How long can AV shunt be used?
  • 120 to 150 mm Hg
  • Just for a few weeks
  • Pulmonary edema
  • Between 10 weeks and 6 months
In addition to the things you assess for in every woman during labor, what additional assessment must you make for a woman with CD?
  • You must assess lungs sounds frequently
  • High calorieHigh proteinModified fat
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
  • Half (or 1,400 cc)
Dangers associated with drafts are...
  • Immaturity of the fetus (they will want the child to mature)
  • Circulation of micro-organisms on air currents
  • ComfortStimulate circulation and muscles Relaxation
  • Vasodilators (decreases resistance)
What does homozygous mean?
  • Appendicitis, rupture of a fallopian tube pregnancy
  • It means you have the defective gene from both parents.
  • Inflammation of the lips; Causes birth defects
  • The stage BEFORE the patient exhibits jaundice.
What are the 3 complications of placenta previa?
  • No, reinforce it. Physician changes first post op dressing
  • ShockMaternal deathFetal death
  • No, not unless it is specifically therapeutic.
  • Yes, only 45 degrees maximum
High growth hormone in a child (give another name)
  • Skin testing
  • Danazol
  • Gigantism
  • Recovery
Can an EGD be done on clients with GI bleeding?
  • True
  • Hard
  • False
  • Yes
What drug is used to increase ventilation in clients with pulmonary edema?
  • Pain (moderate to severe) RestlessnessIncreased pulse rate
  • Severe painRestlessness
  • Aminophylline (bronchodilator)
  • From one hour to three hours
What will you find when you assess the legs of these patients?
  • To prevent headache due to CSF loss
  • decreased LOC (restlessness), tachycardia, hypotension - all signs of shock
  • Weak/absent pulses, cool, pale, loss of hair, shiny thin skin
  • The onset of regular contractions that result in progressive dilation/effacement of the cervix
The best way to ensure effectiveness of a rectal suppository is to...
  • NPO after midnightRemove denturesClient to void before surgerySide rails up
  • Call the MD because blood is often held with an elevated temperature
  • Push the suppository against the wall of the rectum
  • When the child realized that number, weight, volume remain the same even when outward appearances change; Concrete Operational
An early sign of hepatitis A is ________.
  • X-rays of the spine
  • Anorexia or fatigue
  • Constrict the pupil
  • 120 to 150 mm Hg
Should the client roll the elastic stocking down to wash legs? Why or why not?
  • Yes, on diuretics and fluid balance is important
  • No, it can cause a constricting band around the ankle/foot.
  • Place the hand flat on the abdomen over the fundus with fingers apart and press lightly
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
What is meant by the term "double barrel" colostomy?
  • 0.9 normal saline (No glucose)
  • Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary problem post op
  • Projectile
  • A procedure where the colon is cut and both ends are brought out onto the abdomen.
The toddler fears _______ most when hospitalized.
  • Separation from family
  • Less than 80 mm Hg
  • Rheumatic heart disease
  • 18%, 18%, 18%, 1%
When a woman is hospitalized for severe pre-eclampsia the nurse should test...
  • wear gloves, nurse may get a dose of the med
  • Plain water, before & after each feeding
  • #1 reflexes, the urine for protein
  • 20 to 40
What is the top priority in the care of the client with anorexia nervosa?
  • Inflammation of the lips; Causes birth defects
  • intake of enough food to keep them alive, have them gain weight
  • Lower body temperature during fever.
  • To prevent pressure in or on the eyes
In what position should a child with pyloric stenosis be after a feeding?
  • Right arm and right leg, left
  • Mast-like with a snarling smile (called a myasthenic smile)
  • Assessment phase
  • Right side with HOB up
How often should the neurovascular status of the extremities of a client in a Risser cast be measured? Fresh post-operatively?
  • B6 pyridoxine
  • 1 to 2 inch
  • Elevate, heart
  • Every 2 hours
The first sign that a fallopian ectopic pregnancy had ruptured is...
  • Sharp abdominal pain
  • Gas (flatus), minerals
  • 4 to 6 weeks
  • Large gauge, 18 gauge
Asepsis (Define)
  • Absence of organisms causing disease
  • A,D,E,K (Remember FADE K!)
  • Clubbing of the fingernail beds
  • Yes, with anything clean and dry.
How is an infant delivered when Abruptio Placenta is present?
  • Autosomal recessive
  • Teenage females
  • Usually C-section
  • Lateral, spine
When PROM occurs, the age of the fetus must be determined. The best way to assess lung maturity is to check the ________ ratio.
  • Both receptive and expressive
  • To the left, to the right
  • L/S (lecithin/sphingomyelin)
  • Disequilibrium syndrome
Should you assess for Homan's sign?
  • A substance used to destroy pathogens but not necessarily their spores (in general not intended for use on persons)
  • Not usually, however if there is severe azotemia then it may be restricted
  • No. Homan's sign is no longer recommended as a test for thrombophlebitis because it can cause a clot to embolize
  • moon face with infectionbuffalo hump on backbig trunkthin extremitiesloses potassiumkeeps glucose and salt has striations on abdomen and breasts
What is the difference between whole blood and packed cells?
  • Packed cells don't have nearly as much plasma or volume as whole blood does
  • When dietary control does not keep the blood sugar within normal limits
  • Hyperkalemia and it's effect on the heart
  • Ultrasound
The stools of a client with celiac's disease are ______, ______ and _____- _____.
  • Aminophylline (bronchodilator)
  • An increased diastolic
  • Restlessness, tachycardia
  • LargeGreasyFoul-smelling
Pregnancy requires a __________ increase in the cardiac output.
  • Systolic
  • True
  • 30-50%
  • Urine
What drug is given to anesthetize the pharynx?
  • Straw-colored - clear
  • PetechiaeEpistaxis Ecchymosis
  • Striae--purple horizontal lines
  • Xylocaine (a local anesthetic)
The patient with pyelonephritis will have (hypertension/hypotention)?
  • Low pruine
  • Hypertension
  • Steatorrhea
  • Hyper-reflexia
When is insulin used in the treatment of gestatinal diabetes?
  • Lateral decubitus (on their side) position and knees to chest
  • When dietary control does not keep the blood sugar within normal limits
  • A surgical anastomosis is made between the artery and a vein.
  • Never have the bag at a higher level than the bladder.
Cushings Man aka Cush Man
  • moon face with infectionbuffalo hump on backbig trunkthin extremitiesloses potassiumkeeps glucose and salt has striations on abdomen and breasts
  • The roof of the mouth is open to the nasopharynx.
  • No, a radical mastoidectomy may
  • Myleran -- (this is usually used for bone marrow cancer)
What is Hegar's sign?
  • After 20 weeks
  • Radiation hazard
  • IM injections of Vitamin B-12
  • Uterine softening
Surfactant _____ surface tension inside ________.
  • Right side with HOB up
  • Decreases, alveoli
  • Dizziness (vertigo)
  • 102 degrees
For acute exacerbations of MS _______ per IV is often used.
  • ACTH (Corticotropin)
  • An increased diastolic
  • Pheochromocytoma
  • An almost upright position
What are three types of transfusion reactions that can occur?
  • Thrombus and pulmonary embolus Urinary retention
  • Observe stools for steatorrhea
  • Hemolytic, febrile, allergic
  • Beefy red tongueNumbness and tingling of the handsSores in the mouthChest pain
What type of vomiting is present in meningitis?
  • Projectile
  • Upper GI series (barium swallow)
  • Steroid
  • Ultrasound
What is the activity order for a woman with severe pre-eclampsia?
  • Drain the bladder, empty the bowel
  • Left side lying
  • lanugo (soft downy hair)
  • Meningitis or mastoiditis
Cloudy drainage in the dialysate commonly means...
  • Peritonitis (Not good, call MD)
  • Morphine, Demerol, Nitroglycerine
  • Peritonitis
  • Thromboangiitis obliterans
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse the area?
  • Elderly clients, unconscious, babies, young children, restless, confused
  • Frequent small meals to prevent tiring
  • No, never put any instrument in the child's mouth unless you are prepared to do an immediate intubation.
  • No, not until foreskin retracts naturally and without resistance- then it should be retracted, cleansed and replaced.
In what type of chair should Parkinson's patients sit?
  • Firm, hard-backed
  • By ID name-band
  • DrowsyDullApathetic
  • Increase or Widen
What does blood-typing mean?
  • Heredity, Bacterial, Hormonal
  • Respiratory acidosis (CO2 is retained)
  • Rheumatic heart disease
  • Check for surface antigen on the red blood cell
MS can lead to urinary incontinence. (T/F)
  • True
  • False
An elderly client is a (high/low) risk for accidental poisoning? What about a school age child?
  • Lying prone several times a day
  • Clubbing of the fingernail beds
  • Yes, but just before surgery
  • high - due to poor eyesight, high
1 ml
  • Heat
  • 1 cc
  • 25 gauge
  • Moon
Hypothyroidism in an adult.
  • Toddler
  • Lower only
  • 30 days
  • Myxedema
Diabetes with pregnancy is (more/less) common as the woman ages.
  • False
  • Heat
  • Female
  • More
What is the classic test for CF?
  • The oliguric phase
  • Only moderate, not really that high
  • Iontophoresis - sweat test
  • Blackheads and white heads
Heparin therapy is monitored by daily measurement of the _______.
  • Hemolytic, febrile, allergic
  • Reddish-brown dust in the underwear
  • PTT (partial thromboplastin time)
  • They clump together and create a sludge.
The basis for a therapeutic nurse/patient relationship begins with the ______, self______ and ______ _______.
  • Nurse's, awareness, self understanding
  • No heat lamp and hair dryerYes fan
  • Warmer than body temperature, ie, 99-100F
  • Cardiogenic shock, arrhythmia, CHF
What grains are not allowed in a gluten-free diet?
  • Flexion of the knee
  • 2 hours after expulsion of the placenta
  • WheatOatsRyeAlfalfaBarley
  • Surgical fusion with rod insertion
inter-
  • Between
  • Memory
  • To cut
  • 90 degrees
Which cells are low in thrombocytopenia?
  • Platelets
  • CD4 count
  • Dialysate
  • 2 to 3 weeks
Should CSF contain blood?
  • No, it may cause sneezing; also should avoid pepper.
  • No
  • Toddler
  • Less than one hour
Hypothyroid in a child
  • Large blisters
  • Cretinism
  • Butting
  • 24 hours
What class of drugs is used to treat MG?
  • Severe muscle weakness
  • Anticholinesterases
  • Grief, depression
  • Animal oils
What are the top 3 priorities in care of the client with sickle-cell crisis?
  • Lower body temperature during fever.
  • Aminophylline (bronchodilator)
  • Oxygenation, hydration, and PAIN control
  • Hypertension, because of fluid retention
Does the heart rate increase or decrease in pulmonary embolus?
  • 25 gauge
  • Increase
  • Increased
  • Cryoprecipitate
When the CVA client understands your question but can't respond verbally correctly, he is said to have ___________ aphasia.
  • Expressive
  • Raise HOB
  • 6 to 8
  • Supine, 10
Will the woman with a cesium implant have a foley?
  • Yes
  • An animal or a person upon which or in which micro-organisms live
  • ketosis
  • Twice a month, then once per week in the 3rd trimester
The man with BPH has a _________-stream of urine
  • Iron
  • forked
  • Soft
  • False
The nurse should use (medical/surgical) asepsis during airway suction?
  • Check the bladder, check the bowel
  • Pre-interaction phase
  • Surgical asepsis (sterile technique)
  • Change in LOCN/V HeadacheTwitching
Hepatitis is an _____, ______ disease of the _______.
  • In the first 10 to 15 minutes
  • Yes, client may feel dizzy
  • Acute, inflammatory, liver
  • Menstrual discharge begins
Are rest periods and range of motion exercises appropriate in the care of osteoarthritis?
  • Third degree burns, nerve damage has occured
  • Yes, after about 3-6 months of treatment.
  • Yes, rest is probably the most effective thing they can do.
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
Define renal failure.
  • Yes, but watch for breaded meats and hot dogs/lunch meats- may have grain in them and are not allowed
  • To estimate the percentage of body surface burned; is NOT used for children.
  • Inability of the kidney to excrete wastes & maintain fluid & electrolyte balance
  • A substance used to destroy pathogens but not necessarily their spores (in general not intended for use on persons)
Why is hypoglycemia such a dangerous problem?
  • Organ meats liver, heart, brains, kidneys
  • Brain cells die without glucose, brain damage
  • Have the patient smile and wrinkle forehead.
  • No ointments with metals like zinc oxide, no talcum powder
What is the #1 symptom of Bell's Palsy?
  • From inner canthus to outer canthus
  • One sided (unilateral) facial paralysis
  • Radial artery to radial vein
  • Dysmenorrhea (painful menstruation)
Name the 5 criteria that are recorded on an apgar scale
  • push the stump against the wall, hitting it with a pillow
  • Cardiac status, respiratory effort, muscle tone, neuromuscular irritability, and color
  • They cause it to stop growing and decrease in size.
  • To increase the strength of the heart and to decrease the rate, rest the heart while making it more efficient
The typical post-operative inflammatory temperature elevation is in the range of ________.
  • Digital rectal exam
  • 99.8 to 101 degrees
  • NPO after midnightRemove denturesClient to void before surgerySide rails up
  • Low to moderate
PI's (Protease inhibitors)
  • Puffiness of face, dark urine
  • Just for a few weeks
  • It becomes clogged with antigen-antibody complexes which then cause inflammation and loss of function.
  • most potent of antiviral meds, inhibit cell protein synthesis that interferes with viral replication, does not cure but slows progression of AIDS and prolongs life, used prophylactically, used in AIDS to decrease viral load and opportunistic infections
What unique urine test is done to diagnose pernicious anemia?
  • The Schilling test
  • AV shuntAV fistulaAV graft
  • Corneal ulceration
  • Large vesicular bullae
Kernig's sign is positive when there is pain in the _____ when attempting to straighten the leg with ____ flexed.
  • 6 to 8
  • Warmed, body
  • ketosis
  • Knee; hip
After menopause, endometriosis (decreases/increases).
  • Semi-fowlers
  • Seizures
  • The fingers
  • Decreases
What blood test must be done before a transfusion?
  • Bleeding somewhere in the GI tract
  • Metabolic Acidosis
  • Type and cross match
  • Diet, insulin
If a transfusion reaction occurs what should the nurse do first?
  • Stop the blood flow & start running the saline
  • Remain seated upright for 45 minutes after each meal
  • Bell's palsy-- facial paralysis, will go away in a few months
  • Premature ventricular contractions (PVCs)
A third-degree burn is wet or dry?
  • Aspiration
  • Dry
  • False
  • Increase
When Inderal is given in migraine headache, it is used to prevent or treat an attack?
  • To prevent. It DOES NOT treat.
  • Sterile water-soluble
  • Surgical fusion with rod insertion
  • Take it on an empty stomach and avoid the sunlight (photosensitivity)
What skin products should the patient receiving external radiotherapy AVOID?
  • No ointments with metals like zinc oxide, no talcum powder
  • The dominant, the non-dominant
  • No, it can cause a constricting band around the ankle/foot.
  • No venipuncture or blood pressure allowed in the arm with a shunt, graft or fistula.
When cardiac output fails, name three ways the heart will try to compensate.
  • Tactile (touch)-- they burn themselves easily
  • Haldol, major tranquilizers -- drugs that end in -azine
  • To prevent. It DOES NOT treat.
  • Ventricle hypertrophyDilate and heart rate will increase
What is the name of the RLQ abd pain where appendicitis pain finally localizes?
  • Transmission
  • McBirney's point
  • Accutane
  • flexion, hip
Does the client have to be NPO before a spinal tap?
  • Flu
  • CancerDiverticulitisUlcerative Colitis
  • No the patient should not ambulate independently, depth perception is altered.
  • No
What solution should be used to clean a hearing aid?
  • Sterile saline
  • The fingers
  • Soap and water
  • Extrinsic factor
Name 3 drugs used to treat spasms.
  • Thymectomy (removal of thymus)
  • Valium, Baclofen, Dantrium
  • Give with food (for arthrosis)
  • At the back of the head and behind the ears
What drug is use to treat bladder spasm?
  • Premature ventricular contractions (PVCs)
  • One sided (unilateral) facial paralysis
  • Before the client gets out of bed
  • B&O suppositories (Belladonna & Opiates)
Abnromally high blood pressure is called____________.
  • Abstract reasoning
  • Hypertension
  • Steatorrhea
  • Hot and slippery
Which trimester is the fetus most susceptible to effects of outside agents?
  • True
  • forced
  • First
  • False
Effective heparin therapy rises the PTT to approximately _______ times normal.
  • False
  • Gluten
  • Danazol
  • 2.5
What is the causative organism of acne?
  • 19 to 35 years of age
  • right upper quadrant pain
  • P. acnes (propionibacterium acnes)
  • To prevent headache due to CSF loss
The most common site for ectopic pregnancy is in the _________ __________.
  • Fallopian tube - 90%
  • Full dilation, delivery, infant
  • an adequate weight gain
  • The rheumatoid factor
What is pyelonephritis?
  • A bacterial infection of the kidneys
  • Alteration in comfort: pain, #2 Impaired skin integrity
  • The difference between the systolic and the diastolic blood pressure
  • When the fetal head descends into the pelvis
What is the most common complaint after an EGD?
  • Sudden episodes of difficulty breathing
  • forked
  • Sore throat
  • No, not many
The goal is for the infant to breast feed for __________ minutes per side.
  • Hot
  • No
  • LargeGreasyFoul-smelling
  • 20
How many days after ovulation does menstruation begin?
  • The fingers
  • False
  • 14 days
  • Systolic
Pregnancy tests test for the presence of what hormone?
  • No, it may cause sneezing; also should avoid pepper.
  • HCG (human chorionic gonadotropin hormone)
  • Hematuria Proteinuria +3 to +4Specific gravity Up
  • The noise will go away in a few days to a week.
How often do clients with renal failure undergo dialysis?
  • 3 times per week
  • Sealed plastic bags
  • 120 to 150 mm Hg
  • 1 pound a week
When 2 values are given in a blood pressure the first is the __________measurement.
  • Murmurs
  • 6 to 8
  • Consent forms
  • Systolic
-ology
  • Study of; knowledge, science
  • Shock and peritonitis
  • They may stop breathing
  • Yes, preventing emptying of ducts
What instructions are MOST important to give a client during an EEG?
  • Labyrinthectomy
  • the aorta
  • 24 to 48 hours
  • Try not to move
Whole grains and grain products are (high/low) in fiber.
  • Shingles
  • Yes
  • High
  • True
Silver nitrate cream___________ the ________.
  • Stains, skin
  • 240 to 300
  • Degenerative, joint
  • Grimaces
What assessment finding is found under the right rib cage?
  • Stool softenersAntiemeticsAnalgesics (mild to moderate)
  • An olive sized bulge (the hypertrophied pylorus)
  • The noise will go away in a few days to a week.
  • A dropper/syringe with rubber tip to discourage sucking
Carbonic Anhydrase Inhibitors
  • Treat glaucomaDecreases aqueous humor productionDiuresisDiamox is an example
  • Joint replacement
  • Decreased blood supply to myocardium, resulting in ischemia and pain
  • A bacterial infection of the kidneys
What is the hightes that the temp will be in appendicitis?
  • Change in LOCN/V HeadacheTwitching
  • 102 F
  • False
  • After 20 weeks
What force is used to introduce the dialysate into the peritoneum?
  • No, it dries and cracks it
  • The serum creatinine
  • Anticholinesterases
  • Gravity only, no pumps
If an aneurysm ruptures what is the #1 priority?
  • Remove before they transform into malignancy.
  • Get them to the operating room ASAP
  • Separation from love object
  • In the first 10 to 15 minutes
What name is is given to diabetes that is brought on by pregnancy?
  • Gestational diabetes
  • No, this is dangerous
  • Fallopian tube - 90%
  • Digital rectal exam
What is the first phase in acute renal failure?
  • The oliguric phase
  • Radial artery to radial vein
  • Temporal, supraorbital
  • To the lateral thigh or abdomen
If the client complains of decreased hearing after stapedectomy what would you say?
  • Oral care, protection from infection, encouraging high fluid intake
  • Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary problem post op
  • 1. Indoors or outdoors (depending on where the rape occured)2. Being alone or in crowds3. People being behind them4. Sexual fears
  • It is normal due to edema. The hearing will start to improve within six weeks.
The post-operative patient should void by _____hours post-operatively or you must call the MD.
  • Semi-fowlers
  • Phlebotomy
  • 6 to 8
  • 6 months
The activity order in early management of CVA is __________.
  • Tincture of benzoin
  • Sterile occlusive
  • They do not breathe
  • Absolute Bed Rest
What is the big danger to staff when caring for a client with cesium implant?
  • 40 (+ or -10)
  • Systemic antibitoics
  • The amount of body fat
  • Radiation hazard
When a stump is wrapped, the bandage should be tightest _____________ and loosest _____________.
  • Nothing, this is normal: the blood is due to the initial puncture of the abdomen
  • Whenever a client is to get a blood product. It is only good for 24 hours.
  • Yes, however, if 2 missed periods occur,stop and have a pregnancy test.
  • distally (far from the center), proximally (neareast to the point)
In eclamptic client what ominous sign almost always precedes a seizure?
  • Getting them to eat
  • hearingspeechteeth
  • Neuromuscular junction
  • Severe epigastric pain
Iron with nausea
  • Wide based
  • The MAXIMAL force of blood on artery walls
  • Give with meals
  • Pre-schooler
When the terminology "the three phases of labor" is used, what does it mean?
  • IM injections of Vitamin B-12
  • If the statement refers to phases of labor, it means the 3-step process of latency, followed by an active and transitional
  • the pulse (many times the aneurysm will rupture and much blood will be lost before the blood pressure starts to change.
  • At the time of the first missed period
The infant with cleft lip/palate needs more frequent ___________.
  • Encourage them to move about
  • 2.0 and 3.0
  • Bubbling, burping
  • Vastus lateralis
In what age range is spinal cord injury most common?
  • Soap and water
  • 15 to 25
  • 12-15
  • Soft
On what do lice feed?
  • True
  • Blood
  • Plavix
  • Never
Should vomiting be induced after ingestion of gasoline?
  • No- not for gas or any other petroleum products
  • Valium, Baclofen (Lioresal), Dantrium
  • Clear even lung sounds, normal vital signs
  • Because the muscle is not well developed yet.
If J. Doe's blood pressure is 100/60, what is his pulse pressure?
  • Clubbing of the fingernail beds
  • Pillows (no plastic covers)
  • Gas (flatus), minerals
  • 40 (100-minus 60 equals 40)
People who smoke more than ______ cigarettes per day should not be on oral contraceptives.
  • Slowly
  • 15, because if you smoke you have constriction of vessels and this potentates the chances that a woman on oral contraceptives will get thrombophlebitis
  • False
  • Pain, pain, Pain
If a client with emphysema has a severe dyspneic episode what position is best?
  • Better with rest, worse with activity
  • Sitting upright with arms folded on the overbed table
  • Oral care, protection from infection, encouraging high fluid intake
  • Surgical fusion with rod insertion
What class of drugs is given with ECT?
  • Infection acquired through contact with contamination in the hospital
  • Puffiness of face, dark urine
  • Muscle relaxant -- succinylcholine
  • Antihypertensives
Low growth hormone (give another name)
  • No, only large ones
  • Oral contraceptives
  • Pituitary dwarfism
  • Liver, heart, brain
If a transfusion reaction is suspected, what two samples are collected and sent to the lab?
  • Western Blot
  • Reduce and immobilize, muscle spasm; deformities
  • Urine & blood
  • Every 6-8 hours
Which will bring on a MS exacerbation: over-heating or chilling?
  • 1. Indoors or outdoors (depending on where the rape occured)2. Being alone or in crowds3. People being behind them4. Sexual fears
  • All children two months and over should receive an H. influenza B vaccine.
  • Both will; but they tend to do better in cool weather (summer will always be a bad time for MS patients)
  • Side rails up x 4, ambulate only with assistance
What are 2 common psychological reactions to hysterectomy?
  • You pull the drain out 1 inch.
  • Sterile occlusive
  • The abdomen
  • Grief, depression
In what position should the client be when they irrigate their colostomy?
  • The abdomen
  • Sitting
  • increased
  • Teratogenesis
As with any inflammatory disease clients with rheumatoid arthritis have a low-_________.
  • Low, low, low
  • grade fever
  • Left side
  • Decreased
What is conservation? In what stage does it develop?
  • Lying face down. Also, do not lie on operative side for a month.
  • NRTI's (nucleoside reverse transcriptease inhibitors) and PI's (protease inhibitors)They prevent viral replication.
  • No, not until foreskin retracts naturally and without resistance- then it should be retracted, cleansed and replaced.
  • When the child realized that number, weight, volume remain the same even when outward appearances change; Concrete Operational
When does spinal shock occur?
  • Immediately or within 2 hours of injury
  • Perforation of gutAspiration secondary to emesis Respiratory arrest (due to valium)
  • Dark-field illumination of the treponema palladium
  • Creamed soups- these often have flour
Why are diuretics given to women with CD of pregnancy?
  • With food, about 1/2 hour ac; giving ac helps strengthen muscles of swallowing
  • To promote diuresis which will:-lower circulating blood volume-decrease preload -decrease the amount of blood the heart pumps.
  • Laser, surgical removal. Surgery called intraocular or extraocular lens extraction
  • No the patient should not ambulate independently, depth perception is altered.
You should tell the client with CHF to immediately report to his/her doctor if he/she gains _____pounds in one week.
  • Female
  • False
  • Three
  • True
What is recommended for the prevention of epiglottitis?
  • Yes, the plastic tube that connects the artery and vein outside the arm
  • All children two months and over should receive an H. influenza B vaccine.
  • blood, sexual contact, breast feeding, across placenta in utero
  • An epidemial cyst in the ear highly associated with otitis media.
Are enemas required before cystoscopy?
  • No, this is dangerous
  • They may stop breathing
  • No, but may be ordered.
  • Anticholinesterases
What is the lesion like in primary syphilis?
  • The chancre (pronounced shanker)
  • B&O suppositories (Belladonna & Opiates)
  • Inner forearmUpper back
  • intake of enough food to keep them alive, have them gain weight
When will bowel sounds return after a hysterectomy?
  • Check for surface antigen on the red blood cell
  • PTT (partial thromboplastin time)
  • 2 to 3 weeks after initial infection
  • After 24 hours but before 72 hours
What are the two main treatment methods in gestational diabetes?
  • Diet, insulin
  • Get up slowly
  • Time, distance, shielding
  • early adulthood, middle adulthood and later adulthood
Shock will ___________ blood pressure.
  • Tap water
  • Low iron
  • Decrease
  • Clean technique
What are the urinaysis findings on AGN?
  • A dropper/syringe with rubber tip to discourage sucking
  • Hematuria Proteinuria +3 to +4Specific gravity Up
  • Remove polypsTake specimensCoagulate bleeding vessels
  • Pruritis, erythema, burning, sloughing of skin, anorexia, nausea & vomiting, diarrhea, bone marrow depression
The 2nd stage of labor and delivery lasts ______ hours for a primagravida and ______ hours for a multigravida.
  • Assessment phase
  • 1 1/2 hours, 1/2 hour
  • Unilateral pelvic pain
  • Hypoxia, dehydration
What drug can you apply topically to stop bleeding?
  • Valium, Baclofen (Lioresal), Dantrium
  • DiureticsVasodilatorsDigitalis
  • Epinephrine, or topical fibrin foam
  • Lower body temperature during fever.
Cushings syndrome is __________ secretion of _______, _______ and _______ _______ by the _______ _______.
  • Oversecretion; glucocorticoids, mineralocorticoids, androgenic hormones; adrenal gland
  • Inflammation of the lips; Causes birth defects
  • No, they are not cleansing agents. They are used AFTER cleansing as a moistening agent
  • Increased, because of all the cells damaged- the K+ is released from damaged cells.
How much suction should be used for a child?
  • Pain, numbness, tingling
  • 2 to 5 days
  • 80 to 100 mm Hg
  • Every 2 hours
People over 50 year are (low/high) risk for suicide.
  • High
  • Coumadin
  • True
  • Safety
Can the client turn side-to-side after a spinal tap?
  • False
  • Semi-fowlers
  • Yes
  • Increase
Raynaud's is an arterial or venous disease?
  • Arterial disease characterized by spasms
  • A blood vessel is sutured between an artery and a vein.
  • Ataxia (gait problems)
  • Warmer than body temperature, ie, 99-100F
Which artery is most commonly used to measure blood pressure?
  • Vitamin B-12
  • Brachial
  • 1/2 inch
  • Pain, abdominal distention, abdominal rigidity
What does nosocomial infection mean?
  • If you are going to get contaminated with secretions
  • Infection acquired through contact with contamination in the hospital
  • Infection, alveoli, lungs
  • It is a stored formed of glucose/energy manufactured by the liver
The school-aged hospitalized child is afraid of separation from ___________.
  • Androgens
  • Sexually transmitted disease (STD's), i.e: AIDS, gonorrhea, syphilis...
  • Age group
  • E. coli
PCA pumps allow a more constant level of serum drug than conventional analgesia. (T/F)
  • True
  • False
What is the most common arrhythmia after a MI?
  • Premature ventricular contractions (PVCs)
  • To prevent platelets from forming clots in the coronary arteries
  • Large vesicular bullae
  • To keep the catheter clear of clots and to drain urine
Where does the organism that causes mastitis come from?
  • Heredity, Bacterial, Hormonal
  • Puffiness of face, dark urine
  • The infant's nose or mouth
  • Peristaltic waves from left to right
Apresoline
  • Having the capability to kill bacteria.
  • Given with meals (antihypertensive)
  • Cleanses the skinProvides comfort
  • Removal of necrotic tissue from a wound.
The uterus feels _______ after rupture of a fallopian ectopic pregnancy?
  • Mutilation- remember preschoolers have vivid imaginations...fantasy
  • Something they did wrong.
  • Tincture of benzoin
  • Boggy- tender, also
Is an EGD a fasting procedure?
  • Yes, after midnight
  • Risser cast
  • Lower, cervical os
  • Delivery of the infant
Increased intracranial pressure will _________ the pulse pressure.
  • Increase or Widen
  • Radiation hazard
  • Residence or/an telephone number
  • Distended with flatus
What type of diet is the client with Meniere's on?
  • lanugo (soft downy hair)
  • Seizure precautions
  • Blurred vision
  • Low salt
What class of drugs is used to first treat hypertension?
  • Diuretics
  • Systolic
  • Themselves
  • 12-24 hours
The most common symptom of osteoarthritis is ________ __________.
  • Low salt
  • Joint pain
  • Increase
  • Elevate, heart
Name the two most common dietary prescriptions used to treat hypertension?
  • Call the MD, probably had a ureter tied off accidentally in surgery
  • Reflex constriction then dilation of cerebral arteries.
  • Calorie reduction for weight lossSodium restriction
  • Diabetics, peripheral vascular disease, very thick nails
What would you do if the client had any one of the following after cystoscopy: bladder spasm, burning, frequency?
  • Decreases stressIncrease activity
  • The dominant, the non-dominant
  • Residence or/an telephone number
  • Record it but no need to call the MD
Where are head lice most commonly found?
  • After feeding from each breast
  • Severe chest pain unrelieved by rest and nitroglycerine
  • Low back painPelvic painAbnormal bleeding
  • At the back of the head and behind the ears
What must the mother do after feeding the baby who has had cleft lip/palate repair?
  • Loose earmoldLow battery
  • Crackles (rales)
  • Rinse the infant's/child's mouth with water
  • Peers, independence
Can a client who had recent bowel surgery get PD?
  • Age group
  • She inserts her little finger into the side of the infant's mouth
  • Ego Integrity vs. Despair
  • No
Syphilis is a fatal disease if untreated. (T/F)
  • True
  • False
What is corrective surgery for otosclerosis called?
  • IM injections of Vitamin B-12
  • Stapedectomy
  • Low calcium diet
  • 102 degrees
What does bacteriocidal mean?
  • Buzzing or ringing, in the ears (tinnitus)
  • Having the capability to kill bacteria.
  • Hematuria Proteinuria +3 to +4Specific gravity Up
  • Photophobia (over-sensitivity to light)
What is the icteric stage?
  • Painless 3rd trimester bleeding (hint: Painless Placenta Previa)
  • When the patient exhibits jaundice.
  • Heredity, Bacterial, Hormonal
  • When the gag reflex returns
In which trimester does the woman most feel backache?
  • False
  • Third
  • Ultrasound
  • School Age
Epiglottitis most commonly occurs in children from age ________ to ______.
  • 1 to 8 years
  • Every 2 hours
  • 21 to 22 gauge
  • Consent forms
What is the simple formula for calculating fluid replacement needs in the first 24 hours?
  • 3cc X Kg X % burned per day
  • Decrease, dopamine activity
  • Chronic otitis media
  • Clubbing of the fingernail beds
When using restraints with clients who object, don't forget about _____- _____.
  • Try not to move
  • Yes, because even thought his injury was below C4, spinal shock can lead to loss function above the level, however the will not be permanently ventilator dependent-he will breath on when once spinal shock goes away.
  • False imprisonment
  • No, inner to outer
Another name for medical asepsis is...
  • Firm, hard-backed
  • Clean technique
  • Addison's disease
  • chickenpox
Encourage creativity and collecting things
  • School Age
  • Vitamin A
  • A body cast
  • High to moderate
per-
  • Give with meals-- remember taper the patient off these drugs slowly
  • Sudden onset of SOB (dyspnea).
