Cohen

1. Kidney assessment, costovertebral angle a. Costovertebral angle: landmark for locating kidneys. Formed by the rib cage and vertebral column b. Left kidney rarely palpable, right kidney lower pole is palpable c. Percussion: Tenderness and pain in the flank area (CVA) may indicate kidney infection or polycystic kidney disease d. Auscultation : Bell is used to auscultate over CVA and upper abdominal quadrants. Auscultate the abdominal aorta and renal arteries for a bruit. If present, it may ...

1) A client is being treated for hyperthyridism with propylthiouracil (PTU). The LPN/LVN knows that the action of this drug is to: A. decrease the amount of thyroid stimulating hormone circulating in the blood. B. increase the amount of thyroid-stimulating hormone circulating in the blood. C. increase the amount of T4 and decrease the amount of T3 produced by the thyroid. D. inhibit synthesis of T3 and T4 by the thyroid gland. D. PTU is an adjunct therapy used to control hyperthyroidism b...

1.A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply) Visual spatial deficits Left hemianopsia ( blindness in the left half of the visual field) One-sided neglect 2. A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse ...

1) The nurse would anticipate that the health care provider (HCP) would add which medication to the regimen of the client receiving isoniazid? Pyridoxine 2) A postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic administration following cesarean birth. The client develops respiratory depression and requires naloxone administration. Which finding should the nurse anticipate as a result of the naloxone administration? Increase in pain level 3) The n...

1. Cushing’s Syndrome (2 questions) → hypersecretion of ACTH (hormone that allows body to react to stress) ○ ● Signs & Symptoms → fatigue, muscle weakness, weight gain, thinning extremities, thin & fragile skin, moon face & ruddy complexion, hirsutism, truncal obesity, broad purple striae, bruising, impaired wound healing, increased blood pressure & sodium, hypokalemia, hyperglycemia, buffalo hump, DM ● Treatment → restore hormone balance by radiation, drug therapy or adrenalect...

1. You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A non-nursing colleague asks about this code. Which of the following statements best describes this code? Defines the principles of right and wrong to provide patient care 2. An 18-year-old woman is in the emergency department with fever and cough. The nurse obtai...

1. A child has a right femur fracture caused by a motor vehicle crash and is placed in skin traction temporarily until surgery can be performed. During assessment, the nurse notes that the dorsalis pedis pulse is absent on the right foot. Which action should the nurse take? 1. administer an analgesic 2. release the skin traction 3. apply ice to the extremity 4. notify the HCP 2. A child is placed in skeletal traction for treatment of a fractured femur. The nurse creates a plan of care ...

1. A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline? "I place my child in time-out for 15 minutes when they misbehave." "I send my child to their room for the time-out period." "I make use of time-out after giving three warnings." "I use a kitchen timer to mark the end of the time-out period." 2. A nurse in a well-child clinic receives a phon...

1. A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I s...