QT5

Question 1

What dietary changes are needed for a flaccid bladder following a spinal cord injury?

Answer 1

fluids that promotes acidic urine, minimizes risk of urinary tract infection and stone formation; such as cranberry, prune, tomato juice, bouillon

avoid citrus juices, excessive amounts of milk, and carbonated beverages which make alkaline urine

Question 2

symptoms of viral conjunctivitis

Answer 2

extreme tearing, redness, foreign body sensation are symptoms

HIGHLY CONTAGIOUS

Question 3

bromocriptine

Answer 3

Ergot alkaloid

Bromocriptine is used to treat certain menstrual problems (e.g., amenorrhea) in women and stops milk production in some men and women who have abnormal milk leakage. It is also used to treat infertility in both men and women that occurs because the body is making too much prolactin.

TAKE W/ MEALS TO PREVENT GI UPSET

Question 4

What should a nurse do if late decelerations of the fetal heart rate are observed?

Answer 4

• FIRST: d/c oxytocin!!!
• Turning the client to the left side will aid in blood flow to the placenta.
• Giving the client oxygen will help provide additional oxygen to the fetus.
• Increasing the primary IV fluid infusion will give more volume for transfer of oxygen to the fetus.

Question 5

What does a pillow under the knee do for the pt?

Answer 5

obstructs venous flow, increasing chance for thrombus formation

Question 6

What does elevating an extremity do?

Answer 6

promotes venous return and decreases venous pressure, relieving pain and edema

Question 7

When does ambulation following a surgery begin?

Answer 7

ambulation begins after the start of antocoagulant therapy, otherwise movement can cause pulmonary emboli

Question 8

Systematic desensitization and phobia disorders

Answer 8

• phobic disorders are learned responses; learned responses can be unlearned through certain techniques, such as behavior modification;
• systematic desensitization is a form of behavior modification; is a strategy used in conjunction with deep muscle relaxation to decrease the extreme response to anxiety-producing situations as they are gradually exposed; then exposure is increased; goal is to eradicate the phobic response by replacing it with the relaxation response

Question 9

Biofeedback

Answer 9

person learns to control the autonomic nervous system; is usually more useful for reducing stress associated with physiologically based disorders

Question 10

What are clients with Cushing’s syndrome are prone to?

Answer 10

fluid overload and CHF due to sodium and water retention

Question 11

Impetigo

How is it treated?

Answer 11

highly infectious superficial bacterial infection

treated with systemic antibiotics, antibacterial soap

loosen scab with Burrow’s solution compress; gently remove, topical ointment

Question 12

How should pt be positioned for wound dehiscence?

Answer 12

low Fowler’s (15 degrees); reduces stress on suture line, may be placed supine with hips and knees bent

Question 13

Why are drains placed during surgery?

Answer 13

to prevent accumulation of drainage in wound

Question 14

A client in her third trimester of pregnancy reports epigastric pain. What does this inidicate?

Answer 14

usually indicative of an impending convulsion

Question 15

cimetidine (Tagamet)

Answer 15

histamine H2-receptor antagonist that inhibits stomach acid production

common side effect is diarrhea, usually subsides

acne-like rash is possible, call HCP

Question 16

prognosis of bacterial meningitis

Answer 16

if treated early, good prognosis; may be complications and long-term effects (seizure disorders, hydrocephalus, impaired intelligence, visual and hearing defects); therapeutic response

brain damage: “It is an unlikely possibility, but if your child doesn’t develop normally, your health care proivder will help you with any problems.”

Question 17

When fluid in the water-seal chamber does not fluctuate, what might this indicate?

Answer 17

fluctuations stop with re-expansion of lung,

x-ray will confirm

Question 18

What are the nutrition needs following surgery?

Answer 18

need to have increased protein, calories, and Vitamin C for wound healing

Question 19

What is the most common complication following a myocardial infarction?

Answer 19

dysrhythmia, with ventricular types being the most serious

Question 20

What does pulse increase with acute asthma attack indicate?

Answer 20

pulse increase is due to decrease in oxygenation of tissues

Question 21

How should RN speak to elderly client with dementia?

Answer 21

Speak slowly in a face-to-face position

schedules need to be routine, reinforced, and repeated; flexibility leads to confusion

reminiscence and life reviews help client resume progression through grief process associated with disappointing life events, and increases self-esteem

Question 22

When is there an Rh-incompatibility problem?

Answer 22

The Rh-negative woman who conceived with an Rh-positive man. The woman has Rh antibodies.

Rh-positive dominant, fetus will be Rh-positive, Rh antibodies from the mother will break down fetus’s blood cells

incompatibility only seen with Rh-negative woman

Question 23

Buck’s traction

Answer 23

immobility is a leading cause of problems with Buck’s traction; important to turn client to unaffected side q2h

head of the bed should be elevated 15-20° because the supine position can increase problems with immobility

Question 24

When pulling a nurse from another unit, what is important when considering patient assignment?

Answer 24

Give stable client with expected outcome!

Pt that requires frequent assessment, monitoring or teaching should not be given to a RN unfamiliar with pt population.

Question 25

initial indications of hepatic dysfunction

Answer 25

Fatigue and dark urine

Question 26

signs and symptoms of aspirin overdose?

Answer 26

nausea, nosebleed, hyperventilation, Tinnitus and gastric distress

Question 27

purpose of wet-to-dry dressing

Answer 27

to débride incision

remove dry dressing so wound debris and necrotic tissue are removed with old dressing

Question 28

how many blocks can a 2-year-old child stack?

Answer 28

6-7

Question 29

What s/s are seen with circulatory overload?

Answer 29

early stages will show a change in the character of respirations; dyspnea, cough, edema, hemoptysis

BP will initially increase and then fall due to congestive heart failure, doesn’t fluctuate; body temp decreases

Question 30

As a nurse leaves a droplet precaution room, the nurse should take which action?

Answer 30

Wash hands, remove the mask, and throw the trash in a container inside the room.

hands should be washed before removing mask to prevent transfer of microbes to face

Question 31

normal specific gravity

Answer 31

specific gravity normal (1.010-1.030)

Question 32

What is observed in a pt with an open pneumothorax?

Answer 32

sucking sounds with respirations at a chest wound site and tracheal deviation toward the uninjured side

in an open pneumothorax, air enters the pleural cavity through an open wound;

placing a sterile dressing loosely over the wound allows air to escape but not re-enter the pleural space

Question 33

What type of breathing is needed in the transition phase of first stage of labor?

Answer 33

rapid shallow breaths needed (pant breathing)