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The RN is caring for a client who was recently diagnosed iwth type 2 DM. What information is most important for the RN to teach the client about life-style changes? Correct Answer- Portion-controlled, heart healthy diet selections The RN suspects that a female client is altering her own diabetic journals. Which lab test should the RN review? Correct Answer- Hemoglobin A1C The RN is assessing the client regarding the need to increase vitamin B12. Which foods should the RN instruct the clien...

A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction? Correct Answer- Take the medication with food. A client is receiving metoprolol (Lopressor SR). What assessment is most important for the nurse to obtain? Correct Answer- Blood pressure. A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the next 24 hours. What dosing schedule is best for the nurse to implement...

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? A. Client states chest pain is relieved B. Client's pulse decreases from 120 to 90 C. Client's systolic blood pressure decreases from 180 to 90 D. Clients SaO2 level increases from 92% to 96% Correct Answer- A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and r...

1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of vitamin D Correct Answer- 3. Calcitonin (Miacalcin) Rationale: The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium gluconate and calcium chloride are...

Before administering a laxative to a bedfast client, it is most important for the nurse to perform what assessment? a-Observe the skin integrity of the client's rectal and sacral areas b-assess the client strength in moving and turning in the bed c-evaluate the client's ability to recognize the urge to defecate d-determine the frequency and consistency of bowel movements Correct Answer- D rationale the nurse should ensure that the client is not experiencing diarrhea (answer choice D) be...

Which of the following is not a common cause of chronic renal failure? a. Polycystic kidney disease b. Type 1 diabetes c. Hypothyroidism Correct Answer- Hypothyroidism In clinical practice the NP notes an elevation in the creatinine clearance and understands that this lab test: a. Does not change with the aging process b. Is greater in women than in men c. Approximates the GFR Correct Answer- Approximates the GFR The NP is seeing an 80 YO patient and understands that which of the follow...

23-year-old, sexually active female who presents for her first pap smear. Her history includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual partners if not 12 partners since. Which conditions do you want to be alert for during her exam? Correct Answer- HPV 20-year-old, sexually active female seen in the clinic because her boyfriend was diagnosed with gonorrhea. What is the treatment of choice for gonorrhea? Correct Answer- ceftriaxone A 24-year-old fema...

1.2 milligrams is equal to how many micrograms? Correct Answer- 1200 mcg Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain function? Correct Answer- Compress the drain, then plug the bulb to establish suction Your male patient complains of discomfort while inflating the balloon during insertion of an indwelling urinary catheter. What would be the MOST appropriate action? Correct Answer- Deflate the balloon, advance the catheter further, then rei...

A severely injured client is moved into an examination area of the emergency department. The family member who accompanied the client to the ED is screaming at the nurse, saying that someone better start doing something right away. What is the best response by the nurse? 1. "I need you to go to the waiting area. You can come back when you're more in control." 2. "I'm going to give you a few minutes alone so you can calm down." 3 "I can't think when you are yelling at me. Talk to me ...

Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg true or false Correct Answer- True During any patient transferring task, if any caregiver is required to lift a patient who weighs more than 35 lbs/15.9 kg, then the patient should be considered fully dependent, and assistive devices should be used for transfer If a draining wound tests positive for MRSA, the patient is placed on contact precautions True or False Correct Answer- True Patients with abs...

Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher Correct Answer- C The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. A woman, who delivered five days ago and who had been diagnosed with pregnancy induced hyperten...

The nurse is reviewing the laboratory results for several clients. Which of the laboratory result indicates a client with partly compensated metabolic acidosis? Chloride 100 mEq/L (100 mmol/L) Sodium 130 mEq/L (130 mmol/L) Hemoglobin 15 g/dL (150 g//L) PaCO2 30 mm Hg Correct Answer- PaCO2 30 mm Hg The client is admitted to an ambulatory surgery center and undergoes a right inguinal orchiectomy. Which option is the priority before the client can be discharged to home? Able to ambulate in ...

what is the job of a neuron Correct Answer- to move an electrical signal from one place to another in order to send sensory messages throughout the body Which of the gated embedded proteins in Model 1 allow sodium ions ( O ) through the membrane? Correct Answer- gates A, B, D and F allow sodium ions through the membrane Which of the gated embedded proteins in Model 1 allow potassium ions ( triangles ) through the membrane? Correct Answer- Gates C, E, and G allow potassium ions through the m...

Is your throat sore? Answer- Reports sore throat Is your throat itchy? Answer- Reports itchy throat Are your eyes itchy? Answer- Reports itchy eyes Do you have a runny nose? Answer- Reports runny nose How long has your throat been sore? Answer- began 1 week ago When did your nose start running? Answer- began 1 week ago When did your eyes start itching? Answer- began 1 week ago is the throat pain constant Answer- constant throat pain when does your throat pain feel the worst Answer- worse...

The nurse practitioner is prescribing a depot medroxyprogesterone acetate (DMPA) injection for a patient. This medication is given at _______ week intervals. Correct Answer- 12 Although barrier contraception methods are less effective in preventing pregnancy than more modern methods, the nurse practitioner understands that interest in barrier methods is on the rise because they: Correct Answer- can help protect against STIs, including HIV A woman is interested in starting Depo-Provera injec...

Claudication is the classic presenting symptom associated with which of the following? Correct Answerarterial insufficiency Risk factors for chronic arterial insufficiency? - Correct Answer- tobacco use You are using the CURB 65 clinical tool, for determining which patient dx with CAP should be hospitalized or treated at home. Mabel's score is 2- what should we do? Correct Answer- Short inpatient stay; if she is relatively healthy, she could be closely supervised outpatient S/S of COPD cor...

Males and Females are equally affected Correct Answer-Autosomal The process of copying DNA in the lab. Correct Answer-Polymerase Chain Reaction (PCR) Template DNA, Nucleotides (dNTPS), DNA Polymerase, and DNA Primers. Correct Answer-What is needed for Polymerase Chain Reaction? Denaturing, Annealing, Elongating Correct Answer-What are the three steps of a Polymerase Chain Reaction (PCR)? Denaturing (DNA is heated up to separate it) Correct Answer-What is the first step of a Polymerase Cha...

Hb (hemoglobin) binds to CO (carbon monoxide) with a higher affinity than oxygen and stabilizes the R (relaxed) state Correct Answer-True When hemoglobin changes from the T to the R, it has a high affinity for oxygen Correct Answer-True When hemoglobin changes from the R to T, it has a low affinity for oxygen Correct Answer-True Cooperatively refers to Correct Answer-structural changes that increases the affinity for oxygen in hemoglobin When the oxygen concentration is high, the heme s...

The nurse working in an outpatient nephrology clinic knows that which of the following are primary functions of the kidneys? (Select all that apply.) A. Production of clotting factors B. Homeostasis C. Excretion of metabolic wastes D. Regulation of acid-base balance E. Metabolism of fats Correct Answer- B, C, D The kidneys do not metabolize fats. Production of clotting factors is a primary function of the liver. The kidneys maintain blood pressure using the RAAS and also produce erythro...

The nurse is giving preoperative instructions to a 14-year old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? Correct Answer- D. I understand that I will be in a body cast and I will show you how you taught me to turn. To take the vital signs of a 4-month old child, which order will give the most accurate results? Correct Answer- A. Respiratory rate, heart rate, and then rectal temperat...