Questions And Revised Correct Answers & Rationales
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how does a nurse properly manage her time mid-shift? - ANSWER-reevaluates goals
which psych pt would you see first? - ANSWER-hallucinations
dementia pt @ ER, w/marks on coccyx & wrist, suspected abuse. what do you do? - ANSWER-
ask pt. INTERVIEW HIM
psych pt yelling in front of group. very agitated, what do you do? - ANSWER-isolate pt
,charge nurse scheduling resolution between nurses - ANSWER-nurse listens to both sides
respite care - ANSWER-gives family a break
pt in seclusion documentation - ANSWER-what happened prior to seclusion that caused for
seclusion
parkinson's : pt teaching - ANSWER-nutrition- thicken liquids
pt receiving radiation, what should you wear? - ANSWER-lead apron
pt suffering from hyperthermia - ANSWER-seizure precautions
pt refuses last minute for a procedure he already consented for - ANSWER-okay to stop
procedure
s/s of smallpox - ANSWER-rash on tongue
xerostoma - ANSWER-humidifier
vagina procedure, cervical cancer - ANSWER-place catheter
Lyme disease - ANSWER-report it
lice (pediculodis capitis) - ANSWER-can survive on surfaces for up to 48 hours
RSV - ANSWER-keep stethescope in room (droplet)
16 weeks gestation - ANSWER-can get AFP test done
bacterial meningitis - ANSWER-droplet precautions
when can kid return to school for chicken pox - ANSWER-when lesions are crusted over
kicks a ball: developmental stage - ANSWER-24 months
baby w/cleft lip - ANSWER-untie arms & perform ROM
wrong ostomy care - ANSWER-changing everyday may lead to skin irritation
after male circumcision - ANSWER-apply petroleum jelly w/every diaper change
breastfeeding w/hep c - ANSWER-don't breast feed if you have cracked nipples
contraindication w/oral contraceptives - ANSWER-HTN
combination contraceptives contraindications - ANSWER-pt w/migraines
when percussing RUQ, what should we feel - ANSWER-dullness
dementia pt - ANSWER-offer finger foods
,black males @ great risk for - ANSWER-CVA
med for alcohol withdrawal - ANSWER-disulfiran (antabuse)
better nutririon - ANSWER-canola oil
healthy eating - ANSWER-45 % carbs
to prevent neuro tube defects - ANSWER-folate
prevnting delays of healing - ANSWER-protein & o2
pt raped & @ ER - ANSWER-assess anxiety
pt reports abuse - ANSWER-assess pt, check for injuries
anorexia - ANSWER-60% refeeding-pre-albumin of 10
telemetry is used for - ANSWER-check for dysrythmia
do not give mmr - ANSWER-to child bearing pt b4 pregnancy test
pt w/hx of blood transfusion
diet for hf - ANSWER-dry spices to flavor food
TURP: closed intrermittment irrigation - ANSWER-let it drain
Cranial nerve XI - ANSWER-(hot spot) shoulder
Proper lifting technique - ANSWER-(picture) bending at knees
24 month old - ANSWER-walk up steps
Food label - ANSWER-greatest weight listed first
IV technique - ANSWER-advance catheter
Refeeding syndrome - ANSWER-60%
Low fat diet - ANSWER-canola oil instead of vegetable oil
Prior to amniocentesis - ANSWER-empty bladder
Radiation implant - ANSWER-limit visitors to 30 minutes
Levothyroxine - ANSWER-take on empty stomach, in am; increases tsh
Metformin contraindication - ANSWER-kidney disease, severe infection, shock, hypoxic
conditions
, diet for chronic renal failure - ANSWER-low protein & potassium
DM pt teaching - ANSWER-change shoes, wash bfeet w/soap & water
pulse pressure - ANSWER-subtract systolic value from diastolic value
lantus - ANSWER-never mix, long lasting, no peak
rhogam - ANSWER-given @ 28 weeks & 72 hours post delivery
when mom is negative & baby positive
indication of baby dehydration improving - ANSWER-smooth fontannel
pt w/orthostatic hypotension - ANSWER-put near nursing station
cleaning a wound - ANSWER-clean to dirty
use bulb syringe
peripheral arterial disease - ANSWER-cramp in leg while walking
intermitment claudication
seizure precautions - ANSWER-supine position
20 weeks gestation, having urinary frequency - ANSWER-u/a & c/s
report to new nurse @ shift change - ANSWER-pt @ xray
s/s of hemolytic blood transfusion - ANSWER-flank pain
ER rape victim priority - ANSWER-acess anxiety
nutrition - ANSWER-carbs 45%, protein 10-15%
latex allergy - ANSWER-tape up cords
first ingredient on a food label - ANSWER-most content
thoracentesis, & painful w/breathing - ANSWER-put pt on UNAFFECTED side for 1 hour or
longer
pt w/IV sedation - ANSWER-check LOC if not responsive
help older brother get used to baby - ANSWER-get a gift for big brother
early decelerations - ANSWER-head compressions
methergine contraindication - ANSWER-HTN