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The nurse caring for a patient who recently underwent removal of a pituitary adenoma via the transphenoidal approach knows that which of the following routine post-operative interventions will be contraindicated for this patient: A.Turn every 2 hours B.Cough and deep breath C.Ambulation D.HOB 30 degrees - correct answer Answer: B The nurse caring for a patient who recently underwent removal of a pituitary adenoma via the transphenoidal approach knows that a common complication with this...

1. An agitated, confused female client arrives in the emergency department. Her history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, nurse Lily teaches the client to treat hypoglycemia by ingesting: a. 2 to 5 g of a simple carbohydrate. b. 10 to 15 g of a simple carbohydrate. ...

1. Which individual is at greatest risk for developing hypertension? A) 45 year-old African American attorney B) 60 year-old Asian American shop owner C) 40 year-old Caucasian nurse D) 55 year-old Hispanic teacher The correct answer is A: 45 year-old African American attorney The incidence of hypertension is greater among African Americans than other groups in the US. The incidence among the Hispanic population is rising. 2. A child who ingested 15 maximum strength acetaminophen tablet...

The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin. Which of these statements would be included in the module? The epidermis is: a. Highly vascular. b. Thick and tough. c. Thin and nonstratified. d. Replaced every 4 weeks. - correct answer d. Replaced every 4 weeks. The epidermis is thin yet tough, replaced every 4 weeks, avascular, and stratified into several zones. The nurse educator is preparing an education module for th...

ANS: 1 Day care centers provide supervision, safety, nutritious meals, and socialization while the caregiving family works. - correct answer 1. An 89-year-old man, recently discharged from a rehabilitation hospital because of his inability to concentrate and frequent memory lapses, cannot be left alone while his family works because of safety concerns. What options can the discharge planning team suggest that will give the greatest quality of life to the patient? 1. Placement in a day care cen...

According to the Centers for Disease Control, IV sites should be rotated every: - correct answer 48 to 72 Before equipment setup and venipuncture, _________ seconds of hand washing with an antimicrobial soap are recommended. - correct answer 15 to 30 What are the advantages to Over-the-Needle catheters? - correct answer - easy to insert - stays patent longer - catheter tip tapered to prevent peel-back - radiopaque feature makes x-ray detection easy - infiltration rare - winged cannula...

DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (&gt...

1. E-D = ERV 160. A healthy 30-year-old woman is referred for a life insurance physical exam. History reveals that she has never smoked and vesicular breath sounds are heard at the periph- ery of the lung with aus- cultation. In the patient's spirometry tracing below, the expiratory reserve vol- ume (ERV) equals which of the following? 2. .21*380 = 80 mmHg 161. A group of third-year medical students accom- panied a medical mission team to Peru, South Amer- ica. After arriving at the ai...

A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a medication administration error? - correct answer furosemide 10.0 mg PO daily A nurse is assisting with the care of a client who has a methicillin resistant staphylococcus aureus (MRSA) infectio

A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a medication administration error? - correct answer furosemide 10.0 mg PO daily A nurse is assisting with the care of a client who has a methicillin resistant staphylococcus aureus (MRSA) infection and is receiving vancomycin via IV infusion. Which of the following changes in the clients condition should the nurse identify as the priority fin...

pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication run? - correct answer 125ml/hr You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale AC and HS. When is the best time to administer Humalog insulin? - correct answer 15 minutes before meal arrives Your patient is on a Morphine PCA after a recent exploratory surgery. While doing your rounds, you notice that your patient is slumped over, unresponsive, with delayed and slo...

A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia which of the following actions should the nurse plan to take? - correct answer d. monitor the client for constipation A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. which of the following adverse effects should the nurse include in the teachings - correct answer Dry mouth Blurred vision Dry eyes a nurse is assessing a client after ad...

what medication is a leukotriene receptor antagonist? - correct answer Montelukast Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? - correct answer I should take extra care when standing up or changing positions. A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg tablets. How many tablets would you administer? - correct answer 2.5 What medication is considered a potassium-sparing diuretic? - correct answer spir...

Which of the following medications is known to cause orange-colored urine? - correct answer phenazopyridine (Pyridium) You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you do next? - correct answer Hold digoxin and call the provider Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: - correct answer Normal Saline is an isot...

What is suggested when touch and position sense are normal or only slightly impaired, and there is a disproportionate decrease in, or loss of, discriminative sensations? - correct answer suggests disease of the sensory cortex. Stereognosis, number identification, and two-point discrimination are impaired in? - correct answer posterior column disea

What is suggested when touch and position sense are normal or only slightly impaired, and there is a disproportionate decrease in, or loss of, discriminative sensations? - correct answer suggests disease of the sensory cortex. Stereognosis, number identification, and two-point discrimination are impaired in? - correct answer posterior column disease. What does primary headaches include? - correct answer migraine, tension, cluster, and chronic daily headaches Where does secondary headach...

Which is not a skills requisite? A: Inspection B: Palpation C: Vital signs D: Percussion - correct answer C: Vital Signs What are some things you are looking for during palpation? - correct answer Temperature, Moisture, Texture, Lumps Over what tissue would you expect to hear resonance? A: Stomach B: Lungs C: Brain D: Bones - correct answer B: Lungs Over what tissue would you expect to hear tympany? A: Lungs B: Bone C: Brain D: Stomach - correct answer D: Stomach Over wha...

In which age group are milia an expected finding? A. Newborns B. Young children C. Adolescents D. Older adults - correct answer A On palpation of an older individual's skin, you observe "tenting." Which of the following would be most appropriate for you to do in regard to this condition? A. Have the individual further evaluated for dehydration. B. Refer the client for punch biopsy of the skin. C. Inform the individual to be especially vigilant in self-screening for skin c...

Identify essential components of the health history - correct answer a. Identifying data and source of the history b. Chief complaint - use "quotes" from patient c. Present illness - chronological order! • Medications, allergies, tobacco use, alcohol and drug use • 7 attributes (OLD CARTS) d. Past illness • Medical, surgical, Obstetric/gynecological, psychiatric • Health maintenance e. Family history f. Personal and social history g. Review of systems - Go through each o...

Holosystolic murmur heard best at Apex, may transmit to axilla and sternum. - correct answer Mitral Regurgitation Symptoms of Mitral regurgitation - correct answer may be asymptomatic for decades, then SOB, Fatigue, HF What increases the murmur of Mitral regurgitation, what decreases the murmur? - correct answer Decrease murmur = stand up Increase murmur = clench fist Common causes of mitral regurgitation - correct answer Congenital abnormality, Rheumatic Heart disease, acute endocardi...