Quizzes Flashcards
True or false. An example of a helpful accurate nursing note is: “The patient appears to be resting more comfortably today then yesterday”
False
Computer-based records, or blank health records, allow data to be distributed among many caregivers in a standardized home
electronic
In a source-orientated record, nurses include information caregivers of achievement toward patient goals a narrative format called a what?
progress note
The blank record is a form used to record specific patient variables such as pulse, respiratory rate, BP, weight, fluid intake
graphic
Quality process review recognizes the blank is the primary source of evidence used to continously measure performance outcome against predetermined standards
documentation
T or F. When recieving a verbal order, the registered professional nurse should ask for a read back from the medical provider
True
The major cause of tooth loss in adults older than 35 years of age is gum disease. T or F
True
Glossitis refers to an inflammation of the tongue, which can be caused by defiencies of vitamin B12, folic acid, and iron
True
What is used regularly by health care institutions as a measure for reducing colonization of skin pathogens?
bathing with chlorhexidine gluconate
T or F. Culture, socioeconomic status, and spiritual practices often influence a person’s bathing habits.
True
What is a term used to describe lice that has infested the hair and scalp?
pediculus humanus capitus
What oral health problem involves an ulceration and dry scaling of the lips with fissure at the angles of the mouth?
cheilosis
T or F. the personal hygiene habits of the nurse do not play a role in supporting patient hygiene.
False
Patients with extreme obesity are at greater risk of skin damage due to what?
moisture
T or F. When assisting with a tub bath or shower, the nurse should keep the bathroom door unlocked
true
What term refers to an offensive breath odor often indicative of a systemic disorder?
halitosis
T or F. The most common symptom of pinworm infection in perianal itching because adult pinworms migrate during the night to deposit eggs
true
T or F. The valsalva maneuver may be contraindicated in people with cardiovascular problems bc it increases blood flow to the atria and ventricles, temporarily increasing cardiac output
false
T or F. Intestinal bacteria must be completely removed to prevent the development of C. difficile, a health care associated infection that is resistant to treatment and highly contagious
false
Which of the following would not be included in a teaching plan for the promotion of healthy bowel habits?
encourage upright position when defacting
encourage low fiber diet
encourage regular exercise
encourage fluid intake of 2,000 to 3,00 ml/day
encourage regular exercise
T or F. An ileostomy allows liquid fecal content from the ilieum of the small intestine to be eliminated through a stoma.
True
Which of the following is a diagnostic stool test used to specifically detect bleeding in the lower gi tract?
guiaic fecal occult blood test
occult blood test
stool culture
fecal immunochemical test
fecal immunochemical test
Bleeding low in the intesinal tract or from inflamed hemorrhoids or fissures can result in the presence of:
red-colored stool
Which of the following commonly used enema solution takes approximately 30 minutes to take effect?
oil
soap
tap water
phosphate
oil
T or F. When assessing the abdomen, it is not necessary to auscultate in all four quadrants?
True
The function of this part of the digestive tract to secrete enzymes that digest proteins and carbohydrates.
small intestine
Nutritional concerns of this age group include loss of lean body mass, periodontal disease, loss of taste.
school aged children
adolescents
adutls
older adults
older adults
T or F. Carbohydrates are more easily and quickly digested than protein and fat.
True
Patients with diabetes would likely be placed on which of the following diets?
renal diet
consistent-carbohydrate diet
high fiber diet
sugar restricted diet
consistent-carbohydrate diet
T or F. A nasogastric or nasointestinal route is usually selected when nutritional support is needed for 4 to 8 weeks
false
Of the six classes of nutrients which of the following is important for the regulation of body processes?
protein
carbs
water
lipid
water
When nutrition is provided intravenously, bypassing the gastrointestinal tract for patients who are unable to take fluid orally, it is referred to as:
parenteral nutrition
enteral nutrition
jejunostomy nutrition
NG nutrition
parenteral nutrition
T or F. Anorexia refers to a disorder characterized by intentional self-starvation or self induced vomiting.
False
Which of the following represents an individual who is considered a healthy weight?
