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Exit Retaks Flashcards

1
Q

Alzheimer’s standing up at hallway

A

Escort client to a quiet area on the unit

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2
Q

Has continent urinary division

A

Use intermittent urinary catherization for a client at regular intervals

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3
Q

Car restrain safety for a group of parents

A

My 12 yr old should place the shoulder lap belt low across hips

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4
Q

Promote eating with a client with cold

A

Drink high protein and high calorie nutritional supplements

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5
Q

Nurse should recognize that the Ap understands the procedure when she removes

A

Gloves

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6
Q

Client crying and states provider informed him that he has a tumor and will need biopsy

A

What have you done in the past to help you get through stressful situations

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7
Q

Inspecting skin of new born

A

Generalized petechie

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8
Q

Male adolescents about the adverse effect of anabolic steroid use

A

Reduced high potential

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9
Q

Older adult client who has severe left sided heart faliure

A

Rest 15 mins between activities

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10
Q

Older client notes include in the weekly care summary

A

Hydration status

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11
Q

Head injury. Using the Glasgow scale collection data the nurse should obtain which of the following information

A

Motor response

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12
Q

Reinforcing teaching with a client about the use of elastic stockings

A

Apply stockings in the morning

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13
Q

Scheduled to undergo a cardiac catherization in 2 days

A

Do you know if you’re allergic to iodine

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14
Q

Nystatin oral suspension to a client who has oral candiasis

A

Hold the medication in youre mouth for several minutes prior to swallowing

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15
Q

Time management strategies

A

Prepare priority list

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16
Q

Witness a client who is scheduled for surgery sign Informed consent

A

Ask the client if he understands the procedure

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17
Q

Mental health client caring for a client with alchol disorder

A

What if you’re current understand about the purpose of aa

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18
Q

2 days post operative following a total knee arthroplasty assigned to the ap

A

Reapply antiembolic stockings after the shower

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19
Q

Nurse stole his money from his room, therapeutic responses nurse should make

A

Tell me how you decided who took ur money

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20
Q

Receiving radiation for cancer of larynx

A

I will wear a soft scarf around my neck when I am outside

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21
Q

Flacc scale to determine the level of pain for a 11 month old infant post opp

A

Level of activity

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22
Q

Transferring techniques from transferring client from bed to chair

A

Use lower body strength

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23
Q

Self administer epotin alfa

A

Administer subcutaneously

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24
Q

5 yr old child is having frequent nightmares

A

My child goes back to sleep right away

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25
Q

Child weights 21.8kg and has chest tube applied to suction

A

250 ml of sanguineous damage over the last 3 hr

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26
Q

Teaching with a client about advance directives

A

I can change my health care decisions

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27
Q

Had rublea

A

Airbone

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28
Q

Regarding a med she does not recognize

A

Verify the prescription on the clients med record

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29
Q

Collect dating 4 clients recommend for treatment

A

Shortness of breath after taking amoxicillin

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30
Q

Sees smoke coming from waste basket

A

Assist the client to the nearby waiting area

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31
Q

Final stages of cancer ethical deilemma

A

Help her die peacefully in her sleep

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32
Q

Has osteoarthritis

A

apply Capscain cream 4 times a day

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33
Q

Minor burn on his palm after touching stove

A
  1. Clean with soap and tepid water
    2.remove any embedded debris
    3.apply anti microbial cream
    4.wrap hand in guaz
    5.inform the parent of dressing change schedule
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34
Q

Requires to sign a separate informed consent

A

Lumbar puncture

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35
Q

Manifestations of anxiety with a client who had generalized anxiety disorder

A

Say the word stop when thoughts occur

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36
Q

Dressing change for a client who is 3 days post opp

A

Yellow drainage on the incision line

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37
Q

Receiving betaxolo to treat glaucoma adverse effect

A

Bradycardia

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38
Q

Discharge teaching lithotripsy for uric acid stones

A

Stain the urine to collect stone fragments

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39
Q

Schedule for peritoniel dialysis

A

Ensure the dialysate solution is in room temp

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40
Q

2000mg sodium restricted diet

A

Canned peaches

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41
Q

Action to take when the seizure subsides

A

Keep client in lying position

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42
Q

Preform bladder scan

A

Should not experience any discomfort

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43
Q

Admission for old adult

A

Complete fall risk assessment for client

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44
Q

Promote hyper-extension

A

Move arm behind her body with elbow straight

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45
Q

4 clients collect data first

A

Client has asthma and had frequent exacerbation on previous shift

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46
Q

34 weeks gestation

A

Monitor ur bp using ur right are daily

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47
Q

Gastric ulcer finding report to provider

A

Hematemesis

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48
Q

Iv cancer and active stages of dying

A

Administer atropine to reduce the clients respiratory distress

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49
Q

Use of epidural analgesia with newly licensed nurses

A

Report leaking at the insertion site of the anesthesiologist

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50
Q

Plan of care receiving continuous bladder irrigation immediately following a transurethral resection of Prostate

