Archer 4 Flashcards

1
Q

Ergonomic principles are most closely associated with normal:

A

Body alignment

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2
Q

Standard precautions and transmission-based precaution principles are closely associated with:

A

Control of infection and Preventing hospital-acquired infections

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3
Q

Interventions for a pneumothorax include the insertion of a:

A

Chest Tube

Not an endotracheal tube

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4
Q

The nurse should inform the physician immediately of the impending respiratory distress brought about by the:

A

Pneumothorax

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5
Q

You should not take ____, ____, or ____ with iron supplements.

A

Milk, meals, or water

Decreases the absorption of iron in the GI tract and increases the chance of stomach upset in the client

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6
Q

To further evaluate suspicion of a DVT, the nurse needs to inspect for ____, ____, and ____. The nurse should also assess the client’s ____ for any increase in diameter.

A
  • Redness, edema, and mottling

- Calf size

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7
Q

A positive Homan’s sign is suggestive of a lower extremity:

A

DVT

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8
Q

Homan’s sign refers to the pain and tenderness experienced by the client upon forceful _______ of the foot while keeping the knee extended.

A

Dorsiflexion

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9
Q

Teenagers need an opportunity to interact with ____ during their times of sickness to have an outlet to express their concerns

A

Peers

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10
Q

Lactulose does not have a palatable taste; therefore, it can be mixed with ____, ____, or ____ to improve flavor. The nurse should monitor blood ____ levels and watch for any side effects. Side effects include belching, flatulence, or ______.

A
  • Fruit juice, water or milk
  • Ammonia
  • Abdominal cramping
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11
Q

When used in hepatic encephalopathy, the Lactulose dose needs to be carefully adjusted so the client averages __ to __ loose stools per day

A

2 to 3

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12
Q

If other laxatives are used in conjunction, it gets challenging to determine the optimal dose of Lactulose using the above definition of 2-3 loose stools/ day. Therefore, the client should be educated not to use additional _____.

A

Laxatives

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13
Q

Fermented, aged, or smoked foods are high in tyramine and should be avoided; thus, swiss cheese. Cream cheese, milk, and ice cream are ____ milk products and may be taken by patients on MAOIs without incident.

A

Unfremented

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14
Q

Promazine, Olanzapine, and Haloperidol are all what types of medication?

A

Antipsychotic medications

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15
Q

Biperiden is an:

A

Antiparkinsonian medication

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16
Q

Terbutaline may _____ the blood glucose level.

A

Increase

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17
Q

Hypotension is a common side effect of Terbutaline. The nurse should stop the infusion when the blood pressure drops below __/__ mm Hg.

A

90/60

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18
Q

Tachycardia is also a common side effect of Terbutaline. The nurse should stop the infusion when the heart rate is more than ___ bpm.

A

120

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19
Q

Hypokalemia is another common side effect of Terbutaline. A serum potassium level less than ___ mEq/L is considered Hypokalemia. Hypokalemia should alert the nurse to stop the terbutaline infusion.

A

3.5

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20
Q

Type I diabetics are unable to produce ____.

A

Insulin

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21
Q

Tolbutamide is an oral ______.

A

Hypoglycemic agent

(People with type 2 diabetes produce tiny amounts of insulin; that is why OHA’s are prescribed to help lower their blood sugar)

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22
Q

Tolbutamide _____ the client’s blood sugar levels.

A

Lowers

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23
Q

The signs and symptoms of sensory deprivation include:

A

anxiety, depression, hallucinations, and other sensory and perceptual alterations

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24
Q

The signs and symptoms of sensory overload include:

A

restlessness, anxiety, feelings of the loss of control, and feelings of being overwhelmed.

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25
Q

RhoGAM is administered to Rh-negative mothers to prevent _____ from producing antibodies against her Rh-positive fetus

A

The mother

Not the baby

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26
Q

If the infant is Rh-positive, the mother needs to receive another dose _____ delivery to prevent maternal sensitization

A

After

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27
Q

______ is an occurrence on the child’s cognitive development where he cannot remember what he or she started to talk about so that at the end of a sentence, the child talks about another topic.

