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1. A nurse knows that patient education has been effective when the patient states a. I must take my parenteral medication with food. b. If I am 30 minutes late taking my medication, I should skip that dose. c. I will rotate the location where I give myself injections. d. Once I start feeling better, I will stop taking my medication. - ANS c. I will rotate the location where I give myself injections. ANS: C Rotating injection sites provides greater consistency in abs...

A nurse is caring for a client with Raynaud's phenomenon secondary to systemic lupus erythematosus. Which of the client statements demonstrates an understanding of the nurse's teaching about this disorder? Select all that apply. 1. "My hands get pale and bluish and feel numb and painful when I'm really stressed". 2. "I can't continue to wash dishes and do my cleaning because of this problem." 3. "I don't need to report any other skin problems with my fingers or hands to my health c...

surgical aseptic technique - ANS A. Prevents contamination of open wound, isolates operative area from unsterile environment, and maintains sterile field for surgery. B. Includes procedures used to eliminate all microorganisms, including pathogens and spores, from an object or area. C. Area/object considered contaminated if touched by unsterile object. D. Use: 1. In procedures that require perforation of patient's skin (insertion of IV catheters or central lines) 2. When skin is b...

How many checks should be completed prior to administering medications to a client? - ANS Three. 1. On removing the medication from the storage area 2. When placing it in the medication cup or envelope 3. When opening/preparing the medication at the client's bedside Can time-release capsules or enteric coated tablets be crushed - ANS No What does it mean when a tablet is scored - ANS Scored tablets are marked at equal dosage What is the meaning of MAR - ANS ...

routine med orders - ANS carried out until the provider cancels or the number or specified days have elapsed Provider Responsibilities - ANS Obtain medical history/perform physical exam Diagnosing Prescribe meds Monitor the response to therapy Modify script as necessary one time (single) order - ANS once the drug has been given, you cannot give it again without a new order STAT (immediate) order - ANS one time order but must be given immediately No...

routine med orders - ANS carried out until the provider cancels or the number or specified days have elapsed Provider Responsibilities - ANS Obtain medical history/perform physical exam Diagnosing Prescribe meds Monitor the response to therapy Modify script as necessary one time (single) order - ANS once the drug has been given, you cannot give it again without a new order STAT (immediate) order - ANS one time order but must be given immediately No...

A client has been prescribed digoxin. Which symptom should the nurse tell the client to report as a potential indication of digoxin toxicity? - ANS visual disturbances The physician has prescribed amiodarone for a client with cardiomyopathy. The nurse should monitor the client's rhythm to determine the effectiveness of the medication in controlling: - ANS Life-threatening ventricular dysrhythmias. The nurse is preparing to administer a preoperative medication that includes...

A physician orders a loop diuretic for a client. When administering this drug, the nurse anticipates that the client may develop which electrolyte imbalance? - ANS Hypokalemia Explanation: A loop diuretic removes water and, along with it, sodium and potassium. This may result in hypokalemia, hypovolemia, and hyponatremia. The physician has prescribed amiodarone for a client with cardiomyopathy. The nurse should monitor the client's rhythm to determine the effectiveness of the med...

An 85-year-old patient comments during his annual physical that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because: a. long bones tend to shorten with age b. of the shortening of the vertebral column c. there is a significant loss of subcutaneous fat d. there is a thickening of the intervertebral disks - ANS B A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her finge...

1st level priority - ANS Life threatening ABCV (airway, breathing, circulation/cardiac, vital signs) 2nd level priority - ANS urgent, but only after 1 has been treated acute mental status change, acute pain, untreated med problems, abnormal labs 3rd level priority - ANS Problems that are important to patient's health but can be addressed after more urgent problems Abdomen Sequence of Assessment - ANS - inspection - auscultation - percussion - pal...

