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121 Cards in this Set
- Front
- Back
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When giving a subcutaneous injection how would you know how far to put in the needle?
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Amt of subcutaneous tissue
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A young girl came into the hospital because she had fainted at work, but previously had the flu and vomiting what vital sign would you check?
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blood pressure sitting and standing; you would suspect her to be dehydrated.
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When giving topical cream to infants what does the nurse need to know?
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Could cause systemic reaction to infant
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Teaching a person the measurements on a syringe before showing steps of insulin administration is part of what teaching learning step?
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Simple to complex
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Raising your head before sitting is in what stage?
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Cephalocaudaul
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If ammonia levels are increased what might this indicate?
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Liver failure
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To rule out pancreatitis what lab might be drawn?
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amalayse
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For an overall indicator of kidney function what lab would be drawn?
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BUN
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Know how(where) to give eye med to infant
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In conjunctival sac as you pull down.
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Which site is preferred in infants?
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vastus lateralis
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What angle is taken with an intradermal injection?
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10 degrees
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Where do you deposit an oral med in an infant?
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side of the cheek
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The nurse’s first priority at post op phase?
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Patent airway
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IPV is given?
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subcutaneous
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How do you know that antibiotics for pneumonia are working?
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Less secretions, clearer breathing
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Varicella/chicken pox is caused by?
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Herpes zoster virus
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Greatest risk for respiratory distress from opioids?
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Child with cystic fibrosis
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3yr old child uses what pain scale?
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FACES
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Which is not on airborne precautions?
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MRSA
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Acetaminophen overdose needs to be treated immediately because what can happen?
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Hepatotoxicity
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Maternal transfer of antibodies is an example of:
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Natural Acquired Passive Immunity
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ESSR?
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Enlarge, stimulate, swallow, rest
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If patient states there is pain at his IV site and there is no blood upon aspiration of saliene lock what do you do?
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push saline anyway
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When treating scabies you must?
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Treat everyone that has come in contact within 72 hours
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When treating head lice?
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Everyone is treated at the same time
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All of the following are signs of dehydration except?
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Inc capillary refill time
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Down’s syndrome diet?
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Carbs and proteins
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Prevents RSV infection
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Respigam
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What is a seizure called that lasts more than 30 min?
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status epilepticus
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A mother has a child with cerebral palsy and asks if there are any other treatments available, which is most accurate
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Baclofen pump intrathecally
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What might be the cause of acute diarrhea?
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Rotavirus
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1st symptom of Acute glaucoma?
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Loss of peripheral vision
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If you only heard an infants bowel sounds every 10-30 seconds what would this indicate?
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normal findings
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IgG does what?
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Protects the baby
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Upon assessment of the oral cavity you find this stuff that looks like curdled milk, what might this be?
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thrush
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At 4 mths what vaccines should you give?
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DTaP, IPV, PCV, Hep B, Hib
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When can a child go back to school if they have Chicken pox?
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When pustules crust over
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Koplick Spots are seen in:
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rubeola
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Don’t take a pt with what if you are pregnant?
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CMV
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Mild s/s of saclicylate toxicity, which sensory area would you check?
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Hearing
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A penrose dressing is found with serous fluid, as a nurse what would you do?
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This is a normal finding, reinforce dressing.
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Prior to changing a dressing, which nursing intervention would you carry out?
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Administer pain meds before performing
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If you are allergic to penicillin what drug should you also not take?
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Cephalosporin
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Labs to take during antibiotics?
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BUN and Creatinine
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Which is included in nursing documentation after administering a vaccine?
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Lot # and exp date
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After surgery, what position should you put someone in to prevent aspiration?
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Turn pt’s head.
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Which would intervene with healing of a wound?
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Steroids
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Which would require further teaching in a pt taking asprin?
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I must avoid pretzels and chips
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What is the role of the nurse in an informed consent?
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witness
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Which doctor’s order would you question on a pt who’s had a colon resection?
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Turn, cough, and deep breathe
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Antagonist of Tylenol is?
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Mucomyst
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Which of the following is correct when giving an infant cpr?
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Place 2 fingerbreadths above nipple line
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Which of the following would not be given if the doc ordered an antidiarrheal?
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Dulcolax
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Which is the first indicator of respiratory distress?
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restlessness
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Your neighbor tells you she gave her daughter Ipecac 10min ago what would you tell her?
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Wait 10-20min and give it again
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What is the rationale for using an accucheck rather than a urine test?
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it's more accurate
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If your pt complains of a H/A and shakiness what do you do first?
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Get an accucheck
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What might result in poisoning of acetaminophen?
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Metabolic acidosis and resp alkalosis
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How would a nurse assess for bleeding in a post op tonsillectomy?
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Increased swallowing
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If a pt had an exacerbation of UC, what might need to be done first?
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Manage diarrhea
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Question had to do with CBI?
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Check patency of drainage system
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Crohn’s disease is at risk for which f/e imbalance?
