Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/59

Click to flip

59 Cards in this Set

  • Front
  • Back
A 7mo old has not taken in sufficient amounts of fluids for several days - which finding would you expect? a) Decreased bilirubin; b) Decreased hematocrit; c) Decreased specific gravity; d) Increased central venous pressure
b) Decreased hematocrit
Carbohydrates help: a) Provide reserve energy; b) Growth & repair of tissue; c) Provide the fuel for energy; d) With bone growth & metabolism
c) Provide the fuel for energy
Your Pt teaching session for a Pt with stress incontinence would be to perform which exercises? a) Isotonic exercises; b) Pelvic tilt; c) Kegel's exercises; d) Quadriceps setting
c) Kegel's exercises
The way to reduce trauma while suctioning is to: a) Limit suctioning to 15 seconds; b) Apply suction only when introducing the catheter; c) Apply suction only when withdrawing the catheter; d) Lubricate the catheter with petroleum jelly prior to insertion
c) Apply suction only when withdrawing the catheter
What IV fluid would you expect the doctor to order for a Pt who is hypovolemic? a) 1.10% dextrose; b) 2.5% dextrose; c) 0.9% normal saline; d) D5/.45 normal saline
c) 0.9% normal saline
Ordered: 1000 cc isotonic saline IV over the next eight hours, which bag of solution will you hang? a) 0.9 normal saline; b) 0.25 normal saline; c) 0.45 normal saline; d) 5.0 normal saline
a) 0.9 normal saline
The best way to assess peripheral vascular perfusion is to assess the: a) Assess distal pulse; b) Assess color of extremities; c) Assess sensation in extremities; d) Assess temperature of extremities
a) Assess distal pulse
Which part of any diet program is the most important factor for success? a) Patient compliance; b) Knowledge of good nutrition; c) Knowledge of the need for the diet; d) Having the diet based on the Pt's personal preference
a) Patient compliance
Which finding may be a direct result of the presence of a urinary catheter? a) Blood in the urine; b) Dark colored urine; c) Decreased hourly output; d) A constant feeling of fullness in the abdomen
a) Blood in the urine
You would expect a Pt with hypokalemia to exhibit all of the following symptoms except: a) Flat T-wave; b) Paralytic ileus; c) Peaked T-wave; d) Muscle weakness
c) Peaked T-wave
You are observing a newborn lower respiratory obstruction-You should be especially alert for: a) High-pitched crying; b) Loud wheezing; c) Sternal retractions; d) Shallow, slow respirations
c) Sternal retractions
During digital removal of an impaction you should observe Pt for what type of reaction? a) Vomiting; b) Bradycardia; c) Tachycardia; d) Hyperventilation
b) Bradycardia
The correct term for a severe generalized accumulation of fluid in the tissues is: a) Adipose; b) Anasarca; c) Pitting edema ; d) Dependent edema
b) Anasarca
Your Pt has frequent oozing of small amounts of liquid stool. She most likely has a(n): a) Ileus; b) Fecal impaction; c) Intestinal infection ; d) Electrolyte imbalance
b) Fecal impaction
Your Pt should be instructed to take her prenatal vitamins with iron: a) With meals or with milk; b) With orange juice; c) An empty stomach; d) With at least two full glasses of water
b) With orange juice
It is important that your vegetarian Pt realize that the only source of nitrogen is from intake of: a) Fats; b) Sugars; c) Protein; d) Carbohydrates
c) Protein
Overuse of K+ supplements can lead to hyperkalemia. Which Sx would most likely occur as a result? a) Tetany; b) Arrhythmia; c) Intestinal disturbances; d) Positive Trousseau's sign
b) Arrhythmia
More than 3 tap water enemas in a row can result in: a) Hypovolemia; b) Hypokalemia; c) Hypernatremia; d) Water Intoxication
d) Water Intoxication
The best way for a post MI Pt to reduce cellular oxygen demand is to: a) Plan activities interspersed with frequent rest periods; b) Perform isometric exercises daily; c) Plan a progressive exercise program; d) Perform range of motion exercises several times a day
a) Plan activities interspersed with frequent rest periods
Which food should you recommend that helps promote regularity? a) Eggs; b) Lettuce; c) Tomato juice; d) Kidney beans