A

Static thinking

This is normal for the child’s age

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28
Q

______ in children means that they cannot yet see another person’s view

A

Egocentrism

29
Q

Peaked T waves , prolong the PR and QRS intervals on an ECG are a characteristics of:

A

Hyperkalemia

30
Q

U waves, large, flat T waves, ST depression, or prolonged QT intervals on an ECG are characteristics of:

A

Hypokalemia

31
Q

There are no ECG characteristics for:

A

Hyper and Hyponatremia

32
Q

Muscle weakness, restlessness, lethargy, or coma is a manifestation of:

A

Hypernatremia

33
Q

Disorientation, apathy, depression, depressed deep tendon reflexes, and agitation are characteristics of:

A

Hyponatremia

34
Q

If the ICD administers shock, others in physical contact with the patient may feel it but will not be:

A

Harmed

35
Q

Sucralfate is a mucosal barrier agent that must be given __ minutes before the client’s meal.

A

30

36
Q

Once the client is at risk of harming himself, other clients or staff, the nurse should call for help and prepare to administer a:

A

sedative/ tranquilizer to calm them down.

37
Q

Physicians will usually order ______ – often, the first-line drug in mental health settings, due to concerns that haloperidol can be arrhythmogenic.

A

Lorazepam

38
Q

The nurse should wait about 20 to 30 mins before re-administering a dose of Lorazepam since it takes about __ to __ mins for these drugs to produce peak effect

A

20 to 30

39
Q

The Three-Step Analgesic Ladder was developed by:

A

The World Health Organization (WHO)

40
Q

A patient with influenza and pertusis should be placed on:

A

Droplet Precautions

41
Q

Viral meningitis, Hepatitis C, and Lyme disease require what precautions?

A

Standard

42
Q

At the 8 to 10-week ultrasound; the radiologist will not be able to rule out all:

A

Fetal abnormalities

43
Q

The second trimester is the safest period for ______ extractions:

A

Dental

44
Q

Pregnancy increases a woman’s risk of developing gingivitis and _____.

A

Cavities

45
Q

The prenatal client should not delay ____ care.

A

Dental

46
Q

There is also a risk of hypotension in the supine position, so, short dental appointments are advocated during the __. It is, therefore, better not to perform elective dental extractions during __ trimester.

A

3rd

47
Q

The lung, liver, and bone are all common sites of ______ in bladder cancer.

A

Metastasis

48
Q

The ______ is not a common site of metastasis for bladder cancer.

A

Brain

49
Q

Leg pain, and muscle aches, which occur after taking atorvastatin, may indicate a severe muscular myopathy known as ______.

A

Rhabdomyolysis

50
Q

______ is the breakdown of tissue often occurring after a crush injury or severe trauma.

A

Catabolism

51
Q

Refers to using sterile technique to protect clients against infection about any surgical procedure:

A

Surgical asepsis

52
Q

______ is associated with malnutrition, wasting, and ill health due to chronic illness. Hunger, wasting, and ill-health. It can also result from the rupture of wound closure or the dehiscence of a surgical wound.

A

Cachexia

53
Q

Shearing, friction, and pressure are ______ factors that increase the risk of impaired tissue performance that causes pressure sores

A

Extrinsic (external)

54
Q
Poor nutritional status
Incontinence
Alterations in fluid balance
Altered neurological functioning
Impaired tissue perfusion 
All of the above are \_\_\_\_\_ factors:
A

Intinsic

Intrinsic refers to anything essential or belonging naturally

55
Q

Kaposi’s sarcoma, tuberculosis, toxoplasma gondii, patients infected with ___/___ are also at risk for developing herpes simplex, histoplasmosis, and salmonella:

A

HIV/AIDS

56
Q

______ is a form of kidney cancer that is related to pediatric patients:

A

Wilm’s Tumor

57
Q

Which position would we appropriate for your patient with ARDS?

A

Prone

58
Q

Evidence-based practice states that the standard of care for ______ is IVIG, antipyretics, aspirin, fluid therapy, and steroids.

A

Kawasaki’s Disease

59
Q

______, or the “mask of pregnancy” is hyperpigmentation to the face, most commonly the cheeks and forehead.

A

Chloasma

60
Q

______ point tenderness refers to right lower quadrant pain. This is suggestive of appendicitis.

A

McBurney’s

61
Q

Appendicitis is more common amongst:

A

Males

62
Q

Blood pressure during pregnancy often leads to _____:

A

Hypertension

Not Hypotension

63
Q

African American women are at higher risk for ____ more than other races:

A

Preeclampsia

64
Q

Wheezing and stridor are common symptoms for:

A

Asthma

65
Q

Advance Directives ______ be honored by Emergency Medical Technicians (EMTs) unless a doctor has signed them:

A

Cannot

66
Q

Hypotonic labor, means that a patient is ___ having contractions:

A

Not

67
Q

______ is a medication used in preterm labor to help stop contractions:

A

Magnesium sulfate

68
Q

Garlic and Nuts are rich in ______:

A

Phosphorus