Terms in this set (33)
A 67-year-old woman who lives alone
tripped on a ruge in her home and
fractured her hip. Which predisposing
facotr p
D. take digitalis?
Elderly persons are particularly susceptible to digitalis intoxication which
manifests itself in such symptoms as anorexia, nausea, vomiting, diarrhea,
A 77-year-old female client is admitted headache, and fatigue. Although it is important to obtain a complete medication
to the hospital. She is confused, has no history, the symptoms described are classic for digitalis toxicity, and assessment
appetite, is nauseated and vomiting, and of this problem should be made promptly. A is irrelevant.
is complaining of a headache. Her pulse
rate is 43 beats per minute. Which
question is a priority for the nurse to ask
the client or her family on admission?
"Does the client:
A. have her own teeth or dentures?
B. take aspirin and if so, how much?
C. take nitroglycerin?
D. take digitalis?
, C. 5 minutes before and 30 minutes after the next dose.
Peak drug serum levels are achieved 30 minutes after IV administration of
aminioglycosides. The best time to draw a trough is the closest time to the next
administration. A, B, and D are not as good a time to draw the trough as C. B
After the fourth dose of gentamicin
and D are not the best times to draw the peak of an aminoglycoside that has
sulfate (Garamycin) IV, the nurse plans
been administered IV.
to draw blood samples to determine
peak and trough levels. When are the
best times to draw these samples?
A. 15 minutes before and 15 minutes
after the next dose
B. One hour before and one hour after
the next dose
C. 5 minutes before and 30 minutes after
the next dose
D. 30 minutes before and 30 minutes
after the next dose
, C. Temperature
It is very important to check the client's temperature. Infection is the most
common factor precipitating respiratory distress. Clients with COPD who are on
maintenance doses of corticosteroids are particularly predisposed to infection. A
A client has taken steroids for 12 years and B are important data for baseline and ongoing assessment, but they are nor
to help manage chronic obstructive as important as temperature measurement for this client who is taking steroids.
pulmonary disease (COPD). When Assessment of skin color and turgor is less important.
making a home visit, which nursing
function is of greatest importance to this
client? Assess the client's
A) pulse rate, both apically and radially.
B) blood pressure, both standing and
sitting.
C) temperature.
D) skin color and turgor.
, D. Feelings of dizziness
Feelings of dizziness may occur as the result of a decreased heart rate, leading
to decreased cardiac output. A and C will not occur as the result of pacemaker
A client has undergone insertion of a failure. B may be an indication of infection postoperatively, but is not an
permanent pacemaker. When developing indication of pacemaker failure.
a discharge teaching plan, the nurse
writes a goal of, "The client will
verbalize symptoms of pacemaker
failure." Which symptoms are most
important to teach the client?
A. Facial flushing
B. Fever
C. Pounding headache
D. Feelings of dizziness
A 67-year-old woman who lives alone
tripped on a ruge in her home and
fractured her hip. Which predisposing
facotr p
D. take digitalis?
Elderly persons are particularly susceptible to digitalis intoxication which
manifests itself in such symptoms as anorexia, nausea, vomiting, diarrhea,
A 77-year-old female client is admitted headache, and fatigue. Although it is important to obtain a complete medication
to the hospital. She is confused, has no history, the symptoms described are classic for digitalis toxicity, and assessment
appetite, is nauseated and vomiting, and of this problem should be made promptly. A is irrelevant.
is complaining of a headache. Her pulse
rate is 43 beats per minute. Which
question is a priority for the nurse to ask
the client or her family on admission?
"Does the client:
A. have her own teeth or dentures?
B. take aspirin and if so, how much?
C. take nitroglycerin?
D. take digitalis?
, C. 5 minutes before and 30 minutes after the next dose.
Peak drug serum levels are achieved 30 minutes after IV administration of
aminioglycosides. The best time to draw a trough is the closest time to the next
administration. A, B, and D are not as good a time to draw the trough as C. B
After the fourth dose of gentamicin
and D are not the best times to draw the peak of an aminoglycoside that has
sulfate (Garamycin) IV, the nurse plans
been administered IV.
to draw blood samples to determine
peak and trough levels. When are the
best times to draw these samples?
A. 15 minutes before and 15 minutes
after the next dose
B. One hour before and one hour after
the next dose
C. 5 minutes before and 30 minutes after
the next dose
D. 30 minutes before and 30 minutes
after the next dose
, C. Temperature
It is very important to check the client's temperature. Infection is the most
common factor precipitating respiratory distress. Clients with COPD who are on
maintenance doses of corticosteroids are particularly predisposed to infection. A
A client has taken steroids for 12 years and B are important data for baseline and ongoing assessment, but they are nor
to help manage chronic obstructive as important as temperature measurement for this client who is taking steroids.
pulmonary disease (COPD). When Assessment of skin color and turgor is less important.
making a home visit, which nursing
function is of greatest importance to this
client? Assess the client's
A) pulse rate, both apically and radially.
B) blood pressure, both standing and
sitting.
C) temperature.
D) skin color and turgor.
, D. Feelings of dizziness
Feelings of dizziness may occur as the result of a decreased heart rate, leading
to decreased cardiac output. A and C will not occur as the result of pacemaker
A client has undergone insertion of a failure. B may be an indication of infection postoperatively, but is not an
permanent pacemaker. When developing indication of pacemaker failure.
a discharge teaching plan, the nurse
writes a goal of, "The client will
verbalize symptoms of pacemaker
failure." Which symptoms are most
important to teach the client?
A. Facial flushing
B. Fever
C. Pounding headache
D. Feelings of dizziness
