nurse should assign the client to a room with which client? A. A client diagnosed with Cushing’s Syndrome. B. A client Diagnosed with cellulitis of the left leg. C. A Client diagnosed with acute peritonsillar abscess. D. A client diagnosed with acute pelvic inflammatory disease. Answer: A 2. The nurse observes client care on a geriatric unit. The nurse should intervene in which situation? a. A studen...

1. The nurse on the neurological unit is positioning a client who had a stroke two days ago and had left-sided hemiparesis. Which of the following actions by the nurse would be appropriate? Select all that apply. a. Positioning a rolled washcloth in the client’s left hand b. Placing a foam abduction wedge between the client’s legs c. Grasping the client’s left arm to pull the client from supine to a right side-lying position d. Securing the left arm in a sling e. Putting a trochanter ...

1. A nurse is teaching a client how to perform personal ileostomy care prior to discharge. The client says “I don’t think that I am going to be able to take care of this myself.” Which is the most appropriate response from the nurse? a. In time you will be better at this than I am. b. Don’t worry about it, most clients feel like you do at first. c. What part of the ileostomy care are you having trouble with? d. I agree. This is a difficult process. This response opens up c...

1. Infections: Indications for Cesarean Birth- Mothers who are infected with HSV have the possibility of having a miscarriage, preterm labor or ectopic pregnancy. A cesarean section is recommended for all women who have active genital herpes lesions or early outbreak. 2. Infections: Treatment for Gonorrhea- Medications used for patients have gonorrhea includes Ceftriaxone IM and azithromycin PO which are broad spectrum antibiotics. They cause bactericidal action. 3. Expected Physiological Cha...

1. Which statement is true about rehab and restorative care for older adults? A PERSON CAN LEARN SKILLS AND GAIN ABILITIES THAT ENABLE FUNCTIONING 2. An older adult is in the hospital because of HF and has become incontinent of urine. Which EB resource should the nurse use to guide continence care for this pt? NURSING STANDARD PRACTICE PROTOCOL 3. The nurse understands that stress incontinence occurs? AS A RESULT OF INCEASED INTRAABDOMINAL PRESSURE 4. A large residual urine volume characteri...

. The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient? a. Capitation provides the hospital with a means of recovering variable charges. b. The hospital will be paid for the full cost of the patient’s hospitalization. c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost. d. Medicare will pay the national average for the patient’s condition. ANS: C 2. A nurse is teachin...

1. A nurse is caring for a client who is at 33 weeks gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? a. contractions b. Hypertention c. Epigastric pain d. vomiting Answer: a. Contraction Rational: Amniocentesis -Can't be done before 16 weeks, not enough amniotic fluid. -maternal risks: hemorrhage, feto maternal hemorrhage, infection, contractions/labor, abruptio placentae, damage to intestines or bladder, amniotic f...

1. A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing patient-centered care? A) Having a client complete a self-reported functional status indicator and then reviewing it with the client B) Explaining to a client the benefits of computer-assisted robotic surgical techniques, which the hospital recently implemented C) Recording a client's signs and symptoms in an electronic health record D) Performing continuous glucose monitoring of ...

1. A nurse wants to have a better understanding of the physiological effects of selected chemicals. Which of the following individuals would provide the most useful information to the nurse? Toxicologist 2. A nurse wants to find information about environmental threats that are present in the community. Which of the following would be the best source of data for the nurse? National Library of Medicine 3. A nurse is assessing potential environmental health risks in the community. Which...

1. A nurse is teaching a client about using a continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea. Which of the following information should the nurse include in the teaching? It delivers a present amount of airway pressure throughout the breathing cycle 2. A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching? Shortness of breath might be an indication of t...

Midterm Review Chapter 24: The Digestive System • Functions of the Digestive System o Ingesting: taking food into mouth o Secretion: release of water, acid, buffers, and enzymes into lumen of GI tract. o Mixing and propulsion: churning and movement of food through GI tract. o Digestion: mechanical and chemical breakdown of food o Absorption: passage of digestion products from GI tract into blood and lymph o Defecation: elimination of feces from GI tract. • Overview of the Digestive ...

A nurse is admitting a new client on the mental health unit. During the conversation the nurse should be aware that countertransference can occur if the nurse display what feeling? Countertransference happens when a health care professional redirects their feelings to the client based on people in their past. The nurse may project his or her feelings unconsciously onto the client. The nurse may act more positively to a client that reminds them of an old friend. A nurse is caring for a clie...

Nursing Process- ATI Fundamentals Ch. 7 Assessment/ Data Collection ▪ Pt. interview ▪ Medical history ▪ Physical assessment ▪ Lab reports ▪ S/S, feelings ▪ Objective data  VS Analysis ▪ ID pt. health status ▪ Recognize trends and patterns Planning ▪ Nurse initiated/Independent Interventions ▪ Provider-Initiated/Dependent interventions ▪ Collaborative interventions ▪ Establish priorities Implementation ▪ Base care according to data and plan of ca...

• Chapter 12: Bacterial Meningitis (starting on page 59) 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, ensuri...

1. what is montelukast (singular) for? a. a leukotriene modifier, and is taken on a regular basis, once a day, and not prn, and is not used for exercise induced asthma 2. what does advance directives contain? a. written instructions regarding end of life care 3. what is the greatest risk to a pt receiving hemodialysis? a. disequilibrium syndrome as a result of rapid loss of fluids and decrease bun 4. what is the clinical manifestation of disequilibrium? a. restlessness and decreased level...