Terry75

1. An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? A. Massage any reddened areas for at least five minutes. B. Encourage active range of motion exercises on extremities. C. Position the client laterally, prone, and dorsally in sequence. D. Gently lift the client when moving into a desired position. - To avoid shearing forces when repositioning, the client should be lifted gently across a surface (D). Redden...

The retinal structures viewed through the ophthalmoscope are: - Correct answer-optic disc, vessels, macula, background "Positive consensual light reflex" means... - Correct answer-simultaneous constriction The thickening and yellowing of the lens due to aging is described as: - Correct answer- cataract Eye emergency - Correct answer-sudden change in vision Visual acuity is assessed with: - Correct answer-Snellen eye chart The cover test is used to assess for: - Correct answer-muscle wea...

1. A nurse is conducting an admis- sion interview with the mother of a 2-year-old child. What history question is most important at this time? a. How many children are in the family? b. What is your child's normal routine? c. Does your child attend day- care? d. What toys are most important to your child? 2. A 9-month-old is sitting on his father's lap at the bedside. The nurse needs to do a shift assess- ment. How should the nurse pro- ceed? a. Ask the father to put the child...

A 56 yr-old male is admitted to the ICU with a blood pressure of 225/135 and complains of a headache and nausea. He reports he ran out of blood pressure meds three days ago, but also appears to be confused to the date and situation. What is the most appropriate treatment approach? -Correct Answer= Rapidly lower the diastolic pressure to 100 with IV antihypertensive meds, then continue to gradually reduce the diastolic pressure to 85 with oral antihypertensive meds. The maximum initial decrease ...

Which of the following professional organizations best supports critical care nursing practice? a. American Association of Critical-Care Nurses b. American Heart Association c. American Nurses Association d. Society of Critical Care Medicine -ANS a The synergy model of practice focuses on: a. allowing unrestricted visiting for the patient 24 hours each day. b. holistic and alternative therapies. c. needs of patients and their families, which drives nursing competency. d. patients' ne...

1. What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops 2. A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green ...

A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first? Ask the client to identify the types of foods she prefers. A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect? Diaphoresis 00:0201:27 A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation. W...

Student Answer Sheet Basic Life Support Exam Name: Date: Version: Question Answer 1. A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D 7. A B C D 8. A B C D 9. A B C D 10. A B C D 11. A B C D 12. A B C D 13. A B C D 14. A B C D 15. A B C D 16. A B C D 17. A B C D 18. A B C D 19. A B C D 20. A B C D 21. A B C D 22. A B C D 23. A B C D 24. A B C D 25. A B C D American Heart Association BLS A and B Exams Basic Life Support Exam A 2 Use thi...

1. While performing high-quality CPR on an adult, what action should you ensure is being accomplished? A: Maintaining a compression rate of 90 to 120/min B: Placing hands on the upper third of the sternum C: Allowing the chest to recoil 1 inch D: Compressing to a depth of at least 2 inches - D: Compressing to a depth of at least 2 inches 2. A 53-year-old woman collapses while gardening. She is unresponsive, is not breathing, and does not have a pulse A neighbor, who is an EMT, rushes to her wit...

1. Why is defibrillation important? - It can restore a regular cardiac rhythm (An AED can identify an abnormal heart rhythm that needs a shock. The AED can then deliver a shock that can convert a rhythm back to normal.) 2. While performing high-quality CPR on an adult patient, what action should you ensure is being accomplished? - Compressing to a depth of at least 2 inches (When performing chest compressions on an adult (or adolescent), a compression depth of at least 2 inches (5 cm) should be...

1. While performing high-quality CPR on an adult, what action should you ensure is being accomplished? A. Maintaining a compression rate of 90 to 120/min B. Placing hands on the upper third of the sternum C. Allowing the chest to recoil 1 inch D. Compressing to a depth of at least 2 inches Use this scenario to answer the next 2 questions: A 53-year-old woman collapses while gardening. She is unresponsive, is not breathing, and does not have a pulse, A neighbor, who is an emergency medi...

• The practical nurse (PN) is observing a client self-administering a dose if subcutaneous insulin. What step of the injection technique should the practical nurse (PN) reteach? a. Injects air into the insulin vial to displace the dose b. Selects the same site that was used for the previous injection c. Inserts the needle at a 90-degree angle to the skin surface d. Uses a circular motion when applying an alcohol pad to the site Rationale: The PN should reteach the client to rotate the...

1. An adult who has recurrent episodes of depression tells the nurse that the prescribed antidepressant needs to be discontinued because the client is feeling better after taking the medication for the past couple of weeks and does not like the side effects. Which response is best for the nurse to provide. a. Remind the client that feeling better is the therapeutic effect of the medication. b. Inform the client that gradual tapering must be used to discontinue the medication. c. Tell the c...

1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of vitamin D 3. Calcitonin (Miacalcin) Rationale: The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium gluconate and calcium chloride are medications...

1. All of which are examples of antiviral influenza medications except? A. baloxavir marboxil (Xofluza) B. ethionamide (Trecator) C. oseltamivir (Tamiflu) D. zanamivir (Relenza) Correct Answer: B. ethionamide (Trecator) Ethionamide (Trecator) is an antibiotic used in the treatment of tuberculosis. Options A, C, & D: These are antiviral medications that are effective in the prevention and treatment of flu. 2. A cromolyn sodium (Intal) inhaler is prescribed to a client with asthma. A n...

1. Male client admitted the morning of scheduled surgery told nurse he drank water last night. Amount of water and what time was taken. 2. Why would nurse apply pressure to lacrimal duct after optic meds. Reduce systemic effects. 3. Comatose patient mouth care. Side lying position. 4. morning care client have seizure. Protect Pt head. 5. Charge nurse assign PN. Insulin injections. 6. 2 doses missing. Complete report. 7. Pt on suicide ask about discharge. Increases suicide prec...

1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four-month-old infant and her 4-year-old child? "I have the 4-year-old hold and help feed the four-month-old a bottle in the kitchen while I make supper." 2. 154. A nurse is providing care to a 17-year-old client in the post-operative care unit (PACU) after an emergency appendectomy. Which finding is an early indication that the client is experiencing poor oxygenation...

1. What intervention should the practical nurse (PN) implement to meet the physiologic integrity of a client during a manic episode of bipolar disorder? Provide the client with finger foods. 2. A client with bipolar disorder is being treated with cognitive therapy. Which actions should the practical nurse (PN) implement to reenforce this treatment strategy? Select all that apply. -Use affirmations and limit setting. -Report client's suicidal expressions to the therapist. -Encourage sub...

1. A client returns to the postoperative unit following an open reduction and internal fixation of a hip fix. the PN applies the prescribed sequential compression device (SCD) to both lower extremities. WHAT ACTION IS IMPORTANT WHEN TURNING THE CLIENT TO A LATERAL POSITION? Observe the SCDs continue to inflate and deflate when the client is turned. 2. While the PN assists a postoperative client with an incentive spirometer, the client experiences wound evisceration. WHAT ACTION SHOULD THE PN...

1. An adolescent male with severe acne recently started treatment with isotretinoin, a form of vitamin A. During a follow-up clinic appointment, which assessment is most important for the PN to complete? Ask about occurrence and frequency of nosebleeds. 2. The PN is caring for a client who has silvery scaling plaques bilaterally on elbows, forearms, and palms. When scratched, the skin bleeds over these plaques. What is most important to reinforce in this client plan of care? B. Intervention...