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47 Cards in this Set
- Front
- Back
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When preparing a client for a diagnostic study of the colon, the nurse teaches the client how to self-administer a prepackaged enema.
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Lying on my left side with my right knee flexed."
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Normal urine output for an adult with an indwelling catheter is at least.
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30 ml/hour
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When making a surgical bed, the nurse should leave the bed in the
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High position when finished
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A client with heart failure must be monitored closely after starting diuretic therapy. The best indicator for the nurse to monitor is:
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Weight
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A nurse is transferring a client from the bed to a chair. Which action should the nurse take during this client transfer? (3)
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1. Place the client in high Fowler's position.
2. Move the client to the side of the bed, as the legs dangle. 3. The nurse should then face the client. |
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Which oxygen delivery device should the nurse use to provide the highest possible oxygen concentration?
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nonrebreather mask up to 95%
Nasal cannula doesn't deliver concentrations above 40%. A Venturi mask delivers precise concentration |
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A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate monitoring of the client's fluid status?
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Weighing the client daily at the same time and in similar clothing.
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A client is admitted to the health care facility with active tuberculosis(TB). The nurse should include which intervention in the care plan?
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fitted mask when entering the client's room
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When providing oral hygiene for an unconscious client, the nurse must perform which action?
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place the client in a side-lying position
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A client, age 43, has no family history of breast cancer or other risk factors for this disease. The nurse should instruct her to have a mammogram how often?
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Once per year
Yearly mammograms should begin at age 40 and continue for as long as the woman is in good health. If health risks exist, such as family history, genetic tendency, or past breast cancer, more frequent examinations may be necessary. |
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A client asks to be discharged from the health care facility against medical advice (AMA). What should the nurse do first?
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Notify the physician
If a client requests a discharge AMA, the nurse should notify the physician immediately. If the physician can't convince the client to stay, the physician will ask the client to sign an AMA form, which releases the facility from legal responsible |
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A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient's medication does not cause urine discoloration?
A. Sulfasalazine B. Levodopa C. Phenolphthalein D. Aspirin |
A
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You are responsible for reviewing the nursing unit's refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator's contents?
A. Corgard B. Humulin (injection) C. Urokinase D. Epogen (injection) |
A
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A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?
A. IgA B. IgD C. IgE D. IgG |
D
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A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take?
A. Immediately see a social worker B. Start prophylactic AZT treatment C. Start prophylactic Pentamide treatment D. Seek counseling |
B
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A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?
A. Atherosclerosis B. Diabetic nephropathy C. Autonomic neuropathy D. Somatic neuropathy |
C
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A patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient?
A. Deep breathing techniques to increase O2 levels. B. Cough regularly and deeply to clear airway passages. C. Cough following bronchodilator utilization D. Decrease CO2 levels by increase oxygen take output during meals. |
C
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. A mother has recently been informed that her child has Down's syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down's syndrome?
A. Simian crease B. Brachycephaly C. Oily skin D. Hypotonicity |
C
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A nurse is putting together a presentation on meningitis. Which of the following microorganisms has noted been linked to meningitis in humans?
A. S. pneumonia B. H. influenza C. N. meningitis D. Cl. difficile |
D
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A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?
A. 11 year old male – 90 b.p.m, 22 resp/min., 100/70 mm Hg B. 13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg C. 5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg D. 6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg |
B
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Which of the following conditions would a nurse not administer erythromycin?
A. Campylobacterial infection B. Legionnaire's disease C. Pneumonia D. Multiple Sclerosis |
D
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Which of the following waveforms is most commonly found with light sleepers?
A. Theta B. Alpha C. Beta D. Zeta |
A
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Which of the following months matches with an infant first having the ability to sit-up independently?
A. 4 months B. 6 months C. 8 months D. 10 months |
B
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Object permanence for toddlers develops in this age range?
A. 5-10 months B. 10-14 months C. 12-24 months D. 15-24 months |
A
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Which of the following matches the definition: response to severe emotion stress resulting in involuntary disturbance of physical functions?
A. Conversion disorder B. Depressive reaction C. Bipolar disorder D. Alzheimer's disease |
A
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Which of the following waveforms is most commonly found when you are awake?
A. Theta B. Alpha C. Beta D. Zeta |
C
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The REM sleep cycle occur approximately every ____ minutes?
A. 45 B. 60 C. 75 D. 90 |
D
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Which of the following reflexes is not found at birth?
A. Babinski B. Palmar C. Moro D. Flexion |
D
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Parallel play for toddlers develops in this age range?
A. 5-10 months B. 10-14 months C. 12-24 months D. 24-48 months |
D
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Which of the following is not a sign of anxiety?
A. Dyspnea B. Hyperventilation C. Moist mouth D. GI symptoms |
C
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Which of the following best describes a person that is completely awake falling asleep spontaneously?
A. Cataplexy B. Narcolepsy C. Transitional sleep D. REM absence |
A
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Which of the following best describes a person that is unable to tell you were there hand or foot is?
A. Autotopagnosia B. Cataplexy C. Ergophobia D. Anosognosia |
A
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Which of the following describes a person using words that have no known meaning?
A. Neologisms B. Neolithic C. Verbalism D. Delusional blocking |
A
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Prothrombin is a ____ globulin and is produced by the _____.
A. Alpha, Kidney B. Alpha, Liver C. Beta, Kidney D. Beta, Liver |
B
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The right coronary artery divides to form the posterior interventricular artery and the ___ artery.
A. Marginal B. LVC C. RVC D. LAD |
A
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Blood flowing into the cardiac veins enters the _______ next.
A. Coronary Sinus B. Left Ventricle C. Right Ventricle D. Left Atrium |
A
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If you are using a stethoscope and trying to detect the tricuspid valve which of the following would be the best location?
A. Within 2 inches of the xyphoid process B. On the right side of the sternum C. On the left side of the sternum near the midpoint D. On the left side of the sternum near the midpoint of the sixth rib |
A
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Which of the following occurs during ventricular systole?
A. Increased aortic pressure B. Increased ventricular volume C. Dup heart sound D. P wave |
A
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Which of the following occurs during ventricular diastole?
A. Increased aortic pressure B. Increased ventricular volume C. Lub heart sound D. T wave |
B
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The innermost layer of a blood vessel is lined with _______ ______ cells
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A
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Angiotension can directly cause the release of ____ from the adrenal cortex
A. Renin B. Aldosterone C. Calcitonin D. Thyroxine |
B
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Pulmonary edema is most like associated with a failing _____ _____.
A. Right atrium B. Left atrium C. Right ventricle D. Left ventricle |
D
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Which of the following is the first branch off the aortic arch?
A. Common carotid B. Brachiocephalic C. Right Subclavian D. Thoracic |
B
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The brachiocephalic artery divides to form the right common carotid and the ____ ____ artery.
A. Left subclavian B. Right subclavian C. Left common carotid D. Right thoracic artery |
B
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Which of the following arteries creates the left spenic, hepatic and gastric arteries?
A. Left sacral artery B. Celiac artery C. Suprarenal artery D. Phrenic artery |
B
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Pulse pressure (pp) is considered the _____.
A. Difference between the systolic and diastolic pressure B. The sum of the systolic and diastolic pressure C. The inverse of the blood pressure D. Half of the systolic pressure |
A
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_____ nerves can be found joining the SA and AV nodes in the heart.
A. Accelerator B. Phrenic C. Thoracic D. Gastric |
A
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