Archer 5 Flashcards
A loss of electrical power to the facility, the sudden cessation of internal communication, and a toxic chemical spill in the lobby of the facility are all examples of:
Internal disaster
(Other cases of civil emergencies include things like a fire, a bomb threat, a cyclone, a flood, a tornado or hurricane that affects the healthcare facility)
Is Nitroglycerin safe to administer in atrial fibrillation?
YES
Nitroglycerin is a vasodilator that causes a decrease in:
Blood pressure
(The nurse should not administer any drug that causes the blood pressure to drop when the client’s systolic blood pressure is below 90 mm Hg)
A client in _______ should be expected to exhibit acidosis, hypoxemia, and hypercapnia (respiratory acidosis) in his ABGs.
respiratory distress
Fat emulsions, PN, or any intravenous fluid should not be infused at a ______ rate to make up for the delay if it falls behind. Doing so could put the client at risk for fat overload and fluid overload. Fat emulsions, like PN, should not be ______ abruptly
Faster
Stopped
Clients with bulimia nervosa would usually resort to ______ use as an additional way to control weight.
Amphetamine
These clients are generally not into sedatives, hallucinogens, or cannabis for weight control
What is a good nursing diagnosis for a patient with iron deficiency anemia?
Impaired gas exchange
(In iron deficiency anemia, the hemoglobin drops to subnormal levels, leading to impaired tissue oxygenation and reduces gas exchange)
One of the most common side effects of terbutaline is ______
Pulmonary edema
What members Shiva rather than have awake,
Bury the dead within 24 hours of the death but not on the Sabbath, which is Saturday, and do not prohibit organ donations after death.
Jewish
______ juice and calcium channel blockers may combine to cause toxic effects
Grape fruit
Other foods that are contraindicated when the client is taking a monoamine oxidase inhibitor (MAO) for depression include:
Bananas, raisins, cheeses, sour cream, yogurt, beer, red wines, and Italian green beans.
Calcium plays a role in ______
blood clotting
They do not wish for the patient to be taken off life-support.
They would not like an autopsy to be performed.
Judaism
The head should be kept elevated above the body at all times. What religious group?
Islam
They do not want any pain medication given to the patient. What religious group?
Buddaism
A nurse is caring for a client who has Lyme disease. The nurse should anticipate a prescription for which medication?
Doxycycline
Finasteride is indicated for:
BPH
Valacyclovir is an anti-viral indicated for:
Herpes infection
Diphenhydramine is indicated for:
Seasonal allergies
The nurse is caring for a client who appears to be developing heart failure (HF). Which of the following laboratory tests would the nurse expect the primary health care provider (PHCP) to prescribe to confirm the diagnosis?
BNP
(B-type natriuretic peptide (BNP) is commonly prescribed for clients who may have heart failure. Elevations indicate worsening of heart failure as it is indicative of fluid retention. A troponin laboratory test would be prescribed for acute coronary syndrome)
______ is not a typical symptom of decreased cardiac output in neonates
Bradycardia
Crackles are common in cases of ______ related to myocardial infarction:
Pulmonary edema
Rhonchi occurs in ______ and ______.
Bronchitis
Pneumonia
Diminished breath sounds are usually heard with ______ or ______.
COPD
Pneumonia
Patients who have undergone a femoral vein catheter should refrain from sitting up more than __ degrees because this could kink the catheter, thus interfering with treatment.
45
Heparin sodium is prescribed at 325 units subcutaneously every 12 hours. The vial reads Heparin sodium 500 units/mL. The nurse will administer how many milliliters in one dose?
0.65 mL
325/500 = “X” ml = 0.65 ml
A client comes to the outpatient clinic complaining of abdominal pain, diarrhea, shortness of breath, and epistaxis. What should the nurse’s first action be?
Ask the client about any recent travel to Asia or the Middle East
The client’s clinical symptoms suggest possible avian influenza (bird flu). If the client has traveled recently in Asia or the Middle East, where outbreaks of bird flu have occurred, you will need to institute airborne and contact precautions immediately.
A patient with Cushing’s disease needs to eat:
Low sodium
High Protein
Low-fat diet
Potential side effects include fine tremor, drowsiness, diarrhea, and weight gain:
Lithium
Oliguria (urine output less than 400mL/24 hours) is the most common initial sign of:
Acute Kidney Injury
When discharging a patient who is newly diagnosed with hypothyroid, it is essential to educate the parents about how to administer thyroid medication. It should be taken:
The same time each day
On an empty stomach
30 mins before breakfast
(Taking thyroid medication in the evening can cause insomnia, and taking the drug after breakfast interferes with its absorption. Follow up labs to check TSH and T4 level are necessary)
Epinephrine should be given every __ to __ minutes until the bradycardia is resolved.
3 to 5
The ____ reflex occurs in response to a slight drop, sudden movement of the crib, or a loud noise, the newborn quickly makes a symmetrical abduction of the extremities and places the index fingers and thumbs into a “C” shape.
Moro
The ______ reflex occurs as the newborn turns his/her head to the side on which the cheek is stroked.
Rooting
Diaphoresis, Exophthalmos, Increased appetite are signs and symptoms would you expect in a patient diagnosed with:
Grave’s Disease
Which of the following signs and symptoms would you expect to see in an infant withdrawing from heroin?
RR 88
Diaphoretic
The nurse is assessing a 6 year old patient with asthma. Which of the following findings is of most concern?
Silent chest
(This refers to the inability to auscultate any lung sounds. There is complete obstruction of the patient’s airway, and therefore the inability to move air. When complete obstruction occurs, this is a medical emergency. This assessment finding is of most concern because the patient has lost their airway)
The most common physical sign of child abuse is _____
Bruising
