Bared Flashcards
1
Q
What time of day should a client take furosemide (Lasix)?
A
Morning
2
Q
Which condition is a contraindication for taking propranolol (Inderal)?
A
Asthma
3
Q
What rhythm does the nurse identify?
A
Stroke
4
Q
Which modifiable risk factors should be included in the teaching plan for a client with heart disease?
A
- Smoking
- Exercise
- Diet
- Stress
- Drinking
5
Q
What nursing action is appropriate for a client with an elevated troponin 1 level?
A
Maintain bedrest
6
Q
What is the most important data to monitor after cardiac catheterization using the right femoral site?
A
Left pedal pulse
7
Q
How long should the nurse auscultate a client’s apical pulse?
A
One full minute or 60 seconds
8
Q
Which condition should the nurse assess in a client with mitral stenosis?
A
Rheumatic fever
9
Q
What is the first intervention for a client who develops chest pain radiating down the left arm?
A
Apply oxygen at 2 L/min
10
Q
What is the pacemaker of the heart?
A
Sinoatrial node
11
Q
Which medication should be prescribed for a client with stage 1 hypertension?
A
Hydrochlorothiazide (HydroDIURIL)
12
Q
What is a disadvantage of having a biological tissue valve replacement?
A
The valve has to be replaced frequently
13
Q
What indicates understanding of the DASH diet?
A
Food rich in potassium, magnesium, calcium
14
Q
What safety information should be included for a client on warfarin (Coumadin) therapy?
A
Wear medic-Alert identification
15
Q
Which symptoms can indicate digoxin toxicity?
A
- Fatigue
- Anorexia
- Diplopia
16
Q
What rhythm is assessed as normal sinus rhythm?
A
Normal sinus rhythm
17
Q
What symptoms indicate a health problem in a client with chest pain and cold, clammy skin?
A
Acute myocardial infarction
18
Q
What rhythm change indicates the client is experiencing ventricular tachycardia?
A
Ventricular tachycardia
19
Q
For which health problem should care be planned for a client with elevated eosinophil levels?
A
Allergic reactions
20
Q
What action should a nurse take to prevent hospital-acquired infection in an immunocompromised client?
A
Apply lotion to dry skin
21
Q
What item should the nurse wear when caring for a client with a risk of splattering body secretions?
A
- Gloves
- Contact precautions
- Non-sterile gloves and gown
22
Q
What priority intervention should be implemented when administering spironolactone (Aldactone)?
A
Check the client’s potassium level
23
Q
What atypical symptom might a geriatric patient present with during myocardial symptoms?
A
Shortness of breath or fainting, restlessness, fall
24
Q
What should the nurse inform a parent regarding antibiotic treatment for strep throat?
A
Your child will need oral penicillin for 10 days and should feel better in a few days
25
What does the nurse assess in an ECG rhythm strip with regular P waves and QRS complexes?
Normal sinus rhythm
26
What should be the first action for a client with chest pain and cyanosis of the lips?
Apply oxygen at 2 L/min
27
Which client is most at risk for developing varicose veins?
Female patient who works as a salon stylist
28
What instruction should be included for a client prescribed lisinopril (Zestril)?
Discuss the need to rise slowly from a lying to standing position
29
What assessment warrants immediate intervention by the nurse?
The client diagnosed with DVT who complains of pain on inspiration
30
What should the nurse implement first when a client complains of chest pain with a saline lock in place?
Apply oxygen
31
What instruction should be included for a client prescribed hydrochlorothiazide (Diuril)?
Eat bananas or oranges regularly
32
What action should the nurse take for a client with a potassium level of 3.0 mEq/L before administering furosemide (Lasix)?
Consult RN before giving Lasix
33
What assessment data should be obtained before administering a calcium channel blocker?
The client's blood pressure
34
What priority intervention should the nurse implement before administering an initial intravenous antibiotic for bacterial endocarditis?
Determine if the patient has any known allergies
35
What medication should be expected for a client being discharged with a specific rhythm?