  • RestlessnessIncreased HR Retractions
  • Throughout, completely, a large amount
What test is done to confirm a diagnosis of pyloric stenosis?
  • Sterile occlusive
  • Upper GI series (barium swallow)
  • Hyperpyrexia (fever)Drainage from ear
  • Lateral decubitus (on their side) position and knees to chest
After discharge contact with the rape victim is maintained via the _______.
  • Distended neck veins -JVD
  • 4-5 liters per 24 hours
  • Phlebotomy
  • Telephone
What is the biggest challenge in nursing care of the client with hyperemesis gravidarum?
  • Getting them to eat
  • Assess then ambulate
  • Remain seated upright for 45 minutes after each meal
  • the suspected poison
18 to 25 years
  • Young Adult
  • Hemorrhagic cystitis
  • You can easily move the patient around in bed
  • Either a clot, spasm or plaque that blocks the coronary arteries causing loss of blood supply to the heart and myocardial cell death
A second-degree burn has vesicles? (T/F)
  • True
  • False
Scoliosis is MOST common in the _______ and ______ sections of the spinal column.
  • Fluoride and iron
  • O2, anticoagulants
  • Ataxia (gait problems)
  • Thoracic and lumbar
What is the most important thing to remember about giving Mestinon and other anticholestinerases?
  • They must be given EXACTLY ON TIME; at home, they might need to set their alarm
  • Pain (moderate to severe) RestlessnessIncreased pulse rate
  • Quickening
  • Low back pain, shaking HA, increasing temperature, confusion, hemoptysis
What are the restrictions to be followed when tubes are in a child's ear?
  • Alteration in comfort: pain, #2 Impaired skin integrity
  • No swimming, no showering, no diving
  • Increased, increased, increased, decreased
  • No, it will never be absorbed due to a lack of intrinsic factor
Identity vs Role confrontation
  • Adolescent
  • Wide based
  • Myxedema
  • Acromegaly
Without leukopenia the AIDS patient will be on ____________ precautions.
  • L/S ratio (Lecithin/Sphingomyelin ratio)
  • Weak/absent pulses, cool, pale, loss of hair, shiny thin skin
  • To decrease apprehension and decrease preload, this rests the heart
  • Standard precautions or blood and body fluid precautions
Before you give digitalis, what action must you take?
  • Measure the apical pulse
  • Labyrinthectomy
  • Soap and water
  • Rupture of the fallopian tube
What is the best treatment for breast engorgement?
  • Weak/absent pulses, cool, pale, loss of hair, shiny thin skin
  • Brain (stroke)Eyes (blindness)Heart (MI)Kidney (renal failure)
  • Breast-feeding - it will balance supply and demand
  • You can easily move the patient around in bed
What does right sided CHF mean?
  • Check for surface antigen on the red blood cell
  • Benign Prostatic Hypertrophy
  • dilates coronary arteries to increase blood supply (O2 supply) and reduces preload.
  • Right ventricle has decompensatedDependent Edema (legs and sacrum)Jugular venous distention Abdominal distentionHepatomegaly SplenomegalyAnorexia and nauseaWeight gainNocturnal diuresis Swelling of the fingers and handsIncreased BP
What is global aphasia?
  • Thymectomy (removal of thymus)
  • Full effacement and dilation
  • Both receptive and expressive
  • Infection
Is it okay to give B12 orally to a client with pernicious anemia?
  • Maternal feverFetal tachycardia Foul smelling vaginal discharge
  • No, it will never be absorbed due to a lack of intrinsic factor
  • No, they are not cleansing agents. They are used AFTER cleansing as a moistening agent
  • #1- Potential for infection; Potential impairment of urethral tissue integrity
Initiative vs Guilt
  • #7, facial nerve
  • Pre-schooler
  • Platelets
  • Semi-fowlers
Enuresis
  • Yes in the client with poor cardiovascular function
  • Intermittent to prevent mucosal damage
  • inability to control the flow of urine and involuntary urination
  • Take with LOTS OF WATER regardless of meals to prevent constipation. All drugs that end in "-zine" are major tranquilizers that also cause Psuedo Parkinson's or extra-pyramidal effects.
How many nitro tabs can you take before you call the doctor?
  • Dust or water
  • The palm
  • All 28 days
  • 3
In the long term reorganization phase the woman is likely to experience ____ during sleep.
  • protein, fat
  • Right arm and right leg, left
  • Nightmares
  • The legs
In whom is Placenta Previa most likely to occur? Primigravida's or multigravida's?
  • The child views everything from his frame of reference, common in pre-operational thinking
  • Yes, give them time to do their ritual and try to set limit and redirect
  • Linings, brain , cord
  • Multigravidas
Cushings clients will have (increased/decreased) resistance to infection.
  • Primagravida
  • Yes to all
  • Decreased
  • Decreases, alveoli
When pulmonary edema is severe what does the sputum look like?
  • Bloody and frothy
  • Soap and water
  • Air, fat, tumor cells
  • Low abdominal or pelvic
Amniotic fluid is (acidic/alkaline)
  • Mealtime
  • Metastasis
  • Sitting
  • Alkaline
Is it appropriate to massage the legs of the client to preven pulmonary embolus?
  • No, never
  • Never
  • Troponin
  • Hypoglycemia
What action will facilitate the trimming of brittle toenails?
  • Soaking in warm water
  • ST wave changes
  • Shock and peritonitis
  • Alteration in fluid and electrolyte balance
By what route do you take nitro?
  • sublingual
  • Phlebotomy
  • Bed rest
  • Bicarbonate
What must be done to the equipment before injecting by Z-track method?
  • lanugo (soft downy hair)
  • Assess then ambulate
  • Corneal ulceration
  • Change the needle
What is the typical of the lesions of pemphigus?
  • Remove secretions from the area so healing occurs.
  • Foul-smelling, blisters break easily, seen in the elderly, cause unknown
  • Whether the client's blood and donor blood are compatible.
  • Shivering, HA, low back pain, increased pulse & respirations, decreasing BP, oliguria, hematuria
The patient who has NO definite plan is (low/high) riskfor suicide.
  • Low
  • Left side lying
  • True
  • RLQ
Comfort range or relative humidity is...
  • False
  • Memory
  • 30-60%
  • forked
In America, the family is the basic unit of society. (T/F)
  • True
  • False
What is another name for Buerger's disease?
  • Iontophoresis - sweat test
  • Necrosis and rupture of ovary
  • Dries the mucous membranes.
  • Thromboangiitis obliterans
A decrease in urobilin in stool results in stool that is______ ________.
  • Elevate, heart
  • Gag reflex
  • Clay-colored
  • call medical help
In a double-barrel colostomy, from which stoma (barrel) will the stool come out?
  • Weight control
  • Proximal
  • 90 degrees
  • McBirney's point
When a client is unable to hold his dentures firmly in his mouth, the nurse should...
  • Leave them out
  • in a few months
  • Obese, thin
  • TED hose
What will you hear when you auscultate the heart of the client with CD of pregnancy?
  • Every 6-8 hours
  • Murmurs
  • True
  • Every 2 hours
Is glycogen eaten in foods?
  • NO! It is a stored form of glucose MANUFACTURED by the liver.
  • Pneumatic device placed around the legs and lower body that is inflated to force blood centrally
  • Painless 3rd trimester bleeding (hint: Painless Placenta Previa)
  • CloudinessDiplopia (double vision)Photophobia (sensitivity to light)
Are nurses permitted to give perineal care to clients of the opposite sex?
  • Yes, to measure urine output (when output is >30 cc per hour the shock has resolved)
  • It is the intellectual stage of children from birth to 2 years
  • Decreased airway clearance Alteration in nutrition or absorption
  • Yes, nurses are permitted to give perineal care to clients of the opposite sex.
How can the woman with cesium implant move in bed?
  • in terrific health
  • Only from side to side
  • Moderate to high, depends upon feasibility and ease of plan
  • #1 reflexes, the urine for protein
Milk is (high/low) in cholesterol.
  • Shiny
  • Steroid
  • 6 L/min
  • Low
Should a client sleep with the hearing aide in place?
  • To measure or relieve pressure and obtain a CSF sample
  • They are enzymes which aid absorption of nutrients.
  • Yes, but not transmitted by all, only blood, semen and breast milk
  • No, a client should not sleep with a hearing aide in place.
To get a score of 1 on the APGAR for muscle tone the newborn must place their extremities in _______________.
  • Radiation hazard
  • Flexion
  • Joint pain
  • Skin testing
What is the word used to identify the feeling that the mother experiences when the fetus moves?
  • ST wave changes
  • Animal oils
  • 4-6 weeks
  • Quickening
-stasis
  • Stoppage
  • Brachial
  • Lidocaine
  • 7-10 days
What do you do if you get blood in the syringe upon aspiration?
  • Respiratory acidosis (CO2 is retained)
  • Remove the syringe immediately and apply pressure; you must discard the syringe and redraw medication in a new syringe
  • No, never put anything in their mouth.
  • If you are going to get contaminated with secretions
-plast
  • Menstrual discharge begins
  • WheatOatsRyeAlfalfaBarley
  • At the distal (duodenal) end of the stomach
  • Plastic surgery on a specified part
What is the most common site for an AV shunt?
  • Barrel chest
  • Radial artery to radial vein
  • O2, anticoagulants
  • Severe painRestlessness
What pre-test activities must be performed before the EGD?
  • 90 degrees
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
  • Remove dentures and eyeglassesSign consentNPO after midnight
  • Elevate the HOB, then increase O2, then call the MD
Should pregnant nurses care for patient receiving sealed internal radiotherapy?
  • Gestational diabetes
  • Never. (Lawsuit time!)
  • Every 15 minutes
  • hearingspeechteeth
1 tsp
  • Seizure precautions
  • 4 to 5 cc
  • Plastic surgery on a specified part
  • 30 cc
Clients with cystine nephrolithiasis should have a (n) _________ ash diet.
  • Grimaces
  • Supine, 5
  • Alkaline
  • Methionine
Should the client wash his hair before an EEG?
  • Lower
  • Yes
  • True
  • You can easily move the patient around in bed
What do you do first for the client experiencing autonomic dysreflexia?
  • Remide the patient to straighten their knee constantly while standing
  • 1 pound a week
  • #7, facial nerve
  • Raise HOB
What drugs are most commonly used?
  • The palm
  • Bruising
  • Constipation
  • Steroids
What are the 3 principles the nurse uses to protect self when caring for a client with a sealed radioactive implant?
  • Puffiness of face, dark urine
  • Pain, numbness, tingling
  • Increased carbohydrates, increased protein.
  • Time, distance, shielding
How do you tell if a client has angina or an MI?
  • Bleeding somewhere in the GI tract
  • Kits approved by FDA:Preven (levornorgestrel & ethinly estradiol) or Plan B: Levonorgestrel (less N&V)
  • the pain of the two is similar, the way to tell the difference is if nitro and rest relieve the pain. For angina, nitro and rest relieve the pain, for MI, nitro and rest do not relieve the pain
  • The Romberg test (a test for balance), in normal people this test is negative, in the client with pernicious anemia this test becomes positive
What are the two most common medical treatments for otitis media?
  • Mydriatics Anticholinergics (sympathetic effects)
  • early adulthood, middle adulthood and later adulthood
  • Reflex constriction then dilation of cerebral arteries.
  • Systemic antibioticsAntibiotic ear drops
In the rule of nines, the front trunk gets_____, the posterior trunk gets_____, each leg gets ______ and the genitalia gets________.
  • Yes
  • 1/2 hour
  • Man
  • 18%, 18%, 18%, 1%
What is the most dangerous side effect/complication of fallopian ectopic pregnancy?
  • Systemic antibioticsAntibiotic ear drops
  • No swimming, no showering, no diving
  • Something they did wrong.
  • Rupture of the fallopian tube
What is the maximal O2 flow rate for the client with COPD?
  • Chronic otitis media
  • 2 L/min
  • It is the intellectual stage of children from birth to 2 years
  • The palm
What does left sided CHF mean?
  • 19 to 35 years of age
  • Valium, Baclofen (Lioresal), Dantrium
  • To prevent platelets from forming clots in the coronary arteries
  • Left ventricle has decompensated
What structures in the brain are most affected in Parkinson's?
  • Basal ganglia
  • Blurred vision
  • Cold, clammy
  • Try not to move
What is cast syndrome?
  • It means you have the defective gene from both parents.
  • Nausea, vomiting and abdominal distention that can result in intestinal obstruction
  • Blue-tint to the cervix
  • Perforation of gutAspiration secondary to emesis Respiratory arrest (due to valium)
What are the #1 and #2 causes of sickle cell crisis?
  • After 20 weeks
  • X-rays of the spine
  • Hypoxia, dehydration
  • Dries the mucous membranes.
Sensitivity (susceptibility) means...
  • Breast-feeding - it will balance supply and demand
  • The susceptibility of an organism to the bacterial action of a particular agent
  • Gigantism
  • Sansert (methsergide), Cafergot (Prophylaxis: Imipramine)
What does BPH stand for?
  • Mealtime, due to choking
  • In the first 10 to 15 minutes
  • Benign Prostatic Hypertrophy
  • Sudden episodes of difficulty breathing
Sutures in general are removed by the ___ day.
  • 7-11
  • Yes, because even thought his injury was below C4, spinal shock can lead to loss function above the level, however the will not be permanently ventilator dependent-he will breath on when once spinal shock goes away.
  • 7th
  • School-Age
Over secretion of adrenal medulla
  • Less than one hour
  • Pheochromocytoma
  • Pain, numbness, tingling
  • Elevated CPK, LDH, SGOT
AIDS is trasmissible through what four routs?
  • Chronic otitis media
  • blood, sexual contact, breast feeding, across placenta in utero
  • B&O suppositories (Belladonna & Opiates)
  • No, it has to be warmed first for only about 20 to 30 minutes.
Which organism most commonly causes mastitis?
  • Blue
  • False
  • Staph
  • 2 to 3 weeks
How often are vital signs measured in hypovolemic shock?
  • Every 15 minutes
  • Decompensation
  • they contain sugars
  • When it needs to be, for example moist lung sounds, tachycardia, restlessness (hypoxia), ineffective cough
Can pregnancy convert a non-diabetic woman into a diabetic?
  • Shingles
  • Low
  • Yes
  • Steroids
What is the most severe complication of otitis media?
  • Meningitis or mastoiditis
  • The serum creatinine
  • Ataxia (gait problems)
  • Restlessness, tachycardia
What does heterozygous mean?
  • Pre-interaction phaseOrientation phaseWorking phaseTermination phase
  • 2 hours after expulsion of the placenta
  • It means you only have 1 defective gene from 1 parent.
  • Not being able to see one half of the field of vision.
What do CF clients need to do (ingest) in hot weather?
  • Take NaCl tablets
  • ASA (aspirin)
  • Antibiotics
  • Cloudy, milky-white pupil
Erythromycin
  • Either a clot, spasm or plaque that blocks the coronary arteries causing loss of blood supply to the heart and myocardial cell death
  • The roof of the mouth is open to the nasopharynx.
  • Give on empty stomach (antibiotics)
  • Large, pale, foul smelling, greasy
Fats provide ___________ Kcalories per 1 gram.
  • Low
  • 2.5
  • 9
  • Kaposi's sarcoma
With what size catheter should an adult's airway be suctioned?
  • 12 to 16 French
  • Electric razor
  • In some cases, yes
  • Move, hyperextend
What is the most common side effect of accutane? And what is most important in health teaching in adminstration?
  • Inflammation of the lips; Causes birth defects
  • Accumulation of wasted in the blood and the associated signs. This occurs in the end stage renal failure.
  • Permanent scarring and kidney damage
  • Pre-interaction phaseOrientation phaseWorking phaseTermination phase
How often must you assess the lung sounds during the first stage of labor? During active labor? During transition labor?
  • Grief, depression
  • Every 30 to 10 minutes
  • Cessation of sounds
  • 0.5 to 1.0 mg
Should a child in sickle-cell crisis wear tight clothes?
  • No, for the same reason ice cream isn't.
  • Creamed soups- these often have flour
  • No, it can occlude vessels even more.
  • the abdominal is most often "silent"
What is the antibiotic most commonly given to clients with acne?
  • 16 or larger
  • Tetracycline
  • Dyspnea
  • Digital rectal exam
The person with emphysema have ________, _______lips and (slow/rapid) breathing.
  • No, only call the doctor if draining the bladder & removing impaction does not work
  • Grunting, pursed, rapid
  • Air drying of the nipples is best
  • Only from side to side
Adriamycin
  • Cardiovascular
  • 240 to 300
  • Acute blood loss
  • Cardiotoxicity
Scoliosis in the lumbar spine is usually convex to the (left/right).
  • inflammation, obstruction
  • No, this is dangerous
  • Intermittent to prevent mucosal damage
  • Left (*Hint: curve Left in Lumbar)
When using silver nitrate, the dressings must be kept __________.
  • Low iron
  • Yes
  • Wet
  • Decompensation
-centesis
  • 2 to 5 days after delivery
  • Radial artery to radial vein
  • A perforation or puncture
  • Give with meals-- remember taper the patient off these drugs slowly
Name the five signs/symptoms that pyelonephritis has that cystitis does not have?
  • Large-holed, soft nipples
  • Remove polypsTake specimensCoagulate bleeding vessels
  • Within 30 minutes of beginning the transfusion
  • Fever, flank pain, chills, increased WBC, malaise
For what purpose do you use the rule of nines?
  • Decrease production of aqueous humor and thus decrease intraocular pressure.
  • Up through the inside of the catheter in the days following catheterization
  • To estimate the percentage of body surface burned; is NOT used for children.
  • They cause it to stop growing and decrease in size.
Retrolental fibroplasia can result in _________.
  • Dries the mucous membranes.
  • Blindness from retinal damage
  • Increased protein/normal salt intake (no restriction typically)
  • Lying prone several times a day
Dietary indiscretions and uncleanliness are causes of acne?
  • True
  • False
What is the #1 side effect of antihypertensives?
  • Secondary respiratory arrest (valium)
  • Orthostatic hypotension (means you feel weak when you rise to a standing position because your blood pressure falls)
  • Meningitis or mastoiditis
  • To the lateral thigh or abdomen
Cytoxan cyclophosphamide
  • Hemorrhagic cystitis
  • Shock, diuretic, recovery
  • Less than 80 mm Hg
  • Perforation of the ear drum
What is cleft palate?
  • Having the capability to stop growth of the bacteria
  • The roof of the mouth is open to the nasopharynx.
  • A surgical anastomosis is made between the artery and a vein.
  • Alteration in comfort: pain, #2 Impaired skin integrity
What drug is used to fight epiglottitis?
  • Penicillin, ampicillin
  • Only from side to side
  • Should not use OCP during the first 6 weeks after birth because the hormones may decrease milk supply. Estrogen is not recommended. Non-hormonal methods are recommended. Remember, breastfeeding is an unreliable contraceptive.
  • 16th to 20th week (the end of the 4th month into the 5th month)
Water accounts for ________ to ___________% of an adult's total weight?
  • Side lying, 5
  • Paraplegia
  • Valium or demerol
  • 50 to 60%
What is the age range of formal operation thinking?
  • True
  • 14, 27
  • The oliguric phase
  • 12-15
The mother's insulin requirements will (fall/rise) markedly after delivery.
  • False
  • True
  • First
  • Fall
How long must the woman with CD of pregnancy be on bed rest after delivery?
  • Keep it open with saline
  • At least one week
  • Move spontaneously (actively)
  • 60-80 years old
What three drugs are given post-operatively for surgical cataract removal?
  • Stool softenersAntiemeticsAnalgesics (mild to moderate)
  • It is common but not always present
  • Diabetics, peripheral vascular disease, very thick nails
  • quick objective way to evaluate the vital functions of the newborn
Define Leukopenia
  • No rectal temperatures, yes stool softeners
  • Premature ventricular contractions (PVCs)
  • decrease in wbc, indicated viral infection
  • fowlers (a sitting position) (also use post op)
Will breakthrough bleeding, nausea and vomiting and breast tenderness go away when a woman is on oral contraceptives?
  • Only the heart rate and respiratory rate
  • Yes, after about 3-6 months of treatment.
  • To prevent pressure in or on the eyes
  • Alteration in fluid and electrolyte balance
Gestational diabetes is associated with what OB history?
  • Previous large baby (over 9 lbs), unexplained stillbirth, miscarriage, congenital anomalies
  • The Romberg test (a test for balance), in normal people this test is negative, in the client with pernicious anemia this test becomes positive
  • Frequent small meals to prevent tiring
  • Yes, the infant has a difficult time latching on (getting nipple in its mouth)
What is the most common dietary modification for the woman with CD who shows signs of decompensation?
  • Decreased sodium, decreased water (restriction)
  • Secondary respiratory arrest (valium)
  • The onset of regular contractions that result in progressive dilation/effacement of the cervix
  • Ruddy red, almost purple
What is the reason for giving post MI patients ASA?
  • To prevent platelets from forming clots in the coronary arteries
  • intake of enough food to keep them alive, have them gain weight
  • Painless 3rd trimester bleeding (hint: Painless Placenta Previa)
  • Once before administrationQ15 x 2 after administration is begun Q1 x1 after transfusion has stopped
What is the meaning of cervical effacement?
  • The cervix thins
  • Blurred or double vision
  • Pulmonary edema
  • Lidocaine
How should the temperature of the water be tested if no thermometer is available?
  • Dropping water on inside surface of your forearm.
  • That is impossible since the test measures electrical activity coming FROM him, never to him.
  • Their RBC's do not mature and they become seriously anemic.
  • 6 weeks after discharge
When do you need a mask with AIDS?
  • A colostomy that is not intended to be permanent-- the bowel will be reconnected at a later date and the client will defecate normally
  • No, it has to be warmed first for only about 20 to 30 minutes.
  • Cranberry juice, apple juice (avoid citrus juices- they make alkaline urine)
  • Not usually unless they have an infection caused by an airborne bug
What is the BIG danger with pyelonephritis?
  • Xylocaine (a local anesthetic)
  • Appendicitis, rupture of a fallopian tube pregnancy
  • Hypertension, because of fluid retention
  • Permanent scarring and kidney damage
Which week can mother first feel the fetus move?
  • Until they have been on an antibiotic for 48 hours
  • 16th to 20th week (the end of the 4th month into the 5th month)
  • After each pass/entry/removal
  • True
What is the classic symptom of Placenta Previa?
  • Painless 3rd trimester bleeding (hint: Painless Placenta Previa)
  • The difference between the systolic and the diastolic blood pressure
  • ST wave changes
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
A first degree burn is pale or red?
  • True
  • Red
  • RLQ
  • Narrowed
If the mother has an open abscess on her breast, must not breast-feed. (T/F)
  • True
  • False
To score the maximum of 2 points on nueromuscular reflex irritability the infant must ______________.
  • Cry
  • False
  • Wet
  • Accutane
The preschooler fears separation as well as _________ when hospitalized.
  • Mutilation- remember preschoolers have vivid imaginations...fantasy
  • coughingsneezingblowing noseswimmingshowersflying
  • Urethra, rentention
  • Moderate
What type of pain is typical of migraines?
  • Throbbing
  • Gestational diabetes
  • Chronic otitis media
  • Vitamin B-12
How often should a stump be washed?
  • Once
  • High
  • daily
  • Yes
Give choices
  • Adolescent
  • Toddler
  • Longer
  • 2 nurses
You can administer up to ____ cc of a drug per site by IM injection in adults.
  • At least three
  • True
  • 3 cc
  • Hot
What is the danger with PROM?
  • Conductive
  • Shingles
  • Cryoprecipitate
  • Infection
Do you need a signed informed consent for an EEG?
  • 2 years old
  • Increase the flow-rate.
  • No
  • AB
What are the three adult stages of development called
  • early adulthood, middle adulthood and later adulthood
  • Drain the bladder, empty the bowel
  • Inflammation of the lips; Causes birth defects
  • headache and hypotension
Respiratory Distress Syndrome hardly ever occurs after week ____ of gestation.
  • Apraxia
  • 37
  • 20
  • 24
How long does spinal shock last?
  • sublingual
  • To the upper thigh
  • In the lowest position
  • 5 days to 3 months
The 3rd stage of labor and delivery lasts...
  • Less than one hour
  • 35 to 64 years of age
  • Flexion of the knee
  • Cystitis always does
Is it ok to routinely irrigate indwelling catheters?
  • RLQ
  • No
  • Clear, colorless
  • Yes
The connecting tube of a hearing aid can be cleansed with__________.
  • Yes to all
  • Dark and quiet
  • Laparoscopy
  • A pipe cleaner
Should steroids be given with meals?
  • Always
  • Yes
  • White
  • Bleeding
Young infants accept medication best when given with a _______.
  • Miotics
  • Soap and water
  • 25 to 40
  • Dropper
The greatest danger in placing water in the mouth of the unconscious patient during oral hygiene is...
  • Aspiration of emesis (most common) into the lungDislocations of jointsFractures due to convulsion-- rare today
  • Aspiration
  • Transmission
  • Abstract reasoning
What the two most common causes of whistling and squealing of a hearing aid?
  • McBirney's point
  • Drain the bladder, empty the bowel
  • Loose earmoldLow battery
  • Slow the flow, elevate HOB
How do you calculate the pulse pressure?
  • You subtract the diastolic from systolic
  • Painless 3rd trimester bleeding (hint: Painless Placenta Previa)
  • Immediately or within 2 hours of injury
  • No, fold the diaper down.
Is surgery done immediately upon diagnosis of cataract?
  • No, they usually wait until it interferes with ADLs .
  • No, you must use cardiac drugs (giving IVs and blood will not help this kind of shock)
  • It means you only have 1 defective gene from 1 parent.
  • Off the bed enough to slip a hand between the sacrum and the bed.
What organism causes acute glomerular nephritis?
  • 40 to 60
  • No, it is not good to douche on a regular basis, it destroys natural protective vaginal flora
  • Group A beta hemolytic strep
  • Staph
Can you use the same cotton ball/washcloth edge for both eyes?
  • Stiff neck- nuchal rigidity
  • No, it would cross contaminate
  • coughingsneezingblowing noseswimmingshowersflying
  • WheatOatsRyeAlfalfaBarley
At what age are accidental poisonings most common?
  • The abdomen
  • 2 years old
  • Exocrine glands
  • It hypertrophies
Give 6 symptoms of HIV disease.
  • InjuryCongenitalExposure to heatHeredityAge
  • Anorexia, fatigue, weakness, night sweats, fever, diarrhea
  • At the distal (duodenal) end of the stomach
  • Increased, because of all the cells damaged- the K+ is released from damaged cells.
What are the three most common drugs given to women with CD in pregnancy?
  • You pull the drain out 1 inch.
  • DiureticsHeparinDigitalis
  • N/V DiarrheaStomatitis (oral sores)
  • Delivery of fetus
The shock phase lasts for the first ________ to ________ hours after a burn.
  • 2 years old
  • 24 to 48 hours
  • NG tube for decompression of bowel
  • Tetracycline
A person should have a yearly work up exam for cancer detection over the age of __________.
  • Yes
  • 3
  • Nurse must first examine her own values
  • 40
What is the #1 purpose of a tepid sponge bath?
  • The oliguric phase
  • Lower body temperature during fever.
  • Dysmenorrhea (painful menstruation)
  • 2 hours after expulsion of the placenta
If the neonate ____________, they will score a 1 on neuromuscular irritability.
  • Grimaces
  • Right
  • -stigmine
  • Decreases
What is the routine for vital sign measurement with a transfusion?
  • Increased carbohydrates, decreased protein, decreased sodium, decreased potassium, decreased water.
  • Arching of back (entire body) from hyperextension of the neck and ankles, due to severe meningeal irritation.
  • CloudinessDiplopia (double vision)Photophobia (sensitivity to light)
  • Once before administrationQ15 x 2 after administration is begun Q1 x1 after transfusion has stopped
-itis
  • Daily weight
  • Increased
  • Inflammation
  • McBirney's point
-osis
  • Lying face down. Also, do not lie on operative side for a month.
  • Indicates condition, process
  • No, they will become very anxious
  • SQ, IM, IV, ID (intradermal)
What are some classic and unique signs of pernicious anemia?
  • Beefy red tongueNumbness and tingling of the handsSores in the mouthChest pain
  • Vinegar. Nits are the eggs of lice that adhere to the hair shaft
  • Sweating, headache, nausea & vomiting, gooseflesh, and severe HYPERtension
  • To promote diuresis which will:-lower circulating blood volume-decrease preload -decrease the amount of blood the heart pumps.
Late syphilis attacks which 3 body organs?
  • Tap water
  • Liver, heart, brain
  • Every 2 hours
  • Throbbing
What drug will be used to treat PVCs of MI?
  • B6 pyridoxine
  • Penicillin
  • Fluid replacement/resuscitation
  • Lidocaine
Who is at higher risk for suicide, a man or a woman?
  • True
  • Take it as soon as she remembers it, and take next pill at regular time.
  • Man
  • Young adulthood
"If I had to do it over again, I'd life my life just about the same," is an example of ____ ____________
  • knee and hip
  • Ego Integrity
  • 15-30 minutes
  • Every 2 hours
What are the two early signs of hypoxia?
  • Remain seated upright for 45 minutes after each meal
  • Restlessness, tachycardia
  • Shortness of breath when active.
  • HeadacheWeakness Itching
What is the initial diet order for clients with hyperemesis gravidarum?
  • Decompensation
  • NPO
  • No
  • N/V
With which body part do you begin when bathing an infant?
  • surgery - appendectomy
  • 24 to 48 hours
  • Eyes always
  • Primagravida
Lack of surfactant causes the neonate to lose lung capacity with each _______.
  • The palm
  • Bed rest
  • Dropper
  • Breath
How is pyelonephritis prevented?
  • Yes, preventing emptying of ducts
  • By preventing or treating all cystitis (UTI's)
  • Severe chest pain unrelieved by rest and nitroglycerine
  • Between 1 and 5 years of age
Is vomiting projectile or non-projectile in patients with pyloric stenosis? Is the vomiting bile-stained or not bile-stained?
  • To the left, to the right
  • Projectile, not bile-stained
  • Because the muscle is not well developed yet.
  • No, it could lead to ketosis
What is the pulse pressure?
  • The difference between the systolic and the diastolic blood pressure
  • Moderate sodium restriction. Fluid restriction is #2 if edema is severe.
  • Removal of the cast, NG tube to decompress, NPO
  • To cause cycloplegiaDilationAllowing eye exam
Are eggs allowed on a gluten-free diet?
  • Yes
  • Diuresis
  • skin
  • Scan
How long must the client receive this medical treatment?
  • For the rest of life
  • Continuously via fetal monitor
  • Semi recumbent, HOB up
  • Young teens
What is the age range for early adulthood?
  • 19 to 35 years of age
  • Cloudy, milky-white pupil
  • Blurred or double vision
  • Steatorrhea
Should a CVA patient have all four side rails up at all times? Should they be restrained?
  • Decreased lung sounds with crackles
  • Side rails yes. Restraints- no, unless they are a danger to themselves or others
  • A dropper/syringe with rubber tip to discourage sucking
  • Retrolental fibroplasia (an eye problem)
Osteoarthritis is a ________ disease of the ______.
  • Straw-colored - clear
  • Hard, swollen, warm
  • Degenerative, joint
  • Elevate, heart
Can skin traction be removed for skin care?
  • Yes in the client with poor cardiovascular function
  • True
  • Yes, unless WBC's are very low
  • Yes
ec-
  • Out of
  • Candida
  • Tumor
  • Receptive
Name the two phases of ovarian cycle.
  • Follicular phase (first 14 days)Luteal phase (second 14 days)
  • Lumbar puncture with culture of CSF (cerebro-spinal fluid)
  • Severe chest pain unrelieved by rest and nitroglycerine
  • carbs, fats, proteins, vitamins, minerals, water
In addition to the nares, where else should the nurse assess for skin irritation when nasal cannulae are in use?
  • Every 30 to 10 minutes
  • Behind and on top of the ears
  • Puffiness of face, dark urine
  • Assessment phase
The cause of cancer is known. (T/F)
  • True
  • False
Anaerobe (Define)
  • Increased carbohydrates, increased protein.
  • No ointments with metals like zinc oxide, no talcum powder
  • Micro-organisms that do not require free oxygen to live
  • Follicular phase (first 14 days)Luteal phase (second 14 days)
Which acid-base disorder is MOST commonly associated with hypovolemic shock?
  • bleeding precautions; No IM's, no rectal temperatures, other bleeding precautions
  • Yes, increased incidence of it in women who are ambivalent about pregnancy
  • Metabolic acidosis (due to lactic acid accumulation- no oxygen = anaerobic metabolism)
  • Feeding is easier after repair and appearance after repair is more acceptable to parents.
Smoking increases the risk of CVA. (T/F)
  • True
  • False
Name the three groups of drugs used to treat CHF?
  • DiureticsVasodilatorsDigitalis
  • Toward (this way you don't put pressure/pull on the suture line.)
  • Miotics
  • You pull the drain out 1 inch.
Surgical aseptic techniques render and keep articles free from all organisms. (T/F)
  • True
  • False
How often should the nurse clear the tubing during suctioning?
  • Only when their PLATELET count is down.
  • Valium, Baclofen (Lioresal), Dantrium
  • After each pass/entry/removal
  • The cells clump together & don't flow well
How does the client evaluate the activity of their pancreas?