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Hypokalemia
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Presbyopia?
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Less elastic and doesn’t respond to accomodation
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Umbilical hernia?
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Deficit usually resolves spontaneously
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Hypospadias?
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Ventral side of penis
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Which statement would indicate further teaching in a pt post colonoscopy?
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I will be able to pick up kids in 2hrs after.
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What would you say in the discharge teaching of a pt on antihypertensive?
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Eat bananas and tomatoes
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Tylenol poisoning is associated with:
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Liver dysfunction
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How would you clean a suture line of post op pt?
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½ NS and ½ peroxide
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What would you tell a pt with Berger’s syndrome?
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Cessation of smoking
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Which pt is less likely to be on TPN?
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A 48yr old man post op
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In a pt on insulin, which would suggest further teaching?
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I will increase the potency of my insulin as I rotate sites
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If on steroids what would you look for?
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Hyperglycemia
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If pt complains of right lower extremity pain what do you tell pt?
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Remain in bed
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If the nurse has realized she has given too much Heparin what should she do?
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a. assess for side effects
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Why might caffeine be ordered for an infant?
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stimulate respirations
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What may cause Ulcers?
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NSAIDS
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Know when pt should take antacids?
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1hr before, 3hrs after meals, and at nighttime
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To prevent complications of dumping syndrome what does nurse say?
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Discourage fluids w/ meals
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If child has a lactose intolerance and FTT?
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Enfamil formula fortified with iron
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Why might a doc order polycose for an infant with FTT?
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Polycose helps increase caloric intake
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What do you not do for a DVT?
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Massage leg
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A nurse working a 12 hr shift is at risk for?
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Varicosities
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70/30 means?
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70 units of NPH and 30units of Regular
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Why do we use a humidifier?
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Liquefy secretions
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If pt is to receive an oral diabetic agent at 7:30 and is NPO for a surgery at 8, what do you do?
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Administer a supplemental dose of insulin R.
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Which oral diabetic agent would you not give to a pt who is going to have a heart test or contrast?
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Metformin
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If a pt just came out of surgery 4hrs ago and asks for pain meds what do you do?
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Give analgesics now.
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Which would not be a finding in a pt with Malignant hyperthermia?
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Flaccid muscles
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When a pt experiences chronic pain you?
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ATC (around the clock)
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How do you treat a child with impetigo?
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Clean crusts off every day
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Obese people are post operatively at risk for what?
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Atelectasis and pneumonia
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If a pt is going to start an exercise regimen and is Type 1 diabetic which is correct?
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Insulin administration needs to be decreased
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In GERD, what would you tell them?
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Don’t eat foods that cause discomfort
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If a pt has a bp of 170/90 during his Physical Exam, and starts an exercise regimen. And comes back for a follow up 2wks later and b/p is 150/84. What do you tell him?
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To continue with his regimen.
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Which test is for Heparin?
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PTT
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If pt just had a femoral popiteal bypass, post operatively which of the following would be of concern?
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No pedal pulses
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What do you do for a post op infant that just had cleft lip fixed?
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Check to see if bow or suture line is present
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If pt is coughing while you are suctioning, what do you do?
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Discontinue suctioning during cough.
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Your pt is doubled over in pain and has peptic ulcer what would you do?
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Take a set of vitals
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What would concern a nurse in a pt after ear surgery?
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stiff neck
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Side effects with dilantin?
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hyperplasia of the gums
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A pt has a kidney stone, what do you do first?
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relieve pain
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If pt has a congenital diaphramtic hernia what do you do?
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Lie on affected side
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If pt has a urinary diversion device, what might need to be taught?
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methods to acidify urine
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If pt is on sulfasalazine, which statement made by them is accurate?
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expect to see a decrease in number of BM’s I have a day.
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What would determine where a stoma is placed?
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Findings from the assessment of abdomen
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How do you remove a pea from the ear?
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use forceps
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Which of the following would be unsafe in a pt that just had ear surgery?
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Turn cough and deep breathe
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What would you want to include in the teaching of a parent with a child who has cerebral palsy?
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Stabilize jaw
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Which one of the following are not associated in discharge of a pt with Down’s syndrome?
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Wheelchair safety
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You suspect child abuse, how would you assess child?
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Provide playful situations
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Which is the only insulin that can be given IV?
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regular
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What would a persons K level be like after being on a colonoscopy prep?
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Low(3.0)
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What is the internal indicator of growth and development?
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heredity.
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Where would you have most control of bowel function?
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sigmoid
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A pt had a TURP due to BPH and shortly after surgery which of the following findings would concern the nurse?
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A BP of 110/50 and tachycardic.
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Which drug do you give first for seizures?
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valium
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All are risk factors for seizures except?
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hyperglycemia
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Adolescent girl has recurrent UTI’s why might this be?
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Length of urethra.
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What assessment is crucial prior to an IVP?
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assess for allergies
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