General Bullets Flashcards
Signs and symptoms of Shigellosis are:
Fever and crampy abdominal pain. Severe cases include bloody diarrhea requiring hospitalization for fluid support and other care.
A child with HIV+ blood should receive which type of polio vaccine?
Inactivated poliovirus vaccine (IPV) rather than oral (OPV)
A client with a hiatal (esophageal) hernia should remain in what position after eating?
Upright
How often should a woman between the ages of 35 and 40 have a mammogram?
Once. Then yearly after age 40.
CO poisoning manifests with symptoms including:
headache, dizziness, nausea, and death
Legitimate power is:
derived from a position
Personal power:
derives from self-confidence
Reward power:
derives from the ability to provide incentives
Referent power:
derives from the desires of others to associate and affiliate
Coercive power:
derives from the ability to punish
The process of cultivating the belief in one’s own capability is:
Empowerment
Conditions such as Cushing’s syndrome, extensive burns, trauma, long-term steroidal use, excessive urination, inadequate intake of dietary potassium, and excessive alcohol intake can all cause:
hypokalemia
Renal failure and Addison’s disease cause hyperkalemia or hypokalemia?
hyperkalemia
Renal diseases, chronic alcoholism, and diuretic therapy cause hyper or hypomagnesemia?
Hypomagnesemia
End-stage renal failure, diabetic ketoacidosis, pheochromocytoma, and adrenal insufficiency cause hyper or hypo magnesemia?
Hypermagnesemia
Paget’s disease, cancer, excessive intake of Vitamin D, multiple fractures and hyperthyroidism cause hyper or hypocalcemia?
Hypercalcemia
Protracted bed rest and immobilization, acute pancreatitis, massive burns and infection, and hypothyroidism can hyper or hypocalcemia?
Hypocalcemia
Before undergoing the glucose-tolerance test, the client should consume a high-carbohydrate diet for how many days before the test?
3
The client should fast for how many hours before a fasting blood glucose test?
8
Elevated blood urea nitrogen (BUN) usually indicates:
Renal damage
Urea is normally filtered out of the body through the :
Glomerulus
The normal values of CK-MB (heart enzyme) are:
0 - 7 U/L
The desirable total cholesterol level in an adult is below:
200 mg/dL
The desirable triglyceride level is below:
150 mg/dL
Acetaminophen, phenytoin, chloramphenicol, and theophylline have a normal blood range of:
10 to 20 mcg/mL
Pain that is resistant to cure is called:
Intractable pain
A type of treatment for intractable pain is a:
Nerve block
Expect the family to perform ritual cleaning and preparation of the body for a __________ client who has died.
Muslim
The family of a deceased client may remain with the body for 2 to 3 hours, or before:
rigor mortis
Recognizing the differences between one’s own culture and the culture of another is called:
cultural awareness
Renal failure, neurologic dysfunction, and death are complications associated with:
Systemic lupus erethematosus
An alkaline ash diet is prescribed to decrease pH. Foods on this diet include:
Fruits
vegetables
limited meats and fish
Milk
Components of total parenteral nutrition (TPN) are:
Carbohydrates (glucose) amino acids lipids vitamins minerals electrolytes
To offset the high concentration of glucose, _____________ may be added to TPN.
insulin
To limit the formation of a fibrous clot at the tip of the catheter, _____________ may be added to TPN.
heparin
A weight gain greater than __________ per day for a client receiving I.V. fluids suggests excessive fluid intake.
1 lb (0.4 kg)/day
The _________ in the forearm act as a natural splint by providing support to an I.V. access site.
bones
Don’t select an _____________ on a paralyzed or traumatized arm.
I.V. site
Question any order that requires that dextrose solutions be administered to a _______________ patient.
diabetic
The basilica vein is normally used for a __________________.
PICC
Because the insertion of a PICC line is below the level of the heart, an air embolism is or is not an expected occurrence?
Is not
If a client has a high temperature, notify the physician before administering any:
blood product
No solution or product other than _______________ should be added to blood or blood product.
Normal saline
A running IV should be checked how often for children?
15 minutes
A running IV should be checked how often for adults?
30 minutes
To achieve postural drainage in an infant:
place a pillow on the nurse’s lap and lay the infant across it
Glycerin suppositories are given how many minutes before expected defecation time?
30
To limit bacterial growth, don’t provide more than _______ hours of feeding in the delivery system.
4
Don’t administer tube feedings if bowel sounds are:
absent
Ureteral and nephrostomy tubes should never be:
clamped
Notify the physician immediately when urine output from ureteral or nephrostomy tubes is less than __________ ml/hr or there is no urine output for __________ minutes.
30 mL/hr; 15 minutes
Placement of an ETT is confirmed by:
X-ray
Proper placement of an ETT is 1-2 cm above the:
carina
Drainage from a __________ tube shouldn’t exceed 200 mL/hr over 2 hours.
chest tube
Fertilization occurs in the:
upper section of the Fallopian tube
Fertilization occurs within 12 hours of ovulation and _________ hours of insemination.
72
The zygote implants about ______________ after ovulation.
1 week
The typical manifestation of an inguinal hernia is:
protrusion of a mass in the groin
Transferrin transports ___________ from the intestine into the ____________.
iron; blood
One of the most common adverse effects of antibiotic use is:
diarrhea
During a nasogastric tube feeding, the head of the bed should be elevated for ________ minutes to aid in the absorption process.
30
A child with cystic fibrosis should eat more ______, ________, ___________, and ___________ than a child without the disease.
calories
protein
vitamins
minerals
Expect bowel sounds to return with __________ hours after abdominal surgery.
12-24
The most effective method of increasing oral fluid intake is to frequently offer:
small amounts of favorite fluids
Elderly clients have a decreased need for ____________ due to a decrease in activity.
calories
The salicylate contained in aspirin and ibuprofen can irritate ___________________, especially in clients with peptic ulcer disease.
gastric mucosa
Processed fruits and vegetables have more ________________ than fresh fruits and vegetables.
sodium
Bile is produced in the liver and stored in the :
gallbladder
The liver produces ______________ mL of bile every day.
600-1200
Bile is needed to metabolize:
fat.
When bile is blocked or not produced in sufficient quantity, a typical clinical manifestation is:
fatty, bulky stools
Because of the risk of aspiration, a client receiving continuous nasogastric tube feedings should be placed in a :
reverse Trendelenburg (head-upward) position.
During the embryonic stage, the kidneys begin to form urine by the _______________ week of gestation.
12th
Infants subsisting on cow’s milk only don’t receive a sufficient amount of _____________, which will eventually lead to iron deficiency anemia.
iron (ferrous sulfate)
Painless enlargement of the testicle is the typical first sign of:
testicular cancer
Gentamicin sulfate (Garamycin) is __________ and can cause ________________.
ototoxic; hearing loss
To prevent exposure to rubella and other typical childhood infections, a ___________________ nurse shouldn’t work in a pediatric setting.
pregnant
In vitro exposure to ________________ can harm the fetus, resulting in deafness, heart murmurs, or cataracts.
rubella
Hepatitis A vaccine (HAV) administered ____________ exposure to the virus effectively prevents the disease.
before
The transdermal method has the _________________ absorption rate of all methods of administering medication.
slowest
