Exam 2 Review Flashcards
True or False - A medication has one generic name and it may have more than one brand name
True
A nonprescription (over-the-counter) medication may only be obtained with a provider’s prescription.
False - it can be obtained without a provider’s prescription
A medication is prescribed based on its intended therapeutic action (indication)
True
An _______ drug reaction is an unintentional, non-therapeutic effect of a medication
adverse
A ______ for a medication means that it should not be prescribed for a client because it has the potential to cause a serious adverse drug reaction
contraindication
The duration of action is the length of time the ______ effect lasts.
therapeutic
What effect does grapefruit juice have on certain medications such as sertraline?
Medication toxicity - it can cause increased levels of certain medications.
How can you identify a generic drug name when looking through the drug handbook?
It begins with a lowercase letter
In what section of a medication resource book should a nurse look to see if a med has more than one use?
Indications
Which thing would you NOT do related to wearing a nasal cannula?
1. Check the cannula position on a regular basis
2. Apply petroleum jelly to the nares if they are dry
3. Check tops of the ears for skin breakdown
2.
You want to make sure the nares aren’t dry, but you should use a water based lubricant. Oxygen has a high combustion potential and petroleum jelly is combustable.
A nurse is assessing the radial pulse and finds it is irregular. Which action should the nurse take?
A. Assess the pedal pulses
B. Assess the apical pulse with a doppler
C. Assess the apical pulse for a full minute
C
A nurse is completing a client assessment for admission to the medical unit. Which of the following abdominal assessment findings require further investigation by the nurse?
A. Concave umbilicus
B. Ecchymosis
C. Symmetrical convex sphere shape
D. Bilateral bowel sounds in lower quadrant
B
A nurse is preparing to clean a client’s dentures. What action should they take?
A. Remove them with a moist glove
B. Place them on a washcloth in the sink
C. Brush them with toothpaste
B
A nurse is teaching a newly licensed nurse about the function of the large intestine. Which info should the nurse include?
A. It absorbs liquid to form stool
B. It secrets enzymes to digest food
C. It prevents reflux of food into the esophagus
D. It produces vitamin K
A
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take?
A. Use hot water to cleanse the skin
B. Use a pH balanced cleanser to clean the skin
C. Allow skin to air dry after cleaning
D. Apply cornstarch to the skin
B
By two years old a child should be able to speak at least 300 words. True or False
True
What medication level occurs when a a med is at the lowest serum concentration?
trough
A nurse is going to perform foot care on a client. Which action should the nurse plan to take?
A. Apply moisturizer between the toes
B. Allow to air dry
C. Use warm water to wash the feet
D. Soak feet prior to washing
C
The typical examination sequence is inspection, palpating, percussion and auscultation. What order do you examine the abdomen?
Inspect, auscultate, percuss and palpate
The use of touch to determine size, texture, temperature, location and tenderness is called?
palpation
A nurse provides an introduction to a client as the first step of a comprehensive physical exam. Which of the following strategies should the nurse use with the client? (select all that apply)
A. Address the client with the appropriate title and their last name.
B. Use a mix of open and closed ended questions
C. Reduce environment noise
D. Have the client complete a printed history form
E. Perform the general survey before the exam
A, C, E
A nurse is preparing to examine an older client. Which interventions should the nurse use when considering the age? (select all that apply)
A. Expect session to be shorter than for a younger client
B. Plan to allow plenty of time for position changes
C. Make sure the client has any essential sensory aids in place
D. Invite patrons to use the bathroom before starting the exam
E. Tell the client to take their time answering questions
B, C, D, E
A nurse is performing a physical exam of an adult client. Which part of the hands should the nurse use to palpate for optimal assessment of skin temperature?
-Palmar surface
-Fingertips
-Dorsal Surface
-Base of the fingers
Dorsal Surface
What type of therapeutic communication technique are you using when you show clients that they have your undivided attention?
Active Listening
What type of therapeutic communication technique are you using when you ask clients to tell their story in their own way?
Open-ended questions
When you probe a patient about more specific details or direct them toward relevant parts of their patient history what therapeutic communication technique are you using? Example: How long have you been experiencing the chest pain you mentioned?
Clarifying
Asking yes or no questions to clarify information is what type of therapeutic communication? Example: Do you have any pain when you cannot sleep?
close-end questions
What therapeutic communication technique is being used when you use active listening phrases like “go on” and “tell me more”?
Back channeling
A nurse is caring for a client who has a fractured femur and a blood pressure of 140/94 mm Hg. Which of the actions should the nurse take first?
A. Request a prescription for an antihypertensive medication
B. Ask the client if they are having pain
C. Instruct the client about a low-sodium diet
D. Return in 30 minutes to recheck the client’s blood pressure
B - when taking actions using the nursing process, the first action that the nurse should take is to ask the client if they are experiencing pain. Pain can cause an elevated BP.
What does PERRLA stand for?
Pupils equal round reactive to light accommodation
What test would you use to assess color vision?
Ishihara test
A nurse is preparing to inspect the ears, nose, mouth and throat of a client. Which of the following equipment does the nurse need?
A. Ophthalmoscope
B. Tongue blade
C. Penlight
D. Gauze square
E. Stethoscope
B, C, D
(According to ATI answer the gauze pad is used to grasp the tongue during exam)
