WITH SOLUTIONS) 2024/2025 LATEST
UPDATED GRADED 100% PASS.
BPH assessment? - Solution >50
voiding difficulty/urgency
incomplete emptying
straining to void
nocturia
urine retention
Should never have burning with uriantion! this indicates a UTI
Sexual intercourse does not have anything to do with this
PAtient with altered level of consciousness positioning? - Solution side
lying position
septic shock symptoms - Solution Tachycardia, fever,hypotension
(SYSTOLIC lower then 90), pallor, fatigued, cold, reduced urine output,
SOB, Decreased LOC,N/V, sweating,
most reliable indicator of neurological status? - Solution level of
consciousness
Herpes Zoster (Shingles) - Solution VZV virus
amyotrophic lateral sclerosis (ALS) - Solution Survival is 3-5 years
difficulty swallowing and breathing
,inability to communicate
constipation
EVERYTHING is down
What should we implement immediately in a burn patient? - Solution
ABCs!
Fluids almost always first due to hypovolemia from loss of fluid in tissue
Cushings triad - Solution Appears when a patient has an increased ICP for
some time
Brdycardia, ^ systolic BP and wide pulse pressure, irregular respirations.
Assess patient for brain swelling
Ampule medication withdrawal - Solution use filter needle
do not touch filter needle to edge of ampule
receptive aphasia - Solution inability to understand spoken or written
words
Hotspot injection site for Enoxaparin - Solution Right or left side of
abdomen 2inch from belly button
Abdominal wound healing - Solution docusate
nausea treatment
pillow to cough
abdominal binder
monitor blood sugar
Isotonic fluids - Solution include NS 0.9% NaCl and LR
used for fluid resuscitation and hypovolemic shock and dehydration
Blind person walking technique - Solution walk slightly ahead and to the
side of the client with their hand on your elbow
,How is medication measured for pediatric clients? - Solution oral syringe
How do you dress someone with a stroke? - Solution Affected side first
SLE s/s - Solution elevated ESR
+ANA
Decreased WBC count, thrombocytopenia and anemia are common
Monitor for kidney damage
Halo device - Solution Clean pin sites with sterile solution
Keep vest liner dry with cool blow dryer
Foam inserts under pressure points
Small pillow under head to reduce pressure
Have wrench available in emergencies
Lithotripsy - Solution increase fluid intake
expect some bruising on flank or back
Analgesics
Minor blood in urine for first 24 hours..after than is a problem
Report infection symptoms
Ambulate immediately after
Sprain treatment - Solution RICE
Analgesia
Exercise rehab program once healed
, Pursed lip breathing - Solution Inhale for 2 seconds through the nose -
moutn closed
Exhale for 4 seconds through pursed lips
Hip fracture - Solution externally rotates due to pulling of muscle
muscle spasm
bruising at the site
shortening of the limb
pain with weight bearing
Cephalohematoma - Solution normal
Physiological Jaundice of the Newborn - Solution Hyperbilirubinemia
occurs after 24 hours and is likely due to dehydraiton and not breastfeeding
enough
Magnesium sulfate? - Solution Tocolytics
Used in preeclampsia
Stops contractions
Causes hypermagnesemia
Monitor reflexes and breathing to ensure
Respirations are 12 or above
Reflexes +2
Oxytocin/Pitocin - Solution Can cause hyperstimulation of the uterus
Contractions >90 seconds or closer than 2 minutes