A

Maintain drainage flow rate and keep the urine diuluted usted to reddish pink color

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51
Q

Schedule for mastectomy and tells nurse not ready to have this procedure

A

Would you like for me to to talk to the surgeon with you

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52
Q

School age child hypoglycemia manifestations

A

Sweating

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53
Q

With a community education program for parents of preschoolers promote physical activity

A

Should provide unorganized play activities for you’re child each day

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54
Q

Transfusions of parked rbc hemolytic reaction report provided

A

Rlly cold may I have another blanket

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55
Q

30 weeks gestation diabetes report following findings

A

Polyuria

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56
Q

Reviving pancrelipse experiencing therapeutic response to medication

A

Decrease number of stools

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57
Q

12 hr post opp total hop arthroplasty action nurse take

A

Place an abduction wedge between child’s legs with he is in bed

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58
Q

Nurse see first

A

36weeks gastatjln and reports painless vaginal bleeding

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59
Q

Teaching about to replace her 2 piece ostomy punching system

A

Hold the skin taut while removing the barrier

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60
Q

Hep a and is incontient of stool

A

Contact

61
Q

Viral meningitis

A

Place client private room

62
Q

Prepubescent female clients

A

You will likely gain weight before you start to get taller

63
Q

Oral contraceptives contradiction

A

Coronary artery disease

64
Q

I have nothing to live for.

A

Sounds no hope are u thinking of hurting ur self

65
Q

Reviving continuous feeding

A

Measure the ph gastric tube aspirate prior to administering nutrition

66
Q

34 weeks mild relapses to servere preclampsia

A

Reports blurred vision

67
Q

Indicate hepatic tenderness

A

Upper right quadrant nurse should palpate where liver is located

68
Q

Undergo a thoracentesis for a left pleural effusion

A

Up right with arms resting over bed table

69
Q

Underago left pleural effusion

A

Upright with arms resting on the the over bed table

70
Q

Asthma prescription for thophylline

A

Discountiue drinking caffeinated brevs

71
Q

New prescription for metronfiazlole adverse effect

A

Redish-brown urine

72
Q

Receive morphine through pca pump after surgery

A

Increase fluid intake while receiving this med thru pca pump

73
Q

Generalized anxiety disorder. Live at home with partner. Priority for nurse to address

A

Prescription isn’t genetic so we can’t afford it anymore

74
Q

Nurse fill out incident report for

A

Visitor develops bruise in her head following syncopation episode

75
Q

Stroke difficulty eating using utensils

A

Occupational therapist

76
Q

Discharge home after cerebrovascular accident, discharge instructions

A

List of symptoms to report

77
Q

Child Ingested full bottle of acetic

A

Take ur child to emergency department

78
Q

Nurse about creating health care proxy

A

Person will appoint health decisions when the client is no longer able to make decisions herself

79
Q

Venipuncture to obtain blood sample

A

Sure in antecubital fossa

80
Q

2 days post off thoracic surgery report provider

A

WBC 2500

81
Q

Medical record to locate information of clients personal health insurance

A

Admission sheet

82
Q

Depent personality disorder

A

Client calls her partner to ask what she would wear each day

83
Q

Iv fluid following finding nurse stop infusion

A

Edema about the catheter site

84
Q

Does not speak same language as nurse monitor for

A

Facial expression during communication

85
Q

Request prescription for seclusion

A

Clients hits another bc she thought he was talking about her

86
Q

Phobia of elevators

A

Remains relaxed when thinking of the phobia

87
Q

Post partum has deep vein thrombosis, following meds nurse should ensure is readily available

A

Protomain sulfate

88
Q

Plan of care client had pneumonia

A

Clients preforms bathing in evening

89
Q

Pediculosis caprtis management prevention strategies

A

1.cloning separate cubical
2.boil hot brushes in water 10 min
3.dry bed linens and clothing hot dyer 20 mins

90
Q

Client has gastronomy tube

A

Plush the tume with 60ml of water if becomes clogged

91
Q

Insert cath in female

A

1.cleans front to back
2.non dom hand to expose urinary meatus
3.advance 5-7
5.ask client to bear down