  • Q4 hours with blood pressure
  • Observe stools for steatorrhea
  • Drain the bladder, empty the bowel
  • Lye, caustic cleaners
What is petechiae?
  • To prevent stress on the suture line
  • Process that thickens or congeals a substance
  • Small dot like pinpoint hemorrhages on the skin.
  • Secondary respiratory arrest (valium)
What age group should be routinely screened for scoliosis?
  • Cold fluids
  • Young teens
  • Unaffected
  • ASA (aspirin)
What fluid order should the emphysema client have?
  • Fat soluble in water soluble form -- A,D,E,K
  • 3 liters of fluid per day (this is an increase)
  • Remain seated upright for 45 minutes after each meal
  • Simple or radical mastoidectomy
What does hemarthrosis mean?
  • Bleeding into the joints
  • Cystitis always does
  • Type and cross match
  • Something they did wrong.
When a patient is in a Buck's traction they may turn to the _________ side.
  • Ambulation
  • grade fever
  • Unaffected
  • Allowed
What exercises should the post prostectomy patient do upon discharge? Why?
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
  • Get them started earlier-- for example if they wash their hands for 1/2 hours before meals and are always late for breakfast, just get them started 1/2 hour earlier.
  • Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary problem post op
  • They cause it to stop growing and decrease in size.
What are comedones?
  • Iontophoresis - sweat test
  • Ataxia (gait problems)
  • The lip is open to the nares
  • Blackheads and white heads
Pulmonary edema usually results from ______ failure.
  • Left ventricular
  • Usually C-section
  • Slow or irregular
  • Peritonitis
How do you prevent flexion contracture of the knee after BKA?
  • Remide the patient to straighten their knee constantly while standing
  • They cause it to stop growing and decrease in size.
  • Because the muscle is not well developed yet.
  • It accomplishes maturation of the graafian follicle which results in ovulation
Hemophilia is a ___________ disorder.
  • Bleeding
  • Monotone
  • True
  • Daily weight
Children should receive no more than _______ cc per site by IM injection.
  • Slow
  • 25 gauge
  • 2 cc
  • False
Deep vein thrombosis is most common in what type of surgery?
  • Low abdominal or pelvic
  • Autosomal recessive
  • HeadacheWeakness Itching
  • an adequate weight gain
How warm should the irrigation solution be?
  • Remove polypsTake specimensCoagulate bleeding vessels
  • usually pain; bleeding is more voluminous in previa
  • Warmer than body temperature, ie, 99-100F
  • NPO and NG tube for decompression
What is methionine?
  • Above the knee amputation
  • To develop and maintain the corpus luteum which produces progesterone to maintain pregnancy until placenta is established.
  • Swayback in the lumbar region (Lumbar, Lordosis)
  • The precursor of the amino acid cystine (precursor = material out of which something is made)
What is done to correct pyloric stenosis?
  • Surgery (pyloromyotomy)
  • Pill-rolling and tremors
  • Anticholinesterases
  • You pull the drain out 1 inch.
What equipment should be at the bedside of an MG patient?
  • Mast-like with a snarling smile (called a myasthenic smile)
  • Weak/absent pulses, cool, pale, loss of hair, shiny thin skin
  • Suction apparatus (for meals), tracheostomy/endotube (for ventilation)
  • Pain (moderate to severe) RestlessnessIncreased pulse rate
Why is the child with CF receiving pancreas/viokase/pancreatin?
  • Drain the bladder, empty the bowel
  • They are enzymes which aid absorption of nutrients.
  • DiureticsHeparinDigitalis
  • coughingsneezingblowing noseswimmingshowersflying
What do miotics do for the eye?
  • Pulmonary edema
  • Constrict the pupil
  • Over 102 degrees
  • Measures electrical activity generated by the brain
What are the two types of oral contraceptives?
  • Restlessness, tachycardia
  • Post-operative pain, cancer pain, sickle-cell crisis pain
  • Rheumatic heart disease
  • Progestin only and combination progesterone and estrogen
What blood type is the universal recipient?
  • AB
  • Prothrombin time (PT) and the INR
  • Granulation
  • False
Can the thigh EVER be used to obtain a blood pressure?
  • Yes, but this is rare.
  • Sickle cell anemia
  • Fast, tachycardia
  • Large vesicular bullae
How often should a woman visit the doctor prenatally if diabetes is present?
  • Structural-you are born with; Functional-you get from bad posture
  • 64 years of age to death
  • Twice a month, then once per week in the 3rd trimester
  • Thrombophlebitis
Vincristine
  • Practices that render & keep objects & areas free from all micro-organisms (synonym for sterile techniques)
  • When the child realized that number, weight, volume remain the same even when outward appearances change; Concrete Operational
  • Peripheral neuropathy (foot drop, numbness and tingling, hoarseness, jaw pain)constipation (adynamic ileus due to neurotoxicity)
  • A drug that destroys or inhibits growth of micro-organisms
How long does one episode/course of PD last?
  • Could be 10 hours
  • At least three
  • Every 15 minutes
  • Grief, depression
Patients in Russell's traction are particularly prone to ____________.
  • Thrombophlebitis
  • Immobilization of the spine
  • Right
  • Cool wet dressing
What will the facial appearance of a patient with MG look like?
  • Change in LOCN/V HeadacheTwitching
  • Lateral decubitus (on their side) position and knees to chest
  • Mast-like with a snarling smile (called a myasthenic smile)
  • Buzzing or ringing, in the ears (tinnitus)
Before administering vaginal medications the client is more comfortable if you ask them to _________ .
  • Void
  • Two-thirds
  • Low
  • True
Pulmonary edema is accumulation of _______in the lung.
  • True
  • 98.6 F
  • False
  • Fluid
The use of _____, _______, and ______ to kill self, make high risk suicide.
  • Guns, ropes, knives
  • They do not breathe
  • Dignity & respect
  • On the over-bed table
Patients with MS should be taught to walk with a ____-____ gait.
  • Increase
  • Wide based
  • 102 degrees
  • Decreased
Premature rupture of membranes (PROM) is a ________ break in the amniotic sac __________ the _________ of contractions.
  • Pain in calf upon walking
  • Spontaneous, before, onset
  • No, it could lead to ketosis
  • Increase the flow-rate.
Define EGD
  • Pick it up with forceps only - never touch with hand even if you are wearing gloves.
  • High, venous congestion makes the arterial pressure higher (increases resistance)
  • No venipuncture or blood pressure allowed in the arm with a shunt, graft or fistula.
  • Insertion of a fiber optic scope to visualize the esophagus, stomach and duodenum
What is meant by orthopnea?
  • To prevent stress on the suture line
  • Growth of endometrial tissue outside of uterus
  • Shortness of breath when lying flat
  • Failure of the heart to maintain adequate circulation.
What is another name for Vitamin B-12?
  • Could be 10 hours
  • NEVER lie on their abdomen
  • Extrinsic factor
  • Bruising
Coumadin therapy is monitored by what daily test?
  • RoundwormTapewormPinworm
  • PT (prothrombin time)
  • Fast, smooth conduction
  • in terrific health
Liquid drugs should be poured out of the side (opposite of/the same as) the label.
  • Opposite
  • Left side
  • Increased
  • Obese
What structures are involved in acne vulgaris?
  • Cool wet dressing
  • #7, facial nerve
  • 0.9 normal saline (No glucose)
  • The sebaceous glands
What acid/base disorder is seen in Respiratory Distress Syndrome?
  • Leaned forward with flaring nostrils
  • 3cc X Kg X % burned per day
  • Respiratory acidosis (CO2 is retained)
  • Dark glasses, artificial tears, cover eye at night
What is the most common complication of malpositioned lenses in the comatose or confused patient?
  • TED hose
  • To prevent platelets from forming clots in the coronary arteries
  • Corneal ulceration
  • Distended neck veins -JVD
Accurate blood pressure is obtained by using a cuff that has width of __________ of the arm.
  • Potassium--K+
  • Two-thirds
  • Systolic
  • An occlusive dressing
Would vasodilators or vasoconstrictors treat hypertension?
  • Lie flat for 6 to 12 hours
  • No swimming, no showering, no diving
  • 2 to 3 weeks after initial infection
  • Vasodilators (decreases resistance)
If mastitis is caused by an organism, what causes breast engorgement?
  • Temporary increase in vascular and lymph supply to the breast in preparation for milk production
  • 15 (weigh < 85% of normal body weight), hospitalize if 30% weight loss
  • Venous stasis in the abdomen (the woman was in the vaginal lithotomy position for hours)
  • Orthostatic hypotension (means you feel weak when you rise to a standing position because your blood pressure falls)
What precaution must the nurse take when administering topical nitro paste?
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
  • wear gloves, nurse may get a dose of the med
  • DiureticsHeparinDigitalis
  • Full effacement and dilation
What two non-dietary lifestyle changes are used commonly to treat hypertension?
  • On the over-bed table
  • Decreases stressIncrease activity
  • Separation from love object
  • Distended with flatus
Should children with cleft palate BEFORE surgery be allowed to cry? To breast-feed?
  • Elevate the HOB, then increase O2, then call the MD
  • Extremities are blue (cyanotic), Pink
  • When they do their own stoma care
  • Yes, they can cry; may breast feed with simple cleft lip however palate interferes with feeding
Scoliosis is a ______ curvature of the ______.
  • Low calcium diet
  • Basal ganglia
  • Lateral, spine
  • Conjunctival sac
Women with endometriosis should be counseled to use (tampons/pads) during menstruation?
  • False
  • Brachial
  • Recovery
  • Pads only
carbs provide ____________ Kcalories per 1 gram
  • High
  • the aorta
  • 4
  • Demyelinating
What are the 3 most common chemotherapeutic GI side effects?
  • No swimming, no showering, no diving
  • A hard, red swelling in the posterior calf
  • Lower body temperature during fever.
  • N/V DiarrheaStomatitis (oral sores)
What are the 2 common objective signs of otitis media?
  • Remove before they transform into malignancy.
  • Organ meats liver, heart, brains, kidneys
  • Hyperpyrexia (fever)Drainage from ear
  • Simple or radical mastoidectomy
What information does the measurement of skin fold thickness yield?
  • Intermittent Claudication
  • The amount of body fat
  • headache and hypotension
  • Urecholine, Bethanocol
When the spinal cord injury is between _____ and _____, there is permanent respiratory paralysis.
  • C1 and C4
  • Vitamin B-12
  • False
  • Petaled
Which of the following are signs of transfusion reaction? Bradycardia, Fever, Hives, Wheezing, Increased Blood Pressure, Low Back Pain
  • Low back pain, wheezing, fever, hives
  • 2-3 weeks before birth for primipara
  • Highest-separated then divorcedLowest-married
  • Linings, brain , cord
When you take the blood pressure of the client with hypertension you would measure _____- _______, with the client _____, _______ and _______.
  • No, this is dangerous
  • Both arms; lying, sitting and standing
  • Anticoagulants (heparin/coumadin/lovenox)
  • Ventricle hypertrophyDilate and heart rate will increase
Routine exercise decreases the risk of heart disease. (T/F)
  • True
  • False
How many days of the menstrual cycle do you take the progestin only pill?
  • 120 to 150 mm Hg
  • 21 to 22 gauge
  • protein, fat
  • All 28 days
During an acute bleeding episode, you should apply________ for 15 minutes and apply________.
  • Hypertension
  • Elevate, heart
  • Pressure, ice
  • Low, low, low
Should a woman douche after surgery to remove an ovarian cyst?
  • Bed Rest
  • No, it is not good to douche on a regular basis, it destroys natural protective vaginal flora
  • Increased
  • Decrease HOB (but not flat); cover with sterile gauze moistened with sterile saline, call MD
Give some signs of infection in a Foley catheter
  • Buzzing or ringing, in the ears (tinnitus)
  • Lower body temperature during fever.
  • Cloudy urine, foul smelling urine, hematuria
  • At the time of the first missed period
What is the #1 cause of CD of pregnancy?
  • Ruddy red, almost purple
  • Cool wet dressing
  • Stiff neck- nuchal rigidity
  • Rheumatic heart disease
Spore (Define)
  • Pituitary dwarfism
  • A colostomy that is not intended to be permanent-- the bowel will be reconnected at a later date and the client will defecate normally
  • Take with LOTS OF WATER regardless of whether you give it at mealtime or not -- Bactrim, Septra, Gantricin, ie, used to treat UTI
  • A cell produced by a micro-organism which develops into active micro-organisms under proper conditions.
The chancres of syphilis are (painful/painless).
  • Straw-colored - clear
  • Painless 3rd trimester bleeding (hint: Painless Placenta Previa)
  • Painless
  • forked
What are the top 2 nursing diagnoses for a client with CF?
  • Dropping water on inside surface of your forearm.
  • Follicular phase (first 14 days)Luteal phase (second 14 days)
  • Decreased airway clearance Alteration in nutrition or absorption
  • When dietary control does not keep the blood sugar within normal limits
Which two of these classes of drugs cause tachycardia?
  • Organ meats liver, heart, brains, kidneys
  • Cold weather. (They should wear gloves & stop smoking)
  • Buzzing or ringing, in the ears (tinnitus)
  • Mydriatics Anticholinergics (sympathetic effects)
Name the 3 phases of burn
  • Shock, diuretic, recovery
  • Valium, Baclofen, Dantrium
  • quick objective way to evaluate the vital functions of the newborn
  • Elevated CPK, LDH, SGOT
Name a new drug with anti-platelet activity.
  • Surfactant
  • Plavix
  • Troponin
  • Collapse
How will the child with epiglottitis breathe?
  • Leaned forward with flaring nostrils
  • Delivery of the infant
  • Clear even lung sounds, normal vital signs
  • Shortness of breath when active.
Common signs of large ovarian cysts are...
  • Retractions, nasal flaring, and grunting
  • It is done under LOCAL anesthesia. General anesthesia may be used for a child.
  • Ice packs to decrease swelling
  • Low back painPelvic painAbnormal bleeding
A second-degree burn is dull or shiny?
  • 7-11
  • 28, 40
  • White
  • Shiny
What procedure is done to relieve symptoms in polycythemia vera?
  • Phlebotomy
  • Whole grain
  • The palm
  • The amount of body fat
What is meant by decompensation?
  • Failure of the heart to maintain adequate circulation.
  • A blood vessel is sutured between an artery and a vein.
  • The roof of the mouth is open to the nasopharynx.
  • Dark-field illumination of the treponema palladium
In Cushings syndrome, the trunk is ________ and the extremities are _________.
  • Oil and H2O
  • Methionine
  • Leave them out
  • Obese, thin
What is the name of frozen factor VIII given to hemophiliacs?
  • Labyrinthectomy
  • Blurred or double vision
  • Angina pectoris
  • Cryoprecipitate
When shaving a client, water used should be more (hot/cold) than bath water?
  • Hot
  • Blue
  • 6 months
  • No venipuncture or blood pressure allowed in the arm with a shunt, graft or fistula.
How long does the oliguric phase last?
  • Themselves
  • 7-10 days
  • Gynecomastia
  • yes, yes
Women with Cushings develop?
  • in a few months
  • HirsutismAmenorrhea
  • No, just AFTER repair
  • Between 37 and 39 weeks
Immediately after ECT, how will the client normally act?
  • DrowsyDullApathetic
  • Yes but it should be WNL
  • Soaking in warm water
  • Decrease, dopamine activity
Autonomy vs Shame and Doubt
  • True
  • Recovery
  • Mealtime
  • Toddler
The most common type of crisis that occurs is a ______-______ crisis.
  • Vaso-occlusive
  • Delivery of fetus
  • Away from you
  • Immobilization of the spine
Can too tight bras lead to mastitis?
  • Puffiness of face, dark urine
  • Yes, absolute bed rest
  • Removal of the cast, NG tube to decompress, NPO
  • Yes, preventing emptying of ducts
What technique is used to remove feces and flatus from the bowel through a colostomy?
  • Colostomy irrigation
  • Decreased lung sounds with crackles
  • DistanceShieldingTime
  • Mealtime, due to choking
Leaving a would open to air decease infection by eliminating what 3 environmental conditions?
  • Large gauge, 18 gauge
  • Dark, warm, moist
  • protein, fat
  • Fat soluble vitamins
Adolescents are (low/high) risk for suicide.
  • Third
  • False
  • True
  • High
The patient who has a definite plan is (low/high) risk for suicide.
  • Ask the client if they are experiencing any abdominal symptoms-keep track of bowel movements & passing flatus (if not having BMs or passing flatus, cast syndrome is suspected)
  • Moderate to high, depends upon feasibility and ease of plan
  • Every 2 hours
  • She must weigh herself
Why is final repair of the palate delayed until 4 to 5 years?
  • Earlier surgery would interfere with tooth development.
  • Dilate the pupilCycloplegiaParalyzes accommodation
  • Nausea, vomiting and visual disturbances
  • Progestin only and combination progesterone and estrogen
Children at highest risk for seizure activity after ingestion are those who have swallowed _____________ and ______________.
  • Highter
  • In the lowest position
  • Seizure precautions
  • drugs, insecticides
The client with emphysema is (ruddy/pale/cyanotic).
  • A Logan bow
  • Heat
  • Change in LOC
  • Cyanotic
Can post-operative pain medications be given in the recovery room?
  • True
  • False
  • Yes
  • Female
What is the first thing a nurse must do to help families in crisis?
  • Observe stools for steatorrhea
  • Nurse must first examine her own values
  • Striae--purple horizontal lines
  • Tetracycline
Name the 3 most common reasons for a colostomy.
  • Cardiogenic shock, arrhythmia, CHF
  • Kyphosis (humpback), Lordosis (swayback)
  • CancerDiverticulitisUlcerative Colitis
  • Yes, on diuretics and fluid balance is important
When does lightening occur in pregnancy?
  • a pulsating mass above the umbilicus
  • 2-3 weeks before birth for primipara
  • Remove secretions from the area so healing occurs.
  • Bleeding somewhere in the GI tract
What is the name for an elevated WBC?
  • Iontophoresis - sweat test
  • Sore throat
  • Overwhelming infection
  • Leukocytosis
For a woman who doesn"t have retracted nipples, is towel drying or air drying better?
  • Check the bladder, check the bowel
  • No heat lamp and hair dryerYes fan
  • Shell seafood- shrimp, crab, lobster
  • Air drying of the nipples is best
Which hand should hold the suction catheter? Which should hold the connecting tube?
  • The dominant, the non-dominant
  • The lip is open to the nares
  • Acute, inflammatory, liver
  • Low back pain, shaking HA, increasing temperature, confusion, hemoptysis
Clients receiving chemotherapy must be NPO. (T/F)
  • True
  • False
What would you do if you noticed a small amount of blood come out in the first few bottles that were infused?
  • It is a stress GI ulcer, you get these with any severe physical stress. Tagamet, Zantac, Pepcid (any H2 receptor antagonist), Protonix Prilosec
  • Call the MD because blood is often held with an elevated temperature
  • Nothing, this is normal: the blood is due to the initial puncture of the abdomen
  • Facial nerve paralysis due to accidental damage during surgery (law suit time!)
Im-; in-
  • 4 to 6 hours
  • Graves Disease
  • "Not" or "into"
  • Occurring within
Name 4 exercises used to treat mild scoliosis.
  • Every 15 minutes during the first cycle and every hour thereafter
  • Heel lifts; sit-ups; hyperextension of the spine; breathing exercises
  • Sex linked recessive
  • Crushing, heavy, squeezing, radiating to left arm, neck , jaw, shoulder
Mydriatic
  • Not usually, however if there is severe azotemia then it may be restricted
  • TachycardiaPhotophobiaDilates pupilDo not use in glaucomaNeo-synephrine is an example
  • Tincture of benzoin or alcohol,no lotions of ointments-you want to toughen the skin not soften it
  • Give with meals, remember Zantac does not have to be given with meals
The group with the highest incidence of Buerger's disease is __________.
  • Smokers
  • Decrease HOB (but not flat); cover with sterile gauze moistened with sterile saline, call MD
  • Heparin
  • Increases
What is the common name for Herpes Zoster?
  • Shingles
  • Lice
  • A,D,E,K
  • The fingers
What precaution must be taken with potassium permanganate?
  • Procaine makes the shot less painful; Probenecid blocks the excretion of penicillin
  • Be careful that no undissolved crystals touch the client; it will burn the skin
  • Yes, as would any client with kidney problem
  • Yes, the infant has a difficult time latching on (getting nipple in its mouth)
Allopurinol
  • the pulse (many times the aneurysm will rupture and much blood will be lost before the blood pressure starts to change.
  • moon face with infectionbuffalo hump on backbig trunkthin extremitiesloses potassiumkeeps glucose and salt has striations on abdomen and breasts
  • Give with meals and give with lots of water--anti uric acid--- used to treat gout and the purine build up seen in chemotherapy for cancer
  • Give on empty stomach
What is a major nursing diagnosis post-mastoidectomy?
  • Safety
  • Drain the bladder, empty the bowel
  • False
  • Bryants
Pre-eclampsia makes the neuromuscular system more or less irritable?
  • False
  • More
  • wear gloves, nurse may get a dose of the med
  • Monotone
What drug treates angina pectoris?
  • Clear, colorless
  • Mucous membranes
  • Nitroglycerine
  • Vastus lateralis
If the dialysate does not drain out well, you would first...
  • Better with rest, worse with activity
  • No, it dries and cracks it
  • On the over-bed table
  • Have them turn side to side
Vasoconstriction will ___________ blood pressure.
  • Resonant
  • False
  • Increase
  • -stigmine
What advice is best for women with endometriosis who want to have children?
  • When dietary control does not keep the blood sugar within normal limits
  • When the patient exhibits jaundice.
  • Do not postpone pregnancy, may not be able to have children
  • Paroxysmal whirling vertigo -- sensorineural hearing loss--tinnitus (ringing in the ears)
What is dentifrice?
  • Agents which promote adherence of dentures to gums, ie, Polygrip
  • If you are going to get contaminated with secretions
  • Blurred or double vision
  • Codeine/Demerol for pain, Dramamine for dizziness
As soon as Placenta Previa is diagnosed, most pregnancies will be terminated via C-section if the fetus is mature. (T/F)
  • True
  • False
What gauge needle is used with a blood transfusion?
  • Large-holed, soft nipples
  • Large gauge, 18 gauge
  • In some cases, yes
  • 21 to 22 gauge
When is cleft palate repaired?
  • By preventing or treating all cystitis (UTI's)
  • Between 1 and 5 years of age
  • Cool wet dressing
  • Within 30 minutes of beginning the transfusion
The three most common complications after MI are ____ _____,_____, and _______.
  • Cardiogenic shock, arrhythmia, CHF
  • Dysmenorrhea (painful menstruation)
  • Better with rest, worse with activity
  • Left ventricle has decompensated
The infant with pyloric stenosis appears ______ even after vomiting.
  • Hungry
  • Spring
  • Allowed
  • 18 gauge
How will you know the patient has entered the fluid mobilization or diuretic phase?
  • The urine output will increase
  • Remain seated upright for 45 minutes after each meal
  • SQ, IM, IV, ID (intradermal)
  • the abdominal is most often "silent"
In hypovolemic shock the output of urine will be less than _______cc per hour.
  • 3 times per week
  • 25 to 30 cc
  • H2O2 - hydrogen peroxide
  • L/S ratio (Lecithin/Sphingomyelin ratio)
Unless contraindicated the patient should be out of bed no later than ______ hours post-operatively.
  • No
  • 24
  • True
  • Restricted
What genetic disorder can lead to pulmonary embolus?
  • Dizziness (vertigo)
  • Sterile occlusive
  • Risser cast
  • Sickle cell anemia
What type of cast is used post-operatively?
  • Animal oils
  • chickenpox
  • Peritoneal inflammation
  • Risser cast
The typical pneumonia of AIDS is caused by ___________ ____________.
  • Pneumocystic carinii
  • 6 weeks after discharge
  • Increase (polyuria)
  • Guns, ropes, knives
On heart rate or cardiac status, a 2 means that the HR is above _______ BPM.
  • 100
  • High
  • True
  • 1000 cc
In what position should the client be during a spinal tap?
  • With food, about 1/2 hour ac; giving ac helps strengthen muscles of swallowing
  • Lateral decubitus (on their side) position and knees to chest
  • Premature ventricular contractions (PVCs)
  • Temporary increase in vascular and lymph supply to the breast in preparation for milk production
How many pounds per week is the diabetic allowed to gain the 2nd and 3rd trimesters?
  • Every 1-2 hours
  • 1 pound a week
  • Try not to move
  • 5 days to 3 months
How are cleft lip and cleft palate primarily treated?
  • The serum creatinine
  • Milwaukee
  • A pipe cleaner
  • Surgical repair
-desis
  • Anticholinesterases
  • chickenpox
  • LungsPancreas
  • Binding, fusing
-ase
  • Iontophoresis - sweat test
  • Sterile water-soluble
  • Used in naming enzymes
  • Sharp abdominal pain
para-
  • Cut, kill
  • Similar, beside
  • Angina pectoris
  • Acetylcholine
In what position should the bed be if the patient is in pelvic traction?
  • It is common but not always present
  • Sudden movements and increased Na food
  • Semi-fowlers with knee gatched
  • Observe stools for steatorrhea
Transverse Colostomy
  • the pulse (many times the aneurysm will rupture and much blood will be lost before the blood pressure starts to change.
  • Toddler
  • soft stooltypical stool odor stool damages the skinempties several times per daymay or may not be at risk for fluid/electrolytes imbalances may irrigate
  • A colostomy that is not intended to be permanent-- the bowel will be reconnected at a later date and the client will defecate normally
Accutane is an analog of which vitamin?
  • Bicarbonate
  • Low iron
  • Vitamin A
  • Shiny
Second to rest, what is very important treatment for CD of pregnancy?
  • Weight control
  • 7 to 14 days
  • Animal oils
  • 6; fetal hemoglobin
What is Lordosis?
  • Check for surface antigen on the red blood cell
  • Swayback in the lumbar region (Lumbar, Lordosis)
  • Take it on an empty stomach and avoid the sunlight (photosensitivity)
  • Small dot like pinpoint hemorrhages on the skin.
Does a client have to be NPO before an EEG?
  • Yes, but not transmitted by all, only blood, semen and breast milk
  • No, they should never be NPO, it could cause hypoglycemia and alter the EEG results.
  • CoughingSneezingBending at the waistStraining at stoolRubbing or touching eyesRapid head movements
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
What is the difference between external radiation treatment and internal radiation treatment?
  • Severe chest pain unrelieved by rest and nitroglycerine
  • In external the tumor is bombarded with x-rays & nothing is placed in the body; in internal there is some radioactive substance introduced into the body
  • Depends on M: operative side promotes drainage, un-operative side prevents graft dislodgement. Don't make a big deal of position post-op
  • Gluten-free diet
What are the 3 subjective complaints of clients with scoliosis?
  • 35 to 64 years of age
  • The cells clump together & don't flow well
  • Clear, colorless
  • Back pain, dyspnea, fatigue
Is having the client verbally identify himself considered adequate safety?
  • Yes, however, if 2 missed periods occur,stop and have a pregnancy test.
  • Cholinergic (too much Mestinon)Myasthenic (not enough Mestinon)
  • Because these patients lack intrinsic factor
  • No, only identification bands are acceptable.
Raynaud's affects males or females mostly?
  • Weight control
  • One hour
  • Sterile technique
  • Women (young)
Give another name for an MI.
  • Heterozygous
  • Side-lying, facing nurse
  • Heart attack
  • Increased
-rhapy; -rrhapy
  • Extrinsic factor
  • 3 hour glucose tolerance test
  • Anything greater than 140/90 mm Hg
  • Joining in a seam, suturation
What would you tell a client who says what if I get shocked during my EEG?
  • That is impossible since the test measures electrical activity coming FROM him, never to him.
  • Facial nerve paralysis due to accidental damage during surgery (law suit time!)
  • Their RBC's do not mature and they become seriously anemic.
  • Vinegar. Nits are the eggs of lice that adhere to the hair shaft
What are the top 2 side effects of nitro?
  • Acute blood loss
  • headache and hypotension
  • Labyrinthectomy
  • Sore throat
When a patient does not understand INCOMING language he is said to have ______ aphasia.
  • In Shock
  • Receptive
  • Telephone
  • The rheumatoid factor
How long should a woman wait before lifting heavy objects after a hysterectomy?
  • Pain, pain, Pain
  • 2 months
  • 2 to 5 days
  • TED hose
Is an informed consent necessary for ECT?
  • Increase
  • Yes, the plastic tube that connects the artery and vein outside the arm
  • Flu
  • Yes
When should a patient put on TED hose?
  • Moderate sodium restriction. Fluid restriction is #2 if edema is severe.
  • Calorie reduction for weight lossSodium restriction
  • Prothrombin time (PT) and the INR
  • Before getting out of bed (before the swelling occurs).
What IV solution is hung with a blood transfusion?
  • HIV - Human immunodeficiency virus
  • The amount of body fat
  • Foul-smelling, blisters break easily, seen in the elderly, cause unknown
  • 0.9 normal saline (No glucose)
A dry cast is dull or resonant to percussion?
  • The abdomen
  • Collapse
  • Resonant
  • Dialysate
Which has highest fiber? Grains, fruits, veggies, nuts.
  • Bubbling, burping
  • Back pain, dyspnea, fatigue
  • Pain, abdominal distention, abdominal rigidity
  • Grains, especially bran
The change in the character of the sounds is known as the ________
  • First diastolic sound
  • Get up slowly
  • DistanceShieldingTime
  • Systemic antibitoics
What is ecchymosis?
  • Lower only
  • Early ambulation
  • Necrosis and rupture of ovary
  • Bruising
What vitamin should patients on Levodopa avoid?
  • Basal ganglia
  • B6 pyridoxine
  • Resonant
  • Fluoride and iron
After advancing a Penrose drain you (should/should not) cut off the excess drain?
  • Allowed
  • Slower
  • Should
  • Void
What is arthroplasty
  • Joint replacement
  • The LOWEST force of blood on artery walls
  • Hyper-reflexia
  • Addison's disease
What is the purpose of a wound drain?
  • Extrinsic factor
  • Remove secretions from the area so healing occurs.
  • Avoid sudden movements
  • Anything greater than 140/90 mm Hg
What types of precautions will be in effect for a woman with severe pre-eclampsia?
  • Safety, because they get dizzy.
  • call medical help
  • Shock and peritonitis
  • Seizure precautions
Anxiety-producing thoughts are called_____.
  • Women (young)
  • Obsessions
  • Troponin
  • Constipation
The cessation of sounds is known as the _________
  • heat (it causes rupture)
  • Second diastolic sound
  • Menstrual discharge begins
  • Termination of pregnancy
For breast engorgement, the non-breastfeeding mother should be told to express breast milk. (T/F)
  • Yes, in fact they should be given analgesics, may get too anxious which is bad for the patient
  • Take 2 pills a day for two days in a row and then resume normal schedule.
  • ShockMaternal deathFetal death
  • No, that would increase milk production and would make the problem worse (warm compresses or warm shower to let milk "leak" is okay- Ice is best)
What three drugs are given for shingles?
  • Kits approved by FDA:Preven (levornorgestrel & ethinly estradiol) or Plan B: Levonorgestrel (less N&V)
  • Acyclovir (anti-infective)Tegretol (anticonvulsant--given to stabilize nerve cell membranes) Steroids (anti-inflammatory)
  • Simple or radical mastoidectomy
  • If the statement refers to phases of labor, it means the 3-step process of latency, followed by an active and transitional
Baclofen causes (constipation/diarrhea)
  • Blurred vision
  • Constipation
  • Dust or water
  • Obese, thin
What will the nurse auscultate over the lungs when pulmonary edema occurs?
  • Pulmonary edema
  • Hourly, weight
  • McBirney's point
  • Crackles (rales)
In order to get a score of 2 on muscle tone the infant must_________________.
  • Move spontaneously (actively)
  • From inner canthus to outer canthus
  • surgery - appendectomy
  • inflammation, obstruction
Use of oral contraceptives increases the risk of CVA (T/F).
  • True
  • False
Birth to 18 months
  • 2.5 cm
  • Infancy
  • False
  • Surfactant
What are the signs of O2 toxicity?
  • Confusion, headache
  • Joint fusion
  • 30 degrees
  • No, just rest at home
If my blood pressure is 190/110, what is my pulse pressure?
  • Androgens
  • CD4 count
  • False
  • 80 mmHg
How often should the nares of a client with O2 by nasal cannulae be assessed for skin breakdown?
  • 6 weeks after discharge
  • Labyrinthectomy
  • Every 6-8 hours
  • Two-thirds
The onset of post operative infection is on the ______ or ______ day post-operative day.
  • 2nd or 3rd, never before that (remember elevated temperatures earlier than the 2nd post-operative day is NOT infection)
  • Get them started earlier-- for example if they wash their hands for 1/2 hours before meals and are always late for breakfast, just get them started 1/2 hour earlier.
  • Separates, prematurely
  • No, not unless a child with a general anesthetic-- in fact with adults you should encourage fluids.
What is cleft lip?
  • It narrows (becomes a smaller number)
  • Benign Prostatic Hypertrophy
  • When the patient exhibits jaundice.
  • The lip is open to the nares
What is meant by "cardiac decompensation"?
  • To prevent platelets from forming clots in the coronary arteries
  • 19 to 35 years of age
  • It means that the compensatory mechanisms - hypertrophy, dilation, tachycardia are not working and the heart has failed.
  • Respiratory alkalosis, because the hyperventilation blows off more CO2, than the consolidation traps in the blood
Name the symptoms that pyelonephritis and cystitis have in common?
