Nurse Amy

Practice Question: A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? (Select all that apply.) A. a bottle containing a sterile solution B. The edge of the sterile drape at the base of the field C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field E. One gloved hand with the other gloved hand Infection Control- ATI ...

A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The clients partner wants the client to have the blood transfusion. Which of the following actions should the nurse take? Withhold the blood transfusion. A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching? when descending stairs, I will first shift my weigh...

The client or family's preference is not a valid reason for prescribing tube feedings. After consultation with a dietician, the dietary department may be able to provide more foods the client likes while also meeting their dietary needs. Consultation with a dietician is important to help the family meet their older relative's nutritional needs. In planning care for a client with a SURGICAL WOUND healing by SECONDARY INTENTION, the nurse can ANTICIPATE that the client will A. Have wel...

A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? Platelets 50,000/mm3 A platelet count of 50,000/mm3 is below the expected reference range, which can indicate disseminated intravascular coagulation. The nurse should report this result to the provider. 07. A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the f...

Increased anger noticed while explaining how she is different from her friends. Helped her to get information regarding her disease & renal dialysis by written short notes. She is enthusiastic towards advanced treatment modality such as Renal transplant. Detailed explanation about peocedure, guidelines , prognosis & complications has given to her. Tried to answer maximum queries put forward by her. She was cooperative & attendive during discussion. At the end of conversation she is quite ...

13. What is the priority nursing action? Check Lara's blood glucose. 14. Which action should the nurse take first? Administer IV dextrose to a diabetic client with a blood glucose level of 25 mg/dL. 15. What action should the nurse take first? Ask the unit clerk to find out when the trays will be available. 16. What is the best response by the nurse? "Alcohol does contain a lot of empty calories, but it is also likely to cause you blood glucose to decrease." 17. What is the best res...

Alex checks the code cart and equipment for safety and function. Which inspections are necessary to ensure that the defibrillator is serviceable and ready for use during an emergency? (Select all that apply.) - Defibrillator pads/paddles are available. - Electrical cords are in good repair. - Defibrillator passes a system check. Which action is the most important intervention for Alex to take? Ask Tricia to join him in the nurse manager's office. Which action is most important for the...

Why is your patient in the hospital/ being treated today? (Answer in your own words and include the History of present Illness)?: My patient is being seen post a fall at home. Complained of dizziness and fell. Fractured her left intertrochanteric hip. Scheduled for surgery tomorrow. Orders by provider for musculoskeletal assessment, education of safety and fall risk. Health History/Comorbities (that relate to this hospitalization): Pt. has a 10 year history of osteoporosis. Unsure of home ...

Two cyclists start biking from a trail's start 3 hours apart. The second cyclist travels at 10 miles per hour and starts 3 hours after the first cyclist who is traveling at 6 miles per hour. How much time will pass before the second cyclist catches up with the first from the time the second cyclist started biking? A. 2 hours B. 4 ½ hours C. 5 ¾ hours D. 6 hours E. 7 ½ hours 3. Jim can fill a pool carrying buckets of water in 30 minutes. Sue can do the same job in 45 minutes. Tony...

The client comes to the ED with confusion, ataxia, increased reflexes, tremors, high fever and diaphoresis. Blood pressure is 160/94; heart rate 86 bpm. The partner states the only medication the client is taking is something for depression but does not know the name of the drug. The client is unable to provide the name. What classification of antidepressants does the nurse suspect the patient is taking? MAOI’s Question 10 A client with depression does not want to continue the prescribed...

CONCEPT RESOURCE WHAT YOU LEARNED Captopril Lisinopril Primacor Nitroglycerin TEXTBOOK Antianginal Medication Used to treat Angina by vasodilation, decreases preloadand myocardial oxygen demand. Side effects: Headache, orthostatic hypotension, reflex tachycardia. **Sublingual, store in cool/dark place. Take up to 3tablets (5 min apart) Topical -remove prior dose, place over clean/hairlessarea, avoid touching with hands (wear gloves) Atenolol TEXTBOOK Beta blocker Treats hi...

While studying to become chemocertified, the nurse reviews some basic concepts about cancer cells. When a client asks about why the tumor grows so fast, the nurse will respond based on which of the following physiological principles? Select all that apply.A) Cancer cells have shorter cell cycle times than normal cells.B) Cancer cells do not die when they are programmed to die.C)Growth factors prevents cancer cells from entering resting (G0) cell cycle phase.D) Cancer cells will reach...

Rationale: If the nurse suspects a transfusion reaction, the transfusion is stopped and normal saline solution infused at a keep-vein-open rate pending further physician prescriptions. The nurse then contacts the physician. Dextrose in water is not used, because it may cause clotting or hemolysis of blood cells. Normal saline solution is the only type of IV fluid that is compatible with blood. The nurse would not remove the IV catheter, because then there would be no IV access route through...

A nurse is caring for an infant with a diagnosis of hydrocephalus. Preoperatively, a priority nursing intervention is to: Reposition the infant frequently Question 10 A 10-year-old child with asthma is treated for acute exacerbation in the ER. A nurse caring for the child monitors for which of the following, knowing it indicates the worsening of the condition? Decreased wheezing Question 11 Which assessment findings should alert the nurse to suspect that a toddler is experiencing respi...

The nurse is assessing the laboratory report on a 2-day postpartum G1P1001. The woman had a normal postpartum assessment this morning. Which of the following results should the nurse report to the primary health care provider? a. White blood cells—12,500 cells/mm3. b. Red blood cells—4,500,000 cells/mm3. c. Hematocrit—26%. d. Hemoglobin—11 g/dL 15. A bottle-feeding woman, 11⁄2 weeks postpartum from a vaginal delivery, calls the obstetric office to state that she has saturated 2 ...

A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the nurse implement first? • Explain the nurse's role to the client. 2. Client treated with lithium for bipolar develops diarrhea, vomiting and drowsiness, what action should the nurse do • Notify HCP of the symptoms prior to the next admin of the drug 3. A mental health worker (MHW) is ...

A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a pseudomonas aeruginosa infection? Avoid placing plants or flowers in the client’s room 17. A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? A client should sign an informed consent receiving a placebo during a research trial. 18. A nurse is...

5. A client is receiving Cilostazol (Pletal) for peripheral arterial disease causing intermittent claudication. The nurse determines this medication is effective when the client reports which of the following? 1. “I am having fewer aches and pains.” 2. “I do not have headaches anymore.” 3. “I am able to walk further without leg pain.” 4. “My toes are turning grayish black in color.” Cilostazol is indicated for management of intermittent claudication. Symptoms usually impr...

A postoperative client has three different PRN analgesics prescribed for different levels of pain. The nurse inadvertently administers a dose that is not within the prescribed parameters. What actions should the nurse take first? a. Access for side effects of the medication. b. Document the client’s responses. c. complete a medication error report. d. Determine if the pain was relieved. 15. When assessing a male client, the nurse finds that he is fatigue, and is experiencing muscle wea...

NPO status is imposed 8 hours before the procedure on a client scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the client's record and notes that the client routinely takes an oral antihypertensive medication each morning. The nurse should: A. Administer the antihypertensive with a small sip of water Correct B. Withhold the antihypertensive and administer it at bedtime C. Administer the medication by way of the intravenous (...