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38 Cards in this Set
- Front
- Back
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Flattened T waves is characteristic of what electrolyte inbalance?
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hypokalemia
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Tetany, tachycardia, and hyperactive reflexes is characteristic of what electrolyte inbalance?
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hyperphosphatemia
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Hypoactive deep tendon reflexes, lethargy, and flank pain is characteristic of what electrolyte inbalance?
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hypercalcemia
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Peaked T waves is characteristic what electrolyte inbalance?
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hyperkalemia
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Trousseau's sign, Chvostek's sign, and seizures are characteristic of what electrolyte inbalance?
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hypocalcemia
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Neuromuscular irritability, positive Trousseau's and Chvostek's sign and high blood pressure are characteristic of what electrolyte inbalance??
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Hypomagnesemia
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Hypotension, drowsiness, hypoactive reflexes, depressed respirations, and cardiac arrest are characteristic of what electrolyte inbalance?
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hypermagnesemia
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What happens to blood pressure during the compensatory stage of shock?
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Nothing! It remains within normal limits.
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During the progression of shock, the skin becomes cool and clammy, bowel sounds are hypoactive and urine output decreases. Why does this happen?
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Because the body shunts blood from the organs to the brain and heart to ensure adequate supply to these vital organs.
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Initially, when shock develops, the body develops:
a) Respiratory alkalosis b) Respiratory acidosis c) Metabolic alkalosis d) Metabolic acidosis |
a) Respiratory alkalosis
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As shock progresses, lactic acid builds up resulting in:
a) Respiratory alkalosis b) Respiratory acidosis c) Metabolic alkalosis d) Metabolic acidosis |
d) Metabolic acidosis
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During the progressive stage of shock, the patient's blood pressure is likely to be:
a) high b) low c) unaffected |
b) low
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Describe the respirations of a person in shock.
a) slow and shallow b) rapid and shallow c) deep and slow d) deep and rapid |
b) rapid and shallow
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The nurse knows that shock can cause GI ischemia, resulting in:
a) vomiting b) stress ulcers c) heart burn d) nausea |
b) stress ulcers
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Which of the following is an adverse reaction to alternations in the hematologic system and inflammatory response.
a) stress ulcers b) metabolic acidosis c) hypervolemia d) DIC |
d) DIC
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What is the recommended positioning of the patient in hypovolemic shock?
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Modified Trendelenburg: this means the head of the bed is flat, and the legs are elevated: This promotes the return of venous blood.
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What does Dobutamine(Dobutrex) do do improve cardiac output?
a) increases afterload b) decreases afterload c) enhances afterload d) stabilizes afterload |
b) decreases afterload
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Epinephrine is given for it ___ action.
a) vasoconstrictive b) vasodilative c) recovery d) hemodynamic |
a) vasoconstrictive
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Anaphylactic shock occurs when an antigen-antibody reaction provodkes mast cells to release vasoactive substances, such as histamine, causing widespread
a) vasodilation b) vasoconstriction c) bradycardia d) bradykinesia |
a) vasodilation
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A client is to receive Pergonal (menotropins) injections for infertility. Which of the following is the expected action of this medication?
a) decrease the symptoms of endometriosis b) increase serum progesterone levels c) stimulate ovum production d) reduce the acidity of vaginal secretions |
c) stimulate ovum production
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A client is 1-day post-cesarean delivery for eclampsia with a postpartum hemorrhage. Which of the following findings should the nurse report to the client's doctor?
a) serum mag of 6 b) patellar reflexes of +2 c) blood pressure of 140/90 d) Hgb of 8.1 |
d) Hgb of 8.1: The other finding are consistent and expected.
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A nurse is working in the prenatal clinic. Which of the following findings, seen in the third trimester pregnant women, would the nurse consider to be within normal limits?
a) diplopia b) epitaxis c) bradycardia d) oliguria |
b) epitaxis is commonly seen in pregnant clients because the bleeding is related to the increased vascularity of the mucous membranes.
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A first-trimester gravida is diagnosed with hydatidiform mole. Which of the following findings would the nurse expect to see?
a) platelet count of 550,000 b) dark brown vaginal bleeding c) WBC of 17,000 d) macular papular rash |
b) dark brown vaginal bleeding
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A full-term, primigravida client has called the triage nurse to determine whether or not to go to the hospital for a labor assessment. The nurse suggests that the client proceed to the hospital when the woman states which of the following:
a) I leak urine from my bladder every time I strain or sneeze b) I went to the bathroom and saw a mucus plug on the toilet paper c) I am timing my contractions and they are coming every fifteen minutes d) I am having trouble walking and talking during contractions |
d) I am having trouble walking and talking during contractions: This is when clients are usually advised to proceed to the hospital for a labor assessment.