  • To take the child to the ER as soon as possible.
  • Frequency, urgency, burning, cloudy, foul smelling urine
  • Plain water, before & after each feeding
  • To prevent pressure in or on the eyes
The major source of energy for the body is
  • carbs
  • Clean technique
  • Increase
  • False
In hepatitis the ________ are light colored.
  • Fat soluble in water soluble form -- A,D,E,K
  • Sweating, headache, nausea & vomiting, gooseflesh, and severe HYPERtension
  • Right ventricle has decompensatedDependent Edema (legs and sacrum)Jugular venous distention Abdominal distentionHepatomegaly SplenomegalyAnorexia and nauseaWeight gainNocturnal diuresis Swelling of the fingers and handsIncreased BP
  • Stools: remember the urine is dark and stools are light. (Bilirubin ends up in the skin and urine instead of the stool where it should have gone.)
Young adults are (low/high) risk for suicide.
  • Usually C-section
  • Labyrinthectomy
  • High to moderate
  • Large vesicular bullae
Tetracycline
  • Do not give with milk products, do not give to pregnant women or children before age 8 or damage to tooth enamel occurs
  • The noise will go away in a few days to a week.
  • Increased viscosity of the secretions of exocrine glands lead to obstruction.
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
What test confirms the ELISA?
  • Western Blot
  • Assessment phase
  • Less than 1/2 hour
  • Unilateral pelvic pain
Which pressure is most damaging, an increased (systolic/diastolic)?
  • Bloody and frothy
  • 0.9 normal saline (No glucose)
  • Pain in calf upon walking
  • An increased diastolic
What does torsion of an ovarian cyst mean?
  • Twisting of cyst with interruption of its blood supply
  • Cystitis means bladder infection; pyelonephritis means an infection of kidney pelvis
  • Anxiety and stress leading to sympathoadrenal shut-down of the bowel
  • Dark-field illumination of the treponema palladium
If there is inflammation under a cast, it will be evident in a _______ spot.
  • High
  • False
  • Scan
  • Hot
When is infant hypoglycemia most likely to occur during labor and delivery?
  • It narrows (becomes a smaller number)
  • L/S ratio (Lecithin/Sphingomyelin ratio)
  • Of orthostatic hypotension
  • In the hours immediately following delivery
The first thing a nurse should do when a client objects to side rails is...
  • Explain why they are being used.
  • Yes
  • Plain water, cotton balls, washcloths
  • AV shuntAV fistulaAV graft
Name the four most common toxic effects of digitalis.
  • Weak/absent pulses, cool, pale, loss of hair, shiny thin skin
  • bleeding precautions; No IM's, no rectal temperatures, other bleeding precautions
  • AnorexiaN&V-- very commonYellow visionArrythmia
  • Reddish-brown dust in the underwear
Upon what do you support a cast while it dries?
  • Temporal, supraorbital
  • 2 hours after expulsion of the placenta
  • The urine output will increase
  • Pillows (no plastic covers)
Males are more likely to get an MI than females. (T/F)
  • True
  • False
What symptoms are classic epiglottitis?
  • Muffled voiceDroolingStridor
  • Perforation of the ear drum
  • Surgery (pyloromyotomy)
  • Thymectomy (removal of thymus)
Do you assess for suicide potential whenever a patient makes any statement about wanting to die or kill self?
  • Yes, in fact whenever a patient makes a statement about wishing or wanting to die or kill self you must ALWAYS AND FIRST assess for suicide potential*-stop everything and assess for suicide patient (except CPR, or course)
  • Take with LOTS OF WATER regardless of meals to prevent constipation. All drugs that end in "-zine" are major tranquilizers that also cause Psuedo Parkinson's or extra-pyramidal effects.
  • Fear, panic, depression, inability to concentrate, restlessness, agitation
  • No, just say things like :You washed your hands for so long you must have been very anxious."
Kaposi's sarcoma is a cancer of the ___________.
  • Lower
  • 102 F
  • True
  • skin
What happens to the kidney in AGN?
  • The spleen, because it is destroying the excessive RBC's.
  • It becomes clogged with antigen-antibody complexes which then cause inflammation and loss of function.
  • It is a stress GI ulcer, you get these with any severe physical stress. Tagamet, Zantac, Pepcid (any H2 receptor antagonist), Protonix Prilosec
  • Steroids
What organism causes syphilis?
  • HIV - Human immunodeficiency virus
  • men over 50 years of age
  • 3 times per week
  • Treponema palladium
What is polycythemia vera?
  • Nose bleeds
  • No venipuncture or blood pressure allowed in the arm with a shunt, graft or fistula.
  • A blood disease in which there is an increase in erythrocytes, leukocytes and platelets
  • Acid Ash
What class of drugs is used to conservatively treat endometriosis?
  • Alopecia
  • Androgens
  • Decrease
  • Candida
What will the extremities of the client with a MI feel like?
  • Cold, clammy
  • Acute, inflammatory, liver
  • Crackles-rales
  • Wide based
Name the 3 physical symptoms of Rape Trauma Syndrome.
  • GI irritability, itching or burning on urination, skeletal muscle tension* don't forget PAIN
  • No, even though it is a milk product, commercial ice cream has GRAIN in it.
  • Suction apparatus (for meals), tracheostomy/endotube (for ventilation)
  • PTT (partial thromboplastin time)
What is the surgery done for Meniere's?
  • By ID name-band
  • Rice and corn
  • Labyrinthectomy
  • Constrict the pupil
When is a febrile reaction likely to occur?
  • Yes. It should be eliminated for 24 hours before the test.
  • Within 30 minutes of beginning the transfusion
  • Gluten-free diet
  • They cause it to stop growing and decrease in size.
Should you raise the HOB to increase drainage of the dialysate?
  • Yes
  • fats
  • True
  • Slower
Peritoneal Dialysis (PD)
  • At the distal (duodenal) end of the stomach
  • Use drapes and screens during care in semi-private rooms
  • The removal of wastes, electrolytes and fluids from the body using peritoneum as dialysis membrane
  • When the fetal head descends into the pelvis
Another name for surgical asepsis is...
  • Unilateral pelvic pain
  • Cushing's syndrome
  • Pleuritic pain
  • Sterile technique
Are diuretics used for women with pre-eclampsia?
  • More
  • True
  • High
  • Yes
Is the patient with obsessive-compulsive disorder neurotic or psychotic?
  • Neurotic-- they know reality
  • no, bedrest until the client is stable!
  • Encourage them to move about
  • No, you should not focus on the attempt, focus on the present and future.
Ectopic pregnancy is implantation of a fertilized ovum ________ the _________.
  • Decompensation
  • Outside, uterus
  • Cast syndrome
  • Pressure, ice
What other things are appropriate after a reaction?
  • High calorieHigh proteinModified fat
  • To decrease apprehension and decrease preload, this rests the heart
  • When the child realized that number, weight, volume remain the same even when outward appearances change; Concrete Operational
  • Call MD, get a blood sample, get urine sample, monitor vitals, send blood to lab
What group of people get cast syndrome?
  • Hemophilus influenza B
  • Alkaline
  • Anorexia or fatigue
  • ANYONE in a body cast
What causes cast syndrome?
  • Intrinsic factor. It has no other name.
  • Anxiety and stress leading to sympathoadrenal shut-down of the bowel
  • Exposure to cold, emotional stress, tobacco use
  • Amniotic fluid is analyzed for presence of PG
Name the four most common parenteral routes of administrations.
  • SQ, IM, IV, ID (intradermal)
  • Thrombophlebitis
  • In 10 minutes
  • Low abdominal or pelvic
Describe the typical child with pyloric stenosis.
  • No, it can occlude vessels even more.
  • To prevent pressure in or on the eyes
  • Firstborn, full term, white, boys
  • Confusion, headache
Pain medications should be administered _______ before ________ care.
  • Sealed plastic bags
  • Vasodilators (decreases resistance)
  • 30 minutes, wound care
  • Clubbing of the fingernail beds
When the spinal cord injury is at level of _____ to _____ the patient will be a quadriplegic.
  • C1 to C8
  • Knee; hip
  • Nightmares
  • Away from you
Are puddings allowed on a gluten-free diet?
  • No, for the same reason ice cream isn't.
  • Yes, you can have one or or the other or both
  • Sansert (methsergide), Cafergot (Prophylaxis: Imipramine)
  • carbs, fats, proteins, vitamins, minerals, water
What temperature is appropriate for the water used to bathe an infant?
  • 6 to 8
  • Temporary
  • 100 to 105
  • chickenpox
If pre-eclampsia is mild will the woman be hospitalized?
  • Soap and water
  • No, just rest at home
  • Rheumatic heart disease
  • Increase it
What is alopecia?
  • Acromegaly
  • Hair loss
  • Blue-tint to the cervix
  • A bacterial infection of the kidneys
What is the age range for middle adulthood?
  • 35 to 64 years of age
  • IM injections of Vitamin B-12
  • ELISA
  • 40 (+ or -10)
The room of a patient with meningitis should be _______ and ______.
  • Parasympathetic
  • Sterile occlusive
  • Dark and quiet
  • A Logan bow
What shampoo is used for lice?
  • Yes
  • Safety
  • Kwell
  • First
Is the infant restrained BEFORE repair?
  • No, just rest at home
  • Yes, after midnight
  • No, just AFTER repair
  • Rheumatic heart disease
What are the 2 purposes of a spinal tap?
  • Dilate the pupil (My "D"riatic "D" for dilate)
  • To measure or relieve pressure and obtain a CSF sample
  • Use drapes and screens during care in semi-private rooms
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
(Obese/very thin) women are most likely to become diabetic during pregnancy.
  • Obese
  • No response
  • False
  • Supine, 5
What is the #1 cause of death in pemphigus?
  • Overwhelming infection
  • AZT (zidovudine)
  • Blurred or double vision
  • Avoid sudden movements
Name foods that make acid urine
  • The onset of regular contractions that result in progressive dilation/effacement of the cervix
  • Arching of back (entire body) from hyperextension of the neck and ankles, due to severe meningeal irritation.
  • Cranberry juice, apple juice (avoid citrus juices- they make alkaline urine)
  • 5 minutes - take one nitro tab every 5 minutes 3 times, if no relief, call MD
The typical hospital client (should/should not) wear their dentures.
  • Cold
  • False
  • Should
  • Rapidly
What are the three principles to protect yourself from radiation hazard?
  • Decompensation
  • DistanceShieldingTime
  • Large-holed, soft nipples
  • In the lowest position
Can the client be removed from skeletal traction?
  • No
  • amenorrhea
  • Yes
  • Hypertension
What is the first sign of appendicitis?
  • right upper quadrant pain
  • The pulse and blood pressure
  • Semi-fowlers or higher
  • Neo synephrine or Atropine
What is the best way to screen men for BPH?
  • Clear, colorless
  • Digital rectal exam
  • On the over-bed table
  • IM injections of Vitamin B-12
Culture means....
  • NO! It is a stored form of glucose MANUFACTURED by the liver.
  • Growing colony of organisms, usually for the purpose of identifying them
  • decrease in wbc, indicated viral infection
  • A drug that destroys or inhibits growth of micro-organisms
When fluid accumulates in the abdomen during PD what problem does the client experience first?
  • Respiratory alkalosis, because the hyperventilation blows off more CO2, than the consolidation traps in the blood
  • Side rails yes. Restraints- no, unless they are a danger to themselves or others
  • Dyspnea - SOB or difficulty breathing, due to the inability of the diaphragm to descend
  • IV antibiotics for one to two weeks, must get urine culture 2 weeks after antibiotic therapy is over
What is ECT?
  • It is a low-dose Heparin used for anticoagulation in POST-OP THROMBOPHLEBITIS PREVENTION NOT USED FOR PULMONARY EMBOLUS
  • When the child realized that number, weight, volume remain the same even when outward appearances change; Concrete Operational
  • When dietary control does not keep the blood sugar within normal limits
  • The use of electrical shock current delivered to the brain to induce a seizure that treats depression.
What type of diet is used in BPH?
  • Risser cast
  • Increase
  • First
  • Acid Ash
The long term treatment of migraine focuses upon...
  • Assessing things that bring on stress and then planning to avoid them.
  • No, even though it is a milk product, commercial ice cream has GRAIN in it.
  • Aspiration of emesis (most common) into the lungDislocations of jointsFractures due to convulsion-- rare today
  • A delayed onset of AIDS for as long as possible (usually can delay onset for 10-15 years)
What is the normal adult blood pressure?
  • 120/80
  • True
  • Restlessness, tachycardia
  • Soap and water
Why is penicillin administered with Procaine? With Probenecid?
  • Procaine makes the shot less painful; Probenecid blocks the excretion of penicillin
  • IM injections of Vitamin B-12
  • No, it will never be absorbed due to a lack of intrinsic factor
  • Orthostatic hypotension (means you feel weak when you rise to a standing position because your blood pressure falls)
Besides a thrombus what else can cause an embolus in the lung?
  • Air, fat, tumor cells
  • Away from you
  • O2, anticoagulants
  • SQ, IM, IV, ID (intradermal)
What will be used to feed the infant after cleft lip repair?
  • A dropper/syringe with rubber tip to discourage sucking
  • Facial nerve paralysis due to accidental damage during surgery (law suit time!)
  • An olive sized bulge (the hypertrophied pylorus)
  • Beefy red tongueNumbness and tingling of the handsSores in the mouthChest pain
When will the artificial airway be removed in the recovery room?
  • Heredity, Bacterial, Hormonal
  • Infection, alveoli, lungs
  • When the gag reflex returns
  • Decreased airway clearance Alteration in nutrition or absorption
Uncleanliness is a cause of acne?
  • True
  • False
Aphasia is most common if the stroke occurred in the (dominant/non-dominant) hemisphere of the brain.
  • The dominant, the non-dominant
  • elevated
  • Dominant
  • Petechiae
What is the most effective way to decrease UTI with catheters?
  • Progestin only and combination progesterone and estrogen
  • Keep the drainage system closed, do not disconnect junction of tubing
  • Ego Integrity vs. Despair
  • It means that the compensatory mechanisms - hypertrophy, dilation, tachycardia are not working and the heart has failed.
Is the client sedated before EGD?
  • Give with meals-these are oral enzymes used with children with cystic fibrosis to increase the absorption of the food they eat
  • Peripheral neuropathy, constipation, ototoxicity
  • Decreased RBC's, WBC's and platelets
  • Yes, with valium (diazepam) or another sedative
What are the signs of symptoms of an allergic reaction to a transfusion?
  • Hives- uticaria, wheezing, pruritus, joint pain, (arthralgia)
  • Weak/absent pulses, cool, pale, loss of hair, shiny thin skin
  • Lying face down. Also, do not lie on operative side for a month.
  • Diet, insulin
What are the post-operative signs of hemorrhage into the eye?
  • Sterile saline
  • Temporal, supraorbital
  • Severe painRestlessness
  • Severe muscle weakness
What does AKA mean?
  • Remove before they transform into malignancy.
  • Left ventricle has decompensated
  • surgery - appendectomy
  • Above the knee amputation
What positions are okay after cataract surgery?
  • Sudden episodes of difficulty breathing
  • Do not lie on operative side; do not lie on back
  • Decrease production of aqueous humor and thus decrease intraocular pressure.
  • An olive sized bulge (the hypertrophied pylorus)
If the patient had an AKA they should lie ____________ several times per day.
  • prone (to prevent flexion contracture)
  • Have the patient smile and wrinkle forehead.
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
  • Decreased blood pressure (hypotension)
Name the two earliest signs that a woman is likely in labor.
  • Use drapes and screens during care in semi-private rooms
  • Low back pain and show (blood-tinge mucous plug is passed)
  • Remain seated upright for 45 minutes after each meal
  • If you are going to get contaminated with secretions
Before the client with suspected appendicitis sees the physician what should be avoided?
  • pain meds, enemas, laxatives, food! NPO
  • Nausea and vomiting due to bowel obstruction
  • Decreased sodium, decreased water (restriction)
  • Mutilation- remember preschoolers have vivid imaginations...fantasy
MS can lead to impotence in males. (T/F)
  • True
  • False
What happens when patients with pernicious anemia don't absorb Vitamin B-12?
  • Their RBC's do not mature and they become seriously anemic.
  • They clump together and create a sludge.
  • Facial nerve paralysis due to accidental damage during surgery (law suit time!)
  • Packed cells don't have nearly as much plasma or volume as whole blood does
After using nose drops, the client should remain ______ for _______ minutes.
  • Hypertension
  • 2.0 and 3.0
  • Supine, 5
  • McBirney's point
What is the definitive diagnostic test for meningitis?
  • Lumbar puncture with culture of CSF (cerebro-spinal fluid)
  • Change in LOC and tachycardia
  • Vinegar. Nits are the eggs of lice that adhere to the hair shaft
  • lanugo (soft downy hair)
The preferred IM injection site for children under 3 is the _________ ___________.
  • Increase or Widen
  • Vastus lateralis
  • Weight control
  • Methionine
Do you need an informed consent for a spinal tap?
  • Dyspnea
  • Cool
  • Yes
  • Red
What part of the body is most affected by Raynaud's?
  • Metastasis
  • The fingers
  • Granulation
  • 102 degrees
If your client suddenly goes into pulmonary edema what would you do first?
  • Yes, until sedative effects of valium have worn off
  • Elevate the HOB, then increase O2, then call the MD
  • Pull carefully on the catheter to apply local pressure on the prostate with the Foley balloon.
  • It is common but not always present
What is the most common symptom of lice?
  • Nausea and vomiting due to bowel obstruction
  • Itching
  • Replace blood and fluids
  • Steatorrhea
Gestational diabetics tend to get ________ infections.
  • Corneal ulceration
  • Anorexia or fatigue
  • 21 to 22 gauge
  • Monilial (yeast)
What class of drugs can lead to pulmonary embolus?
  • O2, anticoagulants
  • Cryoprecipitate
  • Oral contraceptives
  • Sealed plastic bags
If the client absorbs too much of the dialysate the client will experience...
  • Increased blood pressure (circulatory overload)
  • pain meds, enemas, laxatives, food! NPO
  • At least 4 to 5 hours--unless it is a sleep deprivation EEG
  • Decreased blood pressure (hypotension)
Name the four basic food groups
  • Both- but most short term dialysis is achieved by hemodialysis
  • Remove the gauze before feeding and cleanse after feeding with peroxide and saline.
  • At the back of the head and behind the ears
  • Milk & Cheese, Meat & Legumes, Veggies & Fruits, Bread & Cereal
What activity order is the client with an aneurysm supposed to have?
  • Clubbing of the fingernail beds
  • DiureticsHeparinDigitalis
  • Bedrest. do not get these people up
  • Potassium permanganate
What should you do to assess for facial nerve paralysis post-mastoidectomy?
  • LargeGreasyFoul-smelling
  • NPO after midnightRemove denturesClient to void before surgerySide rails up
  • Have the patient smile and wrinkle forehead.
  • Full effacement and dilation
Why are Adrenocorticotropic Hormone (ACTH) and prednisone given during acute MS?
  • To decrease edema in the demyelination process
  • Decreased blood supply to myocardium, resulting in ischemia and pain
  • Yes, after about 3-6 months of treatment.
  • Low back pain, shaking HA, increasing temperature, confusion, hemoptysis
Sickle cell anemia is most commonly seen in (blacks/whites).
  • Blacks
  • Unilateral
  • Androgens
  • More
Can you use cotton swabs to clean the eyes, nares or ears of an infant?
  • No, this is dangerous
  • 16 or larger
  • Get them to the operating room ASAP
  • Stop the blood and start the saline
The feedings for an infant with pyloric stenosis should be thick or thin?
  • Increase
  • Thickened
  • Thoracic and lumbar
  • taste
Besides the Tensilon Test, what other diagnostic tests confirm a diagnosis of MG?
  • Electromylogram (EMG)
  • Chronic otitis media
  • Early ambulation
  • Large-holed, soft nipples
What are the steps of the nurse/patient therapeutic relationship?
  • Yes, the plastic tube that connects the artery and vein outside the arm
  • Pre-interaction phaseOrientation phaseWorking phaseTermination phase
  • Decrease blood pressureControl convulsionsDiuresis
  • A fall in the blood pressure and increase in the pulse-- increasing hemorrhage
In which position should a woman with CD in labor be?
  • Semi recumbent, HOB up
  • Exploratory laparotomy
  • More
  • 18%, 18%, 18%, 1%
Everyone with angina needs bypass surgery? t/f
  • True
  • False
When giving a Z-track injection, the overlying skin is pulled (up/down/medially/laterally).
  • Animal oils
  • Restricted
  • Laterally
  • Cold, clammy
What are the complications of EGD?
  • Rupture of the fallopian tube
  • Myleran -- (this is usually used for bone marrow cancer)
  • Use drapes and screens during care in semi-private rooms
  • Perforation of gutAspiration secondary to emesis Respiratory arrest (due to valium)
Can 3 cc of fluid be administered per IM into the deltoid of an adult?
  • No, maximum of 1 cc
  • Coumadin
  • No, this is dangerous
  • Decreases, alveoli
The 2nd stage of labor and delivery accomplishes....
  • Hemolytic, febrile, allergic
  • Delivery of the infant
  • X-rays of the spine
  • 30 minutes, wound care
What is the most common organism to cause UTI with catheterization?
  • E. coli
  • Recovery
  • False
  • To cause cycloplegiaDilationAllowing eye exam
How often are vital sign measurements taken in AGN?
  • Q4 hours with blood pressure
  • When it needs to be, for example moist lung sounds, tachycardia, restlessness (hypoxia), ineffective cough
  • In the lowest position
  • Replace blood and fluids
How often should the nurse check the flow rate of the O2?
  • Irritating, staining
  • Q4 hours with blood pressure
  • At least once per shift
  • heat (it causes rupture)
In general, males have a higher risk of heart disease than females. (T/F)
  • True
  • False
If you see an increase in blood content of urine coming out of the catheter, you would first ___________.
  • Up through the inside of the catheter in the days following catheterization
  • Yes, when lye or caustic agents have been ingested
  • Pull carefully on the catheter to apply local pressure on the prostate with the Foley balloon.
  • You can easily move the patient around in bed
The cause of RDS is a lack of _______.
  • Surfactant
  • Troponin
  • Shiny
  • Clay-colored
A third degre burn is hard or soft?
  • Hard
  • Yes
  • True
  • False
If an ovum is fertilized during the luteal phase what hormone will be secreted?
  • Hospitalize, watch for infection, try to gain time for the infant to mature
  • Retractions, nasal flaring, and grunting
  • High, high, high
  • HCG (human chorionic gonadotropin)
Pancreas pancreatin isozyme
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
  • Placed on the lower inner eye lid, then have client close eyes
  • Give with meals-these are oral enzymes used with children with cystic fibrosis to increase the absorption of the food they eat
  • Circulation of micro-organisms on air currents
Sulfamyon cream__________.
  • Never
  • Resonant
  • False
  • Burns
Has hyperemesis gravidarum ever been associated with mixed feelings about pregnancy?
  • Yes in the client with poor cardiovascular function
  • distally (far from the center), proximally (neareast to the point)
  • Increase it
  • Yes, increased incidence of it in women who are ambivalent about pregnancy
Name the five/six essential nutrients
  • Consider the area contaminated and not use the articles in the area
  • Inflammation of the lips; Causes birth defects
  • Coombs test detects antibodies to Rh
  • carbs, fats, proteins, vitamins, minerals, water
An aneurysm can result from an _____________ and from ____________.
  • It decreases
  • infection, syphilis
  • Valium or demerol
  • Expulsion of the placenta
If the blood pressure (systolic) falls below 80 mmHg, what would you do first in hypovolemic shock?
  • Elevate the HOB, then increase O2, then call the MD
  • Increase the oxygen flow rate
  • Low, low, low
  • PetechiaeEpistaxis Ecchymosis
At what time of year does rheumatoid arthritis flare up?
  • Spring
  • Distended with flatus
  • A,D,E,K
  • Butting
What are the three signs of increased intraocular pressure?
  • Pain (moderate to severe) RestlessnessIncreased pulse rate
  • Hypoxia, dehydration
  • pain meds, enemas, laxatives, food! NPO
  • Cholinergic (too much Mestinon)Myasthenic (not enough Mestinon)
In what position should the child with Pyloric Stenosis be during feeding?
  • Every 2 hours
  • All 28 days
  • Hourly, weight
  • High fowlers
A first degree burn has vesicles (T/F)?
  • True
  • False
During the first trimester the woman experiences decreased or increased vaginal secretions?
  • 96
  • Penicillin
  • Increased
  • Temporary
Hepatitis A,B,C and D are all (bacterial/viral) diseases.
  • Viral
  • High
  • False
  • Accutane
Clients with celiac's disease don't absorb fats; therefore they don't absorb _____ ______ ______.
  • Bubbling, burping
  • Fat soluble vitamins
  • Protein, fat
  • SQ, IM, IV, ID (intradermal)
In hemophilia, the PTT is (up/down), the coagulation or clotting time is (up/down) and the platelet count is (up/down).
  • Processed, cooked, peeled, refined
  • Remain seated upright for 45 minutes after each meal
  • Non-ruptured: low back pain, dull pelvic pain, abnormal uterine bleeding especially with menstruationRuptured: acute pain, abdominal distention, and abdominal rigidity
  • Up (increased or longer)Up (increased or longer)Neither (hemophilia does not affect platelets)
The goal of action while the suicidal patient is still of the phone is to get _______ person _______ the ______.
  • Another person on the scene (then immediately decreases risk) Remember: people who are alone are always high risk
  • Large for gestational age
  • Bed rest
  • Pulmonary edema
The AIDS virus invades helper ____________.
  • T-lymphocytes (or CD4 cells)
  • Severe muscle weakness
  • Hyaline Membrane Disease (HMD)
  • The abdomen
How long does the fluid mobilization or diuretic phase of a burn last?
  • To the upper thigh
  • The eyes
  • Expressive
  • 2 to 5 days
The best goal to evaluate the progress of the client with anorexia nervosa?
  • Urecholine, Bethanocol
  • an adequate weight gain
  • Guns, ropes, knives
  • LargeGreasyFoul-smelling
What are the stages of syphilis?
  • Primary, secondary, latent, late
  • Lower body temperature during fever.
  • Hyperkalemia and it's effect on the heart
  • Reflex constriction then dilation of cerebral arteries.
Pregnancy is divided into ____ trimesters.
  • High
  • 3
  • 2 to 3 weeks
  • Young
Is there anything that can be done for the client with a ruptured aneurysm before they get to the operating room?
  • Yes, if available you can get them into antishock trousers but not if this causes a delay in getting them to the operating room
  • Profuse vaginal dischargeElevated tempNauseaVomiting (these indicate infection and perforation)
  • Right arm and right leg, left
  • Yes, after about 3-6 months of treatment.
Which aneurysm is most likely to have no symptoms?
  • Back pain, dyspnea, fatigue
  • Weighed, to assess water loss or gain
  • the abdominal is most often "silent"
  • Striae--purple horizontal lines
Is it always bad for the nurse to self-disclose?
  • No, you can self-disclose as long as you do it cautiously and you are 100% sure it is therapeutic.
  • Suction machine in room O2 in roomPadded rails up X 4Must stay on unitAmbulation with supervision onlyNo More than 1 pillow
  • GI irritability, itching or burning on urination, skeletal muscle tension* don't forget PAIN
  • It means that the compensatory mechanisms - hypertrophy, dilation, tachycardia are not working and the heart has failed.
What percentage of North American families are single-parent?
  • False
  • 50%
  • McBirney's point
  • IV antibiotics for one to two weeks, must get urine culture 2 weeks after antibiotic therapy is over
Over secretion of mineralcorticoids only (give another name)
  • decreased
  • Angina pectoris
  • Conn's disease
  • The sebaceous glands
Name the three types of parasites abnormally found in stool.
  • RoundwormTapewormPinworm
  • Valium or demerol
  • protein (second best is Vit C)
  • Removal of the cast, NG tube to decompress, NPO
Capoten
  • decrease in wbc, indicated viral infection
  • Give on empty stomach, one hour before meals (antihypertensive)
  • Take with lots of water rergardless of meals -- to prevent constipation
  • Survanta (Surfactant) via ET tube. Repeat doses are often required.
-cis
  • Adolescent
  • Cut, kill
  • Collapse
  • Toddler
What kind of treatment is done for severe scoliosis?
  • Sickle cell anemia
  • Surgical fusion with rod insertion
  • Side rails up x 4, ambulate only with assistance
  • WheatOatsRyeAlfalfaBarley
Preschoolers may require physical restraint during painful procedures. (T/F)
  • True
  • False
What does blood cross matching mean?
  • Pick it up with forceps only - never touch with hand even if you are wearing gloves.
  • CoughingSneezingBending at the waistStraining at stoolRubbing or touching eyesRapid head movements
  • Having the capability to stop growth of the bacteria
  • Mixing a little of the client's blood with the donor blood and looking for agglutination.
What chemical is added to the bath water of a client with pemphigus?
  • Type and cross match
  • Buzzing or ringing, in the ears (tinnitus)
  • Clear even lung sounds, normal vital signs
  • Potassium permanganate
1 L
  • 90 degrees
  • 1000 cc
  • Seizures
  • Diamox
Sickle-cell anemia symptoms do not appear before the age of ____ months due to the presence of _____ ______.
  • Slow or irregular
  • Hypoglycemia
  • 6; fetal hemoglobin
  • Liver, heart, brain
When do you need a gown with AIDS?
  • 2-3 weeks before birth for primipara
  • Anxiety and stress leading to sympathoadrenal shut-down of the bowel
  • Part of the body where organisms enter
  • If you are going to get contaminated with secretions
Death from Respiratory Distress Syndrome most commonly occurs within _____ hours of birth.
  • False
  • 96
  • No
  • more
What is the typical diet for CF client?
  • Penicillin
  • High calorieHigh proteinModified fat
  • Brain cells die without glucose, brain damage
  • Epinephrine, or topical fibrin foam
When cleansing an infant's eye, cleanse from outer to inner canthus?
  • No, inner to outer
  • Sterile water-soluble
  • Every 6-8 hours
  • 50 to 60%
What is the #1 nursing diagnosis with shingles?
  • Overwhelming infection
  • Mast-like with a snarling smile (called a myasthenic smile)
  • Alteration in fluid and electrolyte balance
  • Alteration in comfort: pain, #2 Impaired skin integrity
What is a common complication of a client in a body cast (like a Risser cast)?
  • Cast syndrome
  • Granulation
  • Narrowed
  • 70 to 75%
Individuals who are ill are ________ sensitive to noise than individuals who are well.
  • True
  • False
  • more
  • Once
Define Meniere's Disease
  • An increase in endolymph in the inner ear, causing severe vertigo.
  • Temporary increase in vascular and lymph supply to the breast in preparation for milk production
  • Aspirin-it can cause acidosis which makes the crisis and sickling worse
  • Addison's disease
What is the classic pattern in formal operational thinking?
  • Urethra, rentention
  • Monilial (yeast)
  • Systemic antibioticsAntibiotic ear drops
  • Abstract reasoning
How often should anti-embolism hose (TED) be removed?
  • Steatorrhea
  • A,D,E,K
  • Daily
  • VIII
What are the four classic signs of pulmonary edema?
  • No swimming, no showering, no diving
  • Dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, coughing
  • Vinegar. Nits are the eggs of lice that adhere to the hair shaft
  • Pre-interaction phaseOrientation phaseWorking phaseTermination phase
Meningitis is an inflammation of the _______ of the _______ and spinal ___________.
  • The serum creatinine
  • Hourly, weight
  • Linings, brain , cord
  • Sterile saline
If the MD orders 2,800 cc of fluid in the first 24 hours after a burn, one-_____ of it must be infused in the first 8 hours.
  • Cool wet dressing
  • Increased, increased, increased, decreased
  • Half (or 1,400 cc)
  • Less than 1/2 hour
What is the developmental task for later adulthood?
  • Ego Integrity vs. Despair
  • Leaned forward with flaring nostrils
  • Irritating, staining
  • Liver, heart, brain
What other disease is related to shingles?
  • Cigarettes
  • Shingles
  • chickenpox
  • Cool wet dressing
The pulse rate of anorexics is tachycardic or bradycardic?
  • Milwaukee
  • 2 years old
  • Bradycardic
  • Bloody and frothy
Ectopic pregnancy is (usually/almost never) carried to term.
  • 1 to 8 years
  • Almost never
  • Increase it
  • 2 to 5 days
What force causes the pulmonary edema in left ventricular failure?
  • Increased hydrostatic pressure in the pulmonary capillaries
  • It is the intellectual stage of children from birth to 2 years
  • Lying face down. Also, do not lie on operative side for a month.
  • PancreatitisMultiple pregnanciesHydatidiform mole
What skin symptoms do you see in hepatitis? (Give 2)
  • Pruritis (itching)Jaundice (Both are due to bilirubin accumulation)
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
  • Beefy red tongueNumbness and tingling of the handsSores in the mouthChest pain
  • Decrease production of aqueous humor and thus decrease intraocular pressure.
The symptoms of pyloric stenosis mostly commonly appear at age ______ to _____.
  • Get up slowly
  • Candida
  • 4 to 6 weeks
  • 21 to 22 gauge
How much suction should be used for an adult?
  • 15 to 35
  • 120 to 150 mm Hg
  • Sex linked recessive
  • 4 to 6 weeks
In general, cancer drugs have side effects in which three body systems?
