Yardstick prep test

Question 1

what indicates that a client is an active participant in their care?

Answer 1

they ask questions and demonstrate participation in their care plan by doing so

Question 2

What is Naegeles rule to determine date of delivery for pregnancy?

Answer 2

Naegele’s rule states to count back 3 months and add 7 days from the first day of the last menstrual period

Question 3

why is it a priority assess the location and tone of the uterus after a mother has given birth?

Answer 3

hemorrhage is frequently caused by uterine atony and it is a major complication during the recovery period

Question 4

what is a good indication that breast feeding is going well?

Answer 4

the newborn has at least six wet diapers per day - indicating adequate intake and hydration

Question 5

What should be done to address concern of a jaundiced baby?

Answer 5

feed the newborn a minimum of every 4 hours - an adequate caloric intake is necessary for formation of hepatic binding proteins. The jaundiced newborn is likely to be lethargic and should be awakened for feedings.

Question 6

Autonomic dysreflexia

Answer 6

a syndrome in which there is a sudden onset of excessively high blood pressure. It is more common in people with spinal cord injuries that involve the thoracic nerves of the spine or above (T6 or above).

Question 7

What is the correct method in drawing up insulin

Answer 7

short acting first then draw up long/intermittent (NPH)

Question 8

Stages of mania

Answer 8

distractibility, elated presentation and delusions of grandeur

Question 9

what are preventative measures for UTI’s

Answer 9

drink more fluids, void frequently and maintain good hygiene.

Question 10

What are manifestations of right-sided heart failure

Answer 10

nausea, ascites, swollen feet and distended jugular vein,

Question 11

what is the primary action of Digoxin

Answer 11

to improve the strength of contraction and slow the heart - increase the contractility of the heart

Question 12

Erikson’s theory

Answer 12

• the stage for those between 11-21 yrs of age is identity vs role confusion
• intimacy vs. isolation is the stage for adolescence is 12-18 yrs of age
• generativity vs stagnation is 35-65 yrs of age
• ego integrity vs despair is 65 yrs and older

Question 13

best way to identify a new mothers learning needs

Answer 13

incorporation teaching in small segments while observing Christine handle and interact with her newborn - the amount of postpartum teaching that is required is overwhelming to many new mothers. Breaking it into smaller segments makes it easier to retain

Question 14

common side effect of laparoscopic surgery

Answer 14

pain resulting from migration of carbon dioxide used to insufflate the abdominal cavity during the lap choli procedure

Question 15

correct sequence prior to entering an isolation room

Answer 15

gather supplies, apply gown and non-sterile gloves

Question 16

what are risk factors for wound healing

Answer 16

diabetes, poor nutritional status and impaired mobility

Question 17

how to facilitate clearing of respiratory secretions

Answer 17

increasing fluids helps aid the expectoration of secretions

Question 18

hyperthyroidism lap results

Answer 18

elevated calcium - the bones decalcify and renal calculi develop. Lab work demonstrates elevated serum calcium

Question 19

malignant hyperthermia

Answer 19

can be hereditary condition of uncontrolled heat production occurring with administration of certain anesthetic drugs. Onset can occur immediately during induction or postoperatively.

Question 20

most appropriate action during dressing change?

Answer 20

cleanse the incision from proximal to distal - least to most contaminated