19
18
25
30
19
Consumption of fats and cholesterol is necessary for support of brain health and the production of vitamin D
true
T or F. The centers for disease control lists suicide as the number one cause of death for adolescents
false
What would be considered a risk factor within the social environment
drug or alcohol abuse
T or F. Teenagers btwn ages 16 to 19 years old are three times more likely to be a fatal crash than drivers older than age 20
true
What is the most effective method used to prevent absorption of an ingested toxin
ingestion of activated charcoal
T or F. Factors that put children most at risk for exposure to toxic substances including dosing errors, confusing the units of medication measurement, or using medication dispensing cups incorrectly
false
T or F. Childproofing the home is an important safety precaution which should be initiated at the toddle stage
false
After a concussion, the nurse teaches the patient to avoid what?
sleeping
The leading cause of preventable injury death for infants younger than 1 is mechanical suffocation caused by what?
soft bedding
A patient is taking two prescription medications that both cause bradycardia. The nurse should monitor the patient for which type of effect?
An increased adverse effect
An increased therapeutic effect
A reduced adverse effect
A reduced therapeutic effect
An increased adverse effect
Which individual is at the highest risk for a drug-drug interaction?
An adult who takes eight prescription medications for a chronic condition
An adolescent who takes over-the-counter medications for menstrual cramping
A toddler who is prescribed two antibiotics for a serious infection
An older adult who takes two prescription medications and a dietary supplement for anxiety
An adult who takes eight prescription medications for a chronic condition
The nurse cares for a patient who is taking a calcium channel blocker for hypertension. The nurse should be most concerned if the patient makes which statement?
“I avoid foods such as broccoli and cabbage.”
“I drink a glass of grapefruit juice each evening.”
“I take my medication with a glass of water.”
“I eat foods high in fiber to prevent constipation.”
“I drink a glass of grapefruit juice each evening.”
A patient is prescribed a medication to be taken on an empty stomach. Which statement should the nurse include when providing patient teaching?
“Take the medication 1 hour before eating.”
“Take the medication 1 hour after a meal.”
“Take the medication with a small glass of water.”
“Take the medication before going to bed at night.”
“Take the medication 1 hour before eating.”
Which patient does the nurse identify as being at highest risk for the development of an adverse drug reaction?
A 54-year-old patient with multiple sclerosis who has been enrolled in a clinical trial of a new drug
A 16-year-old patient with multiple traumatic injuries who is taking morphine and an antibiotic
A 1-month-old patient whose mother has allergies to penicillin, aspirin, and codeine
An 84-year-old patient with diabetes, heart failure, and hypertension who takes seven prescription medications each day
An 84-year-old patient with diabetes, heart failure, and hypertension who takes seven prescription medications each day
A patient is prescribed a medication that is potentially hepatotoxic. Before administering the medication, it is most important for the nurse to assess what?
Prolonged QT interval on the electrocardiogram
Blood urea nitrogen and serum creatinine
Aspartate aminotransferase and alanine aminotransferase
Serum potassium, serum sodium, and serum magnesium
Aspartate aminotransferase and alanine aminotransferase
The healthcare provider writes a medication order that the nurse cannot read. What should the nurse do?
Check with the patient to determine the correct medication.
Discuss the order with the pharmacist.
Consult with the charge nurse to verify the order.
Contact the prescriber to clarify the order.
Contact the prescriber to clarify the order.
The nurse reviews a patient’s admission orders written by the healthcare provider. Which medication order should the nurse question?
MSO4 2.0 mg IV every 2 to 4 hours as needed for pain
Enoxaparin 40 mg subQ every day for 7 days
Cyanocobalamin 100 mcg intramuscularly every month
Levothyroxine 75 mcg orally every morning
MSO4 2.0 mg IV every 2 to 4 hours as needed for pain
A patient is given a drug for the first time and develops shortness of breath. The patient’s heart rate is 76 beats/min, the respiratory rate is 20 breaths per minute, and the blood pressure is 120/70 mm Hg. The nurse checks a drug administration manual to make sure the correct dose was given and learns that some patients taking the drug experience shortness of breath. The nurse will contact the provider to report what?
An iatrogenic response
A side effect
An allergic reaction
A side effect
