Lizbeth58

4. A client with Addison’s crisis is admitted for treatment with adrenal cortical supplementation. Based on the client’s admitting diagnosis, which findings require immediate action by the nurse? (Select all that apply) a. Headache and tremors b. Irregular heart rate c. Skin hyperpigmentation d. Postural hypotension e. Pallor and diaphoresis 5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration that the...

4. Which of these children at the site of a disaster at a child day care center would the triage nurse put in the "treat last" category? A) An infant with intermittent bulging anterior fontanel between crying episodes B) A toddler with severe deep abrasions over 98% of the body C) A preschooler with 1 lower leg fracture and the other leg with an upper leg fracture D) A school-age child with singed eyebrows and hair on the arms The correct answer is B: A toddler with severe deep ...

5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is controlled at 75. Which of the following findings is cause for the most concern? A) Diminished bowel sounds B) Loss of appetite C) A cold, pale lower leg D) Tachypnea The correct answer is C: A cold, pale lower leg 6. The client with infective endocarditis must be assessed frequently by the home health nurse. Which finding suggests that antibiotic therapy is not effecti...

9. A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor? A) Serum Calcium. B) Erythrocyte sedimentation rate. C) Osmolality. D) Hemoglobin. 10. A client with bacterial meningitis is receiving phenytoin. Which assessment finding indication to the nurse that the client is experiencing a therapeutic response to the phenytoin? A) Increased time of ambulatio...

3. Role in pain management 4. Required physician supervision Answer: 6. Which of the following describes the historical progression of advanced practice registered nurses’ (APRNs’) attainment of prescriptive authority? Select all that apply. 1. Standardization of educational programs 2. Lack of primary care in underserved areas 3. Complexity of the federal legislation process 4. Persuasion of legislators and state governors 5. Lack of title recognition in nurse practice acts An...

4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the client’s blood pressure is increasing. Which action should the nurse take first? A) Check the protein level in urine B) Have the client turn to the left side C) Take the temperature D) Monitor the urine output The correct answer is B: Have the client turn to the left side 5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricu...

4. A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention? Design interventions for a student's individual education plan (IEP). Teach students about healthy food choices. Perform first aid for minor injuries

The nurse is caring for a client who is prescribed lactulose. The client states,"I do not want to take this medication because it causes diarrhea." How would the nurse respond? Diarrhea is expected; that's how your body gets rid of ammonia A client is admitted with acute pancreatitis. What priority problem would the nurse expect they client to report? Severe boring abdominal pain After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assesses the ...

injury (AKI). Which clinical manifestations support the nurse's suspicions? SATASelect all that apply. a. Elevated blood pressure b. Postural hypotension c. Wheezing d. Edema e. Hematuria - a. Elevated blood pressure d. Edema e. Hematuria A client who was admitted with hyperglycemic-hyperosmolar state asks how he can prevent recurrence of this illness. The nurse would instruct the client about which prevention measures? a. Use sliding-scale insulin to cover periodic snacks b. Maint...

When a crane's telescopic boom sections are required to be extended equally, and the are not, the - Longest section can be overloaded With the boom extension mounted on the boom tip, the main boom rating must be reduced to compensate for the boom extension's - Effective weight According to OSHA 1926.1433, which of the following must be on the crane? A. A fire extinguisher B. Anti two-block warning system C. Battery disconnect switch D. Vehicle identification number - A. A fire exting...

WHEN WORKING AT GROUND NEAR A CELLAR WALL, WHERE SHOULD THE CRANES OUTRIGGER PADS BE PLACED? AT LEAST AS FAR BACK AS THE DEOTH OF THE WALL BELOW GROUND WHAT IS THE REQUIRED SET UP DISTANCE AWAY FROM EDGE OF SOFT OR SANDY EXCAVATED AREAS? 1.5 TIMES DEPTH OF EXCAVATION AWAY FROM EDGE UPON ARRIVAL ON A NEW JOB SITE WITH A TRUCK CRANE, THE PRIMARY MAJOR CONCERN IS: UNDER GROUND UTILITIES DUNNAGE OR OUTRIGGER PADS MUST BE A MINIMUM OF _____________TIMES LARGER THAN THE FLOAT 3 WHEN ARRIVING I...

