ACE LEARNERS

A 38-year-old female is brought to the Emergency Department with complaints of her "heart beating out of her chest". She is diaphoretic, tachypneic and her BP is 70/40. The cardiac monitor shows supraventricular tachycardia. Valsalva maneuvers and three doses of Adenosine have not been successful. The nurse should immediately: a.) prepare the patient for synchronized cardioversion. b.) give Epinephrine 1 mg IV and repeat in 3 minutes. c.) give Adenosine 6 mg IV per protocol. d.) perform ...

The health care provider prescribes ibuprofen (children's Motrin) 5 mg per kg for a child who weighs 13 pounds. How many milligrams (mg) should the nurse administer to the child? Fill in the blank. Record your answer using one decimal place. - ANSWERS 143 A client with sickle cell anemia is being treated for sickle cell crisis. The health care provider prescribes morphine sulfate 2 mg. The concentration of the vial is 10 mg/mL of solution. How many milliliters of solution should the nurse ...

Sodium (NA) - ANSWER 135-145 meq Potassium (K) - ANSWER 3.5-5 meq Calcium (Ca) - ANSWER 9.0-10 mg/dl Magnesium (Mg) - ANSWER 1.3-2.1 mg/dl Phosphorus (PO) - ANSWER 3.0-4.5 Glucose (fasting) - ANSWER 70-105 pH - ANSWER 7.35-7.45, over 90 years 7.25-7.45 Pa CO2 - ANSWER 35-45 mmHg Pa O2 - ANSWER >80-100mm Hg HCO3 (bicarb) - ANSWER 21-26 meq Cl (chloride) - ANSWER 98-106 meq RBC's males - ANSWER 4.7-6.1 million RBC's fem...

A registered nurse arrives at work and is told to "float" to the ICU for the day because the ICU is understaffed and needs an additional nurse to care for the clients. The nurse has never worked in the ICU. Which of the following is the most appropriate nursing action? A. refuse to float in the ICU B. call the hospital lawyer C. call the nursing supervisor D. report to the ICU and identify tasks that can be safely performed - ANS Answer: D Rationale - floating is acceptable and lega...

The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart failure (HF). The nurse would become concerned with the possibility of digitalis toxicity if the patient reported which symptom(s)? A. Muscle aches B. Constipation C. Pounding headache D. Anorexia and nausea - ANSWER D. Anorexia and nausea Anorexia, nausea, vomiting, blurred or yellow vision, and cardiac dysrhythmias are all signs of digitalis toxicity. The nurse would become concerned and notify the hea...

Alteplase (t-PA) - ANSWER *class*: thrombolytics *Indication*: MI, acute ischemic stroke, occluded central lines *Action*: converts plasminogen to plasmin which degrades the fibrin found *Nursing Considerations*: - contraindicated in active bleeding -monitor for anaphylaxis - use caution with uncontrolled hypertension Atorvastatin (Lipitor) - ANSWER *class*: lipid-lowering agent *Indication*: management of high cholesterol (hypercholesterolemia), primary prevention of cardiov...

A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died! I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication? A "You have everything to live for." B "Why do you see yourself as a failure?" C "Feeling like this is all part of being depressed." D. "You've been feeling like a failure for a while?" - ANSWER D Responding to the feelings expressed by a patient is...

the nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse should be particularly alert to: A. Nasal congestion B. Abdominal Tenderness C. Muscle Tetany D. Oliguria - ANS A. Nasal congestion why? removal of the pituitary gland is usually done by transsphernoidal approach through the nose. Nasal congestion further interferes with the airway. A client with cancer is a, admitted to the oncology unit. Stat lab values reve...

Is a process of learning a different culture to adapt to a new or changing environment. - ANSWER Acculturation. It is a subjective perspective of the person's heritage and a sense of belonging to a group - ANSWER Ethnic identity Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter, humor, & spiritual measures (prayer). - ANSWER Low-risk therapies: Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Am...

