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50 Cards in this Set

  • Front
  • Back
Which statement indicates that your Pt with gout needs more teaching? a) “I drink 3000 cc of water a day; b) “I apply ice to my joints every day."; c) I take my Zyloprim twice daily just like the doctor ordered."; d) "When I am having an attack, my daughter takes care of me so I can go on absolute bed rest."
b) "I apply ice to my joints every day."
The MD has completed a spinal tap on a Pt to confirm a Dx. What would be the best indication that the Pt has meningitis? a) Presence of blood; b) Increased white cell count; c) Decreased portein level; d) Increased glucose level
b) Increased white cell count
hich worker is most at risk for contracting hepatitis C? a) Dairy farmer; b) Phlebotomist; c) High school teacher; d) Day care worker
b) Phlebotomist
Which sexually transmitted disease can be diagnosed by blood test? A) Syphilis; b) Gonorrhea; c) Chlamydia; d) Herpes genitalis
a) Syphilis
What would be the best way to promote rest in a very young child with meningitis? A) Restrict family visitors; b) Administer a mild sedative; c) Keep the room very warm & dark; d) Decrease environmental stimuli
d) Decrease environmental stimuli
Which mediation should you have readily available for a Pt with increased ICP? A) Lidocaine; b) Dopamine; c) Mannitol; d) Ammonium chloride
c) Mannitol
The statement that is evidence that the father of a child with viral rhinitis needs more teaching would be: a) "I will ask the doctor for antibiotics for my daughter."; b) "I will give her Tylenol if her fever increases.”; c) "I will offer her fluids frequently."; d) "I will encourage her to wash her hands frequently."
a) "I will ask the doctor for antibiotics for my daughter."
The best way for debridement of a wound during a dressing change is to: a) Soak the dressing with normal saline before removal; b) Take dressing off while it is dry; c) Use an elf pad against the wound to prevent adherence; d) Coat the edge of the wound with sterile petrolatum
b) Take dressing off while it is dry
The hospitalized Pt most likely to develop respiratory complications would be: a) 76 year old woman following an open cholecystectomy; b) 45 year old woman who had had spinal fusion; c) 53 year old man who recently had an mild myocardial infarction; d) 6 year old undergoing myringotomy
a) 76 year old woman following an open cholecystectomy
The lab test most indicative of active tuberculosis is: a) Mantoux; b) Serum culture; c) Tine test; d) Sputum culture
d) Sputum culture
The most significant finding when assessing a Pt with increasing ICP would be: a) Decreased pulse increased respirations; b) Decreased pulse, increased systolic blood pressure; c) Increased heart rate, increased respirations; d) Narrowing pulse pressure, decreased respirations
b) Decreased pulse, increased systolic blood pressure
A finding showing evidence that range of motion exercises have been effective in a Pt with a traumatic above the knee amputation would be: a) No contractures of hip joint; b) No phantom pain; c) No swelling of stump; d) Suture line healed well
a) No contractures of hip joint
Your Pt teaching has been effective when your Pt with tuberculosis states: a) "After I am finished taking this medicine, my Mantoux will be negative."; b) "I will need to take this medication at least 6 months or more."; c) "I can stop taking the medicine after my cough subsides."; d) "I will take this medication until my sputum specimens come back clear."
b) "I will need to take this medication at least 6 months or more."
The statement that is the best evidence that your discharge instructions to the family of a person with AIDS has been effective would be: a) "I will use sodium hypochlorite to clean up blood & body fluid spills."; b) "I will wear a gown & mask when I care for him."; c) "I will serve his meals on paper dishes."; d) "I will use household bleach when I do his laundry."
a) "I will use sodium hypochlorite to clean up blood & body fluid spills."
Your Pt has epiglottis, secondary to sever influenza. Which would be most important to keep at her bedside at all times? A) Nasopharyngeal airway; b) Tracheotomy tray; c) Endotracheal tube & intubation kit; d) Crash cart
b) Tracheotomy tray
Your Pt has symptoms of Rocky Mountain Spotted Fever. The most important question to ask taking the nursing history would be: a) "Have you been swimming in a lake lately?"; b) "Have you eaten any wild game recently?"; c) "Have you been walking in the woods lately?"; d) "Have you traveled outside the United States recently?"
c) "Have you been walking in the woods lately?"