d) Kidney beans
For your Pt taking a loop diuretic & K+ supplement, the first symptom of hyperkalemia will most likely be: a) Hypertension; b) Intestinal distention; c) Hypersensitivity; d) Anxiety & irritability
d) Anxiety & irritability
Your Pt has crackles & wheezes bilaterally- the most appropriate nursing Dx would be: a) Ineffective gas exchange; b) Ineffective airway clearance; c) Ineffective breathing patterns; d) Altered respiratory function
b) Ineffective airway clearance
Your Pt, recovering from pneumonia, has only had 140 cc of dark amber urine in the past three hours. Which nursing action would be most appropriate? a) Offer cranberry juice; b) Encourage fluid intake; c) Do nothing since output is adequate; d) Irrigate the catheter with sterile saline
b) Encourage fluid intake
Your Pt has a nursing Dx of "communication. impaired verbal". Which statement about his condition must be true? a) He can understand others; b) His native language is something other than English¬; c) He has had a cerebral vascular accident; d) He can neither speak nor understand the spoken word
a) He can understand others
Tissues in your Pt’s wastebasket contain purulent, greenish-yellow sputum. Which condition is he most likely suffering from? a) A lung tumor; b) Viral bronchitis; c) Pulmonary edema; d) A bacterial infection
a) A lung tumor
The Kardex indicates that your Pt needs to increase her fluid intake. What is her most likely Dx? a) Renal failure; b) Renal calculi; c) Pulmonary edema; d) Congestive heart failure
b) Renal calculi
An 11-month-old infant with chronic respiratory congestion is to receive postural drainage every three hours- you know that the first step you must take to perform this intervention is to: a) Suction his oropharynx; b) Position him on pillows on your lap; c) Administer the ordered analgesic; d) Obtain assistance so the infant can be properly restrained during the procedure
a) Suction his oropharynx
To assess the anterior fontanelle on a 7 mo infant, you must place the infant in which position? a) Supine; b) Semi-Fowlers; c) Upright; d) Cradled securely in the your arms or the parent's arms
c) Upright
Your 11-year-old with a broken arm in a cast should be taught to do which type of exercises? a) Quadriceps setting; b) Passive range of motion; c) Isometric; d) Active range of motion
c) Isometric
The most important information you can give your Pt learning to walk with a cane is to: a) Hold the cane with the hand on the affected side; b) Wear sturdy shoes with non-skid rubber soles; c) Move the cane at the same time the good leg moves; d) Keep the cane out away from her body
b) Wear sturdy shoes with non-skid rubber soles
Your Pt is a showing sign that she may be developing a thrombus in her left leg. Which symptom would she most likely exhibit? a) Pain in the calf upon dorsiflexion the left foot; b) Both feet & legs noticeably cooler than the rest of the body; c) Bluish hue to the left calf; d) Discomfort in the left calf when performing a straight leg lift with the right leg
a) Pain in the calf upon dorsiflexion the left foot
Your Pt is 3 days post CVA - his forearms are exhibiting poor skin turgor. Your next intervention should be: a) Start IV fluids immediately; b) Notify the physician; c) Assess the skin turgor over the sternum; d) Encourage increased fluid intake
c) Assess the skin turgor over the sternum
IV orders read, "give 1500 cc D5LR over the next 8 hours, 1000 cc D5 over the next 8 hours & then decrease the rate to 30 cc/hour for the next 8 hours. Your IV set is 12 gtt/cc. What will be the number of drops per minute for each eight-hour period? a) 187, 125, 30; b) 50, 25, 15; c) 46, 31, 15; d) 38, 25, 6
d) 38, 25, 6
A 5 yo, is suffering from a sleep pattern disturbance. Which statement by her parents best indicates that your discharge teaching has been effective: a) "We will make sure that she gets plenty of regular exercise."; b) "We will give her a warm beverage with her bedtime snack every night"; c) "We will encourage her to take naps whenever she needs one."; d) "We will establish & closely adhere to bedtime rituals."
d) "We will establish & closely adhere to bedtime rituals."