  • GI Hematologic (blood) Integumentary
  • A surgically created opening of the colon out onto the abdomen wall.
  • When the nurse tells the patient personal information about self.
  • Bed rest
What is the BIG danger in renal failure?
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
  • Surgical fusion with rod insertion
  • Hyperkalemia and it's effect on the heart
  • Radiation hazard
What is intermittent claudication?
  • Bleeding into the joints
  • Striae--purple horizontal lines
  • Less than 500 cc of urine in 24 hours
  • Pain in calf upon walking
What is the most common dietary restriction for AGN?
  • Moderate sodium restriction. Fluid restriction is #2 if edema is severe.
  • Clear, colorless
  • Exposure to cold, emotional stress, tobacco use
  • Radial artery to radial vein
What is opisthotonos?
  • A blood vessel is sutured between an artery and a vein.
  • Cushing's syndrome
  • Weak/absent pulses, cool, pale, loss of hair, shiny thin skin
  • Arching of back (entire body) from hyperextension of the neck and ankles, due to severe meningeal irritation.
Masks deliver higher or lower concentrations of O2 than nasal cannulae?
  • Women
  • Flexion
  • Higher
  • First
People between 25 and 50 years are (low/moderate/high) risk for suicide.
  • an adequate weight gain
  • Low to moderate
  • Steatorrhea
  • Slightly extended
What does bacteriostatic mean?
  • At the distal (duodenal) end of the stomach
  • To cause cycloplegiaDilationAllowing eye exam
  • Having the capability to stop growth of the bacteria
  • Pruritis (itching)Jaundice (Both are due to bilirubin accumulation)
What agents are best for catheter care?
  • Soap and water
  • Restlessness, tachycardia
  • Acidity, low pH
  • Clean technique
The #1 danger in both Myasthenic and Cholinergic crisis is _____ ______.
  • Lie flat for 6 to 12 hours
  • School-age, adolescents
  • Cries vigorously
  • Respiratory arrest
What disease often follows labyrinthectomy?
  • NPO and NG tube for decompression
  • Yes in the client with poor cardiovascular function
  • When the patient exhibits jaundice.
  • Bell's palsy-- facial paralysis, will go away in a few months
-sect
  • To cut
  • Blacks
  • True
  • Women
Can EGD be done on an uncooperative client?
  • The chancre (pronounced shanker)
  • No
  • 28, 40
  • False
Plastic pillow cases are ______. (disadvantages)
  • Pale, sometimes blue
  • Sterile water-soluble
  • Hot and slippery
  • Penicillin
Men with Cushings develop______________.
  • Gynecomastia
  • Basal ganglia
  • Hypoglycemia
  • Increased
Mastitis and breast engorgement are more likely to occur in (primipara/multipara).
  • Cigarettes
  • Primipara
  • Restricted
  • Thoracic and lumbar
When 2 values are given in a blood pressue, the bottom number stands for the change in sounds or cessation of sounds?
  • Alteration in fluid and electrolyte balance
  • Distended with flatus
  • Systolic
  • Cessation of sounds
What body surface must be punctured to administer PD?
  • Hot and slippery
  • The abdomen
  • 15 to 25
  • Projectile
Can AIDS patients leave the floor?
  • Shuffling slow gait
  • Yes, unless WBC's are very low
  • It is surgical removal of the uterus
  • right upper quadrant pain
What types of chemicals cause burns to oral mucosa when ingested?
  • Lye, caustic cleaners
  • Throbbing
  • Left ventricle has decompensated
  • Metabolic Acidosis
How many minutes should lapse between the nitro pills you take?
  • A common complication of quadriplegics in response to a fulle bladder or bowel.
  • 4 to 6 weeks
  • Every 15 minutes during the first cycle and every hour thereafter
  • 5 minutes - take one nitro tab every 5 minutes 3 times, if no relief, call MD
AFTER repair of cleft lip is infant allowed to cry? To breast feed?
  • Intermittent, diastolic blood pressure
  • No, the infant should be held to PREVENT CRYING; the infant is not allowed to breast-feed because sucking is not good after lip repair.
  • No the patient should not ambulate independently, depth perception is altered.
  • Knee flexion (because it increases the chance of thrombophlebitis)
Antibiotics are used to treat breast engorgment? (T/F)
  • True
  • False
In the diuretic phase: urine output can=________ to ________ liters/24 hours.
  • 4-5 liters per 24 hours
  • Termination of pregnancy
  • Phosphorous
  • Surgery (pyloromyotomy)
What is the first sign of pulmonary embolus?
  • 7-11
  • Spring
  • ELISA
  • Dyspnea
If a family member asks to have the side rails down while they are in the room you should...
  • Remember that you are responsible for the client's safety-- not his family, it might be unwise to permit this
  • True
  • Under general anesthesia -- must be artificially ventilated
  • Sexually transmitted disease (STD's), i.e: AIDS, gonorrhea, syphilis...
How long should the stump be elevated to prevent post op swelling?
  • Perineal
  • Decrease
  • 12-24 hours
  • Troponin
What test identifies Rh factor?
  • Both receptive and expressive
  • Removal of the cast, NG tube to decompress, NPO
  • Sudden episodes of difficulty breathing
  • Coombs test detects antibodies to Rh
Milk and milk products are (high/low) in fiber.
  • Low salt
  • False
  • No
  • Low
What are the first signs of AGN?
  • Expulsion of the placenta
  • Firstborn, full term, white, boys
  • Puffiness of face, dark urine
  • The lip is open to the nares
What would you do if the client's urine was pink-tinged after cystoscopy?
  • Before getting out of bed (before the swelling occurs).
  • Within 30 minutes of beginning the transfusion
  • Increased carbohydrates, increased protein.
  • Record it in the notes, no need to call the MD.
Name 5 things included in seizure precations.
  • Suction machine in room O2 in roomPadded rails up X 4Must stay on unitAmbulation with supervision onlyNo More than 1 pillow
  • Yes, the infant has a difficult time latching on (getting nipple in its mouth)
  • Suction apparatus (for meals), tracheostomy/endotube (for ventilation)
  • GI irritability, itching or burning on urination, skeletal muscle tension* don't forget PAIN
What other test is used to confirm fetal lung maturity?
  • Amniotic fluid is analyzed for presence of PG
  • Change in LOC and tachycardia
  • MydriaticsAnticholinergics
  • Multigravida, 35 (HTN, trauma, cocaine)
What causes thrombophlebitis after hysterectomy?
  • Remove the gauze before feeding and cleanse after feeding with peroxide and saline.
  • Venous stasis in the abdomen (the woman was in the vaginal lithotomy position for hours)
  • Amniotic fluid is analyzed for presence of PG
  • The Romberg test (a test for balance), in normal people this test is negative, in the client with pernicious anemia this test becomes positive
If a post-operative patient complains of gas and cramping you should first _______ then ________.
  • Constrict the pupil
  • Yes, but this is rare.
  • Assess then ambulate
  • ASA (aspirin)
Which solution is used to irrigate a colostomy?
  • Alopecia
  • The sebaceous glands
  • Tap water
  • 24 hours
What is done in an AV fistual?
  • A surgical anastomosis is made between the artery and a vein.
  • Normal saline (0.9 NaCl)
  • Milk & Cheese, Meat & Legumes, Veggies & Fruits, Bread & Cereal
  • Peristaltic waves from left to right
What positions are to be avoided after cataract surgery?
  • Remide the patient to straighten their knee constantly while standing
  • Increased viscosity of the secretions of exocrine glands lead to obstruction.
  • Be careful that no undissolved crystals touch the client; it will burn the skin
  • Lying face down. Also, do not lie on operative side for a month.
What lubricant can safely be applied to the cracked lips of chemotherapy stomatitis?
  • Soap and water
  • K-Y Jelly
  • Urethra, rentention
  • Potassium permanganate
What are the two most common subjective complaints of the woman who is decompensating during labor?
  • Pre-interaction phaseOrientation phaseWorking phaseTermination phase
  • The cervix thins
  • DistanceShieldingTime
  • SOBPalpitations
What is spinal shock?
  • Moving the head from side to side to see the whole field of vision.
  • Atrial fibrillation (RIGHT atrial fibrillation casues pulmonary embolus; LEFT atrial fibrillation causes cerebral embolus)
  • Overgrowth of spongy bone in the middle ear that doesn't allow the bones of the middle ear to vibrate
  • It is a common occurrence in spinal cord injury in which the spinal cord swells above and below the level in injury
Malabsorption of which vitamin leads to bleeding disorder?
  • Take it on an empty stomach and avoid the sunlight (photosensitivity)
  • Vitamin K, remember do not mix up potassium with Vitamin K
  • A blood vessel is sutured between an artery and a vein.
  • Pick it up with forceps only - never touch with hand even if you are wearing gloves.
What is Chadwick's sign?
  • Acid Ash
  • Blue-tint to the cervix
  • Acidity, low pH
  • Western Blot
Rectal suppositories with an oil base should be kept refrigerated. (T/F)
  • True
  • False
The symptoms of sensory overload and sensory deprivation are...
  • Dark and quiet environment
  • Fear, panic, depression, inability to concentrate, restlessness, agitation
  • Have the patient smile and wrinkle forehead.
  • L/S ratio (Lecithin/Sphingomyelin ratio)
What are the signs and symptoms of a hemolytic transfusion reaction?
  • Shivering, HA, low back pain, increased pulse & respirations, decreasing BP, oliguria, hematuria
  • Observe stools for steatorrhea
  • Pull carefully on the catheter to apply local pressure on the prostate with the Foley balloon.
  • That is impossible since the test measures electrical activity coming FROM him, never to him.
Will the post prostectomy patient be impotent?
  • If TURP, no impotence, if perineal prostatectomy, yes impotence
  • carbs, fats, proteins, vitamins, minerals, water
  • Whether the client's blood and donor blood are compatible.
  • IronFolic acidPrevent anemia (anemia always makes the heart work more)
CD ranks ________ among the leading cause of maternal death.
  • Fourth
  • Once
  • Third
  • Hungry
Acrocyanosis
  • To estimate the percentage of body surface burned; is NOT used for children.
  • Temporary cyanotic condition, usually in newborns resulting in a bluish color around the lips, hands and fingernails, feet and toenails. May last for a few hours and disappear with warming.
  • Give with meals (K--sparing diuretic)
  • Elderly clients, unconscious, babies, young children, restless, confused
Bactericide (Define)
  • Oliguria, because since you are losing more fluids you are actually hemo-concentrating the hyperkalemia more
  • InjuryCongenitalExposure to heatHeredityAge
  • Substance capable of destroying micro-organisms but not necessarily their spores
  • Having the capability to kill bacteria.
How often should the client cough and deep breath post-operatively?
  • Restricted
  • Autosomal recessive
  • Every 2 hours
  • Outside, uterus
The 2nd stage of labor and delivery begins with ______ and ends with _______ of the ________.
  • MydriaticsDilatorsAntibiotic drugs (gtts)
  • Full dilation, delivery, infant
  • T-lymphocytes (or CD4 cells)
  • no, bedrest until the client is stable!
A drug for long term anticoagulation in any disorder would be?
  • Low iron
  • Troponin
  • Coumadin
  • 5/8 inch
Hepatitis C
  • Watch those needlesIncubates 2 to 23 weeks Transmitted by blood onlyNo vaccine, immune globulin doesn't work
  • No. Homan's sign is no longer recommended as a test for thrombophlebitis because it can cause a clot to embolize
  • The use of electrical shock current delivered to the brain to induce a seizure that treats depression.
  • No the patient should not ambulate independently, depth perception is altered.
IN BPH the man has (increased/decreased) frequency of urination
  • yes, yes
  • increased
  • Decreased
  • Receptive
What type of diet should the patient with MG be on?
  • Soft
  • Steroid
  • Acid
  • Monotone
Peer group important
  • True
  • Adolescent
  • Keep the drainage system closed, do not disconnect junction of tubing
  • Left side lying
Is otitis a disease of the adult or child?
  • Absolute bed rest
  • Yes but it should be WNL
  • Usually the child
  • Urine & blood
If PROM occurs before viability, what is the typical management?
  • Sealed plastic bags
  • Termination of pregnancy
  • heat (it causes rupture)
  • Sterile water-soluble
The #1 contracture problem in AKA is ____________ of the _____________
  • Hourly, weight
  • Bubbling, burping
  • flexion, hip
  • Respiratory arrest
Should pregnant staff care for a client with a cesium implant?
  • True
  • Allowed
  • Bryants
  • No
What is the #1 medical treatment of hypovolemic shock
  • Replace blood and fluids
  • Loose earmoldLow battery
  • Gestational diabetes
  • You can easily move the patient around in bed
Industry vs Inferiority
  • 4 to 6 weeks
  • School Age
  • A blood disease in which there is an increase in erythrocytes, leukocytes and platelets
  • A surgical anastomosis is made between the artery and a vein.
When will the client with an MI be allowed to engage in sexual intercourse after an MI?
  • Above the knee amputation
  • Linings, brain , cord
  • Both arms; lying, sitting and standing
  • 6 weeks after discharge
What is endometriosis?
  • Rheumatic heart disease
  • early adulthood, middle adulthood and later adulthood
  • Levodopa, Sinement, Symmetrol, Cogentin, Artane, Parlodel
  • Growth of endometrial tissue outside of uterus
Obesity increases the risk of hypertension. (T/F)
  • True
  • False
What are the three major treatment objectives in eclampsia?
  • Remove dentures and eyeglassesSign consentNPO after midnight
  • Organ meats liver, heart, brains, kidneys
  • Decrease blood pressureControl convulsionsDiuresis
  • When gagg reflex returns (knocked out with xylocaine)
Due to MI occurs within _____ of symptom onset in 50% of all patients.
  • One hour
  • 2 to 5 days
  • TED hose
  • Receptive
How long is the needle kept inserted during Z-track injection?
  • Yes to all
  • 10 seconds
  • The fingers
  • Accutane
What solution should be used on the skin where the brace rubs?
  • Tincture of benzoin or alcohol,no lotions of ointments-you want to toughen the skin not soften it
  • Thrombus and pulmonary embolus Urinary retention
  • Record it but no need to call the MD
  • Temporary increase in vascular and lymph supply to the breast in preparation for milk production
How often should the post-operative patient turn?
  • Observe stools for steatorrhea
  • Nitroglycerine
  • ASA (aspirin)
  • Every 2 hours
When the patient is receiving radioactive iodine what precautions is/are most important?
  • Call MD, get a blood sample, get urine sample, monitor vitals, send blood to lab
  • Up through the inside of the catheter in the days following catheterization
  • Shivering, HA, low back pain, increased pulse & respirations, decreasing BP, oliguria, hematuria
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
What is the primary dietary prescription for calcium nephrolithiasis?
  • Cold, clammy
  • Low calcium diet
  • It hypertrophies
  • right upper quadrant pain
When pressure is auscultated the first sound heard is the ____________ measurement.
  • Transmission
  • Acetylcholine
  • Systolic
  • Slower
What is meant be the phrase "advance the drain 1 inch"?
  • You pull the drain out 1 inch.
  • Valium, Baclofen (Lioresal), Dantrium
  • Bone conduction will be better than air conduction
  • Back pain, dyspnea, fatigue
Name the three most common uses of PCA techniques.
  • Intermittent to prevent mucosal damage
  • Post-operative pain, cancer pain, sickle-cell crisis pain
  • A protective patch/shield on the operative eye for 24 hours, then a metal shield (AT NIGHT only) for 3 weeks
  • Frequency, urgency, burning, cloudy, foul smelling urine
What unusual post-operative complication can result from mastoidectomy?
  • Clear even lung sounds, normal vital signs
  • Facial nerve paralysis due to accidental damage during surgery (law suit time!)
  • Be careful that no undissolved crystals touch the client; it will burn the skin
  • That is impossible since the test measures electrical activity coming FROM him, never to him.
If you care for a client who is post-op for a repair of a femoral popliteal resection what assessment must you make every hour for the first 24 hours?
  • Venous stasis in the abdomen (the woman was in the vaginal lithotomy position for hours)
  • Sitting upright with arms folded on the overbed table
  • check the distal extremity (far from center) for color, temperature, pain and PULSE, also MUST document
  • They don't want to harm the fetus
Neoplasm refers to benign and malignant tumors. (T/F)
  • True
  • False
If a woman doesn't stop oral contraceptives one week before surgery she is at risk for developing______.
  • 1/2 hour
  • Thrombophlebitis
  • drugs, insecticides
  • For the rest of life
What are the signs and symptoms of a febrile transfusion reaction?
  • A dropper/syringe with rubber tip to discourage sucking
  • Aspirin, non-steroidal inflammatory (NSAIDs) Indocen, Ibuprofen, steroids
  • To prevent headache due to CSF loss
  • Low back pain, shaking HA, increasing temperature, confusion, hemoptysis
Sucrose is a sugar found in ____________ and _____________.
  • 15-30 minutes
  • 2 to 3 weeks
  • fruits, veggies
  • Every 15 minutes
Does stress make acne worse?
  • Bleeding into the joints
  • Measures electrical activity generated by the brain
  • Shingles
  • yes
What are the first two sings of hypovolemic shock?
  • Change in LOC and tachycardia
  • O2, anticoagulants
  • Change in LOC
  • When the gag reflex returns
What will be a high priority nursing diagnosis for a client post cataract surgery?
  • Hot
  • True
  • Memory
  • Safety
What will you see when you observe the neck of a client with CD of pregnancy?
  • Of orthostatic hypotension
  • Distended neck veins -JVD
  • Drain the bladder, empty the bowel
  • When the gag reflex returns
What is an MI?
  • Give with meals-these are oral enzymes used with children with cystic fibrosis to increase the absorption of the food they eat
  • Increased carbohydrates, increased protein. Moderate potassium & sodium. (May need to increase fluids in diuresis results in dehydration.)
  • Either a clot, spasm or plaque that blocks the coronary arteries causing loss of blood supply to the heart and myocardial cell death
  • To develop and maintain the corpus luteum which produces progesterone to maintain pregnancy until placenta is established.
After rape, a woman needs follow-up exam/test for _______ __________ ________.
  • Sexually transmitted disease (STD's), i.e: AIDS, gonorrhea, syphilis...
  • (Erikson) People in late adulthood either achieve a sense of integrity of the self by accepting the lives they have lived or yield to despair that their lives cannot be relived
  • No, it can cause a constricting band around the ankle/foot.
  • Procaine makes the shot less painful; Probenecid blocks the excretion of penicillin
What solution is used for CBI?
  • Measures electrical activity generated by the brain
  • Normal saline (0.9 NaCl)
  • FSH and Estrogen
  • Chronic infectious/inflammatory disease of the middle ear
Should pregnant nurses care for a patient receiving unsealed internal radiotherapy?
  • Maybe, as long as they don't contact body secretions.
  • No, it has to be warmed first for only about 20 to 30 minutes.
  • Cardiogenic shock, arrhythmia, CHF
  • Yes, encourage fluids to replace CSF
The primary diet treatment for uric acid nephrolithiasis is _________ -________.
  • Smoking
  • Low pruine
  • Elbow restraints
  • Apraxia
In what position would you place a client in suspected hypovolemic shock?
  • On back with arms and legs elevated
  • Better with rest, worse with activity
  • Morphine, Demerol, Nitroglycerine
  • To take the child to the ER as soon as possible.
The Cushings syndrome patient will have ________ natremia, _________kalemia and _______glycemia.
  • Harrington Rod
  • 2 to 5 days after delivery
  • Hyper; hypo; hyper
  • Systolic
The nurse should introduce information about the end of the nurse/patient relationship during the _____phase.
  • Aspiration
  • Joint pain
  • Orientation
  • The head of the bed
Where do the emboli that cause pulmonary embolus usually come from?
  • Leave them out
  • The legs
  • Brachial
  • Should
In which two systems/organs are the most problems in CF?
  • Severe painRestlessness
  • Less than 1/2 hour
  • Tetracycline
  • LungsPancreas
Hormones of pregnancy work against insulin. (T/F)
  • True
  • False
Can you use alcohol on the earmold of a hearing aid?
  • To the lateral thigh or abdomen
  • Cloudy, milky-white pupil
  • No, it dries and cracks it
  • Dark and quiet environment
What three most common visual defects occur with cataract?
  • CloudinessDiplopia (double vision)Photophobia (sensitivity to light)
  • Consider the area contaminated and not use the articles in the area
  • If TURP, no impotence, if perineal prostatectomy, yes impotence
  • Bell's palsy-- facial paralysis, will go away in a few months
What occurs during the follicular phase of the ovarian cycle?
  • Undifferentiated is worse to have (highly differentiated is better to have)
  • Orthostatic hypotension (means you feel weak when you rise to a standing position because your blood pressure falls)
  • 70% alcohol to promote drying (trend is toward soap and water)
  • It accomplishes maturation of the graafian follicle which results in ovulation
What is the most challenging aspect of combination of drug therapy for HIV disease?
  • The number of pills that must be taken in 24 hours can be overwhelming. The frequency also makes it hard to remember-an alarm wristwatch is used.
  • Accumulation of wasted in the blood and the associated signs. This occurs in the end stage renal failure.
  • Back pain, dyspnea, fatigue
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
After administration of a vaginal durg the client should remain _____ for______ minutes.
  • Urine & blood
  • Supine, 10
  • Leave them out
  • Systolic
Endometriosis most commonly occurs in women between ages of ______ and ________.
  • Androgens
  • 25 to 40
  • Buffalo hump
  • One hour
When O2 is administered, it must be...
  • Humidified
  • Peritonitis
  • No, it dries and cracks it
  • CD4 count
In Myasthenia Gravis (MG) there is a disturbance in transmission of impulses at the _____ _____.
  • Fever, flank pain, chills, increased WBC, malaise
  • Neuromuscular junction
  • Extremities are blue (cyanotic), Pink
  • Gestational diabetes
Which of these classes of drugs causes contact dermatitis?
  • Barrel chest
  • Ultrasound
  • Penicillin
  • Miotics
How far above the ear canal should you hold the dropper while administering ear drops?
  • 1/2 inch
  • 48 hours
  • 10 minutes: (10 minutes flow in, 30 minutes in abdominal cavity, 10 minutes flow out = total of 50 minutes)
  • Hemiplegia
Before applying elastic hose the nurse should...
  • Ego Integrity vs. Despair
  • bleeding precautions; No IM's, no rectal temperatures, other bleeding precautions
  • ONLY when sedatives are used, and then it's only necessary to keep side rails up.
  • Elevate the clients legs for 3 to 5 minutes to decrease venous stasis
What is epitaxis?
  • The sebaceous glands
  • Pulmonary edema
  • The abdomen
  • Nose bleeds
Name 3 drugs given for acne?
  • Vitamin A, Antibiotics, Retinoids
  • Large, pale, foul smelling, greasy
  • Blue-tint to the cervix
  • Anorexia or fatigue
Does breast engorgement interfere with nursing?
  • Yes, the infant has a difficult time latching on (getting nipple in its mouth)
  • Begin nursing on the side that the baby finished on the last feeding
  • Not in the beginning, can be later as swelling occurs
  • Bed rest
Where is the pain of migraine most likely located?
  • Simple or radical mastoidectomy
  • Temporal, supraorbital
  • Mealtime, due to choking
  • WheatOatsRyeAlfalfaBarley
What will excessively fatty stool be like?
  • Thromboangiitis obliterans
  • Large, pale, foul smelling, greasy
  • The stage BEFORE the patient exhibits jaundice.
  • When the gag reflex returns
How long will a client's memory be impaired after ECT?
  • Shoulder height
  • Over 102 degrees
  • 2 to 3 weeks
  • Almost never
What solution is put onto the skin to protect it from the irritating effects of the tape?
  • Delivery of fetus
  • Increase (polydipsia)
  • Less than 1/2 hour
  • Tincture of benzoin
The preferred gauge of needle for injection for SQ injection___________.
  • False
  • The fingers
  • 1/2 inch
  • 25 gauge
Meats are (high/low) in fiber.
  • High
  • Low
  • False
  • Never
What is the activity order for clients with CHF?
  • Lice
  • Flexion of the knee
  • Bed Rest
  • Young adult
With what is a round closed in first intention?
  • Sutures or steri-strips, staples
  • Sealed plastic bags
  • Muscle relaxant -- succinylcholine
  • Striae--purple horizontal lines
Micro-organisms grow best in a _______, _______, _______place.
  • Hypertension
  • In some cases, yes
  • Beam or X-rays
  • Warm, dark, moist
When should the child with CF take his pancreatin/viokase/pancreas?
  • distally (far from the center), proximally (neareast to the point)
  • With meals, so it is in the gut while the food is present, the whole purpose is to increase absorption of ingested food.
  • Decrease HOB (but not flat); cover with sterile gauze moistened with sterile saline, call MD
  • The spleen, because it is destroying the excessive RBC's.
If airway obstruction occurs at the accident site and you suspect spinal cord injury, what maneuver is used to open the airway?
  • Urecholine, Bethanocol
  • Time, distance, shielding
  • Metabolic Acidosis
  • Modified jaw thrust
1 gr
  • 2.5 cm
  • True
  • False
  • 60 mg
Family history of diabetes increases the risk fo heart disease. (T/F)
  • True
  • False
What happens to the pulse pressure in hypovolemic shock?
  • Striae--purple horizontal lines
  • Increased to dilute urine and reduce incidence of UTI.
  • It narrows (becomes a smaller number)
  • Contact and respiratory precautions
For the client with calcium nephrolithiasis the diet should be _________ash.
  • Receptive
  • Acid
  • Grimaces
  • Scan
What serum protein rises soonest after myocardial cell injury?
  • Type and cross match
  • Troponin
  • Joint pain
  • Away from you
Non-steroidal anti-inflammatory drugs
  • Give with food (for arthrosis)
  • Hyaline Membrane Disease (HMD)
  • Observe stools for steatorrhea
  • Part of the body where organisms enter
If a child is suspected of having epiglottitis, should you put a tongue depressor in their mouth to look?
  • No, never put any instrument in the child's mouth unless you are prepared to do an immediate intubation.
  • Shivering, HA, low back pain, increased pulse & respirations, decreasing BP, oliguria, hematuria
  • Better, they tremor more when not performing an action
  • Pre-interaction phaseOrientation phaseWorking phaseTermination phase
When the body does not receive enough carbs it burns ___________ and _____________.
  • grade fever
  • Raise HOB
  • Sterile occlusive
  • protein, fat
Anticholinergic
  • Cleanses the skinProvides comfort
  • Dilates pupilsCauses photophobiaUsed preoperatively for cataract removalDon't use in glaucomaAtropine is an example
  • A drug that destroys or inhibits growth of micro-organisms
  • Pruritis (itching)Jaundice (Both are due to bilirubin accumulation)
What is found over the body of the client with anorexia nervosa?
  • Thromboangiitis obliterans
  • lanugo (soft downy hair)
  • To the left, to the right
  • Distended neck veins -JVD
What is the only treatment recommended for appendicitis?
  • Hypoglycemia
  • They may stop breathing
  • Buzzing or ringing, in the ears (tinnitus)
  • surgery - appendectomy
If ketosis is a big problem for the baby during pregnancy what the big problem after delivery?
  • 6; fetal hemoglobin
  • The eyes
  • High, high, high
  • Hypoglycemia
Oversecretion of ACTH
  • 80 to 100 mm Hg
  • Graves Disease
  • Dignity & respect
  • Cushing's disease
What are the four classic suicide precautions?
  • Search personal belongings for drugs & alcohol, remove any sharp objects, remove any device for hanging or strangling; must be on constant one-to-one observation (NEVER out of sight)
  • The serum creatinine
  • ONLY when sedatives are used, and then it's only necessary to keep side rails up.
  • Oral care, protection from infection, encouraging high fluid intake
Can morphine be given to a woman with CD during labor?
  • Removal of the cast, NG tube to decompress, NPO
  • PEEP (Positive end expiratory pressure) & CPAP. (Continuous positive airway pressure), to keep alveoli open while on the ventilator. High frequency jet ventilation is sometimes used.
  • Two surgeriesone at 12 to 18 monthsthe last at 4 to 5 years
  • Yes, even though it negatively affects the fetus, remember morphine decreases preload and pain which rests the heart.
What vitamin is not absorbed in a patient with pernicious anemia?
  • Vitamin B-12
  • Down and back
  • Acetylcholine
  • Itching
In order to score a 0 on HR the infant must have a rate of _________.
  • Zero
  • Decreased
  • Bed Rest
  • True
Iron (without nausea)
  • Give on empty stomach with orange juice to increase absorption
  • Call MD, get a blood sample, get urine sample, monitor vitals, send blood to lab
  • A dropper/syringe with rubber tip to discourage sucking
  • Uterine softening
If you use too narrow of a cuff the reading will be too high or low?
  • Acid
  • 28, 40
  • No heat lamp and hair dryerYes fan
  • High
What type of hearing loss is associated with otosclerosis?
  • A body cast
  • Conductive
  • Throbbing
  • Lidocaine
Define contusion.
  • Less than 500 cc of urine in 24 hours
  • Write; record
  • Bruise (internal)
  • Joint fusion
-gram; -graphy
  • Cigarettes
  • Daily weight
  • Write; record
  • greater, less than
What are 4 signs and symptoms of mastoiditis?
  • The precursor of the amino acid cystine (precursor = material out of which something is made)
  • Side rails up x 4, ambulate only with assistance
  • Drainage from ear, high fever, headache and ear pain, tenderness over mastoid process
  • Cranial tongsThomas splints with Peason attachments90 degrees to 90 degrees
For how long should suction be applied during any one entry of the catheter?
  • 3 to 4 weeks
  • 10 seconds
  • It hypertrophies
  • 12-24 hours
How long will the patient with meningitis be on these precautions?
  • Start at the incision and move outward.
  • Appendicitis, rupture of a fallopian tube pregnancy
  • Until they have been on an antibiotic for 48 hours
  • phantom limb sensation (which is normal)
If the nurse uses self-disclosure it should be ______ and the conversation should be...
  • Neurotic-- they know reality
  • Explain why they are being used.
  • Short, quickly refocused back on the patient
  • Third degree burns, nerve damage has occured
How long should you stay with the patient after beginning a transfusion?
  • At least 15 to 30 minutes
  • Plain water, cotton balls, washcloths
  • ASA (aspirin)
  • PT (prothrombin time)
What sign would indicate the presence of thrombophlebitis?
  • Disorganization phase, re-organziation phase
  • A hard, red swelling in the posterior calf
  • Secondary respiratory arrest (valium)
  • Change in LOC and tachycardia
What are two major complications of a hysterectomy besides hemorrhage?
  • Thrombus and pulmonary embolus Urinary retention
  • To cause cycloplegiaDilationAllowing eye exam
  • headache and hypotension
  • No ointments with metals like zinc oxide, no talcum powder
When putting on the second glove of a set of sterile gloves, you must not use the thumb of the first hand. (T/F)
  • True
  • False
A high score of 2 is given for respiratory effort if the newborn_____________.
  • Hard, swollen, warm
  • Cries vigorously
  • Perineal
  • Systolic
What is the best way to prevent pulmonary embolus in post-operative patients?
  • Antibiotics
  • Early ambulation
  • Phlebotomy
  • Nausea and vomiting due to bowel obstruction
Which types of client should have their toenails trimmed only by an MD?
  • Diabetics, peripheral vascular disease, very thick nails
  • Whenever a client is to get a blood product. It is only good for 24 hours.
  • Remain seated upright for 45 minutes after each meal
  • Hemolytic, febrile, allergic
In Abruptio Placenta, the placenta _______________ from the uterine wall ____________.
  • Separates, prematurely
  • Steatorrhea
  • Right side with HOB up
  • Residence or/an telephone number
If the client has right homonymous hemaniopsia, the food on the ____ side of the tray may be ignored.
  • Spastic
  • Right
  • Hemiplegia
  • 1/2 inch
What is the developmental task for middle adulthood?
  • Generativity vs. stagnation.
  • No, that would increase milk production and would make the problem worse (warm compresses or warm shower to let milk "leak" is okay- Ice is best)
  • To prevent headache due to CSF loss
  • Moderate sodium restriction. Fluid restriction is #2 if edema is severe.
What is the most dangerous complication of EGD?
  • Secondary respiratory arrest (valium)
  • Antihistamines and diuretics (Diamox)
  • Pain, numbness, tingling
  • Venous stasis in the abdomen (the woman was in the vaginal lithotomy position for hours)
The nutrient needed most for growth and repair of tissues is _____________.
  • DistanceShieldingTime
  • protein (second best is Vit C)
  • Respiratory arrest
  • Severe painRestlessness
What shape does Hgb S make the RBC's?
  • Crescent-shaped
  • School Age
  • Sickle cell anemia
  • In some cases, yes
How should you change the position of the spinal cord injury patient after he has an order to be up? Why?
  • Meconium ileus-- bowel obstruction due to the thickness of the stool.
  • No, it can cause a constricting band around the ankle/foot.
  • Slowly, because of severe orthostatic hypotension (they use a tilt table)
  • no, bedrest until the client is stable!
Into how many stages is labor and delivery divided?
  • No
  • Increased
  • 4
  • Daily weight
Name the anitcoagulant given for immediate anticoagulation by IV or SQ route.
  • Miotics
  • Every 6 hours
  • Receptive
  • Heparin
Which age groups are most likely to physically resist the nurse during procedures?
  • Fallopian tube - 90%
  • Pill-rolling and tremors
  • School-age, adolescents
  • First diastolic sound
T/F: AIDS patients get lymphomas?
