Tuesday, June 14

Question 1

Hypothermia Causes

Answer 1

Myocardial Irritability which disrupts conduction system of the heart and causes heart to be near fibrillation threshold (esp Ventricular Fibrillation)

Question 2

Preschoolers

Answer 2

Need to see and play with things. It’s a time when they have the most fears.

Question 3

Location: Left Occiput Anterior (LOA)

Answer 3

1. Identify mother’s left side
2. Vertex is the presenting part with fetal occiput on the mother’s left side toward the front of her pelvis
3. Because infant is vertex, FHT is heard below the umbilicus

Question 4

Limb Amputations

Answer 4

Pain is common after an amputation. Nerve endings often become pinched in the scar tissue. Brain still has the image of the missing limb

Question 5

Risk Factors for Developing a Stroke

Answer 5

1. Race (African American)
2. Gender (Male)
3. Substance Abuse (especially cocaine)
4. Smoking
5. Heavy alcohol use

Question 6

“Teaching is successful” indicates correct information

Answer 6

“Teaching is successful” –> Correct Information

Question 7

Patient diagnosed with hypertension –> “I will switch from lifting weights to do aerobics”

Answer 7

Regular aerobic exercises are usually recommended / Isotonic exercises such as lifting weights and rowing are contraindicated because they can cause a dangerous rise in blood pressure due to a vasovagal response during intense isotonic muscle contraction / Antihypertensive (and diuretics) can facilitate HYPOtension

Question 8

Parent calls in to say adolescent is in pain (after a head injury)

Answer 8

Tell parent to contact health care provider. Persistent localized pain suggests a skull fracture and should be evaluated

Question 9

“Further Treatment is Necessary” (toxic shock)

Answer 9

Determine the outcome of the 4 choices. Is the outcome desired? Or is it undesired?

Question 10

“Most Concerns” …

Answer 10

Indicates a complication!!

Question 11

Patient with chronic kidney disease who is on continuous ambulatory peritoneal dialysis (CAPD)

Answer 11

Nurse is MOST concerned when the urine is cloudy or opaque because it is the earliest sign of peritonitis

Question 12

Peritonitis

Answer 12

Peritonitis is an inflammation of the peritoneum, the tissue that lines the inner wall of the abdomen and covers and supports most of your abdominal organs. Typically caused by bacterial infection either via the blood or after rupture of an abdominal organ. **first sign is cloudy or opaque blood.

Question 13

“RN has been reassigned from postpartum”

Answer 13

Don’t focus on where we was reassigned from. INSTEAD - look at your patients and assign her the one which is most stable!

Question 14

Raynaud Disease

Answer 14

Form of intermittent arteriole vasoconstriction. Sympathectomy interrupts the sympathetic nerves. *Stable client with a stable outcome.

Question 15

Client with a history of a heart murmur who has been receiving clozapine for 2 weeks

Answer 15

“I will return to the lab in 1 week to have my WBC count taken.” If WBC count has fallen to BELOW 2,000 the drug will be discontinued.

Question 16

Risk of agranulocytosis

Answer 16

Increased vulnerability to infection

Question 17

Clozapine

Answer 17

A sedative drug used to treat schizophrenia.

Kaplan: An atypical antipsychotic. Side effects include leukopenia, gram-negative septicemia, drowsiness, tachycardia, and hypotension.

Question 18

Hemophilia

Answer 18

A medical condition in which the ability of the blood to clot is severely reduced, causing the sufferer to bleed severely from even a slight injury.

Question 19

Cuffed Endotracheal Tube

Answer 19

Inflated portion forms a seal against the tracheal wall. This seal prevents gases from leaking past the cuff and allows positive pressure ventilation.

Question 20

Med Math

Answer 20

Facts: (1) 40 drops of IV fluid/minute (2) Drop factor of 60 drops per mL. Question: how many hours will it take for the nurse to infuse 400mL? –> Drips per minute equals mL per hour. 400/40 = 10 hours.