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50 Cards in this Set
- Front
- Back
A patient with a urinary tract infection (UTI) would most likely experience
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frequency
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A surgical intervention that might cause a wound to heal by third intention might be
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duodenal ulcer
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Which nursing intervention is important for a patient who has just undergone a supratentorial craniotomy
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maintain the patient in Fowler's position with a pillow under the shoulders
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A patient with gout who is taking Colbenemid (probenecid and colchicine) should be instructed to
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maintain an acid/ash diet
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A sudden gush of serosanginous drainage from an abdominal incision on 3rd day post op would most likely be caused by
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wound dehiscence
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The purpose of administering miotics to a patients with glaucoma is to
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increase outflow of aqueous humor (miotics cause the pupil to constrict)
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Zoster immune globulin is used to stimulate an immunity to
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varicella
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The most common drug used to treat streptococcal pharngitis
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Pen Vee K (penicillin)
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The most common symptom of compartment syndrome is
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intractable extreme pain (compartment syndrome is when muscle pressure builds and nourishment cannot reach it)
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A slow insidious, progressive hearing loss is usually caused by
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otosclerosis
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The best way to help a patient with multiple sclerosis relieve muscle spasms is to
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encourage the patient to take hot baths
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A patient who scores a 6 on the Glasgow Coma Scale would be expected to
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extend arm to painful stimulus
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A patient with an injury at the level of C7 would be expected to
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maintain control of his head and neck
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A teenage girl who has been taught self-catheterization to achieve continence. A positive sign that the goal has been achieved would be
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she has experienced no dribbling between catheterizations
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An abdominal wound is healing by secondary intention. Which of the following is an abnormal finding
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the wound is black around the edges
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Which finding would be most indicative of cholelithiasis in a patient with gall bladder disease?
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gall stones seen in the common bile duct on ultrasound
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As you prepare your patient who is about to undergo nuclear magnetic resonance imaging, you should tell her
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the patient will lie on a flat platform which moves through a tube containing a magnet
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Which statement indicates that your patient with gout needs more teaching
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"I apply ice to my joints every day."
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The physician has just completed a spinal tap on a patient to confirm a diagnosis. What would be the best indication that the patient has meningitis?
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increased white cell count
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Which worker is most at risk for contracting hepatitis C?
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phlebotimist
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Which sexually transmitted disease can be diagnosed by blood test?
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syphilis
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What would be the best way to promote rest in a very young child with meningitis?
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decrease environmental stimuli
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Which medication should you have readily available for a patient with increased ICP?
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mannitol
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The statement that is evidence that the father of a child with viral rhinitis needs more teaching would be
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"I will ask the doctor for antibiotics for my daughter."
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The best way for debridement of a wound during a dressing change is to
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take dressing off while it is dry
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The hospitalized patient most likely to develop respiratory complications would be
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76 year old woman following an open cholecystectomy
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The lab test most indicative of active tuberculosis is
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sputum culture
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The most significant finding when assessing a patient with increasing ICP would be
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decreased pulse, increased systolic blood pressure
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A finding showing evidence that range of motion exercises have been effective in a patient with a traumatic above the knee amputation would be?
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no contractures of hip joint
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Your patient teaching has been effective when your patient with tuberculosis states
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"I will need to take this medication at least 6 months or more."
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The statement that is the best evidence that your discharge instructions to the family of a person with AIDS has been effective would be
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"I will use sodium hypochlorite to clean up blood and body fluid spills."
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Your patient has epiglottis, secondary to severe influenza. Which would be most important to keep at her bedside at all times?
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tracheotomy tray
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Your patient has symptoms of Rocky Mountain Spotted Fever. The most important question to ask taking the nursing history would be
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"Have you been walking in the woods lately?"
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A three year old is admitted to the unit with a spiral fracture of the left arm, bruises to the face and is very apprehensive around all health care workers. The most appropriate preliminary nursing diagnosis would be
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suspected child abuse related to multiple injuries
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A patient with candidiasis has been ordered to use Monostat vaginal suppository cream twice a day. It is most important to instruct her to
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insert the medication while lying flat
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The proper first aid treatment for a patient having a seizure would be to
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turn him to a lateral position
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As you are caring for your patient who has just had a total hip replacement, you notice that one leg is shorter than the other. You should
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notify the doctor immediately
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The purpose of administering anticholinergic medications prior to surgery is to
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diminish secretion of saliva and gastric juices
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The "extrapyramidal syndrome" commonly seen in patient's with Parkinson's disease is most likely caused by
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degeneration of various parts of the basal ganglia
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The most important initial nursing diagnosis for a patient who has suffered extensive second degree burns would be
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maintain adequate ventilation
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Mr. Miller's wife has just suffered an extensive CVA. The best nursing intervention to help him deal with his wife's condition would be
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assist him to mobilize his support group
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Your patient who suffered second and third degree burns three days ago has begun to have black stools. The most likely explanation for this is
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the patient has developed a Curling's ulcer (An ulcer of the duodenum in a patient with extensive superficial burns or severe bodily injury)
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The abnormality you would most likely see in a burn patient during the hypovolemic phase is
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hyperkalemia
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Immediate care of a full-thickness skin graft site in a patient with burns would be to
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keep the site covered with a bulky occlusive dressing
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Immediately following cataract surgery the patient should be instructed to do the following three things
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remain on complete bedrest, not to lay on his stomach and avoid coughing and sneezing
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Following an open cholecystectomy, which finding would be most important to report to the physician?
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leaking around the tube
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When caring for a patient with a Jackson-Pratt apparatus, you know you should
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squeeze and expel air before recapping (Jackson-Pratt apparatus allows drainage into a self-contained suction apparatus or receptacle. Drainage collected in the receptacle can be easily measured and evaluated)
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The intervention that would most likely decrease the discomfort of Meniere's disease would be
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administer of diphenhydramine (Benedryl) (Ménière’s disease, also called idiopathicendolymphatic hydrops, is a disorder of the inner ear)
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The most important nursing diagnosis during the immediate post operative period after an ileostomy has been formed would be
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body image disturbance
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The symptoms of myasthenia gravis are most related to
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inadequate acetylcholine release (myasthenia gravis is a chronic disorder characterized by weakness and rapid fatigue in muscles, which results from a breakdown in communication between nerves and muscles)
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