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Nurse plans to administer a dose of metoprolol at 0900 to a client with HTN. At 0800 nurse notestelemetry pattern shows second degree heart block with Ventricular rate of 50. Action Hold scheduled dose and notify HCP of telemetry pattern Nurse is reviewing client ECG and determines PR interval prolonged. Indicates Increased conduction time from the SA node to the AV junction When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds onright side ...

1. a. The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the nurse trying to achieve? (Select all that apply.) Induce shivering. b. Reduce blood loss. c. Induce pressure ulcers. d. Reduce cardiac arrests. e. Reduce surgical site infection. ANS: B, D, E Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of hypothermia. Prevention of hypothermia (core temperature < 36° C) helps to reduce complications s...

1. A nurse in a long term care facility notices a client who has alzheimers disease standing at the exit doors at the end of the hallway. The clients appearsto be anxious and agitated. Which of the following actions should the nurse take? Escort the client to a quiet area on the nursing unit 2. A nurse is assisting with the plan of care for a client who has a continent urinary division. Which of the following interventions should the nurse plan to implement to facilitate urinary elimination...

1. A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel? Collecting a stool specimen two tests for occult blood 2. A nurse is working on a unit for clients with dementia. Which of the following client situations requires the nurse to write an incident report? A client is found lying on the floor next to a chair 3. A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The client is independent an...

New NGN Question Formats: Matrix multiple-choice Matrix multiple-response Multiple-response: Select all that apply Multiple-response: Select N Multiple-response: Grouping Drag-and-drop: Cloze Drag-and-drop: Rationale Drop-down: Cloze Drop-down: Rationale Drop-down: Table Highlight: Text Highlight: Table Bow-tie Trend The New Gen Nclex has 150 questions but only 135 questions are scored. Matrix multiple-choice: Question: A nurse is caring for a patient with diabetes. Which of the...

Nurse plans to administer a dose of metoprolol at 0900 to a client with HTN. At 0800 nurse notes telemetry pattern shows second degree heart block with Ventricular rate of 50. Action Hold scheduled dose and notify HCP of telemetry pattern Nurse is reviewing client ECG and determines PR interval prolonged. Indicates Increased conduction time from the SA node to the AV junction When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on right sid...

What is Nurse John likely to note in a male client being admitted for alcohol withdrawal? A. Perceptual disorders B. Impending coma C. Recent alcohol intake D. Depression with mutism Option A: Frightening visual hallucinations are especially common in clients experiencing alcohol withdrawal June has agreed to take amitriptyline HCL (Elavil) for 3 days, but now complains that it “doesn’t help” and refuses to take it. What should the nurse say or do? A. Withhold the drug B. Recor...

When do you consider Unipolar versus Bipolar depression Unipolar major depression (major depressive disorder) is characterized by a history of one or more major depressive episodes (table 3) and no history of mania (table 1) or hypomania Geriatric Depression Scale (GDS) Scoring Instructions. Score 1 point for each bolded answer. A score of 5 or more suggests depression. Self-reporting tool that may be used to diagnose and treat depression Geriatric Depression Scale The Geriatric Depressi...

1. A nurse is reinforcing information with a client who wishes to complete their advance directives. Which of the following statements should the nurse make? a) “You must have advance directives in place in order to refuse recommended treatment.” b) “An attorney is needed in order for you to name a designee in your health care proxy.” c) “You can decline to have certain medical procedures performed in your living will.” d) “A living will can be an oral statement that you agr...

1. If the nurse is initiating IV fluid replacement for a child who has dry, sticky mucous membranes, flushed skin, and fever of 103.6 F. Laboratory finding indicate that the child has a sodium concentration of 156 mEq/L. What physiologic mechanism contributes to this finding? - Insensible loss of body fluids contribute to the hemoconcentration of serum solutes. Rationale: Fever causes insensible fluid loss, which contribute to fluid volume and results in hemoconcentration of sodium (serum ...

