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1. Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of: A. Diuretics B. Antihypertensive C. Steroids D. Anticonvulsants - Answer C. Glucocorticoids (steroids) are used for their anti-inflammatory action, which decreases the development of edema. 2. Halfway through the administration of blood, the female client complains of lumbar pain. After stopping the infusion Nur...

Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of: A. Diuretics B. Antihypertensive C. Steroids D. Anticonvulsants - Answer C. Glucocorticoids (steroids) are used for their anti-inflammatory action, which decreases the development of edema. Halfway through the administration of blood, the female client complains of lumbar pain. After stopping the infusion Nurse Hazel s...

Situation Mr. Jayson, a 42-year old engineer, was brought to the emergency department of Hospital C. The nurse accommodating him learned that he complains of sudden, severe headache, numbness of the right side of his body, and difficulty speaking. The nurse immediately administered oxygen to the client. 1. Through this intervention, the risk for the following complication is lessened including: * 1 point a. Fluid accumulation in the lungs b. Pulmonary emboli c. Rebleeding d. Increased in...

1. The nurse is going to replace the Pleur-O-Vac attached to the client with a small, persistent left upper lobe pneumothorax with a Heimlich Flutter Valve. Which of the following is the best rationale for this? A. Promote air and pleural drainage B. Prevent kinking of the tube C. Eliminate the need for a dressing D. Eliminate the need for a water-seal drainage - Answer D. The Heimlich flutter valve has a one-way valve that allows air and fluid to drain. Underwater seal drainage is no...

1. Lisa is newly diagnosed with asthma and is being discharged from the hospital after an episode of status asthmaticus. Discharge teaching should include which of the following: A. Limitations in sports that will be imposed by the illness B. Specific instructions on staying calm during an attack C. The relationship of symptoms and a specific trigger such as physical exercise D. Incidence of status asthmaticus in children and teens - Answer C. The relationship of symptoms and a specific...

SITUATION: Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is: A. Stay with the person, encourage her to remain still and immobilize the leg while waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to ...

1. Nurse Michelle should know that the drainage is normal 4 days after a sigmoid colostomy when the stool is: A. Green liquid B. Solid formed C. Loose, bloody D. Semi formed - Answer Answer: (C) Loose, bloody. Normal bowel function and soft-formed stool usually do not occur until around the seventh day following surgery. The stool consistency is related to how much water is being absorbed. 2. Where would nurse Kristine place the call light for a male client with a right-sided brain...

Burns - Answer 1st, 2nd and 3rd degree burns. Tissue damage cause by extreme heat. Remember that PAIN is the hardest part for the nurse in caring for a burned victim. Burn wounds heal by secondary intention. Classification of Burns - Answer Nursing Diagnosis for Burns - Answer Drug use in burns - Answer Silver sulfadiazine cream - Answer a sulfa medication used to prevent and treat bacterial or fungal infections Tx for burns S/E: Neutropenia, burning CROSS...

Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is accurate? a. Insulin is not used to control blood glucose in patients with type 2 diabetes. b. Complications of type 2 diabetes are less serious than those of type 1 diabetes. c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes. d. Type 2 diabetes is usually diagnosed when a patient is admitted in hyperglycemic coma. - Answer c. Changes in diet and exercise may control blood gl...

1. A nurse instructs a client diagnosed with COPD to use purse-lip breathing. The client inquires the nurse about the advantage of this kind of breathing. The nurse answers that the main purpose of purse-lip is to: a. Prevent bronchial collapse b. Strengthen the intercostals muscle c. Achieve maximum inhalation d. Allows air trapping - Answer a. Prevent bronchial collapse - deep inhale through the nose -> purse lip while exhaling slowly through the mouth - airflow limitation, no...

Situation - As a staff nurse in a government hospital, you have been exposed to varied cases of clients with endocrine problems. Your nursing responsibility starts from admission to discharge which is a domain of your competencies. 1. Which of the following questions should you ask during an admission interview for a client with a diagnosis of pheochromocytoma? A. Do you always feel like you are suffocating, you want to rest and sleep B. Do you suddenly feel warm and flushed when you get ...

What is the priority action when assessing a client with suspected splenomegaly? - Answer Avoid palpation of the abdomen. What is the priority nursing intervention for a client with a platelet count of 42,000/mL? - Answer Encourage the use of an electric razor. Which laboratory value must be assessed prior to administering Warfarin (Coumadin)? - Answer PT / INR. What interventions should be prioritized for a client with Sickle Cell Disease in crisis? - Answer Administer aggr...

1. The nurse is assessing a client with a diagnosis of prerenal acute kidney injury (AKI). Which condition would the nurse expect to find in the patient's recent history? a. Pyelonephritis b. Dehydration c. Bladder cancer d. Kidney stones - Answer ANS: B Prerenal causes of AKI are related to a decrease in perfusion, such as in clients who have prolonged dehydration. Pyelonephritis is an intrinsic or intrarenal cause of AKI related to kidney damage. Bladder cancer and kidney stones are...

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Depression - Patient & Family, Assessment - Answer Patient Assessment: (depends on the case study) Symptoms of depression can vary among age groups, although irritability, sadness, and anhedonia (inability to experience pleasure) are common at all ages. Differences include the following: • Infants experiencing depression may fail to eat and grow. • Toddlers can show regressive behaviors in toileting and other activities. • Preschoolers have less symbolic and other play activitie...

1 Month - Answer Hand in fist, lifts head when prone, follows objects in line 2-4 Months - Answer Plays with fingers, turns head side-to-side, & turns front to back; Posterior fontanelle closes 4-6 Months - Answer Holds bottle, watches falling objects 6-8 Months - Answer Teeth emerge & 2x BW; sits w/o support, recognizes own name 8-10 Months - Answer Pincer grasp, crawls or pulls body, & "mama""dada" & other small words; Begins to understand object permanen...

Ch. 1 The Nurse's Role in Health Assessment - Answer Purpose of Health Assessment - Answer Provider of care: care to individuals, families, populations, communities Manager of care: taking care of patient, population, community, and their needs Member of a profession: serve as an advocate for patients Nursing Process - Answer 1. Assessment - gather complete and accurate data from client through interview, physical exam, and observation to make judgements 2. Diagnosis/Analys...

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SITUATION 1: You are caring for patient Igaram, a patient with Addison's disease. You utilize your knowledge on this concept to help care for the patient. -- Igaram was just recently diagnosed with Addison's disease. He still lacks knowledge about his disease so he decided to ask you some questions. Igaram asked you, "How does the disease happen?" You answer him correctly by stating that this disease results from: A. Insufficient secretion of growth hormone (GH). B. Dysfunction...

SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM type I, it is imperative that nurses must be knowledgeable about the different types of insulin and their respective duration to promote safe patient care. -- What is the duration of action of Humulin N? A. 18-24 hours B. 20-22 hours C. 21-23 hours D. 16-20 hours - Answer A. 18-24 hours SITUATION: Nurse Jairo is admitting a patient with DM type I. In caring for patients with DM type I, it i...