Qbank 2022/2023 with complete Solution

The nurse expects the emotional responses of the client with a stroke of the left hemisphere to be MOST influenced by which occurrence? - ANSWER General health and personality before incident Correct developmental milestones for infant-baby - ANSWER Dolls eye appearance goes away Begins drooling Responds to own name Takes deliberate steps when standing Picks up bite size pieces of cereal Topiramate - ANSWER Anticonvulsant topiramate is an anticonvulsant; should drink ml of fluid daily to prevent kidney stones What medication should the patient avoid with topiramate? - ANSWER Hormonal birth control *Non hormonal birth control is allowed The public health nurse visits an older Asian American patient who has been taking isoniazid (INH) for 4 months. The patient complains of nausea and anorexia. Which of the following actions should the nurse take FIRST? - ANSWER Signs of jaundice may appear on hard palate of Asians at first. Inspect hard palate Ioperamide - ANSWER Antidiarrheal The home health nurse assists client to plan for cataract surgery. Which of the following recommendations by the nurse is BEST? - ANSWER Ask someone to do the vacuuming for a few weeks after surgery *Jerky movements and bending at the waist can increase intraocular pressure The nurse supervises care provided to a client being treated with a radioactive implant for vaginal cancer. Which of the following situations, if observed by the nurse, requires an intervention? - ANSWER Nurse stands behind protective shield *Shield should be placed on hallway side of patient and nurse should NOT stand at the foot of the bed Pyrazinimide - ANSWER Anti-myco. Active TB. highly liver toxic. used for short duration Phenelzine sulfate - ANSWER Nardil - MAOI - Depression Patient taking phenelzine sulfate should not eat what: - ANSWER Grilled cheese Inappropriate injection technique - ANSWER Do NOT massage the injection site What should be assessed immediately in a patient with bipolar disorder? - ANSWER Patient has not eaten breakfast or lunch. Physiological before psychological A client 3 days post right knee replacement complaining of right calf pain with movement. - ANSWER Could indicate DVT- need to be assessed immediately Legionnaire's disease - ANSWER ____ disease is a severe, sometimes fatal bacterial infection with flu-like symptoms followed by severe pneumonia with liver and kidney degeneration. CAN BE FOUND IN HOT WATER TANKS Myxedema - ANSWER A disease resulting from decreased function of the thyroid gland in adults characterized by puffy dry skin failing hair and lowered metabolic rate. ALSO CAUSES DECREASE IN MENTAL FUNCTIONING Patient with myxedema will be seen as improving if: - ANSWER They are communicating well about finances with spouse Guillan Barre - ANSWER Ascending paralysis During plasmapheresis the patient most likely will become - ANSWER COLD; need blankets Cardioversion - ANSWER Correction of an abnormal cardiac rhythm. May be accomplished pharmacologically, with antiarrhythmic drugs, or by application of electric current (see defibrillation) What med should be given before cardioversion? - ANSWER Versed Nifedipine (procardia) - ANSWER Calcium channel blocker; relaxing cells and causing vasodilation Hydralazine hydrochloride - ANSWER Direct vasodilator Laxative that is the safest - ANSWER Bulk forming laxative Psyllium hydrophillic mucilloid - ANSWER Bulk forming laxative that is SAFEST Colace - ANSWER Not as safe, emolient laxative that can cause bowel problems Magnesium hydroxide - ANSWER Saline cathartic osmotic laxative Bisacodyl - ANSWER Stimulant laxative NOT SAFE Does the LPN have to wear gloves when caring for a stage 1 pressure ulcer? - ANSWER No, skin is reddened and intact Are sterile gloves needed for the removal of a foley catheter - ANSWER No The nurse supervises care of a client after a laminectomy. Three staff members who have completed training prepare to turn the client. Which of the following observations by the nurse requires an immediate intervention? - ANSWER LEGS CANNOT BE STRAIGHT Need a pillow between them to prevent hip and leg adduction 30 mL is how many ounces? - ANSWER 1 Cognitive therapy viewpoint focues on - ANSWER Language Risk factors for stroke - ANSWER African American Male Smoke Drink Cocaine When is phototherapy considered for an infant? - ANSWER 4) CORRECT— most stable client; phototherapy considered for the infant with total serum bilirubin of 15 mg/dL at 72 hours of age IV infiltration interventions - ANSWER Remove IV and provide warm soaks Elevated serum antistreptolysin O (ASO) titer. - ANSWER 3) CORRECT— indicates glomerulonephritis, damage to glomerulus caused by an immunological reaction that results in proliferative and inflammatory changes within the glomerular structure Metoclopramide hydrochloride - ANSWER Stimulates gastric motility of upper GI tract Esophagogastric tube treats what - ANSWER Bleeding esophageal varices High potassium foods - ANSWER Baked potato, cantaloup Patient with full thickness burns should eat - ANSWER Broiled pork chop, cream of potato soup and pudding (extra calories) Baby who has ingested pills - ANSWER ASSESS BEFORE IMPLEMENTING; ASSESS BEFORE EMPTYING MOUTH OF PILLS Normal UOP/24 hours - ANSWER 800-2000 mL/day After insertion of a central venous catheter (CVC), a patient suddenly starts coughing. The nurse notes that the client is pale and dyspneic, and has tachycardia. Which of the following actions should the nurse take FIRST? - ANSWER Turn the patient to the left side and lower the head of the bed. After a major power outage, a confused client with an unsteady gait arrives at a portable emergency response station. Which of the following actions should the nurse take FIRST? - ANSWER Assist the client to the nearest chair. PAY ATTENTION TO THINGS SUCH AS UNSTEADY GATE; THIS INDICATES A RISK FOR FALLING Can glaucoma be corrected with surgery? - ANSWER No Glaucoma - ANSWER 1) glaucoma is an obstruction of the outflow of aqueous humor, causing increased intraocular pressure that causes permanent damage to the optic nerve; there is decreased visual acuity but it is not corrected by eyeglasses When should a patient with a glaucoma schedule her appointment? - ANSWER Early morning because IOP is more accurate/highest in the morning The nurse in the emergency department (ED) is notified that several workers in a local plant have been exposed to radioactive materials. Which of the following actions should the nurse take FIRST? - ANSWER Notify the Director of Nursing of the incident. THIS INITIATES DISASTER PLAN A patient with a history of assault is admitted involuntarily to the locked psychiatric unit. As the nurse begins the admission interview, the patient angrily yells, "Get away from me, you racist bigot!" Which of the following actions by the nurse is MOST appropriate? - ANSWER Inform the patient that the nurse will return in 30 minutes. GIVE SPACE TO CALM DOWN, PATIENT CAN BE VIOLENT. NURSE'S SAFETY FIRST The home care nurse instructs a client diagnosed with multiple sclerosis. The client relates to the nurse that she has poor concentration and has difficulty pronouncing words. The nurse notes that the client's speech is slow and slurred. Which of the following statements, if made by the client to the nurse, indicates further teaching is necessary? - ANSWER "During a conversation, I will carefully build up to my most important points." BUILDING UP CAUSES FRUSTRATION- NEED TO MAKE IMPORTANT POINTS EARLIER IN CONVERSATION Do you use inhaler or steroid first? - ANSWER Albuterol (bronchodilator) first Trifluoperazine - ANSWER Antipsychotic DO NOT BREAST FEED! TOXIC!