A 3 yo is admitted with a spiral fracture of the left arm, facial brusing & is very apprehensive around all health care workers. The most appropriate preliminary nursing Dx would be: a) Anxiety related to unfamiliar environment; b) Suspected child abuse related to multiple injuries; c) Altered comfort related to multiple injuries; d) Diversional activity deficit related to fracture of left arm
b) Suspected child abuse related to multiple injuries
A Pt with candidiasis has been ordered to use Monistat vaginal suppository cream twice a day. It is most important to instruct her to: a) Insert the medication while sitting on the toilet; b) Insert the medication first thing in the morning; c) Insert the medication while lying flat; d) Wash the perineal area thoroughly after inserting the medication
c) Insert the medication while lying flat
The proper first aid treatment for a Pt having a seizure would be to: a) Put something between his teeth; b) Turn him to a lateral position; c) Restrain him so he doesn't hurt himself or others; d) Place a pillow under his head to prevent injury
b) Turn him to a lateral position
As you are caring for your Pt who has just had a total hip replacement, you notice that one leg is shorter than the other. You should: a) Reposition on the affected side; b) Place an adductor pillow between the legs; c) Notify the doctor immediately; d) Place pillows under the knees to keep them flexed
c) Notify the doctor immediately
The purpose of administering anticholinergic medications prior to surgery is to: a) Reduce anxiety & promote relaxation; b) As a post-operative antiemetic; c) Diminish secretion of saliva gastric juices; d) Decrease preoperative pain
c) Diminish secretion of saliva gastric juices
The "extrapyramidal syndrome" commonly seen in Pts with Parkinson's disease is most likely caused by: a) Increase of dopamine at the myoneural junction; b) Inadequate acetylcholine receptor sites; c) Degeneration of various parts of the basal ganglia; d) Degeneration of the myofibrils
c) Degeneration of various parts of the basal ganglia
The most important initial nursing Dx for a Pt who has suffered extensive second degree burns would be: a) Prevent infection; b) Maintain fluid volume; c) Control pain; d) Maintain adequate ventilation
d) Maintain adequate ventilation
Mr. Smith’s wife has just suffered a CVA. The best nursing intervention to help him deal her condition would be: a) Give him a thorough explanation of what has happened to his wife; b) Allow him to spend long periods of uninterrupted quiet time with his wife; c) Assist him to mobilize his support group; d) Help him to find other interests to occupy his time
c) Assist him to mobilize his support group
Your Pt who suffered second & third degree burns three days ago has begun to have black stools. The most likely explanation for this is: a) The massive doses of vitamins given have changed the color of his stool; b) The Pt has developed a Curling's ulcer; c) The ingestion of a significant amount of smoke has caused the color changes; d) Elimination of sloughed off of necrotic tissue
b) The Pt has developed a Curling's ulcer
The abnormality you would most likely see in a burn Pt during the hypovolemic phase is: a) Metabolic alkalosis; b) Hyperkalemia; c) Hyperproteinemia; d) Hypernatremia
b) Hyperkalemia
Immediate care of a full-thickness skin graft site in a Pt with burns would be to: a) Keep the site covered with a bulky occlusive dressing; b) Massage frequently with emollient; c) Leave the area open to air; d) Keep the site covered with a fine-mesh (e.g., Xeroform) gauze
a) Keep the site covered with a bulky occlusive dressing
Immediately following cataract surgery the Pt should be instructed to do all of the following except: a) Remain on complete bed rest; b) Cover both eyes with metal eye shields; c) Not to lie on his stomach; d) Avoid coughing & sneezing
b) Cover both eyes with metal eye shields
Following an open cholecystectomy, which finding would be most important to report to the physician? a) Leaking around the tube; b) Brown/green fluid coming from tube; c) 300 cc drainage in 24 hours; d) Pain at incisional site
a) Leaking around the tube
When caring for a Pt with a Jackson-Pratt apparatus, you know you should: a) Use strict sterile technique when suctioning; b) Squeeze & expel air before recapping; c) Irrigate PRN to maintain patency; d) Check for adequate circulation below the insertion site
b) Squeeze & expel air before recapping
The intervention that would most likely decrease the discomfort of Meniere's disease would be: a) Apply an ice pack to forehead; b) Administer of diphenhydramine (Benedryl); c) Apply a heating pad to the base of the neck; d) Maintain a high sodium diet
