Adult practice B Flashcards
a) knee arthroplasty how long it will take to completely recover?
b) measures how much blood my heart is pumping is?
c) Identifies Dx if I have a defective heart valve is?
d) identifies if the pacemaker calls of my heart are working properly.
e) measures the blood circulating to my heat muscle
a) 6 weeks, so they need to walker when discharged
b) CO
c) echocardiogram, noninvasive ultrasound
d) telemetry
e) cardiac catheterization
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component
of Cushing’s triad?
acute elevations of intracranial pressure (ICP)
Hypertension
Bradycardia
respiratory won’t effect
PT who is having a modified radical mastectomy of the right breast.plan of care?
instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period.
drain will remain in place for 1-3 weeks
-start right arm exercises 24hr after
-elevated the right arm on a pillow
-HOB at least 30 to promote drainage
a) IBS what to teach?
b) antacid for?
c) ginger tea?
a) Increase fiber intake to at least 30 g per day.
b) GARD and dyspepsia(Indigestion)
c) for nausea not cramping
a) HF pt, what to teach?
b) Compartment syndrome s/s
a) try to walk at least 3 times per week
if pt taking a potassium-sparing diuretic, do not use a salt substitute cause
this contains an inc amount of potassium
b) Pain that increases with passive movement
Diminished pulse
capillary refill greater than 2 sec
Area of warmth is not this, more like infection
a) for the first 24hr after cast application, how often nurse check neurovascular status?
a) partial-thickness burn on the hand. teaching?
a)q1
b)Wrap fingers with individual dressings
change dressing every 12-24hr to check the wound
immobilize the hand should be full thickness burn who undergoes surgery
a) dementia pt, how often orient person, place and time?
b) dementia pt, explain procedure when?
a) frequently during the shift
b) before it occurs
a) HF pt, report weight gain if how much gain per day and week?
b) iron supplement teaching?
a) 3 lb/day and 5 lb/week
b) do not take with dairy products
do not take antacids
should eat more high-fiber food to help prevent constipation
should eat more red meat because it contains high iron
a) s/s of hypertonic dehydration with older pt?
b) peripheral arterial disease.rubor with?
a) sodium level above 145
inc RR
urine specific above 1.030
skin tents won’t be unreliable because old pt lose skin elasticity
b) dependent rubor(redness as a result dangling or ambulation)
MRSA
a) isolation?
b) what specimen?
c) bathe with what solution?
a) contact
b) nasal
c) chlorhexidine
a) pt who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. EF?
Visual spatial deficits
Left hemianopsia
One-sided neglect
expressive aphasia, right hemiplegia are left side
Alzheimer
a) How is Alzheimer’s different from dementia?
b) clock should be?
c) calender should be?
a) Alzheimer’s disease is the most common cause of dementia.
b) easy to read and plain background to minimize confusion
c) with present-day available not days and week
a) pt who has diabetes insipidus. EF?
b) pt who external fixation device for a fracture of the lower extremity. plan care?
a) low urine specific gravity
hypotension
weak pulses
b) Use crutches with rubber tips
only surgeon adjust
should wear continuously for 4-5 weeks take showering
a) pt who has AIDS and is taking amphotericin B for a fungal infection. what lab should expect?
b) pt who has hyperthyroidism. what vs should report?
a) BUN 34 because amphotericin B is nephrotoxic.
b) BP 170/80 mm Hg/thyroid storm
a) pt who has is taking feverfew to prevent headaches. what med is interacts with feverfew?
b) pt who has chronic kidney disease and taking erythropoietin. teaching?
a) Naproxen
b) taking this medication to increase my energy level
still, restrict protein
adequate iron for better effectivness
a) transcutaneous electrical nerve stimulation (TENS) painful area has which of the effects?
a) A tingling sensation replacing the pain
A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. Which of the following actions should the
nurse take?
Inject the medication into the anterolateral abdominal wall.
the air bubble ensures that the pt receives the whole dose so DO NOT expel the bubbles
a) administration of magnesium sulfate 1 g IV bolus. ADR?
b) administer psyllium. teaching?
a) Respiratory paralysis
b Drink 240 mL (8 oz) of water after administration.
a) Respiratory paralysis
b Drink 240 mL (8 oz) of water after administration.
A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first?
Instruct the client to allow the machine to breathe for them.
a) pt who is to undergo a CT scan with an IV contrast agent. what pt requires further assessment?
b) pt who has a stage 3 pressure injury. what findings contributes to delayed wound healing?
a) History of asthma/greater risk to reacting to the contrast dye
b) Urine output 25 mL/hr=dehydration=delay
who to referral?
a) pt who receiving preope teaching for a right knee arthroplasty
b) pt who states they will have difficulty obtaining a walker for home use
c) pt who reports an inc in pain following a left hip arthroplasy
a) physical therapy
b) social worker
c) provider
closed chest drainage system, what is an indication of lung re-expansion?
bubbling in the water seal chamber has ceased
