Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
|
You are assessing a PT who has a new diagnosis of osteoarthritis. Which findings would you expect? 1. Crepitus with joint movement 2. Decreased range of motion of the affected joint 3. Involvement of smaller joints of the body 4. Spongy tissue over the joints 5. Joint pain that resolves with rest |
1. Crepitus with joint movement-expected b/c loosened bone and cartilage move in the diseased joint. 2. Decreased range of motion of the affected joint- expected b/c pain limits movement 3. Involvement of smaller joints of the body 4. Spongy tissue over the joints 5. Joint pain that resolves with rest- expected b/c these PTs will have increased pain with activity and decreased pain with rest |
|
|
RN is planning care for a PT following a lumbar puncture. Which of the following actions should the RN plan to include? 1. Apply a pressure dressing to the site for 12hr 2. Restrict the PTs fluid intake for 24r 3. Ensure the PT lies flat for 4-8 hr 4. Administer pain medications every 3-4 hr |
1. Apply a pressure dressing to the site for 12hr- not needed 2. Restrict the PTs fluid intake for 24r-not needed 3. Ensure the PT lies flat for 4-8 hr- this will prevent CSF leakage from the puncture site 4. Administer pain medications every 3-4 hr- not needed |
|
|
RN is caring for a PT who has advancing amyotrophic lateral sclerosis. Which of the following intervention is the RN priority? 1. Provide for frequent rest periods throughout the day 2. Medicate for pain on a regular schedule 3. Monitor pulse oximetry findings 4. Administer baclofen for spasticity |
1. Provide for frequent rest periods throughout the day- not priority 2. Medicate for pain on a regular schedule- not priority 3. Monitor pulse oximetry findings- greatest risk is paralysis of respiratory muscles. ABCs 4. Administer baclofen for spasticity- not priority but should do to limit interference with self care |
|
|
RN is assessing a PT who had a right hemispheric stroke. Which of the following neurologic deficits should the RN expect? 1. Aphasia 2. Right sided neglect 3. Impulsive behavior 4. Inability to read |
1. Aphasia- this would be Left hemispheric stroke 2. Right sided neglect-will have left side effects if there is damage to right side 3. Impulsive behavior- with right hemispheric stroke will demonstrate impulsive behavior, poor judgement, and lack of awareness of neurologic deficits 4. Inability to read- PT with left sided stroke is likely to have difficulties in reading due to the inability to discriminate different letters and words |
|
|
Rn is caring for a PT who is 72hr postoperative following an above the knee amputation and reports phantom limb pain. Which of the following actions should the RN take? 1. Remind the PT that the limb has been removed 2. Change the dressing on the PTs residual limb 3. Administer oral dose of gabapentin to the PT 4. Elevate the PTs residual limb above heart level |
1. Remind the PT that the limb has been removed- would not be therapeutic 2. Change the dressing on the PTs residual limb- would not have any affect on pain 3. Administer oral dose of gabapentin to the PT-should administer a nonopiod medication to treat the nerve pain 4. Elevate the PTs residual limb above heart level- elevating the residual limb above the heart after 48hr can cause hip or knee flexion contracture. |
|
|
RN is providing teaching regarding a new script for carbidopa-levodopa for PT with parkinson disease. Which of the following PT statements indicates an understanding? 1. I should expect a slight increase in my blood pressure while taking this medication 2. I should take my medication with a high protein food 3. I should expect my urine to be a darker color 4. I will expect it to take up to a week for this medication to work. |
1. I should expect a slight increase in my blood pressure while taking this medication- would be orthostatic hypotension 2. I should take my medication with a high protein food-High protein foods can delay the absorption and reduce the amount absorbed into the bloodstream 3. I should expect my urine to be a darker color 4. I will expect it to take up to a week for this medication to work. |
|
|
RN is caring for PT after a sudden loss of consciousness and falling in her home. Dr determines she has had an embolic stroke. Which of the following medications should the RN administer? 1. Recombinant tissue plasminogen activator 2. Recombinant factor VIII 3. Nitroglycerin 4. Lidocaine |
1. Recombinant tissue plasminogen activator- this thrombolytic is administered to dissolve the blood clot that caused the stroke 2. Recombinant factor VIII- is administered to manage symptoms of hemophilia. 3. Nitroglycerin- used for angina 4. Lidocaine- antidysrhythmic agent used to treat ventricular dysrhythmias |
|
|
Rn is caring for a PT who has a viral meningitis. Which of the following actions should the RN take? 1. Assess the PTs neurologic status every 8 hr 2. Maintain the PT on droplet precautions 3. Monitor capillary refill at least every 4 hr 4. Place the PT in a well lit environment |
1. Assess the PTs neurologic status every 8 hr- should do Q4 2. Maintain the PT on droplet precautions- this would be only for bacterial meningitis only needs standard 3. Monitor capillary refill at least every 4 hr- should perform a complete vascular assessment at least Q4 to monitor for vascular compromise. 4. Place the PT in a well lit environment - should minimize |
|
|
RN is teaching a PT who has epilepsy and is to start therapy with phenytoin. Which of the following instructions should the RN include? 1. Rinse with antiseptic mouthwash in place of using dental floss 2. Use an over the counter antihistamine if a rash develops 3. Slowly taper the medication after 6 consecutive months without seizure activity 4. Take medications at a consistent time each day to maintain therapeutic blood levels. |
1. Rinse with antiseptic mouthwash in place of using dental floss- need to have good oral hygiene due to gingival hyperplasia 2. Use an over the counter antihistamine if a rash develops- should stop and report rash 3. Slowly taper the medication after 6 consecutive months without seizure activity- would take this whether you have a seizure or not 4. Take medications at a consistent time each day to maintain therapeutic blood levels.- need a regular schedule to maintain therapeutic blood levels |
|
|
RN is caring for a PT who has multiple sclerosis. Which of the following findings should the RN expect? 1. hypoactive DTRs 2. Ascending paralysis 3. Intention tremors 4. Increased lacrimation |
1. hypoactive DTRs- would have hyperactive DTRs 2. Ascending paralysis- this would be Guillain Barre Syndrome 3. Intention tremors- Are at risk for motor dysfunction such as tremors, poor coordination, and loss of balance 4. Increased lacrimation- this would be r/t myasthenia gravis |