(D) Reduced stability - (D) Reduced stability Which of the following matches the appropriate load chart to a particular crane? (A) Serial number (B) Model number (C) Make of crane (D) Make & model number - (A) Serial number A durable rating chart with legible letters and figures shall be provided with each crane and attached in a location accessible to: (A) The site safety supervisor (B) The lift director (C) The project engineer (D) The operator while at the controls - (D) The operato...

Mobile Cranes (ASME) B30.5 Slings (ASME) B30.9 Hooks (ASME) B30.10 Jack's (ASME) B30.1 Personnel lifting systems (ASME) B30.23 Tower Cranes (ASME) B30.3 Rigging Hardware (ASME) B30.26 Safety Devices (OSHA) 1926.1415 Operational Aids (OSHA)

According to OSHA, how many randomly distributed broken wires in rotation-resistant rope is caused for taking the rope out of service - 2 broken wires in 6 rope diameters What would an operator use to determine boom tip height - Manufacturers working range diagram The lay length of a wire rope is defined as what - Distance it takes for 1 strand to make a complete revolution When reading regulations the word MUST is treated how - As mandatory What is the correct procedure when placing a shack...

T or F The ground pressure under the outriggers is higher than it is under a crawler track because of the smaller bearing surface - True An outrigger float should be approximately how much larger that the outrigger pad? - 3 times When setting a a crawler crane for use on a new site, which of the following is not required prior to use? - name of the person that will operate the crane Where should the slings be attached when lifting lattice boom sections? - use the end connections T or F Dur...

d)stop crane from sliding unexpectedly - increase the crane's stability when operating over front or back What quadrant produces the least amount of ground pressure on a lattice crawler: a) corner b) side c) front d) rear - side During assembly where should you attach slings to lift boom sections: a) to the top of main chords b) to the top end fittings c) 2 feet from end of section d) center of boom section - to the top end fittings When a lattice boom truck crane is set up on outr...

On what principle is crane stability based? - leverage Who must confirm that an overhead power line is de-energized? - Line owner The use of equipment to hoist personnel is prohibited except where the employer can demonstrate what? - Other methods would be more hazardous Which of the following would not cause the effect of impact loading on the crane? A. Sudden snatching of the load B. Rapid hoist acceleration C. High boom angle operations in windy conditions D. Graduated lever control ap...

When is the hoist line on top of the boom considered part of the load? - It is not considered When a heavy load is lifted, what is the result? - Boom deflection According to OSHA 1926 Subpart CC, for cranes traveling with no load, what is the minimum clearance for energized power lines at 40kV? - 6ft Wich of the following rigging configurations is listed in order of the strongest to weakest? - Basket, Vertical, Choker According to OSHA 1926 Subpart CC, how many randomly distributed broken wi...

Level to within 1% (0.57 degrees) and on a firm surface Ratings above the bold line, shaded or with an asterisk indicate _____. Loads in the structural portion of the load chart Ratings below the bold line, shaded or with an asterisk indicate _____. Loads in the stability portion of the load chart What happens if you exceed the structural capacities on a load chart? You may physically break a load bearing component. What happens if you exceed the stability based capacities on a load chart...

On wheel mounted cranes, the required distance to stop at 15 mph is: - 32 feet According to ASME B30.5, when working near power lines up to 350kV and the actual voltage level is not known how far must you stay away from the lines? - 20 feet OSHA and ASME regulations require any part of the crane to be how far from a 230kV power line? - 20 feet What would you do to prevent a load from swinging away from the crane when picking up a heavy load? - Raise the boom slightly to compensate for boom de...