Exam 3

Question 1

Who has the highest risk for osteoporosis?

Answer 1

-Menopausal Women
-Advanced Age of 65 or older
-smoking + alcohol use
-prolonged use of steroids, lasix, anticonvulsants
-immobility

Question 2

Diet for osteoporosis?

Answer 2

High protein, calcium, and vitamin D

Question 3

What medications are used for osteoporosis?

Answer 3

Calcitonin
Alendronate
Raloxifiene

Question 4

How is reyes syndrome diagnosed?

Answer 4

Liver biopsy, LFTs will be low as well

Question 5

What is crucial of a child who has Reyes syndrome?

Answer 5

Keep TV volume low, dimmed room, quiet and calm environment so brain can relax

Question 6

What are some clinical signs of chronic renal failure?

Answer 6

High BUN
Low GFR
Azotemia
Oliguria

Question 7

What diet should a renal failure client follow?

Answer 7

Low sodium, low potassium low protein
Avoid dairy products

Question 8

A client is newly diagnosed with HTN, what should the nurse discuss with the client?

Answer 8

Keep daily log of BP reading
Bake, Roast, Boil Food
Avoid OTC Meds
Avoid Coffee
Low Sodium Diet
4/5 Veggies Daily
Exercise

Question 9

What education should be provided to a client post arthroscopy?

Answer 9

Monitor for infection
apply ice up to 5 times a day for 48 hours
Elevate
Weight bearing as tolerated
Report severe joint pain
Tx pain w/ tylenol

Question 10

Patient has a post op layrngectomy with a new stomas, what should the nurse educate?

Answer 10

Prevent and monitor signs of infection
wear high collared shirts/ scarfs
increase humidity in home
avoid showers
avoid swimming
avoid sick people
increase fluid intake to 3000ml/day

Question 11

What is important to tell the client diagnosed with Hepatitis A?

Answer 11

Strict handwashing
bleach toilet seat after every use

Question 12

If a client comes in and there A1C is elevated the nurse should?

Answer 12

ask the client to watch them draw up insulin

Question 13

What does A1C results tell a nurse?

Answer 13

what the glucose control has been over the past 90 days

Question 14

A client may need more teaching about drawing up their insulin when they..?

Answer 14

Draw up NPH first

Question 15

What two clients on this exam are priority to be seen first?

Answer 15

A client with a blood transfusion going
A client with a crushing injury

Question 16

What can the nurse delegate to the UAP?

Answer 16

Make beds
answer call lights
routine + baseline VS
Transport client to the OR
Apply pulse ox
Assist HCP with Pap Test
Drawing blood

Question 17

What are examples of accountability?

Answer 17

Monitoring client for care
seeking outcome report

Question 18

What is an example of effective delegation?

Answer 18

Supervising and monitoring LPN

Question 18

A client has been medicated prior to a procedure, the OR is ready for the client but the nurse notices there is no signed consent. What action should the nurse take?

Answer 18

Call and cancel surgery
get consent from family

Question 19

What is the nurses code of ethics?

Answer 19

Advocacy
responsibility
confidentiality
accountability

Question 20

What must nursing documentation contain?

Answer 20

factual information and nothing documented that says “seemed”

Question 21

What diagnostic test requires low levels of stress before being done?

Answer 21

Cortisol testing

Question 22

Who is at highest risk for abuse?

Answer 22

Elder women with dementia

Question 23

A couple is fighting and the nurse wants to know more, how does she ask the client?

Answer 23

“fighting is normal, but how do you guys deal with conflict?”

Question 24

If the nurse is aware about family violence occurring around a client, what information should be given at discharge?

Answer 24

Information about shelters

Question 25

What is most important to ask a client going through or may go through alcohol withdrawl?

Answer 25

-last drink -type of alcohol -how much alcohol -how long have they been drinking

Question 26

What should the nurse implement of a client going through alcohol withdrawl?

Answer 26

-seizure precautions (side rails padded, suction, O2) -safe environment -address hallucinations -reorient to reality -monitor VS

Question 27

What is important to do when caring for a client with DID?

Answer 27

Develop trusting relationship orient client allow them to express painful experiences Identify conflict provide a simple non challenging routine

Question 28

Prior to working and interacting with a client who has DID, what should the nurse do?

Answer 28

identify and support client strengths

Question 29

What interventions should be done with a client who has manipulative behaviors?

Answer 29

-communicate expected behaviors to client -assist in identifying limits -follow through about consequences -have the client state back consequences

Question 30

If a client is in a mania, what is important for the nurse to do?

Answer 30

allow the client to take frequent breaks

Question 31

A child looses a sibling and is curious about death, the parents are concerned.. what should the nurse explain to the parents?

Answer 31

"school aged children are inquisitive and ask a lot about death'

Question 32

A family with a child who has a mental health disorder, it is important for the nurse to do what?

Answer 32

Complete an entire assessment of the family

Question 33

A new nurse is preparing to work in a community clinic, what is something that may benefit their nursing approach?

Answer 33

Investigate cultural differences and reactions to medications and procedures,etc.

Question 34

A client states her life is good and she intends to die how she lived. What can the nurse do during the clients end of life care?

Answer 34

Support patient in use of own resources

Question 35

A client with hashimotos thyroiditis requires immediate attention if the nurse notices what changes?

Answer 35

New onset of voice changes

Question 36

During a crisis what intervention should the nurse complete?

Answer 36

develop a care plan individualized to the client

Question 37

A client has stroke on the right side of the brain, what will the nurse see?

Answer 37

Left side neglect paralyzed left side hemiplegia

Question 38

A client has Right sided hemiparesis from a stroke, what other symptoms will the client have?

Answer 38

-aphasic -weak on right side -weak right side of face and tongue

Question 39

If a client has a stroke on the right side, what will be most beneficial for the client?

Answer 39

placing objects on the left side

Question 40

A client who had a stroke has right leg and arm paralysis, what other symptom will you see?

Answer 40

will have difficulty comprehending instructions

Question 41

What are the risk factors for a stroke?

Answer 41

HTN TIA Smoking Oral birth control

Question 42

What is one way to tell a client is adapting well after a stroke?

Answer 42

Consistently using adaptive equipment

Question 43

What are seizure precautions?

Answer 43

Padded side rails, suction, O2 at bedside

Question 44

If a female client is taking phenytoin, what is important for the nurse to tell her?

Answer 44

use an extra form of birth control, this med suppresses it

Question 45

A client is taking phenytoin and the nurse gets a blood test result back about elevated phenytoin, what symptom may the client have?

Answer 45

slurred speech

Question 46

When taking phenytoin what is important for any client to do when taking it?

Answer 46

Good oral care, flossing, brushing, etc.

Question 47

What is azathioprine?

Answer 47

Immunosuppressant can treat autoimmune disorders and prevent organ rejection after a transplant

Question 48

What are important things to do when taking azathioprine?

Answer 48

Take with food Wear sunscreen + protective clothing

Question 49

Common symptoms of azathioprine?

Answer 49

N/V, Hair loss, diarrhea, joint pain

Question 50

Fire safety as a nurse and extinguisher use?

Answer 50

RACE R-rescue / remove pts A-alarm C-confine E-extinguish + evacuate P- Pull A- Aim S- Spray S-Sweep