Beta blocker or calcium channel blocker
36
What assessment data supports a diagnosis of long-term arterial occlusive disease?
Decreased O2 over time causing loss of hair on the tops of the feet and ascending both legs
37
What should the nurse anticipate for a client with an implanted pacemaker scheduled for MRI?
MRI is contraindicated in these patients
38
What instruction should be provided to a client on a thiazide diuretic who reports fatigue?
Take your medication early in the day
39
What complication should the nurse suspect in a postoperative client with dyspnea, tachypnea, and chest pain?
Pulmonary embolus
40
What follow-up should the nurse recommend for a client with a blood pressure of 166/100 mm Hg?
1 Month
41
What health problem should the nurse investigate for a client with brown legs and blue feet in the dependent position?
Venous blood flow problems
42
What type of hypertension does a client with a blood pressure reading of 144/94 mm Hg have?
Stage 1
43
What does the term hypertensive emergency refer to?
An episode of very high blood pressure
44
What guideline should be followed for treating elevated blood pressure in an 82-year-old client with hypertensive emergency?
Reduce blood pressure slowly
45
What is a desired outcome for the nursing diagnosis of Knowledge Deficit related to mitral valve prolapse?
Verbalizes definition of disorder and manifestations
46
What are the most common signs/symptoms of pericarditis?
Increased chest pain with inspiration
47
What should the nurse ask a client preparing for angiography?
Ask if the patient is allergic to contrast dyes
48
What indicates a correct understanding of standard precautions by a nursing assistant?
All patients are presumed infectious
49
In which type of precaution should a client with MRSA cellulitis be placed?
Contact precaution
50
Who should receive priority for the limited influenza vaccine available?
An 88-year-old who lives in an apartment for senior citizens
51
What does a positive serum antibody test indicate?
The body has been exposed to an antigen
52
Which individual should the nurse identify as having the highest priority to receive influenza vaccination?
An 88-year-old who lives in an apartment for senior citizens
## Footnote
Older adults are at higher risk for severe influenza complications.
53
What does a positive serum antibody test indicate?
The body has been exposed to an antigen
## Footnote
This is a sign of an immune response.
54
What is the priority nursing diagnosis for a client presenting with angioedema?
Ineffective airway clearance
55
What action by the nursing student administering medications to a patient with HIV requires correction?
The student recaps the needle and places it in the sharps container
## Footnote
Recapping needles increases the risk of needle-stick injuries.
56
What is the purpose of antibodies in the immune system?
Attach to antigens to label them for destruction.
57
What should the nurse emphasize as the most effective method to control the spread of HIV infection?
Education about preventive behaviors
58
For which opportunistic lung infection should the nurse monitor a client with AIDS?
Pneumocystis jiroveci pneumonia
59
What should the nurse ask after measuring a blood pressure of 168/98 mm Hg in a male client on antihypertensive medication?
Is the patient taking the medication?
60
What client statement indicates effective teaching about reducing cardiac workload in a client with aortic regurgitation?
Alternate activity with rest
61
What indicates a client understands the purpose of a preoperative antibiotic for mitral stenosis?
To prevent a bacterial infection in the heart.
62
What manifestation indicates myocardial oxygen deficiency in a client with aortic stenosis?
Angina
63
What observation indicates a client with cardiomyopathy requires more teaching about anticoagulant therapy?
The patient has a straight razor on the bathroom sink
64
What nursing action should be recommended for a client with acute pericarditis and pain?
Provide anti-inflammatory medications as ordered.
65
What should the nurse encourage a client recovering from cardiac surgery to perform when changing positions?
Splint with a pillow
66
What should a nurse instruct a client with heart failure to avoid regarding sodium intake?
¾ cap of canned tomato juice
67
Which laboratory value should the nurse review before administering warfarin?
INR
68
What nursing diagnosis should receive priority for a client with an elevated INR?
Risk for injury
69
What lab results are expected in the initial stage of Hashimoto's thyroiditis?
Elevated TSH and decreased T3 and T4
70
What is the highest priority nursing intervention for a client experiencing symptoms of an acute MI?