  • True
  • False
Clean technique (Define)
  • Packed cells don't have nearly as much plasma or volume as whole blood does
  • Not usually unless they have an infection caused by an airborne bug
  • Practices that help reduce the number & spread of micro-organisms (synonym for medical asepsis)
  • Once before administrationQ15 x 2 after administration is begun Q1 x1 after transfusion has stopped
What type of environmental modification is best for a migraine?
  • surgery - appendectomy
  • Dries the mucous membranes.
  • Acute, inflammatory, liver
  • Dark and quiet environment
What might Levodopa do to patients urine?
  • Make it very dark
  • The serum creatinine
  • Decreases, alveoli
  • Rheumatic heart disease
Scoliosis in the thoracic spine is usually convex to the (left/right).
  • Right
  • Murmurs
  • Rest
  • Digitalis
Codeine
  • Stop the blood flow & start running the saline
  • Take with lots of water rergardless of meals -- to prevent constipation
  • Give with meals-- especially high fat meals (anti-fungal)
  • Crushing, heavy, squeezing, radiating to left arm, neck , jaw, shoulder
Apendicitis occurs most in what age group?
  • 15 to 35
  • Decreases
  • Collapse
  • Protein
With which other two spine deformities is scoliosis associated?
  • Weak/absent pulses, cool, pale, loss of hair, shiny thin skin
  • Intrinsic factor. It has no other name.
  • Q4 hours with blood pressure
  • Kyphosis (humpback), Lordosis (swayback)
Hearing aids are more useful in sensory or conductive hearing loss?
  • Conductive
  • Diuretics
  • One hour
  • Opposite
Which two groups of these drugs cause photophobia?
  • PetechiaeEpistaxis Ecchymosis
  • MydriaticsAnticholinergics
  • Cool wet dressing
  • Change in LOC and tachycardia
In the diuretic phase, K+ levels fall or rise?
  • AnorexiaN&V-- very commonYellow visionArrythmia
  • Fall- remember diuresis always causes hypokalemia
  • Anticoagulants (heparin/coumadin/lovenox)
  • Heel lifts; sit-ups; hyperextension of the spine; breathing exercises
When pouring liquid onto a sterile field you should pour from a height of _____ to _____ inches above sterile field.
  • Decrease
  • Lidocaine
  • 6 to 8
  • 25 gauge
(Multi/prima) gravida clients are most likely to get PIH.
  • Steatorrhea
  • Spring
  • increased
  • Primagravida
When cancer spreads to a distant site it is called?
  • 18 gauge
  • Metastasis
  • Systolic
  • Every 2 hours
When must psychological care of the rape victim begin?
  • In the emergency room
  • Grief, depression
  • O2, anticoagulants
  • Systemic antibitoics
Which 2 classes of drugs are given in combination for HIV sero-positivity?
  • NRTI's (nucleoside reverse transcriptease inhibitors) and PI's (protease inhibitors)They prevent viral replication.
  • An olive sized bulge (the hypertrophied pylorus)
  • Hepatitis B
  • Dries the mucous membranes.
-sclerosis
  • An epidemial cyst in the ear highly associated with otitis media.
  • Hardening of a tissue by: inflammation, deposition of mineral salt; an infiltration of connective tissue fibers
  • Clubbing of the fingernail beds
  • Shortness of breath when active.
What do you do, in order, for evisceration?
  • Increased carbohydrates, increased protein. Moderate potassium & sodium. (May need to increase fluids in diuresis results in dehydration.)
  • Decrease HOB (but not flat); cover with sterile gauze moistened with sterile saline, call MD
  • 3 liters of fluid per day (this is an increase)
  • Consider the area contaminated and not use the articles in the area
What blood value will dictate IV flow rate?
  • Urecholine, Bethanocol
  • The hematocrit
  • LungsPancreas
  • Ultrasound
What drug can be given to treat urinary retention in MS?
  • Less than one hour
  • Middle ear
  • Urecholine, Bethanocol
  • Cast syndrome
How many nurses are requried to check the blood?
  • True
  • Yes
  • 2 nurses
  • amenorrhea
-scope; -scopy
  • Low abdominal or pelvic
  • Instrument for observation
  • Lack, deficiency of
  • In some cases, yes
At what age does BPH occur?
  • Assessment phase
  • Having the capability to kill bacteria.
  • an adequate weight gain
  • men over 50 years of age
Illeostomy
  • Total or complete: placenta covers whole cervical openingPartial or incomplete: placenta covers only part of the cervical opening
  • moon face with infectionbuffalo hump on backbig trunkthin extremitiesloses potassiumkeeps glucose and salt has striations on abdomen and breasts
  • TachycardiaPhotophobiaDilates pupilDo not use in glaucomaNeo-synephrine is an example
  • liquid stoolodor mildstool very damaging to the skincontinuous drainage high risk for fluid/electrolyte imbalances incontinent never irrigate
Should you take a rectal temp after prostatectomy? Give stool softeners?
  • Urecholine, Bethanocol
  • No rectal temperatures, yes stool softeners
  • They are enzymes which aid absorption of nutrients.
  • Because these patients lack intrinsic factor
MS affects men more than women. (T/F)
  • True
  • False
What age group gets osteoarthritis?
  • AZT (zidovudine)
  • Throw away pack and start new pack same day. use back-up contraceptive method for 7 days
  • 60-80 years old
  • The oliguric phase
Women who have gestational diabetes tend to deliver infants who are (small/large).
  • Large for gestational age
  • Remember that you are responsible for the client's safety-- not his family, it might be unwise to permit this
  • No, inner to outer
  • Crackles-rales
What visual symptom will the patient with meningitis have?
  • Photophobia (over-sensitivity to light)
  • Severe painRestlessness
  • Cardiogenic shock, arrhythmia, CHF
  • the abdominal is most often "silent"
Are foods made with wheat, oat, or rye flour allowed?
  • Antibiotics
  • No
  • Yes
  • 14, 27
What is the #1 reason why MD's remove ovrian cysts?
  • Severe chest pain unrelieved by rest and nitroglycerine
  • Remove before they transform into malignancy.
  • Fluid replacement/resuscitation
  • Remove dentures and eyeglassesSign consentNPO after midnight
What causes angina pectoris?
  • Necrosis and rupture of ovary
  • You take it on days 5-24, but not on days 24-28 and 1-4 (8 days off)
  • Decreased blood supply to myocardium, resulting in ischemia and pain
  • Yes. It should be eliminated for 24 hours before the test.
-emia
  • Blood
  • forced
  • True
  • 0 to 10
How far should the HOB be up after CVA?
  • 30 degrees
  • Straight across
  • By a straw
  • The hematocrit
Patient's with Parkinson's have ______ speech.
  • Constipation
  • False
  • Monotone
  • Once
Victims of rape often blame ___________.
  • Extrinsic factor
  • False
  • Gynecomastia
  • Themselves
In order to leave drugs at the bedside you must have a physician's order. (T/F)
  • True
  • False
1 gm
  • Butting
  • Bed rest
  • 15 gr
  • Used in naming enzymes
What are the two common treatments of cataract?
  • Kaposi's sarcoma
  • Laser, surgical removal. Surgery called intraocular or extraocular lens extraction
  • Increased viscosity of the secretions of exocrine glands lead to obstruction.
  • A,D,E,K
In what step of the nursing process does the nurse ask the family about their beliefs on illness?
  • Obese, thin
  • Assessment phase
  • Pressure, ice
  • Progesterone and LH
Hypertension is more common in blacks or whites?
  • False
  • Eyes always
  • Blacks
  • Semi-fowlers
What blood pressure is considered to be hypertension?
  • Hearing lossFeeling of fullness in the ear
  • Anticoagulants (heparin/coumadin/lovenox)
  • Hearing is totally lost in the surgical ear
  • Anything greater than 140/90 mm Hg
The 3rd stage of labor and delivery accomplishes...
  • Expulsion of the placenta
  • Pill-rolling and tremors
  • In the lowest position
  • Pleuritic pain
In gestational diabetes the client experiences a (decrease/increase) in thirst
  • Distended with flatus
  • lanugo (soft downy hair)
  • Increased blood pressure (circulatory overload)
  • Increase (polydipsia)
What is the best and safest way to confirm placenta previa?
  • It is the intellectual stage of children from birth to 2 years
  • Ultrasound
  • Allowed
  • Airway obstruction
Give three eye interventions for the client with Bell's Palsy.
  • AnorexiaN&V-- very commonYellow visionArrythmia
  • Dark glasses, artificial tears, cover eye at night
  • Pain (moderate to severe) RestlessnessIncreased pulse rate
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
Children with cleft lip and cleft palate have long-term problems _____, _____ and _____.
  • hearingspeechteeth
  • Vastus lateralis
  • Teratogenesis
  • Separates, prematurely
The 3rd trimester goes from week _____ to week______.
  • 28, 40
  • forked
  • First
  • False
If ear medications are not given at room temperature the client may experience...
  • Diuresis
  • SOBPalpitations
  • Dizziness, nausea
  • No, inner to outer
What is the famous triad of symptoms in Meniere's?
  • Paroxysmal whirling vertigo -- sensorineural hearing loss--tinnitus (ringing in the ears)
  • Large, pale, foul smelling, greasy
  • Acyclovir (anti-infective)Tegretol (anticonvulsant--given to stabilize nerve cell membranes) Steroids (anti-inflammatory)
  • Decreased sodium, decreased water (restriction)
The client with meningitis can develop________.
  • 30 degrees
  • Every 15 minutes
  • Seizures
  • Collapse
List ways to ensure privacy...
  • Severe chest pain unrelieved by rest and nitroglycerine
  • Reflex constriction then dilation of cerebral arteries.
  • Cold weather. (They should wear gloves & stop smoking)
  • Use drapes and screens during care in semi-private rooms
If not contraindicated, what action by the nursing before suctioning would most likely reduce hypoxia during suctioning?
  • Administer a few breaths at 100% oxygen before beginning
  • distally (far from the center), proximally (neareast to the point)
  • Brain cells die without glucose, brain damage
  • Protein, fat
Traction is used to _______ and _______ a fracture, relieve ________ _______ and prevent ________.
  • The rheumatoid factor
  • Exposure to cold, emotional stress, tobacco use
  • Reduce and immobilize, muscle spasm; deformities
  • Clear even lung sounds, normal vital signs
What is the increase in anterior-posterior diameter of emphysema called?
  • Vaso-occlusive
  • To cause cycloplegiaDilationAllowing eye exam
  • Gluten-free diet
  • Barrel chest
What commonly happens secondary to otitis media?
  • surgery - appendectomy
  • Perforation of the ear drum
  • Surgical fusion with rod insertion
  • The chancre (pronounced shanker)
Antacids
  • Give with meals/food-- anti tuberculosis
  • Respiratory acidosis (CO2 is retained)
  • Increased to dilute urine and reduce incidence of UTI.
  • Give on empty stomach I hour ac and hs
Pregnancy (decreases/increases) the body's insulin requirements.
  • Infection
  • Brachial
  • False
  • Increases
How long is the first stage of labor and delivery for a primagravida? For a multigravida?
  • Seizure precautions
  • 120 to 150 mm Hg
  • 12 hours, 6 hours
  • Every 2 hours
6 to 12 years
  • School age
  • Whole grain
  • Nose bleeds
  • Nightmares
-pexy
  • To cut
  • Used in naming enzymes
  • Fixation of something
  • Gravity only, no pumps
What flow rates of O2 are appropriate for the client with emphysema?
  • No, fold the diaper down.
  • Low flow -- <2.5 L/min; never exceed 2.5L in COPD
  • No venipuncture or blood pressure allowed in the arm with a shunt, graft or fistula.
  • No, for the same reason ice cream isn't.
MS usually occurs in (hot/cool) climates .
  • Cool
  • High
  • 102 F
  • False
How long is the dialysate allowed to remain in the peritoneum before it is drained out?
  • 24 hours
  • 15-30 minutes
  • Every 2 hours
  • Beam or X-rays
The second trimester goes from week ____ to week ______.
  • 28, 40
  • 14, 27
  • Slower
  • False
How much suction should be used for an infant?
  • Large vesicular bullae
  • Less than 80 mm Hg
  • 15-30 minutes
  • Loose earmoldLow battery
What is a hysterectomy?
  • Stop the blood and start the saline
  • The difference between the systolic and the diastolic blood pressure
  • It is surgical removal of the uterus
  • 3 hour glucose tolerance test
How often should central line dressings be changed?
  • Ruddy red, almost purple
  • No, it dries and cracks it
  • QOD- every other day
  • Right side with HOB up
Give five causes of catarcts?
  • It destroys the lining of the intestine.
  • Only moderate, not really that high
  • InjuryCongenitalExposure to heatHeredityAge
  • Once convulsions have occured
The burn patient will be on _______urine output and daily __________.
  • Totally pink
  • Slow or irregular
  • In the lowest position
  • Hourly, weight
What should the nurse do with the IV line if transfusion reaction is suspected?
  • Perforation of the ear drum
  • Record it but no need to call the MD
  • Keep it open with saline
  • Elevate the clients legs for 3 to 5 minutes to decrease venous stasis
What is the major objective in caring for a client after surgical cataract removal?
  • Necrosis and rupture of ovary
  • To prevent pressure in or on the eyes
  • Thrombus and pulmonary embolus Urinary retention
  • Large vesicular bullae
For cervical osteoarthritis the client should wear...
  • Away from you
  • A cervical collar
  • Penicillin
  • Try not to move
When taking a child to the ER after accidental poisoning has occurred what must accompany the child to the ER?
  • Sharp abdominal pain
  • Pale, sometimes blue
  • the suspected poison
  • Assessment phase
The MORE colon is removed the more _________ the stool.
  • Diuresis
  • Thickened
  • Liquid
  • Bradycardic
The diagnosis is made when there is a weight loss of _______% or more of body weight.
  • prone (to prevent flexion contracture)
  • Decrease, dopamine activity
  • 15 (weigh < 85% of normal body weight), hospitalize if 30% weight loss
  • Stool softenersAntiemeticsAnalgesics (mild to moderate)
What nutrients should be supplied in the diet of the pregnant woman with CD?
  • IronFolic acidPrevent anemia (anemia always makes the heart work more)
  • Be careful that no undissolved crystals touch the client; it will burn the skin
  • Low back pain, shaking HA, increasing temperature, confusion, hemoptysis
  • The cells clump together & don't flow well
High flow rates of O2 delivered in Respiratory Distress Syndrome can cause __________ __________.
  • Cardiogenic shock, arrhythmia, CHF
  • Before the client gets out of bed
  • Retrolental fibroplasia (an eye problem)
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
Proteins provide __________ Kcalories per 1 gram.
  • Aspiration
  • 4
  • CNS toxicity
  • True
How long can breast milk be refrigerated?
  • C1 to C8
  • 24 hours
  • 12 hours, 6 hours
  • 7 to 14 days
How long can breast milk be frozen?
  • 6 months
  • Lower only
  • is stillborn
  • Itching
Should you confront the obsessive-compulsive patient with the absurdity of their behavior?
  • Get them started earlier-- for example if they wash their hands for 1/2 hours before meals and are always late for breakfast, just get them started 1/2 hour earlier.
  • No, just say things like :You washed your hands for so long you must have been very anxious."
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
  • No, only identification bands are acceptable.
Should caffeine be limited before an EEG?
  • An olive sized bulge (the hypertrophied pylorus)
  • Yes. It should be eliminated for 24 hours before the test.
  • No, it may cause sneezing; also should avoid pepper.
  • Reflex constriction then dilation of cerebral arteries.
What is the classic motor manifestation of Parkinson's?
  • Bicarbonate
  • usually pain; bleeding is more voluminous in previa
  • Low iron
  • Pill-rolling and tremors
Should clients with CHF have a Foley catheter?
  • Pick it up with forceps only - never touch with hand even if you are wearing gloves.
  • Before getting out of bed (before the swelling occurs).
  • Never have the bag at a higher level than the bladder.
  • Yes, on diuretics and fluid balance is important
What dietary prescription is most appropriate for the client with emphysema?
  • It means you only have 1 defective gene from 1 parent.
  • Packed cells don't have nearly as much plasma or volume as whole blood does
  • Fluid replacement/resuscitation
  • Frequent small meals to prevent tiring
How often should the bedridden post-operative patient do leg exercises?
  • 4 to 6 weeks
  • Pressure, ice
  • Beam or X-rays
  • Every 2 hours
Is commercial ice cream allowed on a gluten-free diet?
  • Increased protein/normal salt intake (no restriction typically)
  • No, never put anything in their mouth.
  • No, even though it is a milk product, commercial ice cream has GRAIN in it.
  • Yes, to measure urine output (when output is >30 cc per hour the shock has resolved)
What is the most common retinoid given to people with acne?
  • Accutane
  • 7-11
  • Unilateral pelvic pain
  • Itching
What if a woman forgets to take the pill for two days in a row? What should she do?
  • 60-80 years old
  • Yes, only 45 degrees maximum
  • Take 2 pills a day for two days in a row and then resume normal schedule.
  • Nurse must first examine her own values
What is mastoiditis?
  • It is the intellectual stage of children from birth to 2 years
  • Inflammation/infection of the mastoid process
  • Left ventricle has decompensated
  • A vesicular rash over the pathway of a sensory nerve
What will the fingers look like?
  • 2 hours after expulsion of the placenta
  • Pale, sometimes blue
  • Sterile water-soluble
  • Granulation
What type of cast causes cast syndrome?
  • Wide based
  • A body cast
  • Decompensation
  • Irritating, staining
The Cushings syndrome patient will have a _________ on their upper back.
  • Radiation hazard
  • Hyper; hypo; hyper
  • Sterile saline
  • Buffalo hump
Describe the nipples on bottles used to feed babies with cleft lip?
  • Large-holed, soft nipples
  • Urecholine, Bethanocol
  • Semi-fowlers
  • The pulse and blood pressure
Who is the most common subjective symptoms of shingles?
  • Separation from family
  • Low salt, high protein
  • 2 months
  • Pain, pain, Pain
The most common medical-surgical treatment for ectopic pregnancy is___________.
  • Surgical removal of fetus and some surrounding tissue
  • They cause it to stop growing and decrease in size.
  • A surgical anastomosis is made between the artery and a vein.
  • Shell seafood- shrimp, crab, lobster
During bleeding into the joints you should (mobilize/immobilize) the extremity.
  • Dyspnea - SOB or difficulty breathing, due to the inability of the diaphragm to descend
  • Immobilize to prevent dislodging the clots that do form.
  • No, it may cause sneezing; also should avoid pepper.
  • All children two months and over should receive an H. influenza B vaccine.
During shock phase of a burn is potassium increased or decreased? Why?
  • Decrease blood pressureControl convulsionsDiuresis
  • Begin nursing on the side that the baby finished on the last feeding
  • Increased, because of all the cells damaged- the K+ is released from damaged cells.
  • Milk should come in postpartum day 3. Breastrfeed every 2-3 hours to establish good milk supply.
What unusual nursing diagnosis is high priority in pemphigus?
  • lanugo (soft downy hair)
  • On their side-- to prevent aspiration
  • After feeding from each breast
  • Alteration in fluid and electrolyte balance
Why do the crescent-shaped RBCs cause occlusionof the vessels?
  • Lumbar puncture with culture of CSF (cerebro-spinal fluid)
  • IM injections of Vitamin B-12
  • They clump together and create a sludge.
  • Earlier surgery would interfere with tooth development.
Syphilis is sexually transmiteed. (T/F)
  • True
  • False
How many days of the menstrual cycle do you take the combination pill?
  • Increased to dilute urine and reduce incidence of UTI.
  • Tincture of benzoin or alcohol,no lotions of ointments-you want to toughen the skin not soften it
  • You take it on days 5-24, but not on days 24-28 and 1-4 (8 days off)
  • Observe stools for steatorrhea
What affect do oral contraceptives have on ovarian cysts?
  • Take it on an empty stomach and avoid the sunlight (photosensitivity)
  • They cause it to stop growing and decrease in size.
  • Reflex constriction then dilation of cerebral arteries.
  • Hyperextension of the spine by a body cast: the hyperextension interrupts the nerve & blood supply to the gut
What is phlebotomy?
  • Pain (moderate to severe) RestlessnessIncreased pulse rate
  • Drain off 200-500 cc of blood from body (opposite of transfusion).
  • A common complication of quadriplegics in response to a fulle bladder or bowel.
  • Measures electrical activity generated by the brain
A rectal suppository is inserted ______ inches in an adult and ________ inches in a child.
  • Always
  • pain meds, enemas, laxatives, food! NPO
  • True
  • 4,2
What three medications are used in osteoarthritis?
  • Infection acquired through contact with contamination in the hospital
  • Crushing, heavy, squeezing, radiating to left arm, neck , jaw, shoulder
  • Aspirin, non-steroidal inflammatory (NSAIDs) Indocen, Ibuprofen, steroids
  • A surgical anastomosis is made between the artery and a vein.
How long will it take for the person to see results when acne is being treated?
  • 4 to 6 weeks
  • Sterile saline
  • 10 seconds
  • Outside, uterus
To test amniotic fluid the nurse should check the ________ of the fluid.
  • False
  • pH
  • 30-50%
  • No
If the AIDS patient has leukopenia they will be on _____________ ________________.
  • Frequent small meals to prevent tiring
  • protective (reverse) isolation
  • The dominant, the non-dominant
  • Increase the oxygen flow rate
What is automatic dysflexia or hyperreflexia?
  • Take it on an empty stomach and avoid the sunlight (photosensitivity)
  • A common complication of quadriplegics in response to a fulle bladder or bowel.
  • Mixing a little of the client's blood with the donor blood and looking for agglutination.
  • Perforation of the ear drum
What behavior on the part of the client is the BEST indicator that they have accepted their stoma?
  • Yes and so have pelvic infections.
  • Change in LOCN/V HeadacheTwitching
  • NEVER lie on their abdomen
  • When they do their own stoma care
Bed side rails should be up for the following individuals...
  • Secondary respiratory arrest (valium)
  • Elderly clients, unconscious, babies, young children, restless, confused
  • Procaine makes the shot less painful; Probenecid blocks the excretion of penicillin
  • Nausea, vomiting and visual disturbances
What words will the client use to describe the pain of an MI?
  • Crushing, heavy, squeezing, radiating to left arm, neck , jaw, shoulder
  • Buzzing or ringing, in the ears (tinnitus)
  • Vitamin K, remember do not mix up potassium with Vitamin K
  • N/V DiarrheaStomatitis (oral sores)
The tremors of Parkinson's will get better or worse when they purposefully move or perform a task?
  • Until they have been on an antibiotic for 48 hours
  • To decrease edema in the demyelination process
  • Better, they tremor more when not performing an action
  • Call the MD because blood is often held with an elevated temperature
Grains of all kinds are prohibited. (T/F)
  • True
  • False
What medication is given? By what route?
  • Yes in the client with poor cardiovascular function
  • Survanta (Surfactant) via ET tube. Repeat doses are often required.
  • Hearing lossFeeling of fullness in the ear
  • Mixing a little of the client's blood with the donor blood and looking for agglutination.
It is safe practice to administer drugs prepared by another nurse. (T/F)
  • True
  • False
The diet of a patient with MS should be ____--ash.
  • False
  • Low
  • Acid
  • True
What organism causes shingles?
  • Acid Ash
  • Varicella--herpes zoster
  • Acidity, low pH
  • Epinephrine, or topical fibrin foam
Is O2 given in pulmonary edema?
  • No
  • Humidified
  • Shiny
  • Yes
How often should the CVA patient be turned or repositioned?
  • Delivery of the infant
  • 24 hours
  • Abstract reasoning
  • Every 2 hours
What other disease can be confused with pernicious anemia?
  • Kaposi's sarcoma
  • Stapedectomy
  • Angina pectoris
  • McBirney's point
A fresh new stoma is _________, __________ and __________.
  • Delivery of fetus
  • Red, large, noisy
  • Elevate, heart
  • Surgical repair
What is done in a graft for hemodialysis?
  • Cool wet dressing
  • It means that the compensatory mechanisms - hypertrophy, dilation, tachycardia are not working and the heart has failed.
  • The spleen, because it is destroying the excessive RBC's.
  • A blood vessel is sutured between an artery and a vein.
Side effects of a high fiber diet include__________ and malabsorption of ____________.
  • Unilateral pelvic pain
  • The amount of body fat
  • 4-5 liters per 24 hours
  • Gas (flatus), minerals
Average blood loss during menstruation is _____cc.
  • 50 to 60 cc
  • Cogwheel
  • Every 2 hours
  • 3 times per week
What electrolyte is given to people with Meniere's?
  • Antihypertensives
  • Ammonium chloride
  • Valium, Baclofen (Lioresal), Dantrium
  • Drain the bladder, empty the bowel
Immediately after opening a bottle of sterile water, can you pour it directly into a sterile basin?
  • No, you must pour a few cc's out of the bottle into a waste container before you pour into the sterile basin. (This is called "lipping" the bottle)
  • NPO after midnightRemove denturesClient to void before surgerySide rails up
  • Beefy red tongueNumbness and tingling of the handsSores in the mouthChest pain
  • No, just say things like :You washed your hands for so long you must have been very anxious."
Which is the best method for identifying clients accurately?
  • By ID name-band
  • Severe painRestlessness
  • Ammonium chloride
  • 3 to 4 weeks
What is meant by the term "temporary colostomy"?
  • You pull the drain out 1 inch.
  • A colostomy that is not intended to be permanent-- the bowel will be reconnected at a later date and the client will defecate normally
  • Sudden episodes of difficulty breathing
  • Call MD, get a blood sample, get urine sample, monitor vitals, send blood to lab
Name the three most common complications of ECT?
  • Suction apparatus (for meals), tracheostomy/endotube (for ventilation)
  • 2 hours after expulsion of the placenta
  • Aspiration of emesis (most common) into the lungDislocations of jointsFractures due to convulsion-- rare today
  • Valium, Baclofen (Lioresal), Dantrium
People who are (hetero/homo)zygous have sickle cell disease.
  • Homozygous
  • Group A beta hemolytic strep
  • Absolute Bed Rest
  • Yes, give them time to do their ritual and try to set limit and redirect
3 to 6 years
  • Agents which promote adherence of dentures to gums, ie, Polygrip
  • Pre-schooler
  • Raise HOB
  • The hematocrit
Application of (warm H2O compress/ice packs) is the preferred treatment for breast engorgement.
  • 5 days, 3 to 6
  • Ice packs to decrease swelling
  • Getting them to eat
  • HCG (human chorionic gonadotropin)
What is the most common sign of neurosyphillis?
  • Inner forearmUpper back
  • HeadacheWeakness Itching
  • Ataxia (gait problems)
  • Acute blood loss
What is the treatment of for cast syndrome?
  • Low calcium diet
  • Oral hygieneWashing face/handsBack rubTightening linens
  • Overwhelming infection
  • Removal of the cast, NG tube to decompress, NPO
In emphysema, the alveoli are over-_____ and under-______.
  • Elderly clients, unconscious, babies, young children, restless, confused
  • Over-enlarged, under-ventilated so that air is trapped in alveoli
  • Calorie reduction for weight lossSodium restriction
  • Clay-colored
Does AIDS require a single room?
  • 0.9 normal saline (No glucose)
  • Avoid sudden movements
  • Left (*Hint: curve Left in Lumbar)
  • Yes - if WBC counts are low
What is the average blood loss during labor?
  • 500 cc
  • Large vesicular bullae
  • Increase it
  • Throbbing
Describe the hygiene measures the you teach the patient receiving external radiotherapy?
  • Use plain water only, no soaps, pat dry, can use cornstarch for itch
  • Perforation of gutAspiration secondary to emesis Respiratory arrest (due to valium)
  • Petechiae
  • Intermittent, diastolic blood pressure
How is the catheter taped in a male client?
  • Only if ordered as a pre-test medication.
  • To the lateral thigh or abdomen
  • Change in LOCN/V HeadacheTwitching
  • Yes, client may feel dizzy
With what solution should the client with chemotherapeutic stomatitis rinse pc (after meals)?
  • Overwhelming infection
  • H2O2 - hydrogen peroxide
  • Ego Integrity
  • Stiff neck- nuchal rigidity
Colostomies performed for cancer tend to be (temporary/permanent).
  • Painless
  • Projectile
  • Proximal
  • Permanent
Chronic abuse of alcohol increases risk of CVA. (T/F)
  • True
  • False
What solution is best to use if you intend to remove a client's contact lenses?
  • After 20 weeks
  • The fingers
  • Kaposi's sarcoma
  • Sterile saline
What would you do first if you suspected transfusion reaction?
  • Hemolytic, febrile, allergic
  • Clear even lung sounds, normal vital signs
  • Stop the blood and start the saline
  • Hyperpyrexia (fever)Drainage from ear
How would you, the nurse, assess for developing cast syndrome?
  • Air drying of the nipples is best
  • At least one week
  • Ask the client if they are experiencing any abdominal symptoms-keep track of bowel movements & passing flatus (if not having BMs or passing flatus, cast syndrome is suspected)
  • Turn his head away from the site, hold breath, and perform the Valsalva maneuver
Give three reasons for a blood transfusion
  • Restore blood volume secondary to hemorrhage, maintain hemoglobin in anemia, replace specific blood components
  • Yes, but watch for breaded meats and hot dogs/lunch meats- may have grain in them and are not allowed
  • Do not give digitalisFor a child don't give for a pulse under 70For an infant don't give for a pulse under 90
  • Search personal belongings for drugs & alcohol, remove any sharp objects, remove any device for hanging or strangling; must be on constant one-to-one observation (NEVER out of sight)
iso-
  • Decreased blood pressure (hypotension)
  • A combining form meaning 'equal'
  • Decreases, decreases, increases
  • Shortness of breath when active.
What is the most important intervention in treating AGN?
  • Severe painRestlessness
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
  • Oral hygieneWashing face/handsBack rubTightening linens
  • Stiff neck- nuchal rigidity
Is a C-section mandatory for delivery of a woman with CD of pregnancy?
  • High, venous congestion makes the arterial pressure higher (increases resistance)
  • Yes
  • Fall
  • No
What do carbonic anhydrase inhibitors do to the eye?
  • Pruritis, erythema, burning, sloughing of skin, anorexia, nausea & vomiting, diarrhea, bone marrow depression
  • Raise HOB
  • Appendicitis, rupture of a fallopian tube pregnancy
  • Decrease production of aqueous humor and thus decrease intraocular pressure.
When mastitis is present the breasts are ________, _________, and __________.
  • On the over-bed table
  • Away from you
  • 18 gauge
  • Hard, swollen, warm
What is the most common problem due to catheterization?
  • True
  • 28, 40
  • No
  • UTI
The comfort range of temperature is...
  • 68 to 74 degrees
  • A body cast
  • Blurred vision
  • Mucous membranes
Being alkaline means have a (high/low) pH
  • ELISA
  • Hard
  • High
  • True
Can cleft lip /palate babies sleep on their backs?
  • Yes
  • False
  • Increase
  • 1, 13
If a child swallows a potentially poisonous substance, what should be done first?
  • call medical help
  • Low pruine
  • 12 hours, 6 hours
  • Proximal
Are anticholinesterases sympathetic or parasympathetic?
  • Move, hyperextend
  • By a straw
  • Parasympathetic
  • 120 to 150 mm Hg
When is apgar scoring performed on infants?
  • at one minute and again at 5 minutes after the birth
  • You pull the drain out 1 inch.
  • Yes, the plastic tube that connects the artery and vein outside the arm
  • Levodopa, Sinement, Symmetrol, Cogentin, Artane, Parlodel
For the patient with neurogenic bladder you should straight catheterize every ____ hours.
  • Conn's disease
  • Neurotic-- they know reality
  • Every 2 hours
  • Every 6 hours
When do you need goggles with AIDS?
  • Suctioning, central line start, arterial procedures
  • Not in the beginning, can be later as swelling occurs
  • When gagg reflex returns (knocked out with xylocaine)
  • To keep the catheter clear of clots and to drain urine
What class of drugs is used to treat mastitis?
  • Antibiotics
  • Aspiration
  • Every 8 hours
  • Lidocaine
What hormones are active during follicular phase?
  • Every 1-2 hours
  • FSH and Estrogen
  • You can easily move the patient around in bed
  • Vinegar. Nits are the eggs of lice that adhere to the hair shaft
A drug given by a parenteral route acts outside the GI tract. (T/F)
  • True
  • False
Vasodilation will ____________ blood pressure.
  • Decrease
  • Decreases
  • The eyes
  • Increase (polydipsia)
Pemphigus
  • Infancy
  • An acute or chronic disease of adults, characterized by occurence of successive crops of bullae that appear suddenly or apparently normal skin and disappear, leaving pigmented spots. It may be attended by itching and burning and constitutional disturbance. The disease if untreated is usually fatal. A characteristic finding is a positive Nikolsky sign: When pressure is applied tangential to the surface of affected skin, the outer layer of epidermis will detach from the lower layer. (Probably autoimmune)
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
  • at one minute and again at 5 minutes after the birth
Will fluid resuscitation (administering large amounts of IV fluid) treat cardiogenic shock?
  • Drainage from ear, high fever, headache and ear pain, tenderness over mastoid process
  • It accomplishes maturation of the graafian follicle which results in ovulation
  • No, you must use cardiac drugs (giving IVs and blood will not help this kind of shock)
  • Dyspnea - SOB or difficulty breathing, due to the inability of the diaphragm to descend
What is meant when the physician/nurse use the terms total (complete) or partial (incomplete) in reference to placenta previa?