Pitocin: Indication? Adverse Effects/Monitoring? - ANSWER Given to strengthen contractions and labor. Can cause uterine hyperstimulation. Contractions should be NO LONGER than 90 seconds and no closer than 2 minutes apart. If they are any more than that; slow pitocin How to Mix insulins (step 1-5) - ANSWER 1. Draw up the total amount of (AIR) 2. Air into N 3. Air into R 4. Draw up R 5. Draw up N IM injection - Needle size + length? Sub-Q Size + length? - ANSWER IM: 2...

RBT Training 2023/2024/RBT Credential 2023/RBT Exam Prep 2023/2024 QUESTIONS AND ANSWERS GRADED A+/RBT Competency Assessment 2023/2024/RBT Exam practice 2023/2024/RBT Practice Exam #1 2023/2024 QUESTIONS AND ANSWERS GRADED A+

NRNP 6675 MIDTERM EXAM 2023 WITH COMPLETE ANSWERS AND FULL EXPLANATIONS/ NRNP 6675 FINAL EXAM LAST EXAM 2023 with complete answers and full explanations/NRNP 6675-15 Week 6 Midterm Exam 2023-2024 (100% Correct Answers)

1. Discrepancy between anatomical sex and gender is known as?: B) Gender Discordance 2. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply: Rapid dose escalation; parental route of administration; higher potency typical antipsychotics 3. Antipsychotic medication provides D2 blockage in the meso-coritcal path- way causing which of the following effects?: B) Increases EPS Incorrect: reduces negative s/s, causes prolactinemia, reduces positive sympt...

1. The 1/2 life of lithium is about? 24 hours 2. Fluoxetine is the SSRI with the WD risk? lowest due to long half life 3. What antipsychotics are good for pts who miss doses of their meds? An- tipsychotics with long half-lives: 1. Cariprazine(Vrylar): (2-4 days-active metabolites up to 3 weeks) 2. Abilify (3 days) 3. Brexipiprazole (4 days) 4. Pimozide (4-5 days) 5. Pimavanserin (2 days, active metabolites 8 days) 4. Disulfiram's alcohol interactions persist for up to how long after t...

NRNP 6675-15 Week 6 Midterm Exam 2023-2024 (100% Correct Answers) 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases extra pyramidal symptoms (EPS) Causes prolactinemia R...

1. Cholecystitis: acute versus chronic, causes, symptoms, consequences, diagnostic studies, dietary, medical, nursing interventions, nursing process (assessment, diagnosis, planning, intervention, evaluation). Cholecystitis Pg. 1391 - Inflammation of the gallbladder, which can be acute or chronic causes pain, tenderness and rigidity of the upper right abdomen that may radiate to the mid-sternal area or right shoulder. - Associated with nausea, vomiting, and the usual signs of acute inflamma...

The nurse is reinforcing home-care instructions to a client and family regarding care after cataract removal from the right eye. Which statement made by the client indicates an understanding of the instructions? - ANS I should not sleep on my right side The nurse is preparing to communicate with an older client who is hearing impaired. Which intervention should be implemented initially? - ANS Stand in front of the client Which intervention should be implemented for the older client w...

1. A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin decanoate) is being discharged in the morning. A repeat dose of medication is scheduled for 20 days after discharge. The client tells the nurse that he is going on vacation in the Bahamas and will return in 18 days. Which statement by the client indicates a need for health teaching? A) When I return from my tropical island vacation, I will go to the clinic to get my Prolixin injection. B) While I am on vacatio...

How can you best protect yourself from possible bloodborne pathogen transmission when providing care? a. Ask the victim first if they have any communicable diseases. b. Thoroughly wash your hands before providing care. c. Use first aid supplies, such as dressings and bandages, as a barrier when in contact with the victim. d. Use personal protective equipment (PPE), such as disposable gloves and a breathing barrier, when providing care. - ANS D A 12-year-old child at a swim meet gra...

As the only lifeguard performing CPR on a & year old child, you would perform cycles of: - ANS 30 chest compressions and 2 ventilations Which of the following would you identify as the universal sign that a conscious person is choking? - ANS Clutching the throat The patron asks, "Should we move them to the first aid room?" What should you do next? - ANS Tell the patron the victim should not be moved since there is no immediate danger. How can you best protect yourself from po...