Exit Retaks Flashcards
1
Q
Alzheimer’s standing up at hallway
A
Escort client to a quiet area on the unit
2
Q
Has continent urinary division
A
Use intermittent urinary catherization for a client at regular intervals
3
Q
Car restrain safety for a group of parents
A
My 12 yr old should place the shoulder lap belt low across hips
4
Q
Promote eating with a client with cold
A
Drink high protein and high calorie nutritional supplements
5
Q
Nurse should recognize that the Ap understands the procedure when she removes
A
Gloves
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
7
Q
Inspecting skin of new born
A
Generalized petechie
8
Q
Male adolescents about the adverse effect of anabolic steroid use
A
Reduced high potential
9
Q
Older adult client who has severe left sided heart faliure
A
Rest 15 mins between activities
10
Q
Older client notes include in the weekly care summary
A
Hydration status
11
Q
Head injury. Using the Glasgow scale collection data the nurse should obtain which of the following information
A
Motor response
12
Q
Reinforcing teaching with a client about the use of elastic stockings
A
Apply stockings in the morning
13
Q
Scheduled to undergo a cardiac catherization in 2 days
A
Do you know if you’re allergic to iodine
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
15
Q
Time management strategies
A
Prepare priority list
16
Q
Witness a client who is scheduled for surgery sign Informed consent
A
Ask the client if he understands the procedure
17
Q
Mental health client caring for a client with alchol disorder
A
What if you’re current understand about the purpose of aa
18
Q
2 days post operative following a total knee arthroplasty assigned to the ap
A
Reapply antiembolic stockings after the shower
19
Q
Nurse stole his money from his room, therapeutic responses nurse should make
A
Tell me how you decided who took ur money
20
Q
Receiving radiation for cancer of larynx
A
I will wear a soft scarf around my neck when I am outside
21
Q
Flacc scale to determine the level of pain for a 11 month old infant post opp
A
Level of activity
22
Q
Transferring techniques from transferring client from bed to chair
A
Use lower body strength
23
Q
Self administer epotin alfa
A
Administer subcutaneously
24
Q
5 yr old child is having frequent nightmares
A
My child goes back to sleep right away
25
Child weights 21.8kg and has chest tube applied to suction
250 ml of sanguineous damage over the last 3 hr
26
Teaching with a client about advance directives
I can change my health care decisions
27
Had rublea
Airbone
28
Regarding a med she does not recognize
Verify the prescription on the clients med record
29
Collect dating 4 clients recommend for treatment
Shortness of breath after taking amoxicillin
30
Sees smoke coming from waste basket
Assist the client to the nearby waiting area
31
Final stages of cancer ethical deilemma
Help her die peacefully in her sleep
32
Has osteoarthritis
apply Capscain cream 4 times a day
33
Minor burn on his palm after touching stove
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
34
Requires to sign a separate informed consent
Lumbar puncture
35
Manifestations of anxiety with a client who had generalized anxiety disorder
Say the word stop when thoughts occur
36
Dressing change for a client who is 3 days post opp
Yellow drainage on the incision line
37
Receiving betaxolo to treat glaucoma adverse effect
Bradycardia
38
Discharge teaching lithotripsy for uric acid stones
Stain the urine to collect stone fragments
39
Schedule for peritoniel dialysis
Ensure the dialysate solution is in room temp
40
2000mg sodium restricted diet
Canned peaches
41
Action to take when the seizure subsides
Keep client in lying position
42
Preform bladder scan
Should not experience any discomfort
43
Admission for old adult
Complete fall risk assessment for client
44
Promote hyper-extension
Move arm behind her body with elbow straight
45
4 clients collect data first
Client has asthma and had frequent exacerbation on previous shift
46
34 weeks gestation
Monitor ur bp using ur right are daily
47
Gastric ulcer finding report to provider
Hematemesis
48
Iv cancer and active stages of dying
Administer atropine to reduce the clients respiratory distress