92
Q

Ng tube for gastric decompression

A

Above level of stomach when client is ambulating

93
Q

500ml over in 4 hr

A

21

94
Q

Post op sir on the side of the bed actions nurse take

A

Elevate the head of the clients bed

95
Q

Iron deficiency anemia consume

A

Red meats

96
Q

3yr old toddler at a well child vist. Child will not eat full meal

A

Offer healthy snacks more frequent rather than expecting full meals

97
Q

Excercise ecg test

A

Comfortable shoes during test

98
Q

Natural disaster occurs, nurse recommend for discharge

A

Pneumonia and currently receiving oral antibiotics

99
Q

Fentanyl 30 min before dilvery nurse monitor new born

A

Respitory heart rate

100
Q

Oxygen therpay nasal cannula

A

Apply water based lubricants around nostril prevent irritation

101
Q

Hypotension beginning therpay with captorpil over count med to avoid

A

Ibuprofen

102
Q

Terminal cancer cope with they situation

A

Dad I remeber we went fishing at lake

103
Q

Observe client in labor

A

Squating using a birth ball counter pressure to the sacral area leaning forward while kneeling

104
Q

7 month old expected gross motor skill

A

Sitting and leading foward
Using both hands for support

105
Q

Type 1 diabetes’s understand teaching

A

Dispose needle in a plastic detergent bottle

106
Q

Amoxicillin oral suspension 400mg

A

11ml

107
Q

School age child serve hempoilia a

A

Soak my sons tooth brush in warm water to soften

108
Q

Difficulty sleeping

A

Offer snack of whole grain cracker before bed time

109
Q

Self administer enozaparin

A

Subq Injection

110
Q

Dnr prescription

A

Check documentation that provider spoke with client

111
Q

Add most protein in clients diet

A

Peanut butter

112
Q

Older adult hip fracture

A

External rotation

113
Q

Apply stocking

A

Apply stocking before getting client out of bed

114
Q

Im immunization to preschooler

A

Let’s give medcine to ur doll first

115
Q

Motor vehicles accident

A

Can’t give info you will need to speak with ur employee

116
Q

Newborn 12 hr old stools parents should expect

A

Dark green and viscous

117
Q

Atrovastin adverse effect report provider

A

Muscle pain

118
Q

Bipolar disorder and manic phase , activity nurse should recommend

A

Walk outside with staff member

119
Q

Sti adolescent at health fair

A

Gonorreah may result in infertility

120
Q

Herpes zoster. Nurse include

A

Contagious till blisters heal

121
Q

Preparing for trachostomy care

A

Open steril packages

122
Q

Toddler findings possible physical neglect

A

Tolder is inadequately dressed for weather

123
Q

Recognizes that a double dose of oral digoxin was given 1 hr ago

A

Vital signs

124
Q

Pump at bed side is warm to touch

A

Unplug the equipment and remove it

125
Q

Anorexia nervosa

A

Record the amount of food client consumes

126
Q

Documenting care in medical record entries nurse should make

A

Client remain npo until X-ray comeplete

127
Q

Babinksi reflex

A

Stroke sole infants foot up word toward great toe

128
Q

Ecg finding nurse should report to charge nurse

A

Pr intervals o.24 seconds

129
Q

Example of rationalization

A

Good grade bc teacher don’t like me

130
Q

Reports excruciating headaches

A

Cerebrospinal analysis

131
Q

Scheduled for lumbar puncture

A

Increase fluid intake after procedure

132
Q

Montelukast 1 month complying with this regimen

A

Once daily at bedtime

133
Q

Prediction for phenytoin

A

Preform gum messags

134
Q

Lungs, adventitious sounds nurse should document

A

Wheezs

135
Q

12 hr postop morphine 30 min ago

A

Respiratory 10

136
Q

4 days post opp temp 102.4 bp/ 152/82

A

Finding as variance

137
Q

Potential complication of mechanical ventilation

A

Ph 7.5

138
Q

Intimate partner violence. Risk for intimate partner Violence

A

Recent confirmation of pregnancy

139
Q

Schizophrenia statements nurse should identify as delusional

A

Dr glasses have laser that will burn holes in my brain

140
Q

Lpn ask the charge nurse to resigned to rn

A

New colostomy and requires development of teaching plan

141
Q

Promises to return

A

Fidelity

142
Q

Kosher diet expect to see clients meal tray

A

Spaghetti and red meat sauce

143
Q

Continuous tube feeding

A

Flush with water before administering med

144
Q

Has iabetes insipidious

A

Urine gravity 1.002

145
Q

Ap recognize as assult

A

Insertion of ng tube

146
Q

Female client tuberculosis and new prescription of rifampin

A

Use condoms and additional birth control pills to decrease risk of pregnancy

147
Q

Alchol use disorder and begin disulfriM therapy

A

Signed informed consent before starting this med

148
Q

Reports 12 liquid stools in the last 8 hr

A

Potassium level 2.5

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