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23 Cards in this Set

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5. Digoxin (Lanoxin) is used for all of the following except:
Congestive heart failure
Atrial fibrillation
Atrial flutter
Bradycardia
Correct answer: Bradycardia
A 31 year old male with Crohn's Disease is being treated. During the assesment of nutritional health, which of the following is the most pertinent?
Input & output
Anthropometric measurements
Weight
Abdominal Girth
Correct answer: Anthropometric measurements
Explanation: Anthropometric measurements are the best method for evaluating fat and muscle stores in the body.
While caring for a patient who just underwent a cholecystectomy, how should the nurse position the patient to relieve pain?
Trendelenburg
High Fowler's
Laying on right side
Laying on left side
Correct answer: Laying on left side
Explanation: A patient who just underwent a cholecystectomy should be positioned laying on their left side to relieve pain.
It is important for the nurse to do which of the following when caring for a patient who is taking Colace (docusate sodium)?
Encourage a bland diet
Encourage at least 2500 ml of fluid daily
Give a cleansing enema PRN
Encourage a high protein diet
Correct answer: Encourage at least 2500 ml of fluid daily
Explanation: For this medication to work properly, it is essential that the patient receive at least 2500 ml of fluid daily.
After a liver biopsy, the nurse should assess the side for:
Drainage
Bleeding
Edema
Cyanosis
Correct answer: Bleeding
When teaching a patient about pancreatitis, it is important that the nurse encourages the patient to do which of the following?
Decrease protein
Decrease carbohydrates
Eat large meals
Avoid alcohol
Correct answer: Avoid alcohol
Zantac (Ranitidine) is which of the following:
Protein pump inhibitor
Antacid
H2 receptor antagonist
Analgesic
Correct answer: H2 receptor antagonist
How should the nurse position a patient who has a ruptured appendix?
Supine
Trendelenburg
High Fowler's
Semi-Fowler's
Correct answer: Semi-Fowler's
Explanation: This promotes the flow of drainage to the pelvic region.
Which of the following medications would not be given for pacreatitis?
Tagament
Prevacid
Lasix
Zantac
Correct answer: Lasix
How long does it take for a colostomy to begin functioning?
1 to 2 days
2 to 3 days
3 to 4 days
4 to 5 days
Correct answer: 2 to 3 days
Explanation: The stoma will begin to secrete mucous within 48 hours. The proximal loop will begin to drain fecal material within 72 hours.
How should the nurse position a patient who has COPD to increase ventilatory efficiency?
Supine
Semi-Fowler's
High Fowler's
Sitting up & leaning forward slightly
Correct answer: Sitting up & leaning forward slightly
Explanation: This allows for the greatest amount of lung expansion.
While caring for a patient who is on an IV, the nurse recognizes that the patient is experiencing fluid overload. Which of the following would not be an appropriate nursing intervention?
Decrease IV rate
Monitor breathsounds
Place patient in trendelenburg position
Notify M.D.
Correct answer: Place patient in trendelenburg position
Explanation: It would not be appropriate to place a patient with fluid overload in the trendelenburg position. A patient with fluid overload should be placed in High Fowler's Position.
. While reviewing a clients lab results, the nurse recognizes that an Albumin value of ________________ is within normal limits.
1.0
2.0
3.0
4.0
Correct answer: 4.0
While caring for a patient with IV therapy, the nurse should recognize the following as a symptom of an air embolism?
Edema
Cyanosis
General malaise
Moist crackles on auscultation
Correct answer: Cyanosis
Explanation: Symptoms of an air embolism include cyanosis, dyspnea, hypotension, weak rapid pulse, and chest, shoulder, & back pain,
When administering oxygen to a patient with emphysema, it is important that the nurse administer no more than:
2 Liters per minute
5 Liters per minute
10 Liters per minute
15 Liters per minute
Correct answer: 2 Liters per minute
Explanation: A patient with emphysema should not be given oxygen at higher concentrations than 2 liters per minute.
What is a perforation as it relates to Peptic Ulcer Disease?
Erosion of an ulcer through an artery
Erosion of an ulcer through the muscle wall
Erosion of an ulcer through organ tissue
Erosion of an ulcer through subcutaneous tissue
Correct answer: Erosion of an ulcer through the muscle wall
Explanation: A perforation occurs when an ulcer erodes through the muscle wall.
. What is Dilantin primarily used for?
High blood pressure
Seizures
Chest pain
Analgesic
Correct answer: Seizures
Explanation: Dilantin is a medication that is primarily used for seizures.
Potassium is which of the following?
Anti-inflamatory
Depressant
Irritant
Anti-depressant
Correct answer: Irritant
Explanation: Pottasium is an irritant.
Magnesium is which of the following?
Irritant
Depressant
Anti-inflamatory
Anti-depressant
Correct answer: Depressant
Explanation: Magnesium is a depressant.
While reviewing a clients lab results, the nurse recognizes that a creatnine value of ________________ is within normal limits.
0.5
1.0
1.5
2.0
Correct answer: 1.0
Explanation: Creatnine values of 0.8 to 1.3 are within normal limits.
A patient has been ordered Digoxin (Lanoxin) at 3:00. When the nurse takes the patients pulse it is 56. What should the nurse do?
Hold dose & check pulse again in 1 hour
Give the ordered dose
Notify MD
Instruct client to walk halls to increase pulse
Correct answer: Hold dose & check pulse again in 1 hour
Explanation: The nurse should hold the dose and check the pulse again in one hour. If the pulse is still less than 60, the nurse should notify the MD.
To reverse the effects of Heparin, the nurse should administer:
Colace
Megace
Protime Sulfate
Flagyl
Correct answer: Protime Sulfate
Explanation: Protime sulfate will reverse the effects of Heparin.
When performing a blood transfusion, it's important that the blood is administered within which timeframe of removing it from the refrigerator?
30 minutes
60 minutes
90 minutes
120 minutes
Correct answer: 30 minutes
Explanation: It is important that blood is administered within 30 minutes of removing it from the refrigerator.