Relieve pain
71
What should the nurse do if a client with chronic peripheral arterial disease has an absent left pedal pulse and a cyanotic leg?
Notify the registered nurse (RN) immediately
72
What statement indicates effective teaching about leg exercises for a client prescribed bed rest?
Prevent thrombophlebitis and blood clot formation
73
How do varicose veins develop?
They are caused by poor function of the valves in your vein.
74
What indicates effective teaching for preventing varicose veins?
Wear support stockings
75
What occurs during one cardiac cycle?
Atria contract first, followed by ventricles
76
What anti-infective is anticipated for a client admitted with fungal pneumonia?
amphotericin B
77
According to CDC (2017), which ethnic group has the highest percentage of newly diagnosed HIV infections?
African American
78
What mode of transmission should the nurse focus on when reviewing Lyme disease with a client?
Vector-Borne (tick)
79
What manifestations should the nurse expect if a client develops an allergic reaction after a wasp sting?
Hives
80
What outcome should receive priority for a client with AIDS?
Maintain baseline weight
81
What symptom may a client with anaphylaxis be experiencing?
wheezing
82
What are the approved guidelines for stethoscope cleaning?
* Wipe with isopropyl solution
* Do not use hand sanitizer
* Keep your stethoscope away from extreme heat
83
What signs/symptoms should the nurse monitor in a client with long term vascular disease and heart failure?
84
What actions should the nurse take to measure a client for orthostatic hypotension?
* Use the correct size blood pressure cuff for the patient
* Instruct the patient not to eat or drink for 30 minutes prior to the test
* Take pulse and blood pressure readings immediately upon assisting the patient to stand
* Assist the patient to a sitting position, wait 3 minutes, and take the pulse and blood pressure
85
What should be included when explaining the causes of orthostatic hypotension?
* Experiencing pain
* Use of narcotic pain medication
* Insufficient rest and sleep
* Use of medication that takes fluid out of the body
86
What findings indicate signs of heart failure?
* Fatigue
* Dry cough
* Ankle edema
* Shortness of breath when lying down
87
What are expected findings during the admission assessment of a client with suspected pulmonary edema?
* Tachypnea
* Persistent cough
* Orthopnea
88
What client findings pose an immediate concern following peripheral bypass graft surgery?
* Capillary refill greater than 2 to 4 seconds
* Mottled appearance of the affected extremity
89
What should be included in teaching about the use of nitroglycerin?
90
What infections are AIDS clients prone to?
* Fungus
* Pneumocystis jiroveci pneumonia
91
What should be included in teaching a client with a new prescription for clopidogrel (Plavix)?
* Effects may not be apparent for several weeks
* Monitor for the presence of black, tarry stools
92
How many capsules will the nurse administer for 500 mg of Ampicillin if supplied in 0.25 gm capsules?
2
93
How many mL are needed for a 60 mg dose of Toradol if it is supplied as 30 mg/mL?
2
94
How many capsules would you give for 0.5 gm of Keflex if the drug comes as 250 mg per capsule?
2
95
How many mL are needed for a 250 mg dose of Amikin if supplied as 500 mg/2mL?
1
96
How many mL are needed for a 150 mg dose of Meperidine if available in 75 mg/mL?
2
97
How many mL are needed for a 0.5 gm dose of Kefzol if supplied as 2000 mg/10mL?
2.5
98
How many mg will a 110 lbs client receive if they need 10mg/kg of Tylenol?
500
99
How many mL will you give for 12.5 mg of Benadryl if supplied as 25 mg/mL?
0.5
100
How many mL are needed for a dose of PCN 400,000 units IM?
101
How many mL will you give?
0.5
102
Your patient is to receive 62.5 mg of solumedrol. It is supplied as 125mg/2mL. How many mL are needed for the dose?
1
103
The physician orders PCN 400,000 units IM now. The dose on hand is 1,000,000 units/powdered PCN/vial. The package instructions are: dilute with 4.6 mL sterile water to give a concentration of 200,000 units/mL. How many mL are needed for the dose?
0.4
