Peterstudies

1. A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumo- nia B. Reinforcing teaching with a client who is learning to walk with a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing to a pressure ulcer: C 2. A nurse is delegating the ambulation of a c...

1. A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective?: hemoglobin 14.9 g/dL 2. a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first?: a middle adult client who has unstable vital signs 3. a nurse is caring for a client who has fluid volume overload. which of the following tasks ...

1. A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2 early spontaneous abortions. What is her gravida and para?: She is gravida 4, Para 2 Gravida indicates the number of times the mother has been pregnant, regardless of whether these pregnancies were carried to term. A current pregnancy, if any, is included in this count. Para indicates the number of >20 wks births (including viable and non-viable i.e. stillbirths). Pregnancies consisting of multip...

1. The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant?: • Mother's physical and emotional condition • Baby's physical condition • Family being prepared for the baby 2. The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5) instructions would be provided by the nurse to explain use of the diaphragm: client should be p...

A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has a stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who is postoperative d. providing postmortem care to a client - ANS providing postmortem care to a client A nurse is conducting a health assessment for a client who takes herbal supplements. Which of ...

When applying the concept of surgical conscience which of the following statement should be considered? Select all that apply. - ANSWER ==A. It involves mental discipline & the ability to speak out B. It is essential to the delivery of optimal care and prevent harm. D. Surgical conscience allows for no compromise in the principles of aseptic technique. In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in your OR suite. The following statem...

QUESTION 1 A marathon runner was perspiring heavily. Which function of sweat was occurring? Absorbing enzymes into the bodyReleasing enzymes from the bodyAbsorbing heat into the body Releasing heat from the body 1 points QUESTION 2 Sperm cells are able to move in a swimming motion by the use of . cilia centriole s vesicles flagella 1 points QUESTION 3 In a person with diabetes, blood may often become more acidic than normal. What blood pH might youexpect in a person with untreated d...

1. Mr. Lopez, who is fairly well-off financially, would like to enroll in a Medicare prescription drug plan you represent and simply give you a check to cover his premiums for the entire year. What should you tell him?: He will need to mail in his payment with his enrollment form. 2. Mrs. Chou likes a Private Fee-for-Service (PFFS) plan available in her area that does not include drug coverage. She wants to enroll in the plan and enroll in a stand-alone prescription drug plan. What should you t...

1. A nurse is caring for a client who is postprocedure following a lumbar puncture and reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply). A. Use the Glasgow Coma Scale when assessing the client. B. Assist the client to a supine position. C. Administer an opioid medication. D. Encourage the client to increase fluid intake. E. Instruct the client to perform deep breathing and coughing exercises.: B. Assist the cl...

1. A nurse is caring for a client who has a WBC count of 20,000/mm3. Which of the following WBC abnormalities is consistent with the findings? A. Neutropenia B. Leukocytosis C. Left shift D. Leukopenia: B. Leukocytosis (WBC count greater than 10,000/mm3 , which indicate inflammation or infection.) 2. A nurse is reviewing the laboratory findings of a client who has measles. The nurse should expect an increase in which of the following types of WBCs? A. Neutrophils B. Basophils C. Lymp...

1. A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? a. Assess the client's visual acuity prior to irrigation b. Have the client turn their head toward the unaffected eye c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye d. Perform the irrigation with sterile water for irrigation: d. Perform the irriga- tion with sterile water for irrigation 2. A nurse is preparing to admini...

1. A nurse is reviewing the health history of a client who has diabetes mellitus type 2. Which of the following are risk factors for hyperglycemic hyperosmolar state (HHS)? (Select all that apply) A. Evidence of recent myocardial infarction B. BUN 35 mg/dL C. Takes a calcium channel blocker D. Age 77 years E. Daily insulin injections: a,b,c,d 2. A nurse is assessing a client who has diabetic ketoacidosis and ketones in the urine. The nurse should expect which of the following findings? (...

1. Respiratory Alkalosis S/S: lethargy lightheadedness confusion tachycardia dysrhythmias related to hypokalemia nausea vomiting epigastric pain numbness and tingling of the extremities hyperventilation (tachypnea) 2. A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which intervention should the nurse include to prevent bone loss?: Encourage weight bearing exercises (such as walking because it can help maintain bone mass by reducing bone...

1. A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take: Ensure the client's weights are hanging freely from the bed. 2. A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?: Take this medication between meals 3. A nurse in a provider's office ...

1. Respiratory Alkalosis S/S: lethargy lightheadedness confusion tachycardia dysrhythmias related to hypokalemia nausea vomiting epigastric pain numbness and tingling of the extremities hyperventilation (tachypnea) 2. A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. Which intervention should the nurse include to prevent bone loss?: Encourage weight bearing exercises (such as walking because it can help maintain bone mass by reducing bone...

1. The nurse is providing discharge teaching for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following instruc- tions should the nurse include?: -Resume a diet of choice -Cleanse the puncture site using mild soap and water -Report nausea and vomiting to the surgeon 2. A nurse is reviewing risk factors with a client who has cholecystitis. The nurse should identify that which of the following as a risk factor for cholecystitis?: Obesity 3. A nurse is co...

1. A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? a. Assess the client's visual acuity prior to irrigation b. Have the client turn their head toward the unaffected eye c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye d. Perform the irrigation with sterile water for irrigation: d. Perform the irriga- tion with sterile water for irrigation 2. A nurse is preparing to admini...

1. Glascow Coma Scale (GCS): eye opening, verbal response, motor response 2. Romberg test: performed once with eyes open and with eyes closed - assess balance and motor function 3. normal ICP: 10-15 mmhg 4. signs of increased ICP: irritability (EARLY SIGN) restlessness headache pupil abnormalities 5. interventions for ICP: - avoid suctioning - hyperventilate pts - maintain HOB 30 - spread out nursing activities - decrease stimuli 6. Late finding of ICP: cushing's triad 7. lumbar pu...

How long do you have to start chest compressions? - ANSWER ==10 seconds Infant compression depth - ANSWER ==1 1/2 inches or 1/3 depth of chest Child chest compression depth - ANSWER ==approx 2 inches or 1/3 depth of chest Adult chest compression depth - ANSWER ==2 inches Recognition of Cardiac Arrest - ANSWER ==No breathing or no normal breathing, unresponsiveness, no pulse

1. A nurse is monitoring a client who is receiving two units packed RBC's. Which of the following manifestation indicates a hemolytic transfusion reac- tion? a) back pain b) Hypertension c) Chills d) bradycardia: a) back pain 2. A nurse is planning care for a client who has a full-thickness burns on the lower extremities. Which of the following interventions should the nurse include? a) Limit visitation time for client's children to 40 minutes per day b) clean the equipment in the c...