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Common Infections 1. Impetigo Caused by Staph aureus Group Streptococcus (GAS) Occasional MRSA Most commonly seen in 2-5 years of age population. Easily spread in close environments. Risk Factors: Poverty, crowding, poor hygiene, and underlying scabies Nonbullous impetigo papulues that progress to vesicles and pustules rupture and become encrusted sores. Golden honey appearance. Involving face and extremities Bullous impetigo Vesicles enlarge to form a faccid bullae with clear yello...

Question 1 1 / 1 pts A client with schizophrenia says, “I’m away for the day ... but don’t think we should play … or do we have feet of clay?” Which alteration in the client’s speech does the nurse document? Neologism Word salad Correct! Clang association Associative looseness Rationale: Clang association is the meaningless rhyming of words in which the rhyming is more important than the context of the words. A neologism is a made-up word that has meaning only to the clien...

A delusional client has refused to eat for the past 24 hours because, he says, "the food is poisoned." How should the nurse respond? 1 "Why do you think that the food is poisoned?" Correct2 "You feel worried that someone wants to poison you?" 3 "This feeling is a symptom of your illness. It's not real." 4 "You'll be safe with me. I won't let anyone poison you." It is important to help the client focus on feelings, and "You feel worried that someone wants to poison you?"...

A client with schizophrenia is given an antipsychotic drug. The nurse recalls all the extrapyramidal effects associated with this type of medication and anticipates that the drug will be discontinued if which occurs? 1 Akathisia Correct2 Tardive dyskinesia 3 Parkinsonian syndrome 4 Acute dystonic reaction Tardive dyskinesia is characterized by protrusion and vermicular movements of the tongue, chewing and puckering movements of the mouth, and a puffing of the cheeks. These adverse ef...

1.Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment doesthe nurse perform as a priority before administering the medication? A) Checking the client's blood pressure Rationale: Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is postural hypotension. Therefore the nurse would check the client’s blood pressure immediately before administering each dose. Checking the client’s periph...

1. A home care nurse is instructing a client with hyperemesis gravidarum about measures toease the nausea and vomiting. The nurse tells the client to: A. Eat foods high in calories and fat B. Lie down for at least 20 minutes after meals C. Eat carbohydrates such as cereals, rice, and pasta Correct D. Consume primarily soups and liquids at mealtimes A nurse is caring for a client with preeclampsia who is receiving a magnesium sulfate infusion to prevent eclampsia. Which finding indicates t...

Acting out is the process of expressing feelings behaviorally. The action is not exploitive, because no evidence is provided to demonstrate that anyone has been used to get what the client wants. The action is not manipulative, because no evidence is provided to demonstrate that anyone has been influenced against his or her wishes. The action is not disguising unacceptable feelings by expressing opposite emotions. 69%of students nationwide answered this question correctly. quiz 3-2. Quest...

Question 1 See full question The nurse is assessing a neonate born to a mother with type 1 diabetes. Which finding is expected? You Selected: • large size Correct response: • large size Explanation: Remediation: Question 2 See full question A client with chest pain, dyspnea, and an irregular heartbeat comes to the emergency department. An electrocardiogram shows a heart rate of 110 beats/minute (sinus tachycardia) with frequent premature ventricular contractions. Shortly after a...

A client is receiving furosemide (Lasix) to relieve edema. The nurse should monitor the client for which response to the medication? 1 2 4 View Topics Stats Issue with this question? A routine urinalysis is prescribed for a client. What should the nurse do if the specimen cannot be sent immediately to the laboratory? Confidence: Pretty sure 1 Increase in the urine specific gravity Excessive loss of potassium ions Correct3 Negative nitrogen balance Retention of sodium ions Furose...

1. An adult client experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the electronic medical record (EMR)? • 9 % • 18 % • 36 % • 45 % • Rational: according to the rule of nines, the anterior and posterior surfaces of one lower extremity is designated as 18 %of total body surface area (TBSA...

Question 1 See full question A client is scheduled to have a graded exercise test. The nurse explains to the client that the test will determine how: You Selected: well the body reacts to controlled exercise stress. Correct response: well the body reacts to controlled exercise stress. Explanation: Graded exercise testing is a diagnostic and prognostic tool used to determine the physiologic responses to controlled exercise stress. Information gained from a graded exercise test can achie...

Question 1 See full question Several hours into a shift, a nurse on a very busy medical-surgical unit privately asks the charge nurse to change her assignment. She is frustrated because she has had to devote so much time and energy to helping a newly licensed nurse provide discharge teaching for clients with diabetes mellitus. The charge nurse should: Correct response: • offer to assist with the discharge teaching needs. Explanation: Staff members need to know the charge nurse is a sup...

Question 1 See full question 13s A client displays signs associated with a possible ruptured aortic aneurysm. What is the priority nursing intervention? You Selected: • Prepare the client for surgical intervention Correct response: • Prepare the client for surgical intervention Explanation: When the vessel ruptures, prompt surgery is required for it’s repair. Antihypertensive medications and beta-adrenergic blockers can help control hypertension, reducing the risk of rupture. An ...

Question 1 See full question A nurse is caring for a client with gastroenteritis. The nurse administers an as-needed dose of kaolin and pectin mixture as ordered. The nurse should complete which assessment 30 minutes after administering the medication? You Selected: • Perform a pain assessment. Correct response: • Determine if the client has had any more loose stools. Explanation: Question 2 See full question A client has had a nasogastric tube connected to low intermittent sucti...

When performing a physical examination on a neonate, the nurse notes low-set ears. What action should the nurse perform next? You Selected: • Assess the neonate to determine if other apparent abnormalities are present. Correct response: • Assess the neonate to determine if other apparent abnormalities are present. Explanation: Remediation: Question 2 See full question A nurse is teaching the mother of a 5-month-old infant diagnosed with bronchiolitis. Which statement by the mother ...

Question 1 1 / 1 pts A nurse assisting with data collection of a client gathers both subjective and objective data. Which finding would the nurse document as subjective data? The client appears anxious. Blood pressure is 170/80 mm Hg. Correct! The client states that he has a rash. The client has diminished reflexes in the legs. Rationale: The purpose of a physical assessment is to collect both subjective and objective data. Subjective data, collected during the health history, consist ...

Video #1: Contraception & Infertility Diaphragms: client must be refitted for a diaphragm for the following conditions: 1. It’s been 2 years since she has been fitted 2. Gained more than 15 pounds (7kg) 3. Had a full-term pregnancy 4. Had a second term abortion o When you use a diaphragm, you need to use spermicide with every act of coitus (withdrawal of penis from vagina prior to ejaculation). Every time you withdrawal, instill more spermicide. o Diaphragm must stay inserted for 6hr...

Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide yo ur exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript.What is the situation? Your patient is Danny Rivera, an 8-year-old Puerto Rican boy p...

Question 1 See full question What is the nurse’s most important intervention for a client having a tonic-clonic seizure? You Selected: • Protect the client from further injury Correct response: • Protect the client from further injury Explanation: The priority during and after a seizure is to protect the person from injury by keeping them from falling to the floor. Furniture or other objects that be a source of injury during the seizure should be moved out of the client’s way. T...

Chapter 1: Pharmacokinetics and Routes of Administration • Absorption – how quickly or how well it is absorbed; DEPENDS ON THE ROUTE o Oral – takes a while, must pass through the GI tract ▪ Food can SLOW this down ▪ pH juices play a role ▪ Liquids vs extended release tablets o Sublingual – quick, under the tongue o Intradermal/topical – slow, gradual o Intravenous (IV) – the FASTEST route; immediate absorption • Distribution – requires binding proteins of medicati...