b) Administer of diphenhydramine (Benedryl)
The most important nursing Dx during the immediate postoperative period after an ileostomy has been formed would be: a) Body image disturbance; b) Self-care deficit; c) Knowledge deficit; d) Altered elimination patterns
a) Body image disturbance
The symptoms of myasthenia gravis are most related to: a) Inadequate acetylcholine release; b) Myelin sheath destruction; c) Basal ganglia destruction; d) Nerve degeneration
a) Inadequate acetylcholine release
Your Pt is preparing to be discharged after a cystoscopy. You inform him that one symptom of urinary retention is: a) Blood In the urine; b) Frequent voiding In small amounts; c) Painful burning during urination; d) Voiding infrequently but In large amounts
b) Frequent voiding In small amounts
The doctor has prescribed thiazide diuretics for your Pt – he should be encouraged to eat: a) Meat & beans; b) Cheese & yogurt; c) Milk & milk products; d) Orange juice & bananas
d) Orange juice & bananas
What is the most likely cause for an 8-month-old who is unable to sit up? a) Low iron level; b) Delayed mental development; c) Delayed physical development; d) Eight month old babies are usually not able to sit up on their own
a) Low iron level
What is considered a normal adult serving from the milk group? a) 8 oz. Yogurt; b) 6 oz. ice cream; c) 4 oz. whole milk; d) 2 oz. cheddar cheese
a) 8 oz. Yogurt
Your Pt had an MI 4 weeks ago. Discharge teaching Includes info on ways to ↑ tissue perfusion. Which statement is evidence that the teaching was successful? a) "I no longer need to take any medication for pain relief." b) "My appetite has increased substantially since I left the hospital; c) "My endurance has increased substantially since I left the hospital."; d) "I very seldom experience any chest pain.”
c) "My endurance has increased substantially since I left the hospital."
Your Pt needs an increased intake of vitamin C. Which foods would supply the most vitamin C? a) Oranges, broccoli; b) Grapefruit, green leafy vegetables; c) Oranges, deep yellow vegetables; d) Grapefruit, apricots
a) Oranges, broccoli
You are teaching your Pt to use a volume-based, incentive spirometer. Which statement is correct? A) After a deep inhalation, blow forcefully & rapidly into the spirometer; b) Follow a deep inhalation with forceful, prolonged exhalation; c) Take in several short, deep breaths in succession to keep the balls floating as long as possible; d) Take a long, deep breath in to maximum capacity & then hold for 3 seconds
d) Take a long, deep breath in to maximum capacity & then hold for 3 seconds
Your Pt has had cardiovascular disease for many years. He c/o problems with nocturnal dyspnea. An appropriate intervention for you to suggest would be to: a) Limit fluids after the evening meal; b) Use a room humidifier; c) Increase the room temperature; d) Sleep with the upper body/ head of the bed elevated
d) Sleep with the upper body/ head of the bed elevated
Pt has a possible UTI. Appropriate directions for collecting a clean catch mid-stream urine specimen is: a) Void a small amount into the toilet first; b) Void directly into the clean container; c) Wipe from back to front; d) Cleanse the perineal area with an antiseptic wipe after collecting the specimen
a) Void a small amount into the toilet first
A 9 month-old infant has diarrhea for two days. The best fluid replacement to recommend would be: a) Fruit juices; b) Milk; c) Pedialyte; d) Seven-up
c) Pedialyte
While doing a routine assessment on a Pt with a Dx of PVD, you notice the R foot is cooler than the L. Your 1st intervention should be: a) Call the physician immediately; b) Assess & compare pulses in both feet; c) Assess & compare ability to move each foot; d) Assess & compare presence of sensation in both feet
b) Assess & compare pulses in both feet
Which finding indicates that changes may need to be made in supplemental O2 administration? A) Hemoglobin 12.7 g/100ml; b) Hematocrit 46%; c) Heart rate 94; d) Oxygen saturation 84%
d) Oxygen saturation 84%
Which food item would be allowed on a low residue diet? a) Whole wheat toast; b) Poached egg; c) Grapefruit; d) Oatmeal muffins
b) Poached egg
S/S of low magnesium level which include all EXCEPT: a) Neuromuscular depression; b) Seizures; c) Positive Chvostek's sign; d) Tremors
a) Neuromuscular depression
Common side effect associated with antibiotic therapy is: a) Drowsiness; b) Diarrhea; c) Hiccoughs; d) Orange urine
b) Diarrhea
What is a normal 24-hour urinary output for an adult? A) 500-900 cc; b) 1200-1600 cc; c) 1900-2300 cc; d) 2500-3000 cc
b) 1200-1600 cc
What food would be the best to recommend as a daily snack for a Pt taking a thiazide diuretic? a) Milk; b) Bananas; c) Fortified cereal; d) Cottage cheese
b) Bananas