Toolkit Questions and Verified solution 2024/2025
What are symptoms of ovarian cancer? - correct answer -abdominal
bloating, constipation, urinary urgency
-postcoital bleeding and back pain are indications of cervical cancer
What is priority of a client 18 hr p/o c birth and breastfeeding? - correct
answer -unilateral lower extremity tenderness (dvt)
-low grade fever (99) is okay
What are signs of delirium? - correct answer -rapid, incoherent speech
What happens to children during the acute phase of kawasaki's? Subacute
phase? - correct answer -high fever unresponsive to antipyretics
-tachycardia
-subacute: peeling of soles and palms, pain of weight bearing joints
What is important about hep a teaching? - correct answer -clean with
chlorine bleach 1:100 solution or hydrogen peroxide
-safe food handling and hand hygiene techniques
What is important to do follow tonsillectomy? - correct answer -place head
below level of chest to prevent aspiration
-avoid coughing and using straws
-give pain meds q 4 h
,What are common findings of cardiac tamponade? - correct answer -pulsus
paradoxicus (sbp is over 10 mm hg greater on expiration than inspiration)
-jvd
-bradycardia
-hypotension
If a patient if 4 hr postpartum with a boggy uterus and heavy lochia, what
should you do? - correct answer -massage uterus to expel clots->will
increase uterine firmness and decrease bleeding
-do this before oxytocin!
What teaching should the nurse give to a mother who has breast
engorgement and is only bottle feeding their child? - correct answer -use
ice packs on breast to reduce swelling
-dont express milk daily or allow temporary breastfeeding b/c it'll continue to
produce milk
-wear tight fitting bra to improve comfort
What can clozapine cause? - correct answer -can cause agranulocytosis
-do not give if wbc low (less than 3k)
-hypotension
What are manifestations for client's with raynaud's phenomenon? - correct
answer -blanching of fingers and toes->response to cold or emotional stress
-pallor develops->then cyanosis->then redness as vessels reperfuse
What is naegele's rule? - correct answer -to find dob, take last menstrual
period and go back 3 months and add 7 days
, When assessing patients a nurse should see first, what matters most? -
correct answer -assess client with no bowel sounds and ab distention
postoperatively
-could indicate paralytic ileus
What is the best way to ensure cost effective care? - correct answer -assign
non nursing tasks to ancillary staff
-do not stock rooms with extra supplies
-do not assign dedicated equipment to each room
-iv tubing is to be changed every 96 hours
What is true of clients with borderline pd? - correct answer -emotionally
unstable
-engage in harmful self mutilation
-have trouble with relationships
-feeling empty
What is true of ginseng? St. John's wart? Valerian? Flaxseed? - correct
answer -decreases effectiveness of timolol->antiglaucoma med
-interacts with caffeine-irritability
-can increase effectiveness of warfarin (anticoagulants), stimulate mental
activity and improve appetite
-st. John's wart can increase effectiveness of fluoxetine
-valerian: sedative, can lower bp
-flaxseed: used for migraines, can cause gi symptoms
When administering combined (2 meds) im meds what should you do? -
correct answer -use a 2 in needle