49
Use of epidural analgesia with newly licensed nurses
Report leaking at the insertion site of the anesthesiologist
50
Plan of care receiving continuous bladder irrigation immediately following a transurethral resection of Prostate
Maintain drainage flow rate and keep the urine diuluted usted to reddish pink color
51
Schedule for mastectomy and tells nurse not ready to have this procedure
Would you like for me to to talk to the surgeon with you
52
School age child hypoglycemia manifestations
Sweating
53
With a community education program for parents of preschoolers promote physical activity
Should provide unorganized play activities for you’re child each day
54
Transfusions of parked rbc hemolytic reaction report provided
Rlly cold may I have another blanket
55
30 weeks gestation diabetes report following findings
Polyuria
56
Reviving pancrelipse experiencing therapeutic response to medication
Decrease number of stools
57
12 hr post opp total hop arthroplasty action nurse take
Place an abduction wedge between child’s legs with he is in bed
58
Nurse see first
36weeks gastatjln and reports painless vaginal bleeding
59
Teaching about to replace her 2 piece ostomy punching system
Hold the skin taut while removing the barrier
60
Hep a and is incontient of stool
Contact
61
Viral meningitis
Place client private room
62
Prepubescent female clients
You will likely gain weight before you start to get taller
63
Oral contraceptives contradiction
Coronary artery disease
64
I have nothing to live for.
Sounds no hope are u thinking of hurting ur self
65
Reviving continuous feeding
Measure the ph gastric tube aspirate prior to administering nutrition
66
34 weeks mild relapses to servere preclampsia
Reports blurred vision
67
Indicate hepatic tenderness
Upper right quadrant nurse should palpate where liver is located
68
Undergo a thoracentesis for a left pleural effusion
Up right with arms resting over bed table
69
Underago left pleural effusion
Upright with arms resting on the the over bed table
70
Asthma prescription for thophylline
Discountiue drinking caffeinated brevs
71
New prescription for metronfiazlole adverse effect
Redish-brown urine
72
Receive morphine through pca pump after surgery
Increase fluid intake while receiving this med thru pca pump
73
Generalized anxiety disorder. Live at home with partner. Priority for nurse to address
Prescription isn’t genetic so we can’t afford it anymore
74
Nurse fill out incident report for
Visitor develops bruise in her head following syncopation episode
75
Stroke difficulty eating using utensils
Occupational therapist
76
Discharge home after cerebrovascular accident, discharge instructions
List of symptoms to report
77
Child Ingested full bottle of acetic
Take ur child to emergency department
78
Nurse about creating health care proxy
Person will appoint health decisions when the client is no longer able to make decisions herself
79
Venipuncture to obtain blood sample
Sure in antecubital fossa
80
2 days post off thoracic surgery report provider
WBC 2500
81
Medical record to locate information of clients personal health insurance
Admission sheet
82
Depent personality disorder
Client calls her partner to ask what she would wear each day
83
Iv fluid following finding nurse stop infusion
Edema about the catheter site
84
Does not speak same language as nurse monitor for
Facial expression during communication
85
Request prescription for seclusion
Clients hits another bc she thought he was talking about her
86
Phobia of elevators
Remains relaxed when thinking of the phobia
87
Post partum has deep vein thrombosis, following meds nurse should ensure is readily available
Protomain sulfate
88
Plan of care client had pneumonia
Clients preforms bathing in evening
89
Pediculosis caprtis management prevention strategies
1.cloning separate cubical
2.boil hot brushes in water 10 min
3.dry bed linens and clothing hot dyer 20 mins
90
Client has gastronomy tube
Plush the tume with 60ml of water if becomes clogged
91
Insert cath in female
1.cleans front to back
2.non dom hand to expose urinary meatus
3.advance 5-7
5.ask client to bear down
92
Ng tube for gastric decompression
Above level of stomach when client is ambulating