For a patient who is having an anaphylactic reaction, which common symptoms will manifest almost immediately after being exposed to an allergen? SATA A. Erythema of the eyes and lips B. Apprehension C. Chills D. Fever E. Urticaria F. Confusion - ANS A. Erythema of the eyes and lips B. Apprehension E. Urticaria A patient in anaphylaxis is at risk for respiratory failure. Which assessment findings prompts the nurse to prepare equipment to assist the health care provider to intub...

A client was originally scheduled for surgery at noon. The surgeon is delayed, and the surgery has been rescheduled for 3:00 p.m. How will the nurse plan to administer the preoperative prophylactic antibiotic? A. Give at noon as originally prescribed. B. Cancel orders, preoperative prophylactic antibiotics are given optionally. C. Adjust the administration time to be given within 1 hour before surgery. D. Hold the preoperative antibiotic so it can be administered immediately following surger...

1. Nurse admits Raymond to private room. Nurse puts on mask before admission process. Raymond tells the nurse that his significant other is downstairs and he would like for him to stay in the room with him. How should the nurse respond? A. "your HCP wants you to get some rest" B. "he may stay, but only after we have the results of his tuberculin skin test" C. "He may stay, but he needs to wear a mask" D. "you dont want to risk infecting your significant other with TB, do you?" - AN...

The client is receiving vancomycin. A peak and trough level is ordered for the dose the nurse is administering. Which priority intervention should the nurse implement? A. Monitor the amino glycoside peak level B. Determine if the trough level has been drawn C. Ask the client if he has had any diarrhea D. Check the client's culture and sensitivity report - ANS B. Determine if the trough level has been drawn The client with type 2 diabetes is prescribed glyburide. Which statement...

Which term related to the fracture healing process is the process of bone building and resorption? a) Callus b) Granulation c) Hematoma d) Remodeling - ANS d) Remodeling The nurse is caring for several patients on an orthopedic trauma unit. Which conditions have a high risk for development of acute compartment syndrome? (select all) a) Lower legs caught between the bumpers of two cars b) Massive infiltration of IV fluid into forearm c) Bivalve cast on lower leg d) Multiple ins...

Which signs/symptoms represent the priority concepts for musculoskeletal trauma? a. patient notes mild shortness of breath and palpitations with minor exertion. b. patient describes discomfort in knee and hip joints that is worse in the morning c. patient reports decreased range of motion and pain in leg that is unrelieved by medication d. patient has problems getting adequate calcium and vitamin D because of lactose intolerance - ANS c. patient reports decreased range of motion an...

Suppose you observe a young infant jerking her arm to cause a string to move a mobile over the crib. Based on current research, this behaviour indicates the development of which feature of the self? a. person praise b. personal comparison c. personal agency d. person perception - ANS c. personal agency Which of the following best characterizes the timing of the development of an infant's sense of self? a. It is present from the time of birth. b. It is well established by the ag...

Information-processing theorists draw an analogy between the operations of a computer and the workings of the human mind. According to this view, what is the mind's hardware? A) the brain, the sensory receptors, and their neural connections B) the brain and the strategies the brain uses to solve problems C) the specific alleles that make up an individual's genotype that control the formation of neural connections D)the rules and strategies that specify how information is registered, inte...

By what year of age does a child reach approximately one half of his or her eventual adult height? A) 2 B) 3 C) 4 D) 6 - ANS A) 2 During which developmental period do the most rapid gains in body height occur? A) infancy B) early childhood C) middle childhood D) adolescence - ANS A) infancy How is the infant's growth rate most accurately described? A) as quantitatively regulated B) as occurring in erratic spurts C) as steadily continuous D) as quantitativ...

What best characterizes the changes in the amount of tv that a typical Canadian child watches as he or she matures? - ANS It increases until about age 12, and then declines during adolescence What is an accurate generalization about the extent to which tv is part of an average Canadian child's life? - ANS Next to sleeping, tv viewing is the most prevalent activity in the average child's life What does research evidence suggest about gender differences in children's tv vi...