Archer 5 Flashcards
You give a patient a nonsteroidal anti-inflammatory medication (NSAID) in addition to a narcotic analgesic so:
The effects of the narcotic analgesic combats pain to be more effective
The most common side effect of Theophylline is:
Headache
Signs of toxicity of Theophylline:
Seizures, Palpitations and Arrhythmias
The nurse should tell the client that when the contrast medium is injected, he will feel:
Nausea,
Flushing of the face
Sudden urge to urinate
When a patient is taking Amoxicillin potassium (Augmentin) you should monitor the clients:
liver, blood, and renal studies should be monitored
Amoxicillin potassium (Augmentin) should be taken:
On an empty stomach with a full glass of water
A nurse is preparing a newborn with myelomeningocele sac for surgery. The most appropriate intervention to keep the site sterile and protected is to:
Cover the sac with moist, saline dressings
TPN may cause an increase in blood sugar levels in the first:
48 hours of administration
TPN has high glucose content making it an ideal medium for bacterial growth. The nurse should perform ______ during dressing changes in the TPN line.
strict asepsis
Can you massage the foot of a person with a coagulation disorder?
NO
soothing foot soak could be used for comfort rather than a soothing foot massage.
1 oz equals:
30 mL
Does apple sauce count as a fluid?
NO
Diet of the patient with hypoparathyroidism:
High calcium, low phosphorus diet
(A high calcium diet may increase the client’s serum calcium levels through the food he eats. A low phosphorus diet ensures that his phosphorus levels are small so that it will not interfere with his calcium levels. Calcium and Phosphorus have an inversely proportional relationship)
Contraceptive pills do not take effect until __ days after they are started
7
Instructions given by the nurse to the client who forgot to take her pills for two consecutive days:
Take two pills today and another two pills tomorrow
Signs of an ______ include a contracted and firm uterus and a slowed fetal heart rate.
Abruptio placenta
Position a patient lays in for lumbar puncture:
On the side in a “C” position
Back should be as close to the edge of the bed as possible
Does the patient have to be NPO for a lumbar puncture?
No
During a lumbar puncture the nurse should tell the patient to empty his ____ before the procedure.
Bladder
A fixed and dilated pupil signifies an increase in:
ICP
Clients undergoing brachytherapy have radium implants. They should have limited close contact with a family of up to only __ minutes a day.
30
(The visitors should limit their time of exposure to radium, have adequate distance between them, and use a lead shield against the radium)
Signs of sepsis in a neonate include:
unstable temperatures
tachycardia
Hypoglycemia in the neonate is manifested by:
low body temperature, diaphoresis, muscle twitching, and respiratory distress
Neonates born to drug-dependent mothers exhibit:
jitteriness, hyperactivity, and a shrill cry
These signs usually appear within 24 hours of being delivered
Signs of hypothermia in the neonate include:
cool extremities, acrocyanosis, bradycardia, poor feeding, and respiratory depression.
The child diagnosed with leukemia is expected to have ______.
petechiae
A child with otitis media is expected to have a ______:
fever
Drooling in epiglottitis means that the child is having _____:
difficulty swallowing
(The child is at risk of preventing his airway ultimately. This patient should be seen by a physician immediately, and an emergency bedside tracheostomy prepared)
Measles is what precaution?
Airborne
The term “enteric precautions” are no ______
Longer used
Norovirus is what precaution?
Contact
The most appropriate intravenous fluid for blood transfusions:
Normal Saline
Normal saline is an isotonic solution that will not cause blood hemolysis or red blood cell clumping
______ intervals have been noted as a severe side effect of ondansetron.
Prolonged QT
Which foods should a patient with diverticulosis avoid:
Cucumber salad.
Cooked broccoli.
Cabbages.
(Bran cereal and fruits will help prevent constipation)
Amenorrhea is a _____ sign of pregnancy:
Presumptive
Enlarged uterus is a ____ sign of pregnancy:
Probable
The primary treatment for Bell’s Palsy is:
Prenisone
Antivirals
Vitamin D _____ serum calcium:
Increases
Not the other way around
True or False
50-70% of serum calcium is ionized in the serum:
True
True or False
Albumin and calcium levels can be directly correlated:
True
The most serious adverse effect of tricyclic antidepressant (TCA) overdose is:
Cardiac arrhythmias
Excessive ingestion of TCAs result in life-threatening wide QRS complex tachycardia
Potential effects of glucocorticoids:
Immunosuppression
Psychosis
Steatorrhea, Meconium ileus, and Salty Sweat are symptoms of:
Cystic Fibrosis
Cystic fibrosis patients are at risk for what electrolyte imbalance:
Hyponatremia
NOT hyper
Chemotherapy and antibiotics do not put a patient at risk for ____:
Falls
Which of the following electrolyte imbalances should the nurse monitor for in her patient with Celiac disease?
Hypomagnesemia
Hypocalcemia
Hypokalemia
Hypophosphatemia
When a patient is suffering from severe hypernatremia, monitoring ______ status is the nurse’s priority.
Neurological