  • Total or complete: placenta covers whole cervical openingPartial or incomplete: placenta covers only part of the cervical opening
  • Record it but no need to call the MD
  • Oliguria, because since you are losing more fluids you are actually hemo-concentrating the hyperkalemia more
  • Metabolic acidosis (due to lactic acid accumulation- no oxygen = anaerobic metabolism)
-penia
  • A pipe cleaner
  • Lack, deficiency of
  • Right side with HOB up
  • Large vesicular bullae
The unconscious client should assume what position during suctioning?
  • Every 2 hours
  • Side-lying, facing nurse
  • Cloudy, milky-white pupil
  • Large-holed, soft nipples
Flight of ideas is when the patient changes topics of conversation______.
  • Rapidly
  • Breath
  • Tetracycline
  • Raise HOB
What two discomforts are common during an EGD?
  • Grief, depression
  • Valium or demerol
  • VomitingGagging
  • Sterile saline
Will the typical post-operative client have lung sounds? Bowel sounds? Increased temperature?
  • Lung - yes; bowel sounds - no; Low grade temperature - yes
  • No, it can cause a constricting band around the ankle/foot.
  • Decreased airway clearance Alteration in nutrition or absorption
  • Do not lie on operative side; do not lie on back
When should the nurse WITHHOLD IM injections in the client on chemotherapy?
  • Bear down
  • Only when their PLATELET count is down.
  • Antihistamines and diuretics (Diamox)
  • The entrance to the room
The intradermal route is primarily used for ________ _________.
  • Penicillin
  • Low pruine
  • In Shock
  • Skin testing
What is important about the level of the urinary drainage bag?
  • Have the patient smile and wrinkle forehead.
  • Knee flexion (because it increases the chance of thrombophlebitis)
  • You can easily move the patient around in bed
  • Never have the bag at a higher level than the bladder.
In hypovolemic shock the level of consciousness (LOC) is (increased/decreased).
  • False
  • Smoking
  • Decreased
  • A pipe cleaner
What warning should you give the client about getting up after stapedectomy?
  • Eyes always
  • Loose earmoldLow battery
  • Get up slowly
  • ST wave changes
How long can a unit of blood be on the unit before it must be started?
  • Less than 1/2 hour
  • DistanceShieldingTime
  • 24 hours
  • No, this is dangerous
The patient with a recent CVA is most likely to have fluids restricted or forced?
  • Telephone
  • Restricted
  • Aspiration
  • Decreased
How often should the client's airway be suctioned?
  • Perforation of gutAspiration secondary to emesis Respiratory arrest (due to valium)
  • Antihistamines and diuretics (Diamox)
  • It is done under LOCAL anesthesia. General anesthesia may be used for a child.
  • When it needs to be, for example moist lung sounds, tachycardia, restlessness (hypoxia), ineffective cough
If the patient has meningitis, the CSF shows _______ pressure, _____ WBC, ______ protein, ______ glucose.
  • Hyperkalemia and it's effect on the heart
  • Alteration in comfort: pain, #2 Impaired skin integrity
  • Vitamin K, remember do not mix up potassium with Vitamin K
  • Increased, increased, increased, decreased
Of all the following, which one(s) increase in hypovolemic shock? Blood pressure, output, heart rate, pH, LOC, pulse pressure, respiratory rate
  • Until they have been on an antibiotic for 48 hours
  • An olive sized bulge (the hypertrophied pylorus)
  • Only the heart rate and respiratory rate
  • Increase the oxygen flow rate
What is the #1 cause of hypovolemic shock?
  • Malabsorption
  • Clean technique
  • in terrific health
  • Acute blood loss
Which type of tumor is more malignant? Differentiated or undifferentiated?
  • It is done under LOCAL anesthesia. General anesthesia may be used for a child.
  • All children two months and over should receive an H. influenza B vaccine.
  • Dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, coughing
  • Undifferentiated is worse to have (highly differentiated is better to have)
Can a client on PD: Sit in a chair? Eat? Urinate? Defacate?
  • Telephone
  • No, inner to outer
  • Yes to all
  • Hemiplegia
When should the breast feeding infant be burped?
  • Permanent scarring and kidney damage
  • Menstrual discharge begins
  • Secondary respiratory arrest (valium)
  • After feeding from each breast
Do hearing aids help in otosclerosis?
  • Steroids
  • Yes
  • False
  • Yes in the client with poor cardiovascular function
Compare signs of non-ruptured ovarian cysts with the sings of a ruptured ovarian cyst. (Give 3 for each)
  • Elevate the HOB, then increase O2, then call the MD
  • 15 (weigh < 85% of normal body weight), hospitalize if 30% weight loss
  • With meals, so it is in the gut while the food is present, the whole purpose is to increase absorption of ingested food.
  • Non-ruptured: low back pain, dull pelvic pain, abnormal uterine bleeding especially with menstruationRuptured: acute pain, abdominal distention, and abdominal rigidity
The post op thoracic aneurysm is most likely to have which type of tube?
  • Third degree burns, nerve damage has occured
  • The spleen, because it is destroying the excessive RBC's.
  • Chest tube, because the chest was opened
  • Because these patients lack intrinsic factor
What typical pre-operative type of orders will be ordered before ECT?
  • Dries the mucous membranes.
  • Do not postpone pregnancy, may not be able to have children
  • NPO after midnightRemove denturesClient to void before surgerySide rails up
  • Packed cells don't have nearly as much plasma or volume as whole blood does
Which way would you turn the client hear to suction the right mainstem bronchus? The left mainstem bronchus?
  • To the left, to the right
  • No swimming, no showering, no diving
  • the suspected poison
  • Replace blood and fluids
When surgery is performed for Meniere's, what are the consequences?
  • Amniotic fluid is analyzed for presence of PG
  • Hearing is totally lost in the surgical ear
  • In the hours immediately following delivery
  • The urine output will increase
Why is morphine given to clients with pulmonary edema?
  • To decrease apprehension and decrease preload, this rests the heart
  • You can easily move the patient around in bed
  • Side rails up x 4, ambulate only with assistance
  • Suction apparatus (for meals), tracheostomy/endotube (for ventilation)
Is cheese high in cholesterol?
  • Only moderate, not really that high
  • right upper quadrant pain
  • High calorieHigh proteinModified fat
  • No, just treat the symptoms.
After corrective SURGERY how is the client turned?
  • Log rolled (in a body cast)
  • Necrosis and rupture of ovary
  • Cloudy, milky-white pupil
  • Ruddy red, almost purple
Bleomycin
  • Pulmonary fibrosis
  • Not life-threatening
  • Pleuritic pain
  • Oral contraceptives
Give three appropriate indications for bladder catheterization?
  • Yes, rest is probably the most effective thing they can do.
  • Urinary retention, to check for residual, to monitor hourly output
  • Dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, coughing
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
Griseofulvin
  • A perforation or puncture
  • Give with meals-- especially high fat meals (anti-fungal)
  • To keep the catheter clear of clots and to drain urine
  • Call the MD because blood is often held with an elevated temperature
In the long term reorganization phase the woman is likely to change ______.
  • Ice packs to decrease swelling
  • Residence or/an telephone number
  • Have the patient smile and wrinkle forehead.
  • Remide the patient to straighten their knee constantly while standing
Will the client with a MI need 100% O2 for their entire stay in the hospital?
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
  • It is common but not always present
  • Increased carbohydrates, increased protein.
  • Fall- remember diuresis always causes hypokalemia
After treatment how long do you have to inspect for lice?
  • Inspect for 2 weeks to be sure that they are all gone
  • Better, they tremor more when not performing an action
  • Cholinergic (too much Mestinon)Myasthenic (not enough Mestinon)
  • Cloudy urine, foul smelling urine, hematuria
After meals, the nurse must always check _______ of the CVA client for _________.
  • Mouth (cheek), food
  • The child views everything from his frame of reference, common in pre-operational thinking
  • Fallopian tube - 90%
  • Modified jaw thrust
If the nurse accidentally runs the IVs at the shock phase rate during the diuretic phase the patient will experience?
  • Primipara
  • Pulmonary edema
  • Increase (polydipsia)
  • Termination of pregnancy
Which of these symptoms are NOT seen in hemophilia? Prolonged bleeding, petechiae, ecchymosis or hematoma?
  • 1 to 2 inch
  • Petechiae
  • Vastus lateralis
  • Potassium--K+
1 oz
  • True
  • 30 cc
  • Steroid
  • Systolic
Anticholestinesterases will have (sympathetic/cholinergic) side effects.
  • Increased to dilute urine and reduce incidence of UTI.
  • Consider the area contaminated and not use the articles in the area
  • Be careful that no undissolved crystals touch the client; it will burn the skin
  • Cholinergic (they will mimic the parasympathetic nervous system)
When swabbing an incision you would start at the incision or 1 Inch away from the incision?
  • Plain water, before & after each feeding
  • Fat soluble in water soluble form -- A,D,E,K
  • Start at the incision and move outward.
  • RestlessnessIncreased HR Retractions
Coagulate (Define)
  • Better, they tremor more when not performing an action
  • Arching of back (entire body) from hyperextension of the neck and ankles, due to severe meningeal irritation.
  • Process that thickens or congeals a substance
  • Organ meats liver, heart, brains, kidneys
Define nuclear family
  • Moderate to high, depends upon feasibility and ease of plan
  • Yes, only 45 degrees maximum
  • A family of parents and their offspring
  • A surgically created opening of the colon out onto the abdomen wall.
Usually labor starts within ________hours of rupture membranes.
  • 24
  • Ultrasound
  • 9
  • With
Meningitis can be caused by _______, _____, and _____.
  • Shoulder height
  • Viruses, bacteria, chemicals
  • 6 weeks after discharge
  • Hard, swollen, warm
How many hours a day should the client wear a Milkwaukee brace?
  • Fall
  • 23
  • daily
  • False
How would you palpate the uterus to see if the eclamptic woman was having contractions?
  • Cold weather. (They should wear gloves & stop smoking)
  • Place the hand flat on the abdomen over the fundus with fingers apart and press lightly
  • No rectal temperatures, yes stool softeners
  • That is impossible since the test measures electrical activity coming FROM him, never to him.
Do you need to call the doctor for autonomic dysreflexia?
  • No, only call the doctor if draining the bladder & removing impaction does not work
  • Both will; but they tend to do better in cool weather (summer will always be a bad time for MS patients)
  • Haldol, major tranquilizers -- drugs that end in -azine
  • Over-enlarged, under-ventilated so that air is trapped in alveoli
Is bed rest necessary when a woman has cesium implant in place?
  • Yes, absolute bed rest
  • Less than 1/2 hour
  • Severe muscle weakness
  • Increase (polydipsia)
Syrups and elixirs are of particular concern to diabetic clients because....
  • Hepatitis B
  • Usually the child
  • Dignity & respect
  • they contain sugars
What are the two major treatments of pulmonary embolus?
  • Hypoxia, dehydration
  • Meningitis or mastoiditis
  • O2, anticoagulants
  • #7, facial nerve
Can the woman with a cesium implant have the HOB elevated?
  • No
  • Yes, only 45 degrees maximum
  • 40 to 60
  • False imprisonment
Antibiotic (Define)
  • Decreased blood supply to myocardium, resulting in ischemia and pain
  • A drug that destroys or inhibits growth of micro-organisms
  • Warmer than body temperature, ie, 99-100F
  • Toward (this way you don't put pressure/pull on the suture line.)
What are the vital sign changes seen in autonomic dysreflexia?
  • Bone conduction will be better than air conduction
  • Sweating, headache, nausea & vomiting, gooseflesh, and severe HYPERtension
  • Yes, nurses are permitted to give perineal care to clients of the opposite sex.
  • Breast-feeding - it will balance supply and demand
What other disorders resemble rupture of ovarian cysts?
  • CancerDiverticulitisUlcerative Colitis
  • Appendicitis, rupture of a fallopian tube pregnancy
  • PneumococcusMeningococcusStreptococcusH. influenza
  • Yes in the client with poor cardiovascular function
What should the client avoid after labyrinectomy?
  • Sudden movements and increased Na food
  • a pulsating mass above the umbilicus
  • Xylocaine (a local anesthetic)
  • Decreased RBC's, WBC's and platelets
-tripsy
  • Toxic to just about every organ except to heart, toxicity made worse with aspirin
  • Crushing of something by a surgical instrument
  • Inflammation/infection of the mastoid process
  • Cholinergic (they will mimic the parasympathetic nervous system)
What is the medical treatment for pernicious anemia?
  • Unilateral pelvic pain
  • Do not lie on operative side; do not lie on back
  • Rest
  • IM injections of Vitamin B-12
Should you encourage fluids after cystoscopy?
  • Yes. It should be eliminated for 24 hours before the test.
  • False
  • 2 nurses
  • yes
In addition to the facial paralysis, the sense of ______ is also affected.
  • taste
  • False
  • Blue
  • 18 gauge
What does self-disclosure mean?
  • Change in LOC and tachycardia
  • When the nurse tells the patient personal information about self.
  • Drain the bladder, empty the bowel
  • They prevent viral replication
What test/exam CONFIRMS the diagnosis of scoliosis?
  • Urecholine, Bethanocol
  • X-rays of the spine
  • Average of 28 days
  • Clear, colorless
To treat hemarthrosis you should _______ the extremity above the __________.
  • Distended neck veins -JVD
  • Elevate, heart
  • Dialysate
  • Obese, thin
Why are doctors cautious in using antiemetics to treat hyperemesis gravidarum?
  • They don't want to harm the fetus
  • The pulse and blood pressure
  • 0.9 normal saline (No glucose)
  • Thromboangiitis obliterans
What test CONFIRMS the presence of syphilis?
  • Dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, coughing
  • Dark-field illumination of the treponema palladium
  • Having the capability to stop growth of the bacteria
  • Lumbar puncture with culture of CSF (cerebro-spinal fluid)
In the oliguric phase, blood volume is ______, sodium is _____, and potassium is ________.
  • Change the needle
  • High, high, high
  • Every 15 minutes
  • Firm, hard-backed
Is it permissible to give lidocaine viscous ac (before meals) if the patient has chemotherapeutic stomatosis? (T/F)
  • True
  • False
Should you massage the calves of the client with CHF?
  • Never
  • Always
  • False
  • Bed Rest
When does typing and cross matching need to be done?
  • Laser, surgical removal. Surgery called intraocular or extraocular lens extraction
  • Whenever a client is to get a blood product. It is only good for 24 hours.
  • Remove before they transform into malignancy.
  • 10 minutes: (10 minutes flow in, 30 minutes in abdominal cavity, 10 minutes flow out = total of 50 minutes)
In hypovolemic shock there is a ________ in the circulating __________ volume -- this _______ tissue perfusion with ________.
  • Calorie reduction for weight lossSodium restriction
  • Decrease; blood; decreases; oxygen
  • To take the child to the ER as soon as possible.
  • No, this is dangerous
The use of pills makes the patient (low/moderate/high) risk for suicide.
  • Moderate
  • Conductive
  • Acid Ash
  • False
What do mydriatics do for the eye?
  • Chronic infectious/inflammatory disease of the middle ear
  • Cleanses the skinProvides comfort
  • Side rails up x 4, ambulate only with assistance
  • Dilate the pupil (My "D"riatic "D" for dilate)
Into what space is the needle inserted during a spinal tap?
  • twice a day
  • High, high, high
  • flexion, hip
  • Subarachnoid space
A Second degree-burn is wet or dry?
  • Yes
  • carbs
  • Wet
  • 50%
What is anuria?
  • Dilate the pupilCycloplegiaParalyzes accommodation
  • Measures electrical activity generated by the brain
  • The spleen, because it is destroying the excessive RBC's.
  • Less than 50 cc of urine in 24 hours
How should a client's toenails be trimmed?
  • 12 to 16 French
  • Straight across
  • Clear, colorless
  • Yes but it should be WNL
Does anything exit the skin in an AV shunt?
  • Consider the area contaminated and not use the articles in the area
  • Yes, the plastic tube that connects the artery and vein outside the arm
  • Dilate the pupilCycloplegiaParalyzes accommodation
  • Yes, even though it negatively affects the fetus, remember morphine decreases preload and pain which rests the heart.
How often should you measure the vital signs, vaginal bleeding, fetal heart rate during Abruptio Placenta>?
  • Remain seated upright for 45 minutes after each meal
  • Remove the syringe immediately and apply pressure; you must discard the syringe and redraw medication in a new syringe
  • Atrial fibrillation (RIGHT atrial fibrillation casues pulmonary embolus; LEFT atrial fibrillation causes cerebral embolus)
  • Q5-15 minutes for bleeding and maternal VS, continuous fetal monitoring, deliver at earliest sign of fetal distress
Should the nurse self-disclose if the patient asks the nurse to?
  • No
  • To prevent headache due to CSF loss
  • True
  • No, not unless it is specifically therapeutic.
-atresia
  • Condition of occlusion
  • Restlessness, tachycardia
  • NEVER lie on their abdomen
  • Immediately or within 2 hours of injury
What is another name for external radiation therapy?
  • 35 to 64 years of age
  • Elbow restraints
  • Beam or X-rays
  • Gluten-free diet
Colchicine
  • Separation of the incisional edges
  • A common complication of quadriplegics in response to a fulle bladder or bowel.
  • Either a clot, spasm or plaque that blocks the coronary arteries causing loss of blood supply to the heart and myocardial cell death
  • Give with meals -- anti gout, remember if diarrhea develops, stop the drug
What solution is commonly used for care of umbilical cord?
  • To increase the strength of the heart and to decrease the rate, rest the heart while making it more efficient
  • 70% alcohol to promote drying (trend is toward soap and water)
  • With meals, so it is in the gut while the food is present, the whole purpose is to increase absorption of ingested food.
  • Buzzing or ringing, in the ears (tinnitus)
What is the action of nitro?
  • dilates coronary arteries to increase blood supply (O2 supply) and reduces preload.
  • Progestin only and combination progesterone and estrogen
  • Call MD, get a blood sample, get urine sample, monitor vitals, send blood to lab
  • An epidemial cyst in the ear highly associated with otitis media.
How does pyelonephritis differ from cystitis in meaning?
  • Cystitis always does
  • Cystitis means bladder infection; pyelonephritis means an infection of kidney pelvis
  • Call MD, get a blood sample, get urine sample, monitor vitals, send blood to lab
  • ONLY when sedatives are used, and then it's only necessary to keep side rails up.
What is the best indicator of renal function?
  • The serum creatinine
  • QOD- every other day
  • Flexion of the knee
  • CNS toxicity
NRTI (nucleoside reverse transcriptease inhibitors)
  • PEEP (Positive end expiratory pressure) & CPAP. (Continuous positive airway pressure), to keep alveoli open while on the ventilator. High frequency jet ventilation is sometimes used.
  • Hepatitis B
  • No, a radical mastoidectomy may
  • an antiviral drug used against HIV (is incorporated into the DNA of the virus and stops the building process; results in incomplete DNA that cannot create a new virus; often used in combination with other drugs)
An L/S ratio greater than _______indicates lung maturity.
  • Low
  • 2.0
  • False
  • True
PROM always occurs in a gush of fluid. (T/F)
  • True
  • False
When men get MG they are usually old or young?
  • ELISA
  • 50%
  • Old
  • False
Severe cases of Respiratory Distress Syndrome requires ventilation with _________.
  • Hepatitis B
  • PEEP (Positive end expiratory pressure) & CPAP. (Continuous positive airway pressure), to keep alveoli open while on the ventilator. High frequency jet ventilation is sometimes used.
  • soft stooltypical stool odor stool damages the skinempties several times per daymay or may not be at risk for fluid/electrolytes imbalances may irrigate
  • #1- Potential for infection; Potential impairment of urethral tissue integrity
Fats carry vitamins
  • Muffled voiceDroolingStridor
  • A,D,E,K (Remember FADE K!)
  • Necrosis and rupture of ovary
  • Uterine softening
If a woman is admitted with active bleeding with Placenta Previa you should monitor fetal heart tones _________.
  • Man
  • 7th
  • Young teens
  • Continuously via fetal monitor
Is it possible to have only one: cleft lip or cleft palate?
  • Hypertension, weight gain (edema), proteinuria
  • From inner canthus to outer canthus
  • Yes, you can have one or or the other or both
  • No, only identification bands are acceptable.
What grains are allowed in a gluten-free diet?
  • Rice and corn
  • Take NaCl tablets
  • Change in LOCN/V HeadacheTwitching
  • Laparoscopy
What part of your hand do you use to handle a wet cast?
  • It decreases
  • The palm
  • CD4 count
  • Get up slowly
-otomy
  • Butting
  • "Not" or "into"
  • Petechiae
  • 25 to 40
Women have a (higher/lower) incidence of stroke than men?
  • Cigarettes
  • Brachial
  • Lower
  • True
Should sedatives be given before an EEG?
  • Yes, client may feel dizzy
  • Only if ordered as a pre-test medication.
  • Having the capability to stop growth of the bacteria
  • 2 to 3 weeks after initial infection
The #1 goal in emergency treatment of spinal cord injury is...
  • Sterile saline
  • flexion, hip
  • Immobilization of the spine
  • Metabolic Acidosis
-pathy
  • Upper GI series (barium swallow)
  • Kaposi's sarcoma
  • Disease, suffering
  • Clear, colorless
What are the four fat-soluble vitamins?
  • A,D,E,K
  • Hypoxia, dehydration
  • 7-11
  • Infection
When halo traction is being used to immobilize the spinal cord the client is allowed to _______.
  • increased
  • Petaled
  • Ambulate
  • False
The neurotransmitter imbalance that causes Parkinson's is a ______ in ______ ______.
  • Increased, because of all the cells damaged- the K+ is released from damaged cells.
  • The rheumatoid factor
  • Decrease, dopamine activity
  • Full dilation, delivery, infant
The abnormal hemoglobin produced by people with sickle cell anemia is called Hgb ______.
  • Hgb S-it "sickles"
  • Assess then ambulate
  • 4 to 6 weeks
  • SOBPalpitations
What conditions does ECT treat?
  • Depression primarily
  • Flexion of the knee
  • Back pain, dyspnea, fatigue
  • The chancre (pronounced shanker)
What should the nurse measure before starting a transfusion?
  • Vital signs
  • Third
  • The entrance to the room
  • 1/2 hour
What common household solution is used to remove nits?
  • Vinegar. Nits are the eggs of lice that adhere to the hair shaft
  • Decrease blood pressureControl convulsionsDiuresis
  • Lying face down. Also, do not lie on operative side for a month.
  • Call the MD, probably had a ureter tied off accidentally in surgery
Para-amino salicylate sodium (PAS)
  • No- not for gas or any other petroleum products
  • You subtract the diastolic from systolic
  • No, but may be ordered.
  • Give with meals/food-- anti tuberculosis
What is another name of second intention?
  • Granulation
  • True
  • Crescent-shaped
  • Itching
Are fats a normal constituent of feces?
  • BucksBryantsPelvic
  • Yes but it should be WNL
  • Leukocytosis
  • Yes, until sedative effects of valium have worn off
The most radical prostate surgery is the ____________ prostatectomy.
  • flexion, hip
  • Rapidly
  • Perineal
  • Methionine
Family history of liver disease increases the risk of heart disease. (T/F)
  • True
  • False
Children with cleft lip/palate should be fed in what position?
  • Separation from love object
  • Unilateral pelvic pain
  • RestlessnessIncreased HR Retractions
  • An almost upright position
What should the client avoid post-stapedectomy?
  • Morphine, Demerol, Nitroglycerine
  • After feeding from each breast
  • Removal of the cast, NG tube to decompress, NPO
  • coughingsneezingblowing noseswimmingshowersflying
What is systole?
  • Hearing is totally lost in the surgical ear
  • When the fetal head descends into the pelvis
  • Separation of the incisional edges
  • The MAXIMAL force of blood on artery walls
Patient's with MS should have (increased/restricted) fluids.
  • Hives- uticaria, wheezing, pruritus, joint pain, (arthralgia)
  • Wide based
  • Increased to dilute urine and reduce incidence of UTI.
  • To cause cycloplegiaDilationAllowing eye exam
Sulfonamides
  • It is the side that controls their dominant hand, ie, a left handed person has a dominant right hemisphere and conversely a right hand person has a dominant left hemisphere
  • Dilates pupilsCauses photophobiaUsed preoperatively for cataract removalDon't use in glaucomaAtropine is an example
  • Previous large baby (over 9 lbs), unexplained stillbirth, miscarriage, congenital anomalies
  • Take with LOTS OF WATER regardless of whether you give it at mealtime or not -- Bactrim, Septra, Gantricin, ie, used to treat UTI
-ostomy
  • Heberden's nodes
  • Less than one hour
  • 40 (+ or -10)
  • Surgical opening
The suction should be delivered while (inserting/removing) the catheter.
  • Dark and quiet environment
  • While removing the catheter
  • Dries the mucous membranes.
  • Log rolled (in a body cast)
18 months to 3 years
  • 15 to 25
  • The eyes
  • Steatorrhea
  • Toddler
Colostomies performed for a gunshot are usually (temporary/permanent)
  • Temporary
  • Every 1-2 hours
  • True
  • Hypoglycemia
Do patients experiencing a CVA have a headache?
  • Understand
  • Yes
  • False
  • Steroid
The nurse should limit the client's efforts to ________ ______ during labor when CD is present.
  • External, she knows that illness is not a result of bad behavior.
  • Bear down
  • Rinse the infant's/child's mouth with water
  • Painless
Will the patient be able to close their eye on the affected side?
  • False
  • pH
  • no
  • Phosphorous
If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle should you use?
  • At the back of the head and behind the ears
  • 18 (in preparation to give blood if necessary)
  • To measure or relieve pressure and obtain a CSF sample
  • Decreased airway clearance Alteration in nutrition or absorption
Myelin promotes _____, _____ _____ of nerve impulses.
  • 6 weeks after discharge
  • Fast, smooth conduction
  • Damage to the sciatic nerve
  • Ataxia (gait problems)
Foods lose some or all of their fiber when they are ___________. ___________,____________ or__________.
  • Blackheads and white heads
  • 1:10 solution of bleach and water
  • Processed, cooked, peeled, refined
  • Shell seafood- shrimp, crab, lobster
How often should the patient use the incentive spirometer?
  • Every 1-2 hours
  • Q4 hours with blood pressure
  • Bloody and frothy
  • Conn's disease
Are migraine headaches usually unilateral or bilateral?
  • Get up slowly
  • Stapedectomy
  • Unilateral
  • All 28 days
In Cushings syndrome, the client develops __________ face.
  • Eyes always
  • True
  • No
  • Moon
How soon after cell damage does troponin increase?
  • As soon as 3 hours (can remain elevated for 7 days)
  • Sudden movements and increased Na food
  • No, they usually wait until it interferes with ADLs .
  • a pulsating mass above the umbilicus
From where should the nurse provide care to the client with cesium implant?
  • Subarachnoid space
  • The head of the bed
  • Rinse the infant's/child's mouth with water
  • Man
Hypertension is often fatal if untreated. (T/F)
  • True
  • False
Since pulmonary edema is caused by left ventricular failure what drug is given?
  • Protein
  • Skin testing
  • Always
  • Digitalis
In the diuretic phase, blood volume is ______, sodium is _____, and potassium is ________.
  • Low pruine
  • greater, less than
  • Low, low, low
  • Have them turn side to side
What is the #1 symptom of cast syndrome?
  • Pain in calf upon walking
  • Acute, inflammatory, liver
  • The difference between the systolic and the diastolic blood pressure
  • Nausea and vomiting due to bowel obstruction
What does occult blood in the feces mean?
  • Bleeding somewhere in the GI tract
  • coughingsneezingblowing noseswimmingshowersflying
  • Vinegar. Nits are the eggs of lice that adhere to the hair shaft
  • Amniotic fluid is analyzed for presence of PG
A 0 on the apgar means the baby
  • is stillborn
  • sublingual
  • The Schilling test
  • Allowed
What is the most common NRTI used?
  • CNS toxicity
  • Joint replacement
  • AZT (zidovudine)
  • is stillborn
How often should the nurse auscultate the lung sounds post-operatively?
  • Throw away pack and start new pack same day. use back-up contraceptive method for 7 days
  • Conn's disease
  • Take 2 pills a day for two days in a row and then resume normal schedule.
  • Every 4 hours
In Cushings the blood sugar is (increased/decreased).
  • Increased
  • The eyes
  • It decreases
  • Buffalo hump
What are the large, pale, foul smelling, greasy stools called?
  • headache and hypotension
  • By ID name-band
  • Steatorrhea
  • The legs
In later stages of hepatitis, the ______ turns dark.
  • Urine
  • True
  • Shiny
  • VIII
The maximum score and infant can receive on any one of the criteria is
  • elevated
  • 2
  • Decrease, dopamine activity
  • True
How long should it take for one unit of blood to infuse?
  • An almost upright position
  • Bleeding somewhere in the GI tract
  • From one hour to three hours
  • Observe stools for steatorrhea
How long does a lady have to wait before driving after a hysterectomy?
  • Cold, clammy
  • Ego Integrity
  • 68 to 74 degrees
  • 3 to 4 weeks
What do NRTI's and PI's do?
  • Above the knee amputation
  • BucksBryantsPelvic
  • They prevent viral replication
  • Cool wet dressing
Spinal cord injury in the thoracic/lumbar regions result in ___plegia.
  • Teratogenesis
  • 24 to 48 hours
  • Paraplegia
  • Low calcium diet
To prevent eye medications from getting into the systemic circulation you apply pressure to the _______ for ______ seconds.
  • Retrolental fibroplasia (an eye problem)
  • No, it can cause a constricting band around the ankle/foot.
  • bleeding precautions; No IM's, no rectal temperatures, other bleeding precautions
  • Nasolacrimal sac, 10 (press between the inner canthus and the bridge of the nose)
Prolonged intervals between breast-feeding (decrease/increase) the incidence of mastitis.
  • 1/2 inch
  • twice a day
  • Increase
  • Slower
What are three signs of polycythemia vera?
  • At the back of the head and behind the ears
  • The cervix thins
  • Peritoneal inflammation
  • HeadacheWeakness Itching
When the patient with spinal cord injury is in tongs or on a stryker frame or on a circoelectric bed they are on......
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
  • An occlusive dressing
  • Of orthostatic hypotension
  • Absolute bed rest
How does the mother break the suction of the breast feeding infant?
  • Short, quickly refocused back on the patient
  • She inserts her little finger into the side of the infant's mouth
  • At least one week
  • Open his mouth, this de-pressurizes the middle ear.
What is the highest flow rate appropriate for nasal cannulae?
  • On the over-bed table
  • Gravity only, no pumps
  • Hemiplegia
  • 6 L/min
Why is the dorsogluteal site not recommended for IM injection the children less than 3 years of age?
  • surgery - appendectomy
  • Immaturity of the fetus (they will want the child to mature)
  • No, it may cause sneezing; also should avoid pepper.
  • Because the muscle is not well developed yet.
Oral contraceptives (increase/decrease/do not effect) the blood pressure.
  • Unilateral pelvic pain
  • Increase
  • Heat
  • Urine
Virulence means....
  • Ability of an organism to produce disease
  • Anticoagulants (heparin/coumadin/lovenox)
  • dilates coronary arteries to increase blood supply (O2 supply) and reduces preload.
  • Process that thickens or congeals a substance
Chronic _____________therapy imitates Cushings.
  • Steroid
  • Aspiration
  • Fourth
  • The legs
What does gluten do to the intestines of the client with celiac's disease?
  • Take NaCl tablets
  • Valium, Baclofen (Lioresal), Dantrium
  • It destroys the lining of the intestine.
  • Destruction; blood flow and oxygen
In the recovery room (PACU) the patient should be positioned....
  • Low, low, low
  • Constipation
  • On either side
  • Delivery of fetus
What is diastole?
  • Premature ventricular contractions (PVCs)
  • CNS toxicity
  • Venous stasis in the abdomen (the woman was in the vaginal lithotomy position for hours)
  • The LOWEST force of blood on artery walls
Give three reasons for giving a back rub.
  • An olive sized bulge (the hypertrophied pylorus)
  • Restore blood volume secondary to hemorrhage, maintain hemoglobin in anemia, replace specific blood components
  • ComfortStimulate circulation and muscles Relaxation
  • Milk & Cheese, Meat & Legumes, Veggies & Fruits, Bread & Cereal
How soon after removal of an ovarian cyst can a woman resume sexual intercourse?
  • Three
  • 4-6 weeks
  • 102 degrees
  • Semi-fowlers
Why is cleft lip repaired early?
  • Overgrowth of spongy bone in the middle ear that doesn't allow the bones of the middle ear to vibrate
  • Venous stasis in the abdomen (the woman was in the vaginal lithotomy position for hours)
  • Between 1 and 5 years of age
  • Feeding is easier after repair and appearance after repair is more acceptable to parents.
Pathogen (Define)
  • Separation of the incisional edges
  • Circulation of micro-organisms on air currents
  • A,D,E,K (Remember FADE K!)
  • Micro-organism that causes disease
Respiratory Distress Syndrome is also know as ....
  • Hyaline Membrane Disease (HMD)
  • One sided (unilateral) facial paralysis
  • surgery - appendectomy
  • Immobilization of the spine
Are enemas common before a hysterectomy?
  • Gynecomastia
  • Infection
  • Yes
  • False
The preferred angle of injection to to be used for IM administration is___________.
  • Delivery of fetus
  • Irritable
  • 90 degrees
  • Opposite
When a client voices embarrassment over the noises that their colostomy makes on the first post-op day, what would you say?