93
500ml over in 4 hr
21
94
Post op sir on the side of the bed actions nurse take
Elevate the head of the clients bed
95
Iron deficiency anemia consume
Red meats
96
3yr old toddler at a well child vist. Child will not eat full meal
Offer healthy snacks more frequent rather than expecting full meals
97
Excercise ecg test
Comfortable shoes during test
98
Natural disaster occurs, nurse recommend for discharge
Pneumonia and currently receiving oral antibiotics
99
Fentanyl 30 min before dilvery nurse monitor new born
Respitory heart rate
100
Oxygen therpay nasal cannula
Apply water based lubricants around nostril prevent irritation
101
Hypotension beginning therpay with captorpil over count med to avoid
Ibuprofen
102
Terminal cancer cope with they situation
Dad I remeber we went fishing at lake
103
Observe client in labor
Squating using a birth ball counter pressure to the sacral area leaning forward while kneeling
104
7 month old expected gross motor skill
Sitting and leading foward
Using both hands for support
105
Type 1 diabetes’s understand teaching
Dispose needle in a plastic detergent bottle
106
Amoxicillin oral suspension 400mg
11ml
107
School age child serve hempoilia a
Soak my sons tooth brush in warm water to soften
108
Difficulty sleeping
Offer snack of whole grain cracker before bed time
109
Self administer enozaparin
Subq Injection
110
Dnr prescription
Check documentation that provider spoke with client
111
Add most protein in clients diet
Peanut butter
112
Older adult hip fracture
External rotation
113
Apply stocking
Apply stocking before getting client out of bed
114
Im immunization to preschooler
Let’s give medcine to ur doll first
115
Motor vehicles accident
Can’t give info you will need to speak with ur employee
116
Newborn 12 hr old stools parents should expect
Dark green and viscous
117
Atrovastin adverse effect report provider
Muscle pain
118
Bipolar disorder and manic phase , activity nurse should recommend
Walk outside with staff member
119
Sti adolescent at health fair
Gonorreah may result in infertility
120
Herpes zoster. Nurse include
Contagious till blisters heal
121
Preparing for trachostomy care
Open steril packages
122
Toddler findings possible physical neglect
Tolder is inadequately dressed for weather
123
Recognizes that a double dose of oral digoxin was given 1 hr ago
Vital signs
124
Pump at bed side is warm to touch
Unplug the equipment and remove it
125
Anorexia nervosa
Record the amount of food client consumes
126
Documenting care in medical record entries nurse should make
Client remain npo until X-ray comeplete
127
Babinksi reflex
Stroke sole infants foot up word toward great toe
128
Ecg finding nurse should report to charge nurse
Pr intervals o.24 seconds
129
Example of rationalization
Good grade bc teacher don’t like me
130
Reports excruciating headaches
Cerebrospinal analysis
131
Scheduled for lumbar puncture
Increase fluid intake after procedure
132
Montelukast 1 month complying with this regimen
Once daily at bedtime
133
Prediction for phenytoin
Preform gum messags
134
Lungs, adventitious sounds nurse should document
Wheezs
135
12 hr postop morphine 30 min ago
Respiratory 10
136
4 days post opp temp 102.4 bp/ 152/82
Finding as variance
137
Potential complication of mechanical ventilation
Ph 7.5
138
Intimate partner violence. Risk for intimate partner Violence
Recent confirmation of pregnancy
139
Schizophrenia statements nurse should identify as delusional
Dr glasses have laser that will burn holes in my brain
140
Lpn ask the charge nurse to resigned to rn
New colostomy and requires development of teaching plan
141
Promises to return
Fidelity
142
Kosher diet expect to see clients meal tray
Spaghetti and red meat sauce
143
Continuous tube feeding
Flush with water before administering med
144
Has iabetes insipidious
Urine gravity 1.002
145
Ap recognize as assult
Insertion of ng tube
146
Female client tuberculosis and new prescription of rifampin
Use condoms and additional birth control pills to decrease risk of pregnancy
147
Alchol use disorder and begin disulfriM therapy
Signed informed consent before starting this med
148
Reports 12 liquid stools in the last 8 hr
Potassium level 2.5
