Rnsg misc Study guides, Class notes & Summaries

1.A physician orders hourly urine output measurement for a postoperative client with an indwelling catheter. The nurse records the following amounts of output for 2 consecutive hours: 8 a.m. (0800): 50 ml; 9 a.m. (0900): 60 ml. Based on these amounts, which action should the nurse take? 2.A nurse is performing a sterile dressing change. Which action contaminates the sterile field? 3.When bandaging a client's ankle, the nurse should use which technique? 4.

1. A nurse is calculating the body mass index (BMI) of a 35-year-old male patient who is extremely obese. The patient’s height is 5′6″ and his current weight is 325 lb. What would the nurse document as his BMI? a. 50.5 b. 52.4 c. 54.5 d. 55.2 2. A nurse is evaluating a patient following the administration of an enteral feeding. Which findings are normal and are criteria that indicate patient tolerance to the feeding? Select all that apply. a. Absence of nausea, vomiting b. Weigh...

1. What is the action of amiodarone (Cordarone), a class III agent used to treat cardiac dysrhythmias? a. It acts as a myocardial depressant by inhibiting sodium ion movement. b. It prolongs the duration of the electrical stimulation on cells and the refractory time between electrical impulses. c. It acts as a beta-adrenergic agent. d. It slows the rate of electrical conduction and prolongs the time between contractions. ANS: D Class I antidysrhythmic drugs act as a myocardial depressan...

1. A patient has been on high-dose corticosteroid therapy for the treatment of lupus erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the nurse monitor? a. Complete blood count b. Partial thromboplastin time c. Liver function panel d. Blood glucose levels ANS: D Corticosteroid therapy may induce hyperglycemia, particularly in prediabetic or diabetic patients. All patients must be monitored for the development of hyperglycemia, particularly duri...

1. Which medication is used to treat hyperthyroidism? a. Levothyroxine (Synthroid) b. Liotrix (Thyrolar) c. Propylthiouracil (Propacil) d. Liothyronine (Cytomel) ANS: C Propylthiouracil is an antithyroid agent used in the treatment of hyperthyroidism. Levothyroxine, liotrix, and liothyronine are used to treat hypothyroidism. DIF: Cognitive Level: Knowledge REF: Page 577 OBJ: 2 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONC...

1. What occurs with mania associated with bipolar disorder? a. Varying degrees of sadness b. Distinct episodes of elation c. Suicide d. Psychomotor retardation ANS: B Mania is characterized by distinct episodes of euphoria and elation. Sadness is characteristic of depression. Suicide is not generally associated with mania; it is more commonly associated with depression. Psychomotor retardation is not associated with mania. DIF: Cognitive Level: Comprehension REF: Page 230 OBJ: 1 TOP: N...

1. The nurse is assessing a patient who is complaining of hearing voices. What is this patient experiencing? a. Delusions b. Flight of ideas c. Disorganized thinking d. Hallucinations ANS: D Hallucinations are false sensory perceptions that are experienced without an external stimulus but seem real to the patient. Auditory hallucinations are prominent in a schizophrenic patient. Additional sensory hallucinations include those of touch, sight, smell, and body sensation. Delusions are fa...

1. A patient has been on high-dose corticosteroid therapy for the treatment of lupus erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the nurse monitor? a. Complete blood count b. Partial thromboplastin time c. Liver function panel d. Blood glucose levels ANS: D Corticosteroid therapy may induce hyperglycemia, particularly in prediabetic or diabetic patients. All patients must be monitored for the development of hyperglycemia, particularly duri...

1. A patient who has just begun taking an angiotensin converting enzyme (ACE) inhibitor calls the nurse and reports feeling very dizzy when standing up and asks if the medication should be discontinued. What is the nurse’s best response? a. “Stop taking the medication immediately.” b. “Rise to a sitting or standing position slowly; your symptoms will resolve.” c. “I will schedule you to visit the health care provider today.” d. “Cut the pill in half and take a reduced dosag...

MULTIPLE CHOICE 1. A patient received the evening dose of Lispro subcutaneously at 16:30. What time will symptoms of hypoglycemia likely occur? a. 19:00 b. 18:30 c. 01:30 d. 06:00 ANS: B The most rapid-acting insulin, Lispro, peaks within 1 to 2 hours after administration. The peak time of insulin is when patients would most likely exhibit symptoms of hypoglycemia, particularly if they have inadequate dietary intake. The time of 19:00 would be past the peak of action and after signs o...