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The home health nurse is visiting a client with HIV who is 6 days post delivery. Which of the following findings would indicate that the client needs further teaching? The client:
a) is feeding her baby formula b) washes her hands before every contact with her baby c) disposes of the dirty diapers in a biohazzard garbage bag d) is giving her baby antiviral medication |
c) It is unnecessary to dispose of the baby's diapers in biohazzard bags
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A nurse has counseled a client who states that she is a strong believer in vitamin supplements to maintain her health. The nurse knows that the counseling was effective when the client states that she will refrain from taking supplements of which of the following vitamin?
a) Vitamin A b) Vitamin B2 (Niacin) c) Vitamin B12 d) Vitamin C |
a) Vitamin A: This is a fat-soluble vitamin that has been shown to be teratogenic.
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The nurse is working with a 36 year old married client G6 P6 who smokes. The woman states, "I don't expect to have any more kids, but I hate the thought of being sterile". Which of the following contraceptive methods is best for this client?
a) intrauterine device b) contraceptive patch c) bilateral tubal ligation d) birth control pills |
a) intrauterine device: Remember being over 35 and a smoker makes her a bad candidate for the pill or patch
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What is a normal neonatal birth weight?
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2500-4000 grams
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Which of the following signs/symptoms would the nurse expect to see in a woman with concealed abruptio placentae?
a) increasing abdominal girth measurements b) profuse vaginal bleeding c) bradycardia with an aortic thrill d) hypothermia with chills |
a) increasing abdominal girth
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Which of the following actions is essential for the nurse to teach a woman who has just had an intrauterine device inserted?
a) pull on the string when she is ready to become pregnant b) expect a slight fever for up to 2 days after insertion c) take antibiotics as ordered for 1 week after insertion d) palpate her cervix for the string after each menses |
d) palpate her cervix for the string after each menses
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The nurse is teaching an uncircumcised male to use a condom. Which of the following is true:
a) always use a sexual lubricant during intercourse for comfort b) fully cover the glands with the foreskin before applying the condom c) snugly apply the condom to the foreskin of the penis d) carefully remove the condom immediately after ejaculating |
d) carefully remove the condom immediately after ejaculating: lubrication is optional, you retract the foreskin before putting condom on, and you need to leave room at the tip of the condom
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The woman using the calendar contraceptive method should abstain from sex during what days?
a) 8-16 b) 9-17 c) 10-21 d) 11-24 |
c) 10-21
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A woman with a history of congestive heart failure is 36 weeks pregnant. Which of the following findings should the nurse report to the primary healthcare practitioner?
a) presence of chloasma b) presence of severe heartburn c) 10-lb weight gain in a month d) patellar reflexes of +1 |
c) 10-lb weight gain in a month as this is indicative of fluid retention
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A client is 9 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit?
a) urinary frequency b) occipital headache c) diarrhea d) leg cramps |
a) urinary frequency
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When can the pregnant client expect to have urinary frequency?
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During the first trimester and the end of the third trimester.
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The nurse is providing discharge counseling to a woman who is breastfeeding her baby. The nurse advises the woman that if she experiences unilateral breast inflammation, she should od which of the following?
a) apply warm soaks to the reddened area b) consume an herbal galactagogue c) bottle feed the baby during the next day d) take expressed breast milk to the lab for analysis |
a) apply warm soaks to the reddened area
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A client is being given mag sulfate for severe preeclampsia. The nurse must notify the attending physician regarding which of the following findings?
a) patellar and biceps reflexes of +4 b) urinary output of 50/hr c) respiratory rate of 10/min d) serum mag level of 5 |
c) respiratory rate of 10: as the drop is indicative of mag toxicity
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A nurse is discussing diet with a pregnant woman. Which of the following foods should the nurse advise the client to avoid consuming during her pregnancy?
a) brie cheese b) bartlett pears c) sweet potatoes d) grilled lamb |
a) brie cheese: soft cheese may harbor Listeria. The client should avoid consuming uncooked soft cheese
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