  • Enuresis-No, Nocturia-Yes, and Hematuria-Maybe
  • Immobilize to prevent dislodging the clots that do form.
  • NPO after midnightRemove denturesClient to void before surgerySide rails up
  • The noise will go away in a few days to a week.
What color is the dialysate when it comes out?
  • In the lowest position
  • VomitingGagging
  • Replace blood and fluids
  • Straw-colored - clear
A CVA is a __________ of the brain cells due to decreased _____ _____ and ______.
  • Destruction; blood flow and oxygen
  • Loose earmoldLow battery
  • Permanent scarring and kidney damage
  • Thrombus and pulmonary embolus Urinary retention
Levodopa should be given with or without food?
  • With
  • VIII
  • ELISA
  • False
An aneurysim is an abnormal _______________ of the wall of a(n) artery.
  • Yes and so have pelvic infections.
  • They don't want to harm the fetus
  • widening (it is also weakening)
  • DiureticsHeparinDigitalis
A dry cast is dull or shiny?
  • Shiny
  • Not in the beginning, can be later as swelling occurs
  • False
  • Pads only
The pain of osteoarthritis is usually better or worse with rest? With activity?
  • Nurse's, awareness, self understanding
  • To decrease edema in the demyelination process
  • Better with rest, worse with activity
  • L/S (lecithin/sphingomyelin)
A 10 on the apgar means the baby is
  • Normal saline (0.9 NaCl)
  • in terrific health
  • In the lowest position
  • Degenerative, joint
12 to 20 years
  • Projectile
  • Adolescent
  • Dyspnea
  • 102 degrees
Which extremities are affected by it?
  • Lower only
  • Bicarbonate
  • Wash their hair
  • Monotone
What will be the results of the Rinne test in otosclerosis?
  • Bleeding mucous membranes
  • Pale, sometimes blue
  • Bone conduction will be better than air conduction
  • Morphine, Demerol, Nitroglycerine
If the child's _______ are ______ and the trunk -face abdomen are ________, the child scores 1 on color
  • To decrease edema in the demyelination process
  • Heredity, Bacterial, Hormonal
  • Retrolental fibroplasia (an eye problem)
  • Extremities are blue (cyanotic), Pink
The urine output of the eclamptic client will (decrease/increase).
  • No, never
  • 100 to 105
  • Yes to all
  • Decrease
What should the client do after an EEG?
  • Could be 10 hours
  • the aorta
  • Wash their hair
  • Cold fluids
What is the apgar scale?
  • Airway obstruction
  • #1- Potential for infection; Potential impairment of urethral tissue integrity
  • quick objective way to evaluate the vital functions of the newborn
  • Mixing a little of the client's blood with the donor blood and looking for agglutination.
If mastitis occurs 1+ weeks after delivery, when does breast engorgement occur?
  • 40 (100-minus 60 equals 40)
  • 2 to 5 days after delivery
  • Back pain, dyspnea, fatigue
  • 25 to 40
With PD there is a high/low risk of peritonitis?
  • Yes
  • forked
  • High
  • Hearing lossFeeling of fullness in the ear
Which two nutrients is breast milk lower in?
  • Outside, uterus
  • Fluoride and iron
  • in a few months
  • Ataxia (gait problems)
When a patient is taking Levodopa he should have assistance getting out of bed because...
  • Separates, prematurely
  • an adequate weight gain
  • Of orthostatic hypotension
  • Dark and quiet environment
How long can an AV fistula be used?
  • 6 months
  • Indefinitely
  • knee and hip
  • 24 hours
Are migraines more or less common in men?
  • Yes
  • Less
  • Once
  • Slow
When can an EGD client begin to eat after the test?
  • When gagg reflex returns (knocked out with xylocaine)
  • Suctioning, central line start, arterial procedures
  • Oral hygieneWashing face/handsBack rubTightening linens
  • Vinegar. Nits are the eggs of lice that adhere to the hair shaft
Besides pain, people with migraines complain of what other symptoms?
  • lanugo (soft downy hair)
  • Nausea, vomiting and visual disturbances
  • Upper GI series (barium swallow)
  • Disorganization phase, re-organziation phase
Name the three symptoms of PIH.
  • Inflammation/infection of the mastoid process
  • Low back painPelvic painAbnormal bleeding
  • Hypertension, weight gain (edema), proteinuria
  • Normal saline (0.9 NaCl)
In the rule of nines, the head and neck receive _______: each arm receives_______.
  • Increased
  • False
  • 9%, 9%
  • 60-80 years old
When coumadin is therapeutic, the INR should be between _______ and _______.
  • Unaffected
  • 2.0 and 3.0
  • Laterally
  • Diet, insulin
What urinary pH prevents UTI?
  • Outside, uterus
  • Acidity, low pH
  • Urecholine, Bethanocol
  • Humidified
What two classes of drugs are given in Meniere's?
  • Iontophoresis - sweat test
  • Antihistamines and diuretics (Diamox)
  • Yes, encourage fluids to replace CSF
  • Severe painRestlessness
Fruits are (high/low) in fiber.
  • High
  • yes, yes
  • 2/1
  • females, 25
What position is contraindicated after cleft lip repair?
  • NEVER lie on their abdomen
  • Of orthostatic hypotension
  • Decrease, dopamine activity
  • Semi-fowlers or higher
Why isn't Vitamin B-12 absorbed in pernicious anemia?
  • Because these patients lack intrinsic factor
  • 2 hours after expulsion of the placenta
  • CancerDiverticulitisUlcerative Colitis
  • Bedrest - they can walk if hematuria, edema and hypertension are gone.
What is seen on the abdomen of the patient with Cushings?
  • Electrolyte imbalance (dehydration)Starvation
  • Stiff neck- nuchal rigidity
  • Striae--purple horizontal lines
  • surgery - appendectomy
Children are at _____ risk for suicide.
  • High
  • Low
  • Urine
  • 7-10 days
What is the typical skin care of pemphigus?
  • Cool wet dressing
  • On either side
  • is stillborn
  • Lower body temperature during fever.
Define cataract
  • Parasympathetic
  • Low residue (decrease bowel motility )
  • Give with food (for arthrosis)
  • Opacity of the crystalline lens
Clients on heparin should use an electric razor or safety razor?
  • Beam or X-rays
  • Demyelinating
  • Electric razor
  • 4 to 6 weeks
Have intrauterine devices to prevent pregnancy ever been linked to ectopic pregnancy?
  • Ice packs to decrease swelling
  • Dehydration, thrive
  • DistanceShieldingTime
  • Yes and so have pelvic infections.
What age group usually gets MS?
  • 20 to 40
  • Every 4 hours
  • Alkaline
  • Remember that you are responsible for the client's safety-- not his family, it might be unwise to permit this
What 3 sensations will the client experience?
  • Pillows (no plastic covers)
  • Pain, numbness, tingling
  • The oliguric phase
  • NPO and NG tube for decompression
What drugs are most commonly given before cystoscopy?
  • Valium or demerol
  • Daily weight
  • Ammonium chloride
  • By ID name-band
Early stage hepatitis often looks like the _______.
  • Alopecia
  • Yes
  • #7, facial nerve
  • Flu
Should a female staff member be present when the rape victim is being examined?
  • Always
  • Eyes always
  • Decrease
  • grade fever
What factor do clients with pernicious anemia lack?
  • Sutures or steri-strips, staples
  • Creamed soups- these often have flour
  • Decreased sodium, decreased water (restriction)
  • Intrinsic factor. It has no other name.
When you are not at the bedside the bed should always be...
  • In the lowest position
  • N/V DiarrheaStomatitis (oral sores)
  • Cryoprecipitate
  • In the first 10 to 15 minutes
What causes or precedes pyelonephritis?
  • MydriaticsAnticholinergics
  • in terrific health
  • The cells clump together & don't flow well
  • Cystitis always does
In how many surgeries is cleft palate repaired?
  • Do not lie on operative side; do not lie on back
  • Brain (stroke)Eyes (blindness)Heart (MI)Kidney (renal failure)
  • Those with oxygen in the room, confused, sleepy, drugged clients
  • Two surgeriesone at 12 to 18 monthsthe last at 4 to 5 years
Name the 5 risk groups for AIDS
  • Infection acquired through contact with contamination in the hospital
  • Homosexual/bisexual men, IV drug users, hemophiliacs, heterosexual partners of infected people, newborn children of infected women
  • Heel lifts; sit-ups; hyperextension of the spine; breathing exercises
  • EmbolusThrombusHemorrhage
What gauge catheter would you use to start an IV in hypovolemic shock?
  • No response
  • Kaposi's sarcoma
  • Phosphorous
  • 16 or larger
With what solution & when should a breast feeding mother cleanse the areola?
  • PTT (partial thromboplastin time)
  • Plain water, before & after each feeding
  • Lower body temperature during fever.
  • Yes, you can have one or or the other or both
Can the patient with spinal cord injury at C7 level have respiratory arrest?
  • Yes, in fact they should be given analgesics, may get too anxious which is bad for the patient
  • Yes, because even thought his injury was below C4, spinal shock can lead to loss function above the level, however the will not be permanently ventilator dependent-he will breath on when once spinal shock goes away.
  • Yes
  • Low
When applying restraints remember to...
  • AnorexiaN&V-- very commonYellow visionArrythmia
  • Avoid bruising skin, cutting off circulation, accidental entangling
  • To prevent thrombophlebitis due to venous congestion, usually in legs.
  • Diabetics, peripheral vascular disease, very thick nails
Dantrium causes (constipation/diarrhea)
  • HIV - Human immunodeficiency virus
  • Check for surface antigen on the red blood cell
  • Venous stasis in the abdomen (the woman was in the vaginal lithotomy position for hours)
  • Diarrhea (hint: D's go together, Dantrium and Diarrhea)
What time of day can be particularly dangerous for the Parkinson's patient?
  • Tactile (touch)-- they burn themselves easily
  • Urethra, rentention
  • Mealtime, due to choking
  • Elevate, heart
What are mast trousers?
  • Blackheads and white heads
  • Pneumatic device placed around the legs and lower body that is inflated to force blood centrally
  • Fat soluble in water soluble form -- A,D,E,K
  • Not being able to see one half of the field of vision.
What is the major function of the luteal phase of the ovarian cycle?
  • Oliguria, because since you are losing more fluids you are actually hemo-concentrating the hyperkalemia more
  • Orthostatic hypotension (means you feel weak when you rise to a standing position because your blood pressure falls)
  • To develop and maintain the corpus luteum which produces progesterone to maintain pregnancy until placenta is established.
  • Mast-like with a snarling smile (called a myasthenic smile)
Before evident from the woman's body can be gathered for rape, _____ _____ must be completed.
  • Consent forms
  • Totally pink
  • Stapedectomy
  • Autosomal recessive
What two joints are most commonly affected in osteoarthritis?
  • High, high, high
  • Red, large, noisy
  • knee and hip
  • Lateral, spine
Is cholesterol a triglyceride?
  • Yes, with valium (diazepam) or another sedative
  • No
  • Totally blue, pale
  • Cystitis always does
When giving a bed bath, on which body party should the nurse begin to work?
  • Dropper
  • Radiation hazard
  • Nightmares
  • The eyes
If you deflate a cuff TOO SLOWLY, the reading will be too high or low? Why?
  • No, they are not cleansing agents. They are used AFTER cleansing as a moistening agent
  • No, it will never be absorbed due to a lack of intrinsic factor
  • High, venous congestion makes the arterial pressure higher (increases resistance)
  • Toward (this way you don't put pressure/pull on the suture line.)
What kinds of fluids will clients with pemphigus drink best?
  • Cold fluids
  • Steatorrhea
  • Bradycardic
  • Low calcium diet
Name the two phases of Rape Trauma Syndrome.
  • Disorganization phase, re-organziation phase
  • Restlessness, tachycardia
  • The stage BEFORE the patient exhibits jaundice.
  • Vitamin A, Antibiotics, Retinoids
To insure that Bryant's traction is working the child's hip/sacrum should be _________
  • Off the bed enough to slip a hand between the sacrum and the bed.
  • Having the capability to stop growth of the bacteria
  • Wear gloves while in possible contact with urine, special precautions taken to dispose of the urine.
  • 30 minutes, wound care
Will the client with pyelonephritis have daily weights?
  • Yes, as would any client with kidney problem
  • Yes and so have pelvic infections.
  • No, a client should not sleep with a hearing aide in place.
  • You can easily move the patient around in bed
In the long term reorganization phase the woman has 4 common fears. Name them....
  • Yes, even though it negatively affects the fetus, remember morphine decreases preload and pain which rests the heart.
  • 12 hours, 6 hours
  • To prevent pressure in or on the eyes
  • 1. Indoors or outdoors (depending on where the rape occured)2. Being alone or in crowds3. People being behind them4. Sexual fears
What will the client with otosclerosis complain of besides hearing loss?
  • Buzzing or ringing, in the ears (tinnitus)
  • Radial artery to radial vein
  • Dropping water on inside surface of your forearm.
  • NPO and NG tube for decompression
Name one carbonic anhydrase inhibitor
  • 14, 27
  • Longer
  • Slower
  • Diamox
Hypertension is an ________ or sustained elevation in the (systolic/diastolic) __________.
  • True
  • Permanent
  • Damage to the sciatic nerve
  • Intermittent, diastolic blood pressure
What four organs does hypertension affect the most?
  • Facial nerve paralysis due to accidental damage during surgery (law suit time!)
  • Alteration in comfort: pain, #2 Impaired skin integrity
  • No, just moderate flow (42% or 3 to 6 liters for first 48 hours)
  • Brain (stroke)Eyes (blindness)Heart (MI)Kidney (renal failure)
Will the man with BPH have enuresis, nocturia or hematuria?
  • Viruses, bacteria, chemicals
  • Decrease blood pressureControl convulsionsDiuresis
  • Enuresis-No, Nocturia-Yes, and Hematuria-Maybe
  • increased
After receiving ear drops the client should remain in ________position for ________minutes.
  • Low, low, low
  • Telephone
  • Side lying, 5
  • Dust or water
What type of rash occurs with shingles?
  • No, it can cause a constricting band around the ankle/foot.
  • A vesicular rash over the pathway of a sensory nerve
  • Nausea and vomiting due to bowel obstruction
  • Cystitis always does
Name the two types of crises that a MG patient can have.
  • Cholinergic (too much Mestinon)Myasthenic (not enough Mestinon)
  • carbs, fats, proteins, vitamins, minerals, water
  • Change in LOC and tachycardia
  • DiureticsVasodilatorsDigitalis
What should the client with Raynaud's avoid?
  • Within 30 minutes of beginning the transfusion
  • Mydriatics Anticholinergics (sympathetic effects)
  • Cold weather. (They should wear gloves & stop smoking)
  • Nausea and vomiting due to bowel obstruction
What do you do for dehiscence?
  • Decrease HOB (but not flat); cover with sterile gauze moistened with sterile saline, call MD
  • Yes, but not transmitted by all, only blood, semen and breast milk
  • Depression primarily
  • Before getting out of bed (before the swelling occurs).
Should you ever make an obsessive-compulsive person stop their compulsive behavior?
  • the abdominal is most often "silent"
  • No, they will become very anxious
  • Yes, with anything clean and dry.
  • No rectal temperatures, yes stool softeners
What vital sign changes are most ominous after cystoscopy?
  • A common complication of quadriplegics in response to a fulle bladder or bowel.
  • A fall in the blood pressure and increase in the pulse-- increasing hemorrhage
  • The cells clump together & don't flow well
  • A dropper/syringe with rubber tip to discourage sucking
During menstruation, the average daily loss of iron is _____ mg.
  • Absolute bed rest
  • Milwaukee
  • Heberden's nodes
  • 0.5 to 1.0 mg
What are the two most common complications of hyperemesis gravidarum?
  • Electrolyte imbalance (dehydration)Starvation
  • Left ventricle has decompensated
  • Call the MD, probably had a ureter tied off accidentally in surgery
  • DistanceShieldingTime
Should the suction be continuous or intermittent?
  • No heat lamp and hair dryerYes fan
  • Removal of the cast, NG tube to decompress, NPO
  • Bleeding somewhere in the GI tract
  • Intermittent to prevent mucosal damage
How often should the client with acne wash his face each day?
  • Blurred vision
  • Angina pectoris
  • twice a day
  • Skin testing
Should lemon and glycerine swabs be used to cleanse the mouth?
  • By the 3rd to 4th day, they should be looking at it and asking questions by day 2.
  • No, they are not cleansing agents. They are used AFTER cleansing as a moistening agent
  • Urinary retention, to check for residual, to monitor hourly output
  • Yes, to measure urine output (when output is >30 cc per hour the shock has resolved)
Are Heberden's nodes painful?
  • Yes, until sedative effects of valium have worn off
  • Having the capability to stop growth of the bacteria
  • A blood vessel is sutured between an artery and a vein.
  • Not in the beginning, can be later as swelling occurs
Sterile gloved hands must always be kept above the waist. (T/F)
  • True
  • False
What is the name of the process in which outside agents cause birth defects in the fetus?
  • ASA (aspirin)
  • DistanceShieldingTime
  • Teratogenesis
  • Temporal, supraorbital
When are hemolytic transfusion reactions likely to occur?
  • Have them turn side to side
  • Infertility
  • In the first 10 to 15 minutes
  • Large-holed, soft nipples
Give 3 stages of acute renal failure.
  • Oliguric, diuretic, recovery
  • HeadacheWeakness Itching
  • Humidified
  • High calorieHigh proteinModified fat
The 2 most common surgeries used to treat spinal cord injury are ____ and ______.
  • Delivery of fetus
  • Laminectomy and spinal fusion
  • Fluid replacement/resuscitation
  • Ice packs to decrease swelling
How much sleep should the client get the night before an EEG?
  • Kyphosis (humpback), Lordosis (swayback)
  • Aspirin, non-steroidal inflammatory (NSAIDs) Indocen, Ibuprofen, steroids
  • ONLY when sedatives are used, and then it's only necessary to keep side rails up.
  • At least 4 to 5 hours--unless it is a sleep deprivation EEG
Some women experience discomfort when wearing contact lenses during pregnancy or menstrual periods. (T/F)
  • True
  • False
A third-degree burn is white or red?
  • True
  • Third
  • White
  • Higher
When a doctor takes three different blood pressure readings at different times, how far apart must the measurements be made?
  • At least one week
  • Gestational diabetes
  • Increase (polydipsia)
  • Increase (polyuria)
Which disease has more severe symptoms-- Hepatitis A or B?
  • Joint fusion
  • Delivery of fetus
  • Hepatitis B
  • Supine, 10
Is blood a normal constituent of feces?
  • 2 to 3 weeks after initial infection
  • Yes, but watch for breaded meats and hot dogs/lunch meats- may have grain in them and are not allowed
  • Recovery
  • No
Water acounts for __________ to _________% of an infant's total weight?
  • Steatorrhea
  • Oil and H2O
  • 70 to 75%
  • 4 to 6 weeks
Do clients in hypovolemic shock have to have a Foley inserted?
  • No, you can self-disclose as long as you do it cautiously and you are 100% sure it is therapeutic.
  • Take with lots of water rergardless of meals -- to prevent constipation
  • Insertion of a fiber optic scope to visualize the esophagus, stomach and duodenum
  • Yes, to measure urine output (when output is >30 cc per hour the shock has resolved)
What may be added to the IV to correct the acidosis?
  • The cervix thins
  • Rice and corn
  • Tetracycline
  • Bicarbonate
Will a child with epiglottitis cough?
  • To cause cycloplegiaDilationAllowing eye exam
  • At the time of the first missed period
  • No, there will be a lack of spontaneous cough.
  • Hematuria Proteinuria +3 to +4Specific gravity Up
What vision problem do women with pre-eclampsia have?
  • Blurred vision
  • Brachial
  • Altered body image
  • Cancer, colon
What is the normal color of cerebrospinal fluid?
  • Clear, colorless
  • Oral contraceptives
  • Steatorrhea
  • Chronic otitis media
Name the 3 hematologic side effects of chemotherapy.
  • Occult blood, fat, ova and parasites
  • Shell seafood- shrimp, crab, lobster
  • ThrombocytopeniaLeukopenia Anemia
  • Reddish-brown dust in the underwear
What is the #1 danger of epiglottitis?
  • Sterile technique
  • Ultrasound
  • Airway obstruction
  • Fluid replacement/resuscitation
The client with uric acid nephrolithiasis should have a diet low in ___________.
  • Hypertension
  • Aspiration
  • Obese, thin
  • Methionine
Bacteriostatic (Define)
  • Substance that prevents or inhibits the growth of micro-organisms
  • A substance used to destroy pathogens but not necessarily their spores (in general not intended for use on persons)
  • A fall in the blood pressure and increase in the pulse-- increasing hemorrhage
  • It is a stored formed of glucose/energy manufactured by the liver
The infant fears _________ most when hospitalized.
  • Separation from love object
  • To prevent stress on the suture line
  • Hemolytic, febrile, allergic
  • Aspirin, non-steroidal inflammatory (NSAIDs) Indocen, Ibuprofen, steroids
Pneumonia is an ______ in the ______ of the ______.
  • Infection, alveoli, lungs
  • Lying prone several times a day
  • From one hour to three hours
  • Firstborn, full term, white, boys
Methotrexate
  • Give on empty stomach (antibiotics)
  • NO! It is a stored form of glucose MANUFACTURED by the liver.
  • Moving the head from side to side to see the whole field of vision.
  • Toxic to just about every organ except to heart, toxicity made worse with aspirin
What is scanning?
  • Less than 500 cc of urine in 24 hours
  • Moving the head from side to side to see the whole field of vision.
  • Lying face down. Also, do not lie on operative side for a month.
  • Remide the patient to straighten their knee constantly while standing
What is the #1 symptom of an MI?
  • Before getting out of bed (before the swelling occurs).
  • early adulthood, middle adulthood and later adulthood
  • Severe chest pain unrelieved by rest and nitroglycerine
  • NPO and NG tube for decompression
Anorexics are usually __________ under the age of _____.
  • Gag reflex
  • Diuretics
  • females, 25
  • Grimaces
Which trimester do Braxton-Hicks contractions begin?
  • daily
  • Soft
  • Third
  • True
What two lab tests monitor coumadin therapy?
  • HeadacheWeakness Itching
  • Thymectomy (removal of thymus)
  • Respiratory acidosis (CO2 is retained)
  • Prothrombin time (PT) and the INR
What is the developmental task for early adulthood?
  • Tetracycline
  • Intimacy vs. Isolation
  • Decompensation
  • Beam or X-rays
Clients on what type of therapy must use a safety blade razor (non electric)?
  • Use plain water only, no soaps, pat dry, can use cornstarch for itch
  • Damage to the sciatic nerve
  • Maybe, as long as they don't contact body secretions.
  • Oxygen therapy, since an electric razor could cause sparks
Which trimester is nausea and vomiting most common?
  • VIII
  • Sitting
  • First
  • True
What is the surgery for mastoiditis called?
  • Simple or radical mastoidectomy
  • To develop and maintain the corpus luteum which produces progesterone to maintain pregnancy until placenta is established.
  • Safety, because they get dizzy.
  • headache and hypotension
What glands are affected in CF?
  • Acid Ash
  • Exocrine glands
  • Flexion of the knee
  • Soap and water
If the client complains of dyspnea during PD you would first __________, then __________.
  • Soaking in warm water
  • Slow the flow, elevate HOB
  • 1 1/2 hours, 1/2 hour
  • Chicken, pork, mutton
Parkinson's patients move fast or slow?
  • Iron
  • True
  • Slow
  • daily
What is gynecomastia?
  • Sore throat
  • Premature ventricular contractions (PVCs)
  • Hair loss
  • Female-type breasts
If a women forgets to take pill one day, what should she do?
  • Inner to outer canthus
  • When dietary control does not keep the blood sugar within normal limits
  • Take it as soon as she remembers it, and take next pill at regular time.
  • No, reinforce it. Physician changes first post op dressing
What is the treatment of choice for syphilis?
  • Change in LOC and tachycardia
  • Penicillin
  • SOBPalpitations
  • Premature ventricular contractions (PVCs)
What artery is widened in a thoracic aneurysm?
  • Troponin
  • 25 to 40
  • Liver, heart, brain
  • the aorta
Does client need to have side rails up after EGD?
  • Yes, until sedative effects of valium have worn off
  • Appendicitis, rupture of a fallopian tube pregnancy
  • Nausea, vomiting and visual disturbances
  • Mydriatics Anticholinergics (sympathetic effects)
What cardiac enzymes indicate an MI?
  • Chronic otitis media
  • Large, pale, foul smelling, greasy
  • Elevated CPK, LDH, SGOT
  • Confusion, headache
From where should the nurse talk to the client?
  • Man
  • Local
  • After it occurs the woman can breathe much easier
  • The entrance to the room
The best client position during airway suctioning is _______.
  • Semi-fowlers
  • Nitroglycerine
  • Every 6 hours
  • twice a day
Can letting IVs run too fast cause pulmonary edema?
  • Levodopa, Sinement, Symmetrol, Cogentin, Artane, Parlodel
  • Dysmenorrhea (painful menstruation)
  • Consider the area contaminated and not use the articles in the area
  • Yes in the client with poor cardiovascular function
What is a common side effect of mastoidectomy?
  • Failure of the heart to maintain adequate circulation.
  • Dizziness (vertigo)
  • Restlessness, tachycardia
  • Distended with flatus
How can AGN be prevented?
  • NumbnessTinglingBurningPallorUnequal or absent pulsesUnequal coolness
  • By having all sore throats cultured for strep and treating any strep infections
  • Give on empty stomach with orange juice to increase absorption
  • usually pain; bleeding is more voluminous in previa
Aldactone
  • The stage BEFORE the patient exhibits jaundice.
  • Give with meals (K--sparing diuretic)
  • Only if ordered as a pre-test medication.
  • Small dot like pinpoint hemorrhages on the skin.
Which vital signs are most important to measure in clients with aneurysm?
  • The pulse and blood pressure
  • No, never put anything in their mouth.
  • No, they will become very anxious
  • Change in LOC and tachycardia
Hyperthyroid (High metabolism)
  • Graves Disease
  • ST wave changes
  • Acid Ash
  • Cushing's disease
Would you do a throat culture for a child with epiglottitis?
  • No, never put anything in their mouth.
  • Hearing is totally lost in the surgical ear
  • Side rails up x 4, ambulate only with assistance
  • O2, anticoagulants
Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred?
  • Low, low, low
  • In the lowest position
  • Yes, when lye or caustic agents have been ingested
  • Yes, in fact whenever a patient makes a statement about wishing or wanting to die or kill self you must ALWAYS AND FIRST assess for suicide potential*-stop everything and assess for suicide patient (except CPR, or course)
Should hearing aids be removed before going for surgery?
  • No, a client should not sleep with a hearing aide in place.
  • Yes, but just before surgery
  • Bleeding mucous membranes
  • Destruction; blood flow and oxygen
What level of fever is present in epiglottitis?
  • Over 102 degrees
  • X-rays of the spine
  • Acute blood loss
  • Clear, colorless
Will the muscles of MS clients be spastic or flaccid?
  • Spastic
  • skin
  • 120/80
  • 0.9 normal saline
Amniotic fluid turns nitrazine paper deep _________ (color).
  • Soft
  • RLQ
  • High
  • Blue
The toddler and preschooler will think that illness is caused by_____________.
  • 6 weeks after discharge
  • Something they did wrong.
  • protective (reverse) isolation
  • Severe painRestlessness
For which type of aphasia are slow, short, simple directions most useful?
  • Bradycardic
  • Increases
  • Methionine
  • Receptive
Generativity vs. Stagnation
  • Zero
  • Erikson's stage in which individuals form deeply personal relationships, marry, begin families
  • Enteric precautions Fecal/oral route of transmissionIncubates 3 to 5 weeks Vaccine available (Can give immune globulin after exposure)HAsAg (this is what the blood test show) Hepatitis A surface Antigen
  • Erikson's stage of social development in which middle-aged people begin to devote themselves more to fulfilling one's potential and doing public service
Define dehiscense
  • Flu-like symptomsChemo-therapeutic Agent Toxicities
  • Pre-schooler
  • Give on empty stomach (antibiotics)
  • Separation of the incisional edges
Which side will the client be allowed to lie upon post-stapedectomy?
  • Crushing, heavy, squeezing, radiating to left arm, neck , jaw, shoulder
  • Depends on M: operative side promotes drainage, un-operative side prevents graft dislodgement. Don't make a big deal of position post-op
  • Hyperextension of the spine by a body cast: the hyperextension interrupts the nerve & blood supply to the gut
  • Increased hydrostatic pressure in the pulmonary capillaries
In BPH the force of the urinary stream is (increased/decreased).
  • Diuretics
  • decreased
  • ST wave changes
  • Grief, depression
If the patient has right hemiplegia, he cannot move his ____ ____ and ____ ____ and the stroke was on the _________ side of the brain.
  • PTT (partial thromboplastin time)
  • Weight gain
  • Increased carbohydrates, increased protein.
  • Right arm and right leg, left
To prevent post-op swelling, the stump should be __________.
  • Every 1-2 hours
  • elevated
  • 10 seconds
  • Alopecia
On the HR criteria an infant scores a "1" if their HR is _________ than 0 and ____________ 100
  • Altered body image
  • greater, less than
  • Urine & blood
  • Extrinsic factor
Termination phase begins in the _______phase.
  • fruits, veggies
  • Large vesicular bullae
  • Orientation
  • Stapedectomy
What signs or symptoms would you report if they were present after cast application?
  • Slowly, because of severe orthostatic hypotension (they use a tilt table)
  • Hyperextension of the spine by a body cast: the hyperextension interrupts the nerve & blood supply to the gut
  • NumbnessTinglingBurningPallorUnequal or absent pulsesUnequal coolness
  • Crushing, heavy, squeezing, radiating to left arm, neck , jaw, shoulder
Scoliosis MOST commonly affects _____ _____ (type of clients).
  • Laparoscopy
  • grade fever
  • Teenage females
  • Middle ear
Rifampin
  • Give on empty stomach (anti-tuberculosis) remember Rifampin causes red urine
  • Heel lifts; sit-ups; hyperextension of the spine; breathing exercises
  • 5 minutes - take one nitro tab every 5 minutes 3 times, if no relief, call MD
  • Not usually unless they have an infection caused by an airborne bug
An infant is given a score of 0 for respiratory effort if __________.
  • Semi-fowlers with knee gatched
  • They do not breathe
  • Lie flat for 6 to 12 hours
  • X-rays of the spine
Is milk allowed on a gluten-free diet?
  • False
  • True
  • Males
  • Yes
In Placenta Previa the placenta is implanted _______ than it should be and lays over the ________ ________.
  • Capillary, thrombus
  • Thrombophlebitis
  • Lower, cervical os
  • 12 hours, 6 hours
Clients on what class of drugs should use an elastic razor?
  • Neurotic-- they know reality
  • Maybe, as long as they don't contact body secretions.
  • Start at the incision and move outward.
  • Anticoagulants (heparin/coumadin/lovenox)
Is urinary incontinence an indication for catheterization?
  • False
  • True
  • No
  • Danazol
What kind of rod is used to "fix" curvature?
  • Constrict the pupil
  • Projectile
  • Assessment phase
  • Harrington Rod
What happens to the blood pressure in hypovolemic shock?
  • It decreases
  • True
  • Secondary respiratory arrest (valium)
  • Corneal ulceration
If the client complains of abdominal gas after a hysterectomy, the best intervention is.....
  • 10 seconds
  • Semi-fowlers
  • Ambulation
  • Smoking
Can the stroke victim be turned side-to-side?
  • Wet
  • Yes
  • False
  • Menstrual discharge begins
Ego Integrity vs. Despair
  • More
  • (Erikson) People in late adulthood either achieve a sense of integrity of the self by accepting the lives they have lived or yield to despair that their lives cannot be relived
  • True
  • Decrease HOB (but not flat); cover with sterile gauze moistened with sterile saline, call MD
What can PREVENT the attacks of Meniere's?
  • Tetracycline
  • Seizure precautions
  • Ataxia (gait problems)
  • Avoid sudden movements
Do people have a loss of hearing with otosclerosis?
  • Hot
  • True
  • Cut
  • Yes
How often should the drainage bag be emptied?
  • PT (prothrombin time)
  • After feeding from each breast
  • Every 8 hours
  • It hypertrophies
Stool Softeners
  • Take with lots of water regardless of mealtim
  • To take the child to the ER as soon as possible.
  • Administer a few breaths at 100% oxygen before beginning
  • Yes, but just before surgery
Describe the pain of angina pectoris
  • To prevent stress on the suture line
  • When the gag reflex returns
  • Low back painPelvic painAbnormal bleeding
  • crushing substernal chest pain that may radiate
What is sordes?
  • Practices that render & keep objects & areas free from all micro-organisms (synonym for sterile techniques)
  • Crusts on the tongue and gums due to improper oral hygiene
  • Remove before they transform into malignancy.
  • Circulation of micro-organisms on air currents
What blood cell is low in leukopenia?
  • No, only large ones
  • It decreases
  • White blood cells
  • Average of 28 days
Centers on having basic needs met
  • lose
  • Collapse
  • Laparoscopy
  • Infancy
The four most common organisms that cause meningitis are...
  • Sansert (methsergide), Cafergot (Prophylaxis: Imipramine)
  • Buzzing or ringing, in the ears (tinnitus)
  • Lying face down. Also, do not lie on operative side for a month.
  • PneumococcusMeningococcusStreptococcusH. influenza
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