The most appropriate nursing Dx for a Pt with mitral valve prolapse with SOB & racing heart with mild exertion would be: a) Activity intolerance; b) Ineffective individual Coping; c) Fatigue; d) Mobility Impaired Physical
a) Activity intolerance
Sweat glands are found in which layer of the skin? a) Epidermis; b) Dermis; c) Stratus granulosum; d) Stratum corneum
b) Dermis
Your Pt has been diagnosed with sleep apnea. Which symptom did he most likely exhibit? a) Frequent awakening during the night; b) Fear of falling asleep; c) Loud snoring; d) Rapid, shallow respirations, followed by periods of apnea
c) Loud snoring
Your Pt must be repositioned to the left lateral Sim’s position. You should be sure to place pillows: a) Under the head; b) Under the head & right knee; c) Under the head & right arm; d) Under the head, right arm & right knee
d) Under the head, right arm & right knee
Your young Pt suffers from somnambulism- His parents should be instructed that the most important goal is for them to: a) Assist in determining the underlying cause; b) Prevent reoccurrence by increasing medications as necessary; c) Provide of a safe environment; d) Assist in decreasing the frequency of the episodes
c) Provide of a safe environment
Your Pt has a nursing Dx of Sleep Pattern Disturbance. She is most showing which symptom? a) Daytime drowsiness; b) Difficulty falling or remaining asleep; c) Frequent night terrors; d) Feeling of constant fatigue, even upon arising
b) Difficulty falling or remaining asleep
Your Pt has been on bed rest for an extended period of time following a CVA. Her Increased serum Ca level is most likely the result of: a) Decreased Intake of vitamin D; b) Bone demineralization; c) Disruption of normal kidney function; d) Increased intake of milk & milk products
b) Bone demineralization
The normal value for the pH is: a) 7.53; b) 7.48; c) 7.40; d) 7.30
c) 7.40
The normal value for the pCO2 is: a) 38; b) 26; c) 80; d) 48
a) 38
The normal range for the bicarbonate (HCO3-) is: a) 35-45; b) 7.35-7.45; c) 80-120; d) 22-26
d) 22-26
The metabolic parameter of the arterial blood gas set is the: a) pH; b) pCO2; c) HCO3; d) pCO2
c) HCO3
The respiratory parameter of the arterial blood gas set is the: a) pO2; b) SAT; c) pCO2; d) HCO3
c) pCO2
Acidemia would be indicated by: a) pH less than 7.35; b) pCO2 greater than 45; c) HCO3 more than 26; d) pH more than 7.45
a) pH less than 7.35
Alkalemia would be indicated by: a) HCO3 less than 22; b) pH less than 7.35; c) pCO2 less than 35; d) pH more than 7.45
d) pH more than 7.45
The acid-base disorder associated with elevated respirations is: a) Lactic acidosis; b) Respiratory alkalosis; c) High anion gap metabolic acidosis; d) Hyperventilation acidosis
b) Respiratory alkalosis
An abnormally large accumulation of ketones in the blood would give rise to a(n): a) Metabolic acidosis; b) pH greater than 7.45; c) Metabolic depression; d) Respiratory acidosis
a) Metabolic acidosis
Respiratory failure is often associated with a(n): a) Low anion gap; b) Elevated pO2; c) Depressed pCO2; d) pC02 above 45
d) pC02 above 45
In a long-standing metabolic acidosis, the respiratory rate may increase. This is an example of: a) Mixed acidosis; b) A low osmolar gap; c) Compensation; d) A primary respiratory acidosis
c) Compensation
pH 7.51, pCO2 40, HCO3- 31: a) Normal; b) Uncompensated metabolic alkalosis; c) Partially compensated respiratory acidosis; d) Uncompensated respiratory alkalosis
b) Uncompensated metabolic alkalosis
pH 7.33, pCO2 29, HCO3- 16: a) Uncompensated respiratory alkalosis; b) Uncompensated metabolic acidosis; c) Partially compensated respiratory acidosis; d) Partially compensated metabolic acidosis
d) Partially compensated metabolic acidosis
pH 7.40, pCO2 40, HCO3- 24: a) Normal; b) Uncompensated metabolic acidosis; c) Partially compensated respiratory acidosis; d) Partially compensated metabolic acidosis
a) Normal
pH 7.12, pCO2 60, HCO3- 29: a) Uncompensated metabolic acidosis; b) Uncompensated respiratory acidosis; c) Partially compensated respiratory acidosis; d) Partially compensated metabolic acidosis
c) Partially compensated respiratory acidosis
pH 7.48, pCO2 30, HCO3- 23: a) Uncompensated metabolic alkalosis; b) Uncompensated respiratory alkalosis; c) Partially compensated respiratory alkalosis; d) Partially compensated metabolic alkalosis
b) Uncompensated respiratory alkalosis
pH 7.62, pCO2 47, HCO3- 30: a) Uncompensated metabolic alkalosis; b) Uncompensated respiratory alkalosis; c) Partially compensated respiratory alkalosis; d) Partially compensated metabolic alkalosis
d) Partially compensated
pH 7.30, pCO2 59. HCO3- 28: a) Uncompensated metabolic alkalosis; b) Uncompensated respiratory alkalosis; c) Partially compensated respiratory alkalosis; d) Partially compensated metabolic alkalosis
c) Partially compensated respiratory alkalosis