Question Trainers 5-7

Question 1

constant or intermittent bubbling in water-seal of CT indicates

Answer 1

leak in system

clamp and call provider

Question 2

In a normal functioning chest tube (patent), you see

Answer 2

tidaling

fluctuations up for inspiration and down for expiration

Question 3

how much water should be in the water-seal compartment

Answer 3

2cm

Question 4

a lack in fluctuation in the water-seal chamber indicates

Answer 4

the lung re-expanded or the system is malfunctioning

need an xray to confirm

Question 5

what liquids promote acidic urine?

Answer 5

prune, cranberry and blueberry juice

prevents UTI and calculus formation

Question 6

what liquids promote alkalotic urine?

Answer 6

lemonade, orange juice, milk

increases risk of UTI and calculus formation

Question 7

a honey-colored crusted lesion under a child’s nostril indicates

Answer 7

impetigo

highly infectious superficial bacterial infection

notify parents to contact provider

Question 8

a low ______ diet is recommended before a parathyroidectomy

Answer 8

calcium

want high phosphorous foods

Question 9

late decels, what should we do?

placental insufficiency

Answer 9

• D/C oxytocin
• turn client to left side to aid in blood flow to placenta
• oxygen
• increase fluids

Question 10

slow and sluggish pulse, cool and clammy skin and husky and slow speech are associated with

Answer 10

decreased metabolic rate (hypothyroidism)

Question 11

anxiety and extreme nervousness is associated with _____-thyroidism

Answer 11

hyper

increased metabolic rate

Question 12

Rh incompatibility is only seen with Rh-_____ women

Answer 12

negative

with positive baby

Question 13

tinnitus (ringing in ears), gastric distress and hyperventilation are symptoms of ______ overdose

Answer 13

aspirin

Question 14

S&S pyloric stenosis of infant

Answer 14

lethargy, dehydrated, malnourishment

seems fussy and hungry all the time

emesis contains milk not bile

Question 15

2 year old behavior

Answer 15

plays beside other children but not with them (parallel play), builds 6-7 block towers, retrieves objects when asked to do so

Question 16

3-4 year old behavior

Answer 16

puts toys away alone, names colors, uses sentences of 4-5 words

Question 17

clients with cushing’s syndrome are more prone to fluid _____

Answer 17

overload and HF d/t sodium and water retention

respirations are first priority

high cortisol levels d/t natural release or taking corticosteroids for too long

S&S: fatty deposits and weight gain- moon face and buffalo hump, thin fragile skin, slow healing

Question 18

the pulmonary artery wedge pressure from a swan is an indirect reading of the pressure in the left

Answer 18

ventricle

Question 19

when walking with a client with a weak leg, where do you stand?

Answer 19

slightly behind them on their strong side

Question 20

are ECT patients put under general anesthesia?

Answer 20

yes

NPO after midnight

Question 21

bromocriptine is used to treat

Answer 21

amenorrhea

adm twice a day with meals to prevent GI upset

Question 22

L/S ratio

Answer 22

lecithin-sphingomyelin ration

test of fetal amniotic fluid to assess for fetal lung immaturity

greater than 2:1 needed to sufficient fetal lung development/maturity met

Question 23

DIC is an

Answer 23

acquired clotting disorder from overstimulation, prolonged oozing from sites of minor trauma is the first symptom

Question 24

chlorpromazine is an

Answer 24

anticholinergic, antipsychotic medication

difficulty urinating needs to be told to provider immediately