Cathlyn

A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority for this client? A.Loss of interest in diversional activity. B. Social isolation. C. Refusal to address nutritional needs. D.Low self-esteem. The RN is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? a. Lithium. (Lithotab...

1. What statement is true regarding decision making? A) It is an analysis of a situation B) It is closely related to evaluation C) It involves choosing between courses of action D) It is dependent upon finding the cause of a problem Ans: C Feedback: Decision making is a complex cognitive process often defined as choosing a particular course of action. Problem solving is part of decision making and is a systematic process that focuses on analyzing a difficult situation. Critical thinking...

1. What statement is true regarding decision making? A) It is an analysis of a situation B) It is closely related to evaluation C) It involves choosing between courses of action D) It is dependent upon finding the cause of a problem Ans: C Feedback: Decision making is a complex cognitive process often defined as choosing a particular course of action. Problem solving is part of decision making and is a systematic process that focuses on analyzing a difficult situation. Critical thinking...

1. An 86-year-old patient is being discharged to home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic outcome of patient teaching activities? a. The patient and patient's daughter will state the proper way to take the drug. b. The nurse will provide teaching about the drug's adverse effects. c. The patient will state all the symptoms of digitalis toxicity. d. The patient will call the prescriber if adverse effects oc...

A parent asks the nurse what to do when the toddler has temper tantrums. What play materials should the nurse suggest that the child be offered as another means of expressing anger? Ball and bat Wad of clay Punching bag Pegs and pounding board A nurse is evaluating a 3-year-old child's developmental progress. The inability to perform which task indicates to the nurse that there is a developmental delay? Copying a square Hopping on one foot Catching a ball reliably Using a spoon effec...

What is TPA? What are at least 2 conditions where you might see it given as a medication? Why would we not give it? tPA: clot busting agent used to reduce the effects of CVA (stroke) in some individuals. It is contraindicated for anticoagulant drugs. The release of tissue plasminogen (tPA) from injured blood vessels and tissues, converts plasminogen to plasmin. Plasmin is a potent enzyme that digests fibrin strands (this leads to clot dissolution). 2. Know the triad that would lead you to...

1.1. What is the most essential difference between home health care and acute client care? a. Acute client care is individualized for the client and family. b. Home health care is provided in the client's environment. c. Reimbursement for home health care varies from that of care provided in institutions. d. The focus of acute client care is on community health.: : B Home health differs from other areas of health care in that health care providers practice in the client's environment. Al...

A client is 24 weeks pregnant. The nurse notes on the prenatal record that the patients BP was 120/70 before pregnancy. Today the patients BP is 110/62. The nurse should take which of the following actions? a. Chart the findings 2. A multigravida who is O negative will have which routine screening tests to determine if Rh sensitization has occurred? a. Indirect Coombs test 3. A pregnant woman is married to an intravenous drug user. She had a negative HIV screening test just after missing...

A 3-day postpartum client, who is not immune to rubella, is to receive the vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine? 1. The woman should not become pregnant for at least 4 weeks. 2. The woman should pump and dump her breast milk for 1 week. 3. The mother must wear a surgical mask when she cares for the baby. 4. Passive antibodies transported across the placenta will protect the baby. 208 MATERNAL AND NEWBORN SUCCESS...

A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele's rule is: A. March 27 B. February 1 C. February 27 D. January 3 Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: (A)March 27 is a miscalculation. (B) February 1 is a misca...

c. What document should be in guiding the care of this client? A) Client Self Determination Act B) Physician's treatment orders C) Advance Directives. D) Clinical Pathway protocols Review Information: The correct answer is: C) Advance Directives. This document specifies the client's wishes Question 2 You are the of a health care team that consists of one licensed practical/vocational nurse, one nursing assistant , a nursing student and yourself. To whom is it appropriate to assign com...

The nucleus _________, which is essential for function and survival of the cell. A) is the site of protein synthesis B) contains the genetic code C) transforms cellular energy D) initiates aerobic metabolism 2. Although energy is not made in mitochondria, they are known as the “power plants” of the cell because they: A) contain RNA for protein synthesis. B) utilize glycolysis for oxidative energy. C) extract energy from organic compounds. D) store calcium bonds for muscle c...

1. Which drugs will go through a pharmaceutic phase after it is administered? a. Intramuscular cephalosporins b. Intravenous vasopressors c. Oral analgesics d. Subcutaneous antiglycemics ANS: C When drugs are administered parenterally, there is no pharmaceutic phase, which occurs when a drug becomes a solution that can cross the biologic membrane. 2. The nurse is preparing to administer an oral medication and wants to ensure a rapid drug action. Which form of the medication will the nur...

The movement of fluid across the arterial end of capillary membranes into the interstitial fluid surrounding the capillary is an example of which process of fluid movement A. Hydrostatic pressure B. Osmosis C. Diffusion D. Active transport 5.0 Points How is passive transport described? A. It is driven by osmosis, filtration, and diffusion. B. It involves receptors that can bind with substances being transported. C. It is capable of transporting macromolecules. D. It requires energy g...

2. What is the role of the State Board of Nursing? o Enforcing the Nurse Practice Act and nurse licensure o Approve nurse education programs in schools/universities in the state o Developing practice standards o Developing policies, administrative rules and regulations 3. How are members of the State Board of Nursing appointed? o The boards of nursing (BONs) that comprise NCSBN protect the public's health and welfare by assuring that safe and competent nursing care is provided by license...

1. Digoxin is part of what family of drugs? A. Angiotensin-converting enzyme inhibitors B. Beta-blockers C. Angiotensin II receptor blockers D. Cardiac glycosides 2. Digoxin helps the heart pump more efficiently by altering the inotropic, chronotropic, and dromotropic actions of the heart. Select all the options below that accurately describe these actions created by Digoxin: A. Positive Chronotropic B. Positive Inotropic C. Negative Inotropic D. Negative Dromotropic E. Negative Chro...

1. The nurse is caring for a patient with pneumonia with a new nurse in orientation. Which of the following statements by the new nurse would indicate an understanding of the nature of this condition? a. “An infectious disease like pneumonia may not pose a risk to others.” b. “We need to isolate the patient in a negative pressure room.” c. “The patient will not be able to return home.” d. “Clinical signs and symptoms are not present in pneumonia.” ANS: A Infections a...

1. A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first? a. Place the child in seclusion b. Use therapeutic hold technique c. Apply wrist restraints d. Administer risperidone 2. A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnosis procedures should the nurse anticipate the provider should descr...

1. What elements have an influence on professional nursing practice? How and why? p.3-4

Increasing concentrations of either 2,3-bisphosphoglycerate (BPG) or protons (H+) cause a ____________ (rightward OR leftward) shift of the hemoglobin/oxygen binding curve. However, the mechanisms by which these two substances mediate this effect are distinct. Compare & contrast the way by which BPG and protons interact with hemoglobin and thereby influence its structure and function. Please be specific. Selected Answer: 1.) Rightward 2.) Only one BPG molecule can interact with hemoglo...