• Assessment of Fetal Well-Being: Interdisciplinary Care Conference: o Biophysical Profile: BPP assesses fetal well-being by measuring the following five variables with a score of 2 for each normal finding, and 0 for each abnormal finding for each variable. o Nonstress Test: NST most widely used technique for antepartum evaluation of fetal well-being performed during the third trimester. It is a noninvasive procedure that monitors response of the FHR to fetal movement. • Preeclampsia:...

1. A nurse is caring for a client admitted to the emergency department with extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should be aware that initially the client is at greatest risk for A. airway obstruction. Rationale: Burns of the head, neck, and chest may involve damage to the pulmonary tree due to heat as well as smoke and soot inhalation. This can result in severe respiratory difficulty. Nursing measures to main...

All of the following are criteria for an accident to have occurred "in the course of" the employment under a workers' compensation policy, EXCEPT: Correct Answer: While performing a task that a fellow worker requested, that was unusual to the employee's job description, but occurred on the employer's premises during working hours. Which of the following statements is NOT TRUE regarding the implied warranties of an Ocean Marine policy? Correct Answer: The implied warranties are atta...

New NGN Question Formats: Matrix multiple-choice Matrix multiple-response Multiple-response: Select all that apply Multiple-response: Select N Multiple-response: Grouping Drag-and-drop: Cloze Drag-and-drop: Rationale Drop-down: Cloze Drop-down: Rationale Drop-down: Table Highlight: Text Highlight: Table Bow-tieTrend The New Gen Nclex has 150 questions but only 135 questions are scored. Matrix multiple-choice: Question: A nurse is caring for a patient with diabetes. Which of the f...

What Erickson stage is an infant (0-1 yr) in? Trust vs mistrust Emotional stability Eye-hand coordination Sensory discrimination Motor skills What Erickson stage is a Toddler (1-3 yo) in? Autonomy vs. Shame and doubt Self-control Language Fantasy & Play Elaboration of locomotion Assertion of independence Interpersonal control What Erickson stage is early childhood (3-5 yo)? Initiative vs guilt Exploration & Master Independent Activity Magical Thinking What Erickson stage is mi...

A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the following supplies should the nurse plan to use for this task? - ANSWER yankeurs catheter rationale: A Yankauer catheter is a clean suction catheter used when performing oral and oropharyngeal suctioning to remove secretions from the client's mouth to facilitate breathing or obtain a sample for diagnostic evaluation. A nurse in a long-term care facility is serving on the ethics committee...

Question 1 2 / 2 pts Question 2 2 / 2 pts Correct! False False- this is a peripheral nerve A motor signal is a signal that is sent from a muscle to the central nervous system. True Correct! False False- this is sensory input The cervical plexus contains nerves that innervate the thigh. True Correct! False Question 62 / 2 pts Answer the following short-answer question: Ligaments connect which types of tissue? Question 4 2 / 2 pts Question 5 2 / 2 pts MODULE 1 All multiple ...

.Question 1 The action of platelet-derived growth factor is to stimulate the production of which cells? Selected Answer: Platele ts • Question 2 1 out of 1 points A healthcare professional is educating a patient about asthma. The professional states that good control is necessary due to which pathophysiologic process? Selected Answer: Uncontrolled inflammation leads to increased bronchial hyperresponsiveness and eventual scarring. • Question 3 1 out of 1 points What is an exp...

A nurse is collecting data from a client who was admitted with a Glasgow Coma Scaleof 3. Which of the following findings should the nurse expect? - Nonresponsive Commands • A nurse is collecting data from a client who has coronary artery disease. Which ofthe following manifestations should the nurse identify as an indication that the client has angina - Chest Discomfort Radiated - Pain lasting less that 15mins - Pain that is relieved with rest • A nurse is contributing to the pl...

Chagas Disease ---------- Correct Answer -------- Caused by Trypanosoma cruzi parasite passed in the feces of Reduviidae/kissing bug Penetrates broken skin or intact mucous membranes forming a pseudocyst releasing inflammatory infiltrates into myocytes; stains with Giemsa & Wright Romana sign occurs when portal of entry is the conjunctiva or eyelid May resulting in: Enlarged heart- CHF, sudden cardiac arrest Enlarged esophagus- difficulty swallowing Enlarged colon- abdominal pain or c...