Contenthive76

A nurse reviews the assessment findings of four different clients with burns. Which client most likely has chemical burns? 1 Client A 2 Client B 3 Client C 4 Client D - ANSWER 3 A client visits a primary healthcare provider with a report of burning and a sharp pain in the sole of the foot that intensifies in the morning. Which abnormal condition does the nurse anticipate in the client? 1 Torticollis 2 Pes planus 3 Tenosynovitis 4 Plantar fasciitis - ANSWER 4 A nurse in an outpatient...

The nurse in the hospital emergency department is preparing to administer fomepizole to a client with ethylene glycol (antifreeze) intoxication. The nurse should plan to administer this medication by which route? Oral route Intramuscular route Intravenous (IV) route Through a nasogastric tube - ANSWER Intravenous (IV) route The nurse is reviewing the medical record of a client transferred to the medical unit from the critical care unit. The nurse notes that the client received intra-aort...

Proscribe - ANSWER Forbid Holistic - ANSWER Concerned with whole Repugnant - ANSWER Offensive; to morals Exiguous - ANSWER inadequency; lacking Untenable - ANSWER No support; ground Clement - ANSWER favorable Adversity - ANSWER a state of burden or hardship Anecdote - ANSWER a short story or account of an event Assiduous - ANSWER diligent; hard-working Benevolent - ANSWER showing sympathy, understanding, and generosity Boisterous - ANSWER rough; rowdy; unruly Brazen - ANSWER bold or u...

Who should explain a surgical procedure to a pt? RN should make sure that the operative permit is signed and on the chart. It is NOT the RN's responsibility to explain the procedure to the client. Good Samaritan Act? Means of protecting a nurse when he or she is performing emergency care If the nurse carries out a provider's prescription that she is not prepared for and does not inform the provider about her lack of preparation? The nurse is soley responsible for any damages. If nurse ...

In a severely anemic patient, you expect to find A. dyspnea and tachycardia. B. cyanosis and pulmonary edema. C. cardiomegaly and pulmonary fibrosis. D. ventricular dysrhythmias and wheezing. - CORRECT ANSWER A. dyspnea and tachycardia. Patients with severe anemia (hemoglobin <6 g/dL) exhibit the following cardiovascular and pulmonary manifestations: tachycardia, increased pulse pressure, systolic murmurs, intermittent claudication, angina, heart failure, myocardial infarction; tachy...

Mean corpuscular hemoglobin (MCH) - ANSWER Average mass of hemoglobin per red blood cell in a sample of blood. Mean corpuscular hemoglobin concentration (MCHC) - ANSWER Measure of the concentration of hemoglobin in a given volume of packed red blood cells Red blood cell distribution width (RDW) - ANSWER A measure of the variation of red blood cell (RBC) volume that is reported as part of a standard complete blood count Best Romanowsky stain modification for demonstrating of blood parasites...

Which of the following patients are MOST at risk for developing heart failure? Select-all- that-apply: A. A 69 year old male with a history of alcohol abuse and is recovering from a myocardial infarction. B. A 55 year old female with a health history of asthma and hypoparathyroidism. C. A 30 year old male with a history of endocarditis and has severe mitral stenosis. D. A 45 year old female with lung cancer stage 2. E. A 58 year old female with uncontrolled hypertension and is being treat...

A client is admitted with early-stage heart failure. Which assessment finding does the nurse expect? a. A decrease in blood pressure and urine output b. An increase in creatinine and extremity edema c. An increase in heart rate and respiratory rate d. A decrease in respirations and oxygen saturation - ANS: C EXPLANATION In heart failure, stimulation of the sympathetic nervous system represents the most immediate response. Adrenergic receptor stimulation causes an increase in heart rate a...

Heart Failure - ANSWER- a clinical syndrome that emerges when there is an impaired ability for the ventricles to fill with enough blood or eject enough blood to meet the body's demand Causes of HF - ANSWER- hypertension, coronary artery disease, scare tissue from a previous MI Manifestations of acute Left Sides Heart Failure - ANSWER- Exceptional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, cough, blood tinged sputum, cyanosis, elevation in pulmonary capillary wedge pressure Manife...

A nurse is assessing a client with heart failure. The nurse is concerned the client is experiencing poor tissue perfusion based on which assessment findings? (Select all thatapply.) A. Capillary refill time is increasing. B. Urinary output is 20 mL/hr for the past 2 hours. C. Oxygen saturation is 93% on room air. D. Level of consciousness is decreasing. E. Blood pressure is 126/72 mmHg. - ANSWER- A, B, D Rationale: Urinary output of less than 30 mL/hr for 2 hours suggests decreased rena...

The nurse is caring for a patient with chronic heart failure and atrial fibrillation that takes digoxin and a thiazide diuretic. Which statement made by the patient indicates that the patient is experiencing a complication related to the medication? "My ankles are still slightly swollen." "I have to urinate a lot after I take those pills!" "I'm not really hungry for lunch. I feel so nauseated and tired." "I check my heart rate regularly. It is usually 80-90 beats per minute." - AN...

What is stage A Heart failure? - ANSWER- Patients at a high risk for developing heart failure such as hypertension, coronary artery disease or other atherosclerotic vascular disease, diabetes, obesity, metabolic syndrome What is stage B heart failure? - ANSWER- patients with structural heart disease (previous MI, left ventricular hypertrophy, low ejection fraction) but no signs and symptoms of heart failure What is stage C heart failure? - ANSWER- patients with structural heart disease and...

While performing high-quality CPR on an adult, what action should you ensure is being accomplished? - ANSWER Compressing to a depth of at least 2 inches 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 medical technician, rushes to her with an AED. When the AED arrives, what is the first step for using it? - ANSWER Turn on the AED A 53-year-old woman collapses while gardening. She is unresponsiv...

A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. This assessment is most consistent with: - ANSWER cardiac tamponade. The nurse is caring for a patient with severe sepsis and third-degree heart block. The patient is hypotensive. The treatment for this life-threatening rhythm change includes: - ANSWER transcutaneous pacing. A patient is admitted to the ICU with suspected cervical spinal cord injury following a motor vehicle accident. The...

Sixteen-year-old Sarah makes the following statements to you during a health visit. Which of the following pieces of information should not be kept confidential? a. "I have been sexually active with three of my boyfriends." b. "I sometimes smoke marijuana." c. "I want to get pregnant." d. "Sometimes I feel like ending my life." - ANSWER D In performing a physical examination on a nine-month-old infant, which of the following developmental fears would not be appropriate for you to ...

Agent/Producer - ANSWERS-A legal representative of an insurance company Broker - ANSWERS-An insurance producer not appointed by an insurer and whom represents the client Insured - ANSWERS-A person covered by an insurance policy Insurance policy - ANSWERS-A legal contract between a policyowner (and/or insured) and an insurance company which agrees to pay the insured/beneficiary for losses caused by specific events Principal - ANSWERS-Insurer, company who issues insurance policies Policyow...

After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: a. Objective. b. Reflective. c. Subjective. d. Introspective. Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. Subjective data is what the person says about him or herself during history taking. The terms reflective and...

1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said. C) Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level. D) Note-taking allows the nurse to bre...

Metabolic acidosis - ANSWER- low pH, low HCO3 Diarrhea Symptoms: kussmaul respirations metabolic alkalosis - ANSWER- high pH, high HCO3 Prolonged vomiting Symptoms: mostly neurologic Respiratory acidosis - ANSWER- low pH, high CO2 hypoventilation Respiratory alkalosis - ANSWER- high pH, low CO2 Hyperventilation Aspirin overdose S1 - ANSWER- Sound caused by turbulence created when the mitral and tricuspid valve close Heard best at the apex S2 - ANSWER- Closure of the semilunar (aort...

SOAP modified format - ANSWER- Subjective Objective Assessment Plan What color ink should be used when documenting on paper - ANSWER- Permanent black ink What is the correct order for vital signs? - ANSWER- T, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation? - ANSWER- Patient initials and date and time of entry What should be at the end of every documentation entry? - ANSWER- Interviewers signature How do